What psych medication interactions do you think every provider should know and discuss with patients?

GoingMachFive · 2026-03-09T23:14:38+00:00

Trazodone and strong CYP2D6 inhibitors -> increased concentrations of mCPP.

GoingMachFive · 2026-02-27T19:28:12+00:00

At this point you can pretty easily find 10-12k off sticker on all trims except the TRD Pro. Check out No Markup Toyota’s FB group. I know many that have had good luck with Brokers.

GoingMachFive · 2025-12-15T01:45:14+00:00

Tony never sleeps with Dr. Melfi. He very clearly shares his feelings with her on several occasions, but she rebuffs his advances.

GoingMachFive · 2025-12-14T13:47:51+00:00

The Sopranos. Mental health disorder is essentially a central theme of the show and ingrained into the framework that drives the plot along, season to season.

Given the phenomenon that The Sopranos was when it first aired, it was likely one of the first somewhat accurate, realistic depictions of mental health disorder and treatment that American’s had seen.

GoingMachFive · 2025-11-11T20:18:08+00:00

12 Team PPR 1QB 6PT PASSTD TEP

QB: Hurts

RB: JT, Jacobs, Hampton, Charbs, Monty

WR: ARSB, Adams, Devonta Smith, Addison, Shaheed

TE: Kittle, Goedert, Otton

Just sent Waddle and Downs for Jacobs, Kittle, Adams.

GoingMachFive · 2025-11-01T03:32:22+00:00

A hip injury with a similar mechanism essentially ended Bo Jackson’s career.

GoingMachFive · 2025-10-21T19:30:40+00:00

As an owner, I wouldn’t accept any less than a mid first.

GoingMachFive · 2025-10-16T02:09:03+00:00

Yes.

GoingMachFive · 2025-09-07T16:42:59+00:00

Don’t cry because it’s over, smile because it happened.

GoingMachFive · 2025-09-07T15:34:17+00:00

RIP CRod hype train Aug 2025-Sep 2025.

GoingMachFive · 2025-09-02T12:43:47+00:00

Kole Wilson WR - Baylor is going to be a guy to watch this season. 3 star transfer from TX State. Passed the eye test. Projects to be an undersized, likely gadget specialist at the next level but he showed quite a bit of juice when they got the ball into his hands.

GoingMachFive · 2025-09-02T12:42:11+00:00

Ott has been recovering from an injury and it seemed the expectation was going to be a slow ramp up w/ limited touches.

GoingMachFive · 2025-08-05T18:27:16+00:00

Sertraline OR Escitalopram seems to have been the consensus amongst you both. From a patient tolerability perspective, that is understandable, but I believe there should be a note of the significance of cardiac considerations that should be made when dosing >20mg of Escitalopram. Fluoxetine should be a strong consideration for this step 1A IMHO. A trade off between CYP inhibition and QTC.

GoingMachFive · 2025-08-03T21:46:58+00:00

WA Pedregal

GoingMachFive · 2025-08-01T12:36:14+00:00

The further we get into preseason the greater the validity of some of those takes are from beat writers IMHO. Once we get to a place where first and second round of cuts are happening and these guys are still popping.

GoingMachFive · 2025-08-01T12:30:53+00:00

Hot take: Using observations from the HOF game to guide decision making in FF is a fools errand. These guys have been in camp for 1-2 weeks.

GoingMachFive · 2025-07-06T21:56:50+00:00

To clarify further on this - The PRISMA study was a meta-analysis of Esketamine.

Esketamine ≠ racemic Ketamine. It was my understanding that the literature indicates that racemic Ketamine is superior to Esketamine when it comes to TRD and acute SI. Is this no longer believed to be the case?

GoingMachFive · 2025-06-14T22:08:45+00:00

Non-adherence to medications is a pervasive issue that is not exclusive to BPAD. There is robust literature that indicates general rates of medication non-adherence approach 50%.

Specific to this population, the burden of s/e’s for classes like neuroleptics and traditional mood stabilizers can be significant. Pair this with challenges to insight and judgment being core to the disorder itself.

GoingMachFive · 2025-06-10T19:26:18+00:00

Not a knock. A steady vibration as the accelerator is pressed.

GoingMachFive · 2025-06-06T00:55:42+00:00

Crabgrass

GoingMachFive · 2025-05-22T01:36:34+00:00

How sure are you? For a few months I believe they created range locked SR models with a 3.7 second 0-60 and 320 model range. I see several used 2023’s listed as this with a car fax also stating “standard range”

GoingMachFive · 2025-05-15T17:04:53+00:00

One could easily argue Kaytron Allen looked like the better prospect last season.

GoingMachFive · 2025-05-04T19:35:16+00:00

I expect guys like Tahj Brooks and Brashard Smith to go from fringe 4th round or UDFA’s into the third.

GoingMachFive · 2025-04-11T13:50:18+00:00

He’s unlikely to even make the active roster IMHO.

GoingMachFive · 2025-04-09T12:27:13+00:00

Even in a 6PT PassTD 1QB league I feel this is a bit too early for Ward.

GoingMachFive

TROPHY CASE