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Metabolic Mind

How to Taper Psychiatric Medications Safely: Expert Advice on Med Management with Dr. Lori Calabrese

Nov 18, 2024
Dr. Lori Calabrese, a board-certified psychiatrist at Innovative Psychiatry, dives deep into the delicate world of psychiatric medication management. She emphasizes personalized tapering strategies, distinguishing between withdrawal and original symptoms. The conversation covers the critical role of patient involvement, especially in relation to lifestyle factors like exercise and the ketogenic diet. Dr. Calabrese also explores managing expectations and risks, ensuring safe and compassionate medication adjustments for better mental health outcomes.
18:29

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Podcast summary created with Snipd AI

Quick takeaways

  • Tapering psychiatric medications necessitates a nuanced understanding of potential interactions, particularly when patients switch to a ketogenic diet.
  • Incorporating lifestyle changes like exercise and time-restricted eating can significantly enhance the effectiveness of medication management during tapering.

Deep dives

Impact of Ketogenic Diet on Medication Absorption

The ketogenic diet significantly influences how medications are absorbed and metabolized in the body. Specifically, a ketogenic diet can reduce the levels of P-glycoprotein, a protein that normally limits the absorption of medications in the gut. As a result, medications like Depakote may be absorbed more effectively, leading to increased potency and side effects such as excessive tiredness. Understanding these interactions is crucial for clinicians to ensure patients' safety and health management while undergoing dietary changes.

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