I am about to begin treatment on a patient suffering from depression and ADD. I would use protocol 1 (treatment with triazolam) but skip the valium the night before as we will see her at 12 pm. What should I look out for that might be different than I have experienced when sedating a patient not on these antidepressants (i.e. The goal with our protocols that you should get to a level of sedation that will cause no respiratory consequences.
She currently takes daily: Lexapro 15 mg, Welbutrin 300 mg, and Vyvanse 50mg for ADD. When you have a patient who is on CNS depressants AND stimulants the problems with sedation level are difficult.
First of all, I would not take the patient off her Vyvanse.
The most important question is not how the Vyvanse will affect her sedation, but how uncontrolled ADD will affect the safety and efficacy of the sedation.
Sometimes, it’s easy to tell what causes an allergy -- for example, if symptoms strike when you go outside on a windy, high-pollen-count day, or when a pet climbs onto your lap.
If you do, nasal steroid sprays can help your eyes and nose.
Over-the-counter options include Flonase, Rhinocort, and Nasacort.
Eyedrops containing ketotifen can ease allergy symptoms for up to 12 hours.
They won’t cause rebound redness even with long-term use. In addition to red, itchy eyes from allergies, many people also have other symptoms, like a stuffy, runny nose.