gabapentin

Chaos with Cannabis? How to diagnose and treat cannabis use disorder

Jake is a 28 yo man with a history of anxiety since adolescence who comes to you to establish care. He is generally healthy and uses cannabis every evening to “help calm down.” He started smoking heavily in high school. For the last decade, he has smoked one joint nightly. His partner doesn’t like his smoking, and […]

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What medication could you add to a dose-optimized SSRI to help with anxiety?

Your patient is a 44 yo man with a mild radiculopathy from an old basketball injury and severe generalized anxiety disorder. He previously responded to trials of sertraline 100mg daily and venlafaxine XR 150mg daily, but both caused significant sexual side effects.  He stopped each of the medications after a year when he was feeling

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What medication is FDA approved to help people drink less?

A 55-year old woman with a history of atrial fibrillation, cirrhosis from Hepatitis C, and at-risk alcohol use presents to the clinic for follow up. She takes her metoprolol and apixaban regularly. She has noticed occasional fatigue and nausea in the morning. You ask her about alcohol use. She says that with recent work stress

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