espresso depresso
dopamine drama control
up, down, stabilize
calm down & lie down
bad decisions, good meds
100

pt with MDD + chronic neuropathic pain → best dual-benefit drug

duloxetine

100

schizophrenia + nonadherence + homelessness

long-acting injectable antipsychotic

100

bipolar depression predominant

lamotrigine

100

performance-only social anxiety

propranolol

100

alcohol use + liver disease

acamprosate

200

depressed pt with sexual dysfunction on SSRI → switch

buproprion

200

schizoaffective + recurrent suicide attempts

clozapine

200

acute mania in 1st-trimester pregnancy

haloperidol

200

PTSD nightmares + HTN

prazosin

200

alcohol withdrawal seizures prevention

benzodiazepines

300

elderly depression + insomnia + weight loss

mirtazapine

300

parkinson disease psychosis worsening on haloperidol

quetiapine

300

bipolar + migraine prophylaxis

valproic acid (valproate)

300

panic disorder + COPD

SSRIs

300

opioid use + prolonged QT

buprenorphine

400

antidepressant contraindicated with linezolid

SSRIs

400

first-episode psychosis + obesity risk

aripiprazole (or ziprasidone)

400

bipolar pt with diarrhea, tremor, confusion

lithium toxicity

400

REM behavior disorder

clonazepam

400

tobacco cessation + seizure history

varenicline

500

smoking pt wants cessation + MDD

buproprion

500

acute dystonia after haloperidol

benztropine

500

a patient on haloperidol develops fever and lead-pipe rigidity 5 days after starting therapy. Labs show high CK → neuroleptic malignant syndrome

dantrolene or bromocriptine

500

antihistamine anxiolytic alternative

hydroxyzine

500

severe suicidal depression in pregnancy

ECT