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Home » Topics » General Psychiatry

General Psychiatry
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News of Note

Azstarys: Vyvanse’s Dexmethylphenidate Cousin

November 1, 2024
Chris Aiken, MD
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Chris Aiken, MD. Editor-in-Chief, The Carlat Psychiatry Report. 

Dr. Aiken has no financial relationships with companies related to this material.

Azstarys is methylphenidate's answer to Vyvanse. But how does its abuse potential compare?


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Expert Q&A

How to Stop a Psychiatric Med

November 1, 2024
Mark Horowitz, MBBS, PhD
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

TCPR_QA_Horowitz Headshot.jpgMark Horowitz, MBBS, PhD

Research and Development Department, Goodmayes Hospital, North East London NHS Foundation Trust, Essex, UK; Visiting Lecturer in Psychopharmcology, King’s College London. Co-author of The Maudsley Deprescribing Guidelines (Wiley-Blackwell; 2024).

Dr. Horowitz is cofounder and consultant for Outro Health. Dr. Aiken has reviewed this educational activity and has determined that there is no commercial bias as a result of this financial relationship.

Dr. Horowitz explains the principle, practicalities, and science of tapering psychiatric medications. 


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Clinical Update

Vyvanse Goes Generic: An Amphetamine Apart

November 1, 2024
David Liebers, MD and Chris Aiken, MD
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

David Liebers, MD. Psychiatry resident at NYU Langone, Department of Psychiatry.

Chris Aiken, MD. Editor-in-Chief, The Carlat Psychiatry Report. Assistant Professor, NYU Langone Department of Psychiatry. Practicing psychiatrist, Winston-Salem, NC.

Dr. Liebers and Dr. Aiken have no financial relationships with companies related to this material.

Known for lower misuse potential and a smoother effect profile, lisdexamfetamine stands out in ADHD treatment. This article explores what makes it unique among stimulants. 


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Top 10 Findings: Alcohol, ADHD, and Antipsychotics

October 28, 2024
Chris Aiken, MD and Kellie Newsome, PMHNP

A new med combo for alcohol use disorder, antipsychotic dose reduction in schizophrenia, and two new tips for using stimulants in ADHD.




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Top 10 Findings: Lithium, Lumateperone, and Lavender

October 21, 2024
Chris Aiken, MD and Kellie Newsome, PMHNP

New studies change how we think about lithium and weight gain, and updates on lumateperone, lavender, and esketamine in depression. 




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KarXT (Cobenfy): The Breakthrough Antipsychotic That Could Change Everything

October 18, 2024
Jason Mallo, DO and Greg Malzberg, MD
In this video, we take an in-depth look at the recently FDA-approved antipsychotic, KarXT, also known by its brand name Cobenfy. This new drug represents a major breakthrough in schizophrenia treatment because, unlike traditional antipsychotics, it doesn’t rely on blocking dopamine receptors. Instead, KarXT works through a muscarinic agonist mechanism, making it a completely different approach to managing schizophrenia and other psychotic disorders.
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Top 10 Findings of Past Year: Treatment Resistant Depression and Benzos

October 14, 2024
Chris Aiken, MD and Kellie Newsome, PMHNP

We count down the top 10 research updates of the past year with a focus on treatment resistant depression and benzo withdrawal.




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Cobenfy: A New Antipsychotic

October 7, 2024
Chris Aiken, MD and Kellie Newsome, PMHNP

KarXT (Cobenfy) is the first antipsychotic that doesn’t block dopamine. We trace the origins of this new drug to a South Asian herb used for over 5,000 years, up to the three EMERGENT trials that led to its FDA approval.


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Alpha-2 Agonists Review: Clonidine (Kapvay) and Guanfacine (Intuniv), Non-Stimulant ADHD Medications

October 6, 2024
Jason Mallo, DO and Greg Malzberg, MD
In this video, we explore the use of alpha-2 agonists in the treatment of ADHD, specifically focusing on guanfacine ER (Intuniv) and clonidine ER (Kapvay). These non-stimulant ADHD medications have become viable options for patients who may not tolerate stimulants or have comorbid conditions that make stimulant medications less effective or problematic.
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Audio Issue

Listen to The Carlat Psychiatry Report, October 2024, Volume 22, Issue 10, “Addiction”

October 1, 2024
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Listen to the full text of the issue read aloud by Gregory Malzberg, MD. It’s official. The DEA has conscripted all licensed clinicians to prescribe buprenorphine. Noah Capurso shows us how to do it. Meanwhile, Europe warns of post-SSRI sexual dysfunction, aerobic exercise enhances PTSD therapy, and new strategies for antipsychotic-induced hyperprolactinemia.


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