Dr. Ragnar

Nortriptyline (Pamelor)
Nortriptyline is an older tricyclic that still does real work without feeling as blunt as amitriptyline for some patients.
Dec 7, 2025
Amitriptyline (Elavil)
Amitriptyline is an older medication that still hangs around because it does several useful things at once, not because it's clean.
Dec 4, 2025
Quviviq (Daridorexant)
Quviviq (daridorexant) is a newer orexin-blocker for insomnia with a shorter half-life than Belsomra, so less morning fog. What it does and who it's for.
Dec 3, 2025
Mood stabilizers and the math of staying in the lane
Lithium, lamotrigine, valproate, carbamazepine, oxcarbazepine. What each one does, what it doesn't, and why the drug is the line and the work is yours.
Nov 30, 2025
PDE5 inhibitors and the men’s sexual health math
Viagra, Cialis, Levitra, Stendra, Trimix. What each one does, when it fits, and why the pill is leverage, not a substitute for the cardiovascular work.
Nov 29, 2025
Sleep meds, ranked by what works
Trazodone, Silenor, Belsomra, Ambien-class, mirtazapine, Seroquel. What actually helps, what borrows time you pay back later, and where the benzo trap is.
Nov 27, 2025
SNRIs: energy and pain in one drug
SNRIs are SSRIs with a norepinephrine kick. Effexor, Cymbalta, Pristiq, Savella. When the lane fits, what to expect, and how to taper without the brain zaps.
Nov 25, 2025
GLP-1s and the math of getting lean
People are fat because they eat too much, eat the wrong stuff, and don't move their body. That's the equation. Eat less and move more.
Nov 22, 2025
The meds that actually move opioid use
Where I refer for detox and methadone I don't run detox here. Don't run a methadone clinic either. Different programs, different regs, different rhythm.
Nov 17, 2025
SSRIs: what they actually do
SSRI stands for selective serotonin reuptake inhibitor, and the name basically describes the trick.
Nov 16, 2025
Stimulants: real talk on what works
Stimulants are the most effective class of medication in modern psychiatry, and they're also the class that earned the worst reputation the fastest,…
Nov 16, 2025
Therapy for Men Who Think Therapy Is Bullshit
The guys who think therapy is bullshit aren't wrong about most of what they've been pitched.
Nov 15, 2025