Genetic Testing Genomind The Genecept Assay Test Panel at a Glance Pharmacodynamic GENE PHYSIOLOGICAL ROLE IMPACT OF MUTATION TREATMENT IMPACT Serotonin Transporter (SLC6A4) Protein responsible for reuptake of serotonin from the synapse Inhibition of this protein by SSRIs, which may lead to increased risk for non-response/side effects Use caution […]
Medication: How They Work
I have not seen previous reports of permanent growth suppression from long-term use of stimulants during childhood. Expert consensus and my clinical experience is that height may be slightly delayed but is genetically determined (assuming adequate nutrition). The package insert for methylphenidate products (Ritalin, Concerta, Focalin, Daytrana, Metadate), cautions that […]
Vyvanse, the new ADHD medicine, has a unique prodrug delivery system developed to prevent abuse. In addition to marked reduced abuse and misuse, studies have shown other major advantages over Adderall XR – the most prescribed medication for ADHD. Vyvanse has been found to be more consistent in its effect, more […]
We have heard it since we were kids, but do we really need to take our vitamins? The answer is yes. Most Americans don’t get the nutrition they need simply from the foods they eat, and supplements insure that our body meets its nutrient “quota” enabling our body to […]
Question: I read on your site that people that suffer from anxiety have increased serotonin, and SSRI’s reduce the amount of serotonin in the body. I suffer from GAD that manifests itself with my racing heart rate. I have been taking Effexor now for about 3 weeks, and it seems […]
Question: I am searching for help with an issue my adult son with a history of ADHD has run into. As an adult, his physician put him on Paxil for his ADHD as other medications for ADHD were not as effective. My son is functioning very well, has never been […]
Question: How quickly does Cymbalta start working – relative to other antidepressants? — M.F. Answer: Some effects of Cymbalta may start within the 1st 2-3 days (it especially helps with chronic pain and possibly insomnia or anxiety). The antidepressant effects and most of the anti-anxiety effects usually take 2 weeks […]
Last week, a rep from a pharmaceutical company that manufacture a sleep medication was in my office. He said, “You have a unique practice because you see a lot of patients with sleep problems.” I said, “WRONG! I see the same patients that all psychiatrists and primary care doctors see. The […]
Several years ago I was speaking in a family practitioners office in Marshall, TX. I started out with a question, "If you were treating President Clinton, what would you prescribe him?" He immediately answered, "Prozac." I said, "Good, and that’s because …" He said, "It causes people to commit suicide." […]