A 23-year-old uses nicotine daily and wants the most effective pharmacotherapy for smoking cessation. Which medication has strong evidence and is not a controlled substance?
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A 34-year-old with opioid use disorder (OUD) requests medica…
A 34-year-old with opioid use disorder (OUD) requests medication treatment. He has used fentanyl daily and wants the option with the strongest evidence for reducing mortality. Which statement is MOST accurate about FDA-approved medications for OUD?
A 9-year-old boy meets DSM-5 criteria for ADHD, combined pre…
A 9-year-old boy meets DSM-5 criteria for ADHD, combined presentation. Symptoms are impairing at school and home despite behavioral interventions. No cardiac history and normal vitals. Which medication class is considered first-line for ADHD?
A patient with panic disorder starts an SSRI and reports inc…
A patient with panic disorder starts an SSRI and reports increased jitteriness and anxiety in week 1. What is a common best practice to reduce this early activation?
A 45-year-old with OUD on buprenorphine requires surgery. Wh…
A 45-year-old with OUD on buprenorphine requires surgery. Which perioperative plan best reflects safe, evidence-based practice?
A 29-year-old patient with bipolar I disorder presents with…
A 29-year-old patient with bipolar I disorder presents with decreased need for sleep, pressured speech, and grandiosity. Which medication is considered first-line for acute mania?
A 29-year-old used heroin 4 hours ago and wants to start bup…
A 29-year-old used heroin 4 hours ago and wants to start buprenorphine immediately. He has mild anxiety but no objective withdrawal signs. What is the BEST next step?
A 27-year-old woman with MDD and panic disorder presents wit…
A 27-year-old woman with MDD and panic disorder presents with insomnia and low appetite. She denies suicidal ideation and has no history of bipolar disorder. Which medication is MOST appropriate initially?
Why choose SSRI for depression + social anxiety?
Why choose SSRI for depression + social anxiety?
A 55-year-old woman asks why benzodiazepines “calm her down…
A 55-year-old woman asks why benzodiazepines “calm her down so fast.” You explain that benzodiazepines: