Saturday, June 14, 2008

Patient Update June 14 2008

One year on Lamictal. Patient was hospitalized for a week for an event that was classified as severe dehydration. The medication was not being managed by the family, but by the Patient. Upon release from hospital, the family requested the dose being reduced to 100mg daily and an effort to wean Patient off of Lamictal. Family also requested dose reduced for Zyprexa to 5mg. Patient's condition after a year on these two drugs can be characterized as "drug suppressed" and not making any progress towards improving condition. Drugs controlled Patient's bad symptoms (paranoia and mania) while also robbing patient of experiences of joy in life. Patient is not getting quality sleep, may be sleep walking now, was seen urinating in corner of bedroom at 3AM, and walking around without eyes open. Beginning course of low histamine treatment based on past experience with not responding well to SAMe. Asked family to provide the Patient DHEA, ZINC and R-ALA for the next week.

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