Recently, one of my pharmaceutical reps asked me a question she’d been asking other doctors. "If you only had 5 medications to work with, which ones would you choose?" For me it was easy. 1. Adderall XR Has the best batting average. Batting average = how often patients say, "This med is […]
Medication: Best Meds
Click here to see how Dr. Jones determines "Best Meds" Stimulants are without a doubt my most successful medications. All except Provigil require a triplicate prescription, which is ironic because stimulants are seldom abused when properly prescribed. Approximately 10% of adults will abuse prescription medication but what they abuse is […]
Tenex (Guanfacine) is usually taken once or twice daily. It can be taken 3-4 times/day but it has a 16 hour half life so frequent dosing is not necessary. If taken regularly total blood levels will gradually increase over the first three days and then will level off. Tenex comes […]
Tenex (generic Guanfacine) is a medication that has been used for years as a mild antihypertensive. In the body and in the lower brain centers it reduces the release of norepinephrine (sometimes called noradrenalin). In the prefrontal cortex in the front of the brain it decreases sensitivity to distracting stimuli […]
Question: What are the best medications for ADHD? Answer: Surgeons are practical. “A difference that makes no difference is no difference”. Recognizing ADHD and finding the right treatment makes a dramatic difference in someone’s life. ADHD is relatively easy to diagnose. There are more studies showing the effectiveness and safety […]
Daytrana (methylphenidate) Daytrana is an adhesive patch formulation of methylphenidate (such as Concerta, Ritalin, Focalin). It is the first patch to be approved by the FDA for treatment of ADHD. Although the formal indication is for use in children 6-12 years of age it can be used in all age […]
Question: I am a 24 year old who has suffered anxiety and depression since the age 15. Nothing has worked. I have mostly taken Zoloft. Recently I have switched to Cymbalta. I am in my second week of Cymbalta and feel very keyed up, irritable, anxious, and feel as if […]
Question: A friend has been on Effexor XR for a few years now, but the doctor wants her to get on Welbutrin to help her stop smoking. Can she take both Welbutrin and Effexor XR together if she cuts the Effexor XR to 75 from 150, and will this give […]
Question: I take Zyprexa and Cymbalta for depression. I would like to get off the Zyprexa*. Is there another combo that will work just as well, such as Cymbalta-Effexor, or Cymbalta-Wellbutrin? Thanks for the help – I enjoy your website. — Max *Max clarified this was due to “side-effects mostly. […]
Question: I have mitral valve prolapse syndrome(dysautonomia) and very infrequently get panic attacks from a food, smell, etc. For a one shot attack which is better at stopping it quicker, Xanax, Niravam or Klonopin? — R.F. Answer: When you say “mitral valve prolapse syndrome (dysautonomia),” I assume you are referring […]