by Nassir Ghaemi | Aug 29, 2023 | Curbside Consults
Q: I was wondering if you’ve used genetic testing to help choose an antidepressant. I have one patient who is requesting it but hasn’t actually “failed” any antidepressant trials. She doesn’t like the idea of waiting several weeks just to...
by Nassir Ghaemi | Aug 16, 2023 | Curbside Consults
Q: I have a question about Lithium Orotate 10 mg or other low dose. I have a few patients who cannot accept their manic depressive diagnosis but they would accept Lithium Orotate OTC low dose. I suggested it to one after doing the usual labs and EKG. She said it is...
by Nassir Ghaemi | Jul 11, 2023 | Psychiatric Drugs
An underappreciated medicationUse the slow release formBest clinical usesFormulations, mechanisms, dosing, and pharmacokineticsDrug interactionsSide effectsMedical risks An underappreciated medication Carbamazepine is an underappreciated drug. Its lack of weight...
by Nassir Ghaemi | Jul 7, 2023 | Education
Truths of Psychopharmacology 1. Your treatment is as good as your diagnosis. 2. Treat diseases, not symptoms. 3. All drugs are guilty until proven innocent. 4. All drugs are toxic; only the dosing and indication makes them therapeutic. 5. Always have an exit strategy....
by Nassir Ghaemi | Jul 3, 2023 | Curbside Consults
Question: Dr. Ghaemi recommends Lithium once daily dosing over twice daily to minimize renal side effects, based on studies like this one: Singh, Lokesh Kumar, et al. “Improving tolerability of lithium with a once-daily dosing schedule.” American Journal...
