Medication Review

Date: 10 August 2024 Patient: John Doe, 45 years old, male Current Medications: - Sertraline 50mg, once daily - Lorazepam 1mg, as needed Medication Adherence: Patient reports taking Sertraline daily as prescribed but occasionally forgets to take Lorazepam. Side Effects: Patient reports experiencing mild nausea and occasional dizziness since starting Sertraline. Effectiveness: Patient notes a significant reduction in anxiety symptoms but still experiences occasional panic attacks. Concerns and Issues: Patient is concerned about the nausea and dizziness and is worried it might affect his work performance. Assessment of Medication Regimen: - Current medications appear appropriate for managing the patient's anxiety and panic disorder. - Reported side effects of nausea and dizziness are noted and may impact the patient's daily functioning. - Medications are effectively reducing anxiety symptoms, though occasional panic attacks persist. - Adherence issues with Lorazepam noted, possibly due to forgetfulness. Plan: - Adjustments to Medication: Consider reducing Sertraline dosage to 25mg to alleviate side effects. Continue Lorazepam as needed. - Additional Testing: No further tests required at this time. - Patient Education: Advised patient on the importance of consistent medication adherence and strategies to remember Lorazepam. Discussed managing side effects and when to seek medical advice. - Follow-Up Plan: Schedule follow-up appointment in 4 weeks to review medication effectiveness and side effects. Thank you, Dr Kieran McLeod Psychiatrist Practice number: MP0841846