Internal Medicine   

What medications do you use in patients who already have existing obesity and metabolic syndrome?

Does your approach change when using a long-acting injection antipsychotic with oral antipsychotic medication?

How do you approach this in patients who are approaching or are over 65 given the contraindications of benzodiazepine use in geriatric populations? Wh...

When using a stimulant, how aggressive are you with an anti-manic mood stabilizer? 

Are any effective options available beyond nicotine replacement therapy, varenicline, or bupropion?

When would you consider symptoms to be potentially of other etiology? Would you ever consider a conversion or functional diagnosis?

What medications bests treat Intermittent Explosive Disorder?

Do you defer or avoid use in patients with untreated simple hypertension or other cardiac history?

How do you balance the benefits of treating depression versus the risk of transition to mania? Do you consider stopping the medication as soon as the ...

In light of research that suggests SSRIs increase the risk of closed-angle glaucoma, Chen et al., PMID 28257449.

Considering a growing interest in the use of dextromethorphan for depression (Majeed et al., PMID 33682569).

What would be the best treatment options to minimize long term impacts related to cognition?

Can you include both patient directed and clinician directed resources?

Do you avoid certain antidepressants related to the risks on suppressing respiratory-drive which is potentially concerning in patients with high cord ...

How is it that I'm able to prescribe medications to patients (in my state) via legitimate mail order pharmacies that are located in a different state?...

Would you consider charging a small fee for managing C-2 prescriptions between appointments instead of requiring the patient to come monthly?

What DSM-5 diagnosis and or diagnostic code do you use when treating this substance use disorder?

Have you found significant differences among SSRIs and SNRIs (e.g., paroxetine vs fluoxetine vs sertraline vs escitalopram vs duloxetine)? What data d...

This is based on the recent publication by Bernstein et al., PMID 38551564 which investigated the increased rate of initiation of MAUD in the hospital...

In patients who have decreased arousal after ischemic stroke, do you use amantadine or modafinil to aid with wakefulness and interaction with therapy ...

How have you accessed neurosteroids (allopregnanolone) for patients?

How do you evaluate for time off? Return to work? How do you deal with time off requests in the presence of non-adherence to treatment recommendations...

Do you worry about additional increased risk of seizure for patients using medications to assist in weight loss such as GLP-1 agonists?

I have observed a trend where patients who are being tapered off of long-term benzodiazepine (especially in the geriatric population) prescriptions ar...

Do you use different approaches in different settings (i.e., the ED vs. outpatient clinic)? Do you use different approaches for chronic vs acute suici...

Is there evidence for the use of varenicline, bupropion, or other medication therapies to assist in tobacco vaping cessation?

In light of Straub et al's comparative study of combination vs buprenorphine alone

When do you determine SSRI therapy is unsafe to pursue in such situations?

Does the approach differ if the tremor stems from essential tremor or Parkinson's disease?

Which genetic/other testing should be considered in an early-onset dementia work-up? 

If so, what is the recommended maximum dose of clozapine for PD patients? 

Should one restart lamotrigine or look for an alternative? If no other alternative available, is slow titration vs regular titration preferred?

What are your thoughts on the ethics of inpatient use of sedatives in these patients to help with agitation to “protect themselves from harm and...

How do you treat dangerous behavioral disturbances (aggression, nighttime wandering) in patients with dementia with Lewy bodies (DLB)?

What testing do you typically proceed with?

Do you avoid due to the increased risk of GI adverse events?

There does not appear to be any guidance from the most recent published protocols on this topic. For individuals with dementia, recommendations call f...