Medications the reference.

SSRIs, stimulants, mood stabilizers, antipsychotics. What they actually do, what they don't, and what to expect.

A prescriber wrote this Real dosing and side effects How it actually works No pharma money

Medication index

Abilify (aripiprazole)

Abilify is the drug I add to an antidepressant when the antidepressant is doing maybe

Abilify Maintena

Abilify Maintena turns oral aripiprazole into a monthly adherence tool. The question is whether that

Acamprosate (Campral)

Acamprosate (Campral) helps you stay sober after detox, not get you there. Non-addictive, renally cleared,

Adderall

Adderall is amphetamine.

ADHD: when stims don't fit

Strattera, Qelbree, Intuniv, Kapvay, Wellbutrin, Modafinil. What each one does, who it fits, and why

Ambien

Ambien gets handed out like Tic Tacs. Primary care hands it out, urgent care hands

Amitriptyline (Elavil)

Amitriptyline is an older medication that still hangs around because it does several useful things

Anti-Anxiety Medications

Anti-anxiety medication only makes sense after you name the kind of anxiety you are treating.

Aristada (aripiprazole lauroxil)

Aristada is long-acting aripiprazole. The point is not a new effect so much as steadier

Armodafinil (Nuvigil)

Armodafinil is one of those drugs that lives in two different stories at once. In

Atypical Antipsychotic Medications

Atypical antipsychotics can be exactly right for psychosis, bipolar disorder, and depression augmentation. They are

Auvelity (dextromethorphan/bupropion)

Auvelity is a once-daily pill that combines dextromethorphan, the cough syrup ingredient, with bupropion, which

Azithromycin (Z-Pack)

The Z-Pack became famous for conditions it cannot treat. Here is what azithromycin actually does

Azstarys

Azstarys is a two-speed dexmethylphenidate stimulant: one part starts fast, while the prodrug portion stretches

Selegiline patch (Emsam)

The selegiline patch is a genuinely unusual antidepressant option: MAOI biology with a delivery system

Semaglutide

The drug is real. The results in the trials are real. And if you’ve spent

Seroquel (quetiapine)

Seroquel is the antipsychotic that gets prescribed for everything other than what it's actually approved

Sildenafil

Most guys who need this prescription have already been sitting on the problem for way

Sleep Medications

Sleep medications can be useful short-term tools, but insomnia is rarely solved by pretending sedation

Sleep meds, ranked by what works

Trazodone, Silenor, Belsomra, Ambien-class, mirtazapine, Seroquel. What actually helps, what borrows time you pay back

SNRIs: energy and pain in one drug

SNRIs are SSRIs with a norepinephrine kick. Effexor, Cymbalta, Pristiq, Savella. When the lane fits,

Spravato (esketamine) protocol

Spravato is FDA-approved esketamine, given as a nasal spray under direct supervision in a certified

SSRIs: what they actually do

SSRI stands for selective serotonin reuptake inhibitor, and the name basically describes the trick.

Statins

Statins are cholesterol-lowering medications. More specifically, they lower LDL cholesterol by blocking HMG-CoA reductase, a

Stimulant Medications

Stimulants can be life-changing for ADHD and narcolepsy, but the Schedule II, diversion, sleep, blood

Stimulants: real talk on what works

Stimulants are the most effective class of medication in modern psychiatry, and they're also the

Strattera (atomoxetine)

Strattera is the non-stimulant ADHD medication that most adults don’t think about until they have

Suboxone (buprenorphine/naloxone)

Suboxone is the closest thing we have to a miracle drug in psychiatry, and most

Tadalafil: the 36-hour ED and prostate pill

Tadalafil is the one erectile dysfunction medication that doesn’t care what time you took it.

Temazepam (Restoril)

Temazepam is a classic sleep benzodiazepine: effective for the same reason it can become a

The meds that actually move opioid use

Where I refer for detox and methadone I do not run detox here. Do not

The SSRI Waiting Game

The hardest part of starting an SSRI is the lag. Side effects can show up

Three Months In on an SSRI: What to Expect

If you're reading this, you're probably somewhere between week eight and week twelve on an

Tirzepatide

Ozempic and Wegovy got famous first, which is the main reason tirzepatide is still playing

Topamax (topiramate)

Topiramate's nickname tells you most of what you need to know: Dopamax.

Tranylcypromine (Parnate)

Tranylcypromine is the sharper, more activating MAOI. It can be useful, but it comes with

Trazodone

Trazodone is the most prescribed sleep medication in the United States that was never actually

Trazodone vs Quviviq vs Belsomra

The sleep medication landscape in 2026 is in a weird place. Trazodone is still the

Tricyclic Antidepressants

Tricyclics are older antidepressants that can still help depression, pain, migraine, and sleep, but overdose

Trintellix (Vortioxetine)

Trintellix is the antidepressant pharma reps spent a decade trying to make happen.

Typical Antipsychotic Medications

Typical antipsychotics are older dopamine-blocking drugs that can still be useful, especially in acute psychosis