The Waiting Room
A patient visits the sleep clinic complaining of being awakened by a bomb-like noise.
Advisor Forum
I have been prescribing mirtazapine (Remeron) and paroxetine (Paxil) to control violence, aggressivity, and psychotic behaviors in young patients with mental retardation. These agents control violence within a few days (not one to two weeks), while neuroleptics fail. Can you explain the effect and the speed of action?—Truc H. Dao, MD, Rowland Heights, Calif. It…
Web Exclusives
Both positive and negative clinical trial results must be made available to researchers and the public in order to accurately guide therapy and prevent unnecessary repetition in research.
Psychiatry Information Center
A large study found that use of SSRI medications to treat depression does not increase the risk of cardiovascular events in patients 20 to 64 years of age.
Advisor Forum
Consider buspirone or mirtazapine as an additive agent.
Alternative Meds Update
Valued for its energy-boosting and aphrodisiac qualities, maca root has been shown to increase libido and reduce symptoms of sexual dysfunction.
Clinical Challenge
After two years of success with a generic antidepressant, the patient's depressive symptoms made an unwelcome return.
Consultations
When switching selective serotonin reuptake inhibitors (SSRIs), what is the best way to wean off of one before starting a new prescription?
Consultations
Is sertraline effective as an off-label treatment for irritable bowel syndrome?
Mood Disorder Information Center
Findings of the study revealed that the frequency of adverse events compared with placebo was statistically similar in patients receiving SSRIs but was higher in patients taking SNRIs.