What Importance Prescribing Assignment Help: How to Answer This Question
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Original Question
What is the importance of de-prescribing? How might you assist a patient to taper from a medication safely or transition to a new medication? Use the following patient examples to discuss considerations you have for how you might de-prescribe. Patient 1: A 36-year-old male presents to your office, having been prescribed by his primary care physician (PCP) for the past 3 years an opioid analgesic medication for a work accident. He has chronic pain and is attending a pain clinic. It is determined that the best course of treatment for pain is to remain on opioid medication. The patient is also being prescribed clonazepam 1mg BID for “relaxation” and panic attacks. What are the concerns of the patient remaining on the opioid medication and clonazepam? How might you educate the patient about these risks and concerns? The patient agrees that he should not continue both medications in combination. He would like to “get off” the clonazepam but worries about “bad withdrawals” that he’s heard about from stopping clonazepam “cold turkey” and is concerned about re-occurring panic attacks. How might you respond to the following: How would you instruct the patient to taper off clonazepam? What other medication would you recommend for the patient for the treatment of his panic attacks? Keep in mind, he will continue the opioid medication for pain relief. How would you start the new recommended psychotropic medication for the patient? Discuss one legal, ethical, or social consideration with the treatment plan. Patient 2: A 42-year-old female on alprazolam 1mg BID for panic attacks. Panic attacks have been in remission, and the patient wants to taper off the medication. But every time she has attempted to do so in the past, she has experienced withdrawal effects. She is wondering how to safely taper off the benzodiazepine medication without having withdrawal effects. The patient reports withdrawal symptoms when tapering off the alprazolam. What are the common withdrawal symptoms from this medication? Provide patient education on withdrawal symptoms that range from common and less serious to withdrawal symptoms that are a cause for concern and that should prompt the patient to seek medical attention. Given the patient’s history of having withdrawal effects from attempting to taper off alprazolam, what longer-acting benzodiazepine would you choose to convert the patient to? What is the dose you would prescribe, and how would you taper off the medication?
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