Your patient has been successfully treated for depression af…
Your patient has been successfully treated for depression after multiple medication trials. Their symptoms have resolved except for hypersomnia and fatigue. All of their medications are non-sedating. Which of the following options would you consider first to add to their medication regimen to treat hypersomnia?
Read DetailsYour patient is experiencing mild – moderate insomnia with i…
Your patient is experiencing mild – moderate insomnia with intermittent waking through the night. He is not interested in taking medication but will consider a supplement to help with sleep. Which supplement would be most effective and safe in improving restorative sleep on a short term basis?
Read DetailsYou’ve been treating Mr. Smith for 6 months for alcohol abus…
You’ve been treating Mr. Smith for 6 months for alcohol abuse, with reduction in his drinking. He is drinking a case of beer per day, which is decreased from 20 beers a day. He presents today for follow up and is slightly confused, has a unusual gait, and you notice his eyes are tremoring. His last drink was just before his appointment. What do you suspect is happening and how would the emergency room treat this?
Read DetailsMr. Stevens presents to your office for help stopping alcoho…
Mr. Stevens presents to your office for help stopping alcohol. He has tried to quit multiple times himself, with no success. He was just released from a detox unit and has not had a drink in 6 weeks, but has intense cravings. He states “I really need to quit this time, my doctor told me I have pretty bad cirrhosis and I’ll die if I don’t quit”. He has no other significant medical history. Which medication would you choose to start Mr. Stevens on?
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