Top 5 Viewed Posts in 2021

On this last day of 2021, let’s review our top 5 viewed posts of this year:

Bipolar Disorder Psychopharmacology

(1) Restarting Lamotrigine after abrupt Discontinuation

  • Patient is stable on Lamotrigine but suddenly stopped it due to rash. Lamotrigine can be restarted (without need for titration) within how many days of lamotrigine discontinuation?  
  • Patient is stable on Lamotrigine and Depakote but suddenly stopped lamotrigine due to rash. Lamotrigine can be restarted (without need for titration) within how many days of lamotrigine discontinuation?

Psychopharmacology with Hepatic Impairment

(2) Antidepressants use with Hepatitis C?

Which antidepressant has Level 1 evidence for treating depression during Hepatitis C treatment?

PTSD Psychopharmacology

(3) PTSD Treatment if Prazosin fails: Doxazosin

If patient is not tolerating prazosin, you can consider doxazosin as an alternative medication to target intrusive nightmares symptoms of PTSD.

Obsessive Compulsive and Related Disorders

(4) Treatment-Resistant OCD: Can NAC Help?

N-acetylcysteine (NAC) is a glutamate-modulating agent, which have shown efficacy in patients with treatment-refractory obsessive-compulsive disorder as an adjunct to serotonin reuptake inhibitor treatment.

Managing/Ruling out Co-Morbid Medical Conditions

(5) Anti-NMDAR Encephalitis: What should you know as a Psychiatrist?

Psychiatrists should have knowledge of this disorder and consider it in their differential diagnosis, as they are often the first to be consulted on these patients.

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