Benzos vs benztropine for EPS in the elderly
So I got an outpatient consult recently for med recs on an 65ish year old lady with well-documented late-onset schizophrenia (onset around 52-53) who has been on Invega LAI for years and done very well with it. Patient and daughter are adamant about staying on it, as apparently previous periods without meds were disastrous. She's also been taking benztropine 1 mg BID for EPS (appears to be parkinsonism and akathisia) and clonazepam 1 mg daily for anxiety. When clonazepam was previously...
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Source: Student Doctor Network - November 25, 2022 Category: Universities & Medical Training Authors: Stagg737 Tags: Psychiatry Source Type: forums
Dear SDN, I test in < 2 days. Please come give me your take on whether I should postpone.
The relevant numbers:
70 days out, UWSA2: 173
29ish days out, New Free 120: 57%
21 days out, UWSA1: 190 (took once before in 2020)
14 days out, NBME29: 59%, score report says I have a 75% chance of passing!
6 days out, NBME26: 55%, 52% chance of passing. devastated. Boyfriend wishfully discounts this performance because I hadn't taken my clonazepam.
UW average hovering around 56% right now, including questions I've seen before since I haven't reset it since...
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Source: Student Doctor Network - July 30, 2022 Category: Universities & Medical Training Authors: glutamate Tags: USMLE and COMLEX Step I Source Type: forums
How would you help this type of patient?
I have a patient who is in his early 60s who has chronic severe PTSD and I think likely either borderline traits or borderline personality disorder. This patient doesn't have any suicidal ideation. No mania or psychosis. No depressive episode. The patient refuses to take medication for PTSD, and mistakenly says another physician has told him SSRIs will harm his heart and wont' accept education to the contrary. He won't even listen to that same physician. He will only take clonazepam 1mg PO...
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Source: Student Doctor Network - December 8, 2021 Category: Universities & Medical Training Authors: wolfvgang22 Tags: Psychiatry Source Type: forums
Mistake -customer complained to board of pharmacy
i made a mistake ( typed and verified half of a tablet on clonazepam 0.5 mg...and it should of been typed as 0.5mg, so as a result pt was taking 0.25 mg of clonazepam )
Pt complained to board of pharmacy ...
Now they want me to give them an explanation ...
What is the best way to do it? (Source: Student Doctor Network)
Source: Student Doctor Network - December 26, 2017 Category: Universities & Medical Training Authors: jmail Source Type: forums
