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%2012.5%E2%80%AFmg%20weekly%2C%20escitalopram%20(Lexapro)%2010%E2%80%AFmg%20daily%2C%20propranolol%2020%E2%80%AFmg%20twice%20daily%2C%20metformin%201000%E2%80%AFmg%20daily%2C%20and%20spironolactone%2050%E2%80%AFmg%20twice%20daily%20who%20reports%20lighter%20menstrual%20flow%2C%20insomnia%2C%20high%20stress%2C%20migraines%20treated%20with%20Botox%2C%20brain%20fog%2C%20and%20chronic%20fatigue%3F)
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%2060%E2%80%AFmg%20lost%20efficacy%20after%20starting%20tirzepatide%20(Zepbound)%20and%2C%20after%20switching%20to%20Vyvanse%20(lisdexamfetamine)%2030%E2%80%AFmg%2C%20now%20reports%20sleepiness%20and%20palpitations%3B%20which%20ADHD%20medication%20should%20be%20switched%20to%20next%3F)
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propranolol and tirzepatide What are the recommended evaluations and management for a 42-year-old woman on tirzepatide (Zepbound) 12.5 mg weekly, escitalopram (Lexapro) 10 mg daily, propranolol 20 mg twice daily, metformin 1000 mg daily, and
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A patient on the maximum dose of Adderall (mixed amphetamine salts) 60 mg lost efficacy after starting tirzepatide (Zepbound) and, after switching to Vyvanse (lisdexamfetamine) 30 mg, now reports sleepiness and palpitations;
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