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This Is Your Brain On Drugs Psychiatry Podcast: Daily Summaries Delivered
by Cody Armstrong, MD
Join Cody Armstrong as he takes you on an adventure through psychiatric medications and beyond, breaking down these oft misunderstood drugs into easy, concise, and digestible pearls with his patented punk rock flare and a healthy dose of real science. Come explore these drugs like never before in fascinating detail whether you are a student, nurse, doc, patient, or just want to learn more. Listen to episodes on the podcast platform of your choice, follow along on YouTube with ease with slides and audio, or download slides at no cost at www.punkrockpsychiatrist.com. This Is Your Brain on Drugs Psychiatry Podcast will never charge you, show you an ad, or take sponsorship dollars from anyone because that just wouldn't be punk rock!
Latest Episodes
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- Jun 18, 202551 min
E44: L-Methylfolate (Deplin) and SAMe for the Treatment of Depression
I introduced you to vitamins on the last episode and specifically concentrated on the B vitamins and more specifically, B12 and folate (B9). I touched on L-Methylfolate as the best way to supplement folate and that even if you are not deficient in folate that it may not be getting into your brain. If that's the case, then the patient may need L-Methylfolate. I will go into detail on it today. I will also cover SAMe which is related as it is a chemical in the methylation cycle that the folate cycle is connected to. Let's learn about these two supplements for depression that have pretty good evidence for benefit in patients!
- Jun 11, 202550 min
E43: B Vitamins and Why They Are Important for Mental Health
Today we continue our journey through complementary medicine and its impact on depression. Last time I talked about herbal treatments, and today I will start off a short series on vitamins and minerals. On today's episode I'll briefly talk about vitamins in general and then I'll focus on the B vitamins most important for mental health, B12 and folate. I'll talk about why they are so important, how one could become deficient in them, how to check for that, and what to do about it. Many of your patients are probably taking vitamins and thinking they are helping them, so I think it's critical we know as much about them as possible so that we can counsel patients and actual prescribe them when they are actually needed!
- Jun 6, 202531 min
Quick Take #1: Suzetrigine (Journavx)
Today I'm putting out a special episode that I'm calling a Quick Take where I'm featuring new information that comes out that is not with the topic that I am currently covering. This episode is about a first in class new non-opioid pain medication called suzetrigine. This is an interesting medication and may have potential to replace opioids. On this episode I'll talk about what's known about this medication and what you need to prescribe it. I'll also touch on the idea of using new medications and the cost associated with doing so. This is a little different than what I've been talking about so I hope you enjoy!
- Jun 4, 202552 min
E42: Herbal Antidepressants: St. John's Wort, Rholiola Rosea, and Kanna
Today I'll be starting off my series on complementary depression treatments with herbal treatments. St. John's Wort and Rhodiola rosea are probably the most well known and most likely to be helpful so I'll be covering the available research on those and give my opinion on their effectiveness. I'll also be talking about Kanna which is a new one that I've recently heard of and tried myself! It has some intriguing mechanisms of action that I'll discuss as well. A lot of your patients may be taking these or may be more interested in taking one of these instead of a pharmaceutical so I think it's important to know about them so you can give the most well informed opinion on them.
- Jun 3, 202527 min
E32: UPDATE! Medication Treatment Course: Discontinuation and Taper of Antidepressants
I touched briefly on discontinuation on this episode, but I found some cool information from RELEASE from the University of Queensland in Australia that have some awesome resources for discontinuing medication. I'll go into more detail on differentiating withdrawal from relapse, when to discontinue, reasons to discontinue, and more details on how to taper.
- May 28, 20251h 13m
E41: Hypogonadism vs Depression
We just had several episodes regarding antidepressant use that are unique to females, so today I will have one that will be unique to males. In this episode I will compare and contrast depression with hypogonadism. You will learn how to differentiate these two disorders which have extremely similar symptoms. I will also teach you how to work someone up appropriately for hypogonadism so that you can rule it out if you are suspicious. It would be silly to send someone to another practitioner to do the work up and then put your evaluation on hold for depression in the meantime, and treating someone with hypogonadism with antidepressants could actually make things worse! So let's learn how to differentiate the two diagnoses, do the work-up, and if you are bold, I will teach you how to treat and monitor hypogonadism as well. Low T has become so popular in society, so why not learn more about it?
- May 25, 202524 min
E40: UPDATE! Breastfeeding and Antidepressant Safety: L1-L5 Updates
I actually found out a lot of the L1-L5 ratings have changed. Some of the changes are big, most not. Also, there are a lot of meds that have been given a rating that I previously did not know, so I have added a bonus episode on breastfeeding to go over all these changes and additions. Please listen to this, especially if you listened to the last one because there are a few very important updates!
- May 21, 202559 min
E40: Breastfeeding and Antdepressant Safety
Today we have the third and final episode on reproductive psychiatry where I will be discussing relative safety of antidepressants as well as some other psychiatric medications with breastfeeding. I will also go over the relatively new L1-L5 rating system. In addition I'll talk about benefits of breastfeeding for baby and mom, and tell you what I tell mom's when they are deciding what to do about breastfeeding, their mental health, and taking medications. This is the final episode on reproductive psychiatry for antidepressants, however I will have an installment when I go over each other category of medication in subsequent seasons. I hope you enjoy!
About This Is Your Brain On Drugs Psychiatry Podcast
Join Cody Armstrong as he takes you on an adventure through psychiatric medications and beyond, breaking down these oft misunderstood drugs into easy, concise, and digestible pearls with his patented punk rock flare and a healthy dose of real science. Come explore these drugs like never before in fascinating detail whether you are a student, nurse, doc, patient, or just want to learn more. Listen to episodes on the podcast platform of your choice, follow along on YouTube with ease with slides and audio, or download slides at no cost at www.punkrockpsychiatrist.com. This Is Your Brain on Drugs Psychiatry Podcast will never charge you, show you an ad, or take sponsorship dollars from anyone because that just wouldn't be punk rock!
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