Ambien Case

The patient was admitted to the hospital by her daughter after discovering that she had abandoned her medication and was significantly experiencing adverse effects from the withdrawal. The patients’ medical history included renal dysfunction, anemia, malnourishment, back pain, and a family history of mental health. The patient has a psychiatric history of being previously placed in the same clinical structure eight months ago due to related issues including the failure to take her medication and increased levels of mental health conditions that led

NH hospitalization record reveals a medical history of a non-injurious stroke, numerous episodes of sickle cell crisis, acute chest syndrome and chronic asthma. NH is prescribed a daily regimen of medications including a daily dose of 15,00 mg hydroxyurea, 1 mg folic acid for his SCD and 44 mcg of inhaled fluticasone for his asthma. Currently, while suffering from sickle cell crisis, NH is prescribed oxycodone 5mg, Toradol 21 mg IV solution, acetaminophen, and morphine as well as a continuous IV drip of D5 ½ NS, KCL. Due to the opioids and level of pain NH has endured the last 4 days (since beginning of crisis) he is exhausted and considered a fall risk due to his fatigue and reports that he naps off and on throughout the day and only gets out of bed to use the

Patient has been previously denied with 60 Tablets of Diclofenac Sodium XR 100 mg and 90 Tablets of Cyclobenzaprine 7.5 mg on 05/17/16 (Review 261084).

Current medications include Norco 10/325 mg 1 tablet every 6-8 hours as needed for pain, Naprosyn 500 mg 1 tablet twice daily and Prilosec 20 mg 1 capsule daily.

Cano, the patient is status post right carnal tunnel release. She has been on physical therapy for the last three weeks. She states she is doing much, much better. Her left hand will be operated on 5/03/16. She complains of severe insomnia. This has been chronic with headaches and chronic depression. She states she is hearing voices, hearing auditory hallucinations with paranoia. This started after the oral steroids. She is psychotic and severely depressed. There is a past history of post-traumatic stress disorder (PTSD), generalized anxiety, and chronic depression. Previous antidepressants included Celexa, BuSpar and Xanax. She states she has been clean. There is no evidence of any type of drugs in her. She brought what she had and had thrown those out and had detoxed a few months

Based on the progress report dated 09/08/16, the patient has run out of Vicodin as well as her Restoril over the last three days

Current request is for 30 Capsules of Omeprazole 20mg; 30 Tablets of Elavil 25mg with 1 Refill; and 90 Tablets of Naprosyn 500mg with 1 Refill between 9/20/2016 and

The patient was advised to take less medication and start weaning herself off of it as possible, and this is all in due to protect her kidneys and liver function and also a second prescription was given for Norco 10/325 one tablet twice daily #60 with "Do Not Refill or Do Not Dispensed Until 11/06/2016. The patient is to continue going to the gym and working on her stretching and strengthening exercises. Acupuncture 2 visits a week for 4 weeks for a total of 8 visits for her right shoulder is also requested, since she is starting to get more pain and this is limiting her activity such as vacuuming, and she is taking more medications because of increased pain. POMI (Patient Opioid Misuse Index) score shows 1/6, indicating the patient is not a potential misuser of

patient abuses the drug there is a high risk of addiction. Many patients need 4 milligrams of the

Per office visit notes dated 8/7/2016, patient presents for a follow up for neck pain, left elbow pain and bilateral wrist pain. Current medications include Naprosyn EC 500 mg, Tramadol 50 mg, Lyrica 50 mg and Levora-28 0.15/0.03 mg. Patient was recommended retrial of Celexa for her depressed mood related to her chronic

Current medications include Dilaudid 4 mg one tablet every 6-8 hours as needed for pain, ibuprofen 600 mg one tablet twice daily, Lexapro 10 mg 1-2 tablets daily and MS Contin 15 mg one tablet twice daily.

Per the medical report dated 06/26/15, patient was prescribed with etodolac and cyclobenzaprine, and dispensed with hot/cold therapy pack and heat therapy pad.

DOI: 5/13/2014. The patient is a 29-year old female manufacturing lead who sustained a work-related injury to her back when she was lifting two ostellation trays which weigh about 30 pounds.

DOI: 03/11/2009. Patient is a 60-year-old male truck driver who sustained a work-related injury to his back when he tried to catch a box from falling. He is status post two back surgeries on 07/06/2009 and has reached Maximum Medical Improvement as of 06/19/2012.

The patient is also here to re-treat his warts. He was treated at his physical on July 9, 2015 for his right hand and left foot warts. He states perhaps they are slightly better.