ADHD + stimulant not contraindicated - Answers Start w/ short acting amphetamine, usually mixed salts
(Adderall). If this fails switch to dextroamphetamine
Prefers long acting stimulant over short acting - Answers Start or switch to Adderall XR or
lisdexamfetamine (vyvanse)
Too many side effects on amphetamine - Answers Switch to methylphenidate IR (Ritalin). If this fails
switch to dexmethylphenidate (Focalin)
ADHD + cardiac history (MI, arrhythmia) - Answers cardiac clearance first
Depression + bipolar disorder - Answers Cariprazine, lurasidone, quetiapine OR add mood stabilizer
(lithium, valproate, lamotrigine) and antidepressant
Depression + psychosis - Answers Sertraline or escitalopram plus aripiprazole (or antipsychotic of choice)
ECT
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