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Clinician’s Corner: Serotonin Norepinephrine Reuptake Inhibitors (SNRI)

Serotonin Norepinephrine Reuptake Inhibitors (SNRI) Mechanism: increases serotonin and norepinephrine levels in the brain. The SNRI’s are used for depression and pain management. SNRI Side Effects: Side effects: very favorable profile: minimal drowsiness and cardiovascular effects. Common side effects: nausea, loss of appetite, insomnia, nervousness, restlessness, and grinding of...

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Clinician’s Corner: Bipolar Treatment

We dispense a fair amount do this well-known seizure medications, divalproex, carbamazepine and lamotrigine.  However, most of the prescriptions filled are prescribed by psychiatrists rather than neurologists.  These three drugs are most commonly used as “mood stabilizers” in the treatment of bipolar disorder. Valproic acid and Valproate: Divalproex extended...

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Clinician’s Corner: Bipolar Disorder

Bipolar disorder: People who live with bipolar disorder experience periods of great excitement, overactivity, delusions, and euphoria (mania) and other periods of feeling sad and hopeless (depression). Mood stabilizers (lithium, valproate,carbamazepine, lamotrigine) are the cornerstone of the drug therapy of bipolar disorder. Antipsychotics, alone or in combination with mood...

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Clinician’s Corner: Mental health services

Mental health services are challenging to get for our patients.  Most psychiatrists are booked in advance, and mid-level practitioners such as CRNP’s and PA-C’s are carrying the burden.  Even with their help mental health services are difficult to get for our patients.  More and more mental health care is...

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