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The Carlat Psychiatry Report

Managing Antidepressant Side Effects (June) | 2003

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The MAOI-Cheese Interaction

June 1, 2003

Perhaps the most dreaded side effect in all of psychiatry is the MAOI-cheese interaction. We now understand its mechanism fairly well, namely, that most cheeses contain high amounts of the amino acid tyramine, which has the effect of increasing the release of norepinephrine (NE) from nerve terminals. Read More

The Drug Holiday

June 1, 2003

Alicia Powell, M.D., is a psychiatrist in private practice in Jamaica Plain, Mass. Like many psychiatrists, she deals with sexual side effects of antidepressants on a daily basis. Read More

Dr. Ronald Pies shares his wisdom

June 1, 2003

Ronald Pies, M.D.

Dr. Pies, as an expert psychopharmacologist you’ve seen a lot of patients experiencing both therapeutic effects and side effects of medications. What do you actually say to your patients to prepare them for SSRI side effects? Read More

When Side Effects Help: Getting Creative

June 1, 2003

Daniel Carlat, MD

Yes, side effects can be your (and your patients’) friend. Here are several common clinical scenarios, culled from conversations with astute clinicians and from reflections on my own practice. Read More

Side Effects Management: A Primer

June 1, 2003

Daniel Carlat, MD

Side effect expert Prakash Masand once observed that “the difference between a good clinician and a great clinician is that a great clinician is better at managing side effects.” Read More