If you only had 5 medications to work with …

Recently, one of my pharmaceutical reps asked me a question she’d been asking other doctors.  "If you only had 5 medications to work with, which ones would you choose?"  For me it was easy.

1. Adderall XR

Has the best batting average.  Batting average = how often patients say, "This med is great.  It changed my life and has no significant side effects."  And they’re still saying it after a year.

2. Alprazolam (Xanax or Niravam)

Helps people take back control of their lives.  Was the most prescribed med for stress last year.

3. Ambien CR

Safe sleep medication which gives you normal sleep.  Normal sleep = foundation for health.

4. Effexor XR

Has the most flexibility (SSRI at low doses, dual agent at higher doses), works the fastest, and has no significant drug/drug interactions.

5. Abilify

Best mood stabilizer.  Was the 1st of the new generation of atypicals.

I no longer take insurance.  To be successful I have to use the meds that work the best.  My goal for each patient is to find "the right medication at the right dose."  All of these "Top 5" have alternatives that I often use.  The bottom line is that with these meds I have seen the best long term results.

One Response to “If you only had 5 medications to work with …”

  1. Chandra Says:

    I am 42 years old and have been bulimic since I was 14 years old….I have recently started 20mg of prozac and 20 mg of Adderall XR and that has helped me dramatically….but I just feel weird alot of the times….I think this is from the Prozac (generic form)….I was wondering if Cymbalta would help me better….I also think that I have fibromalygia (? spelling)….I can’t seem to find the right meds….have tried many different SSRI’s and they seem to make me feel worse. Please help……

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