Guanfacine (Intuniv)
Guanfacine is one of those drugs that quietly does a lot of work and almost nobody talks about. It started life as a blood pressure pill in the…
May 15, 2026Prescription Education
Starting a psychiatric medication is mostly an exercise in being patient through a stretch of weeks that feel worse than baseline before they feel better. Nobody tells you…
May 11, 2026
What Medication Can and Can’t Do
People come into my office wanting a pill that fixes their life. They don’t say it like that. They say things like “I just want to feel like…
May 10, 2026Prozac (Fluoxetine)
Prozac came out in 1987. Almost forty years later it’s still on the short list I reach for, and not because of nostalgia. Fluoxetine has a profile that…
May 7, 2026Vyvanse
Vyvanse is amphetamine with a chaperone. The molecule you swallow, lisdexamfetamine, has an amino acid (lysine) stapled onto a regular d-amphetamine. In that form it does basically nothing.…
May 5, 2026Fluvoxamine (Luvox)
Fluvoxamine is the SSRI nobody thinks of first, and that’s a shame, because for one specific job it’s still the one I reach for. The job is OCD.…
Apr 27, 2026Hydroxyzine
Hydroxyzine is one of those drugs that’s been sitting in the pharmacy for sixty years doing useful work, and most clinicians forget it exists until somebody reminds them.…
Apr 27, 2026Wellbutrin (Bupropion)
Wellbutrin is the weird cousin in the antidepressant family. Most of what people think of as antidepressants are SSRIs, which work on serotonin and have a pretty consistent…
Apr 23, 2026Lorazepam (Ativan)
Ativan has a reputation. Half my new patients walk in with strong feelings about lorazepam before I’ve said a word, and those feelings split along a sharp line.…
Apr 12, 2026Ambien
Ambien gets prescribed like Tic Tacs. Primary care hands it out, urgent care hands it out, the dentist hands it out before a crown. Most patients who walk…
Apr 3, 2026