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Summary of Your Plan:

Pharmacological Interventions:
[checkbox name="variable_1" value="Continue current medication(s) |Modify dosage to|Change medication/treatment to "] [select name="prescription1" text memo="Rx #1"  value="|Adderall XR 10 mg as needed per day|Adderall XR 15 mg as needed per day|Adderall XR 20 mg as needed per day|Adderall XR 25 mg as needed per day|Adderall XR 30 mg as needed per day|Adderall XR 5 mg as needed per day|Azstarys 26.1 mg as needed per day|Azstarys 39.2 mg as needed per day|Azstarys 52.3 mg as needed per day|Dyanavel XR 10 mg as needed per day|Dyanavel XR 15 mg as needed per day|Dyanavel XR 20 mg as needed per day|Intuniv 1mg daily|Intuniv 2mg daily|Intuniv 3mg daily|Intuniv 4mg daily|Kapvay 0.1mg daily|Kapvay 0.2mg daily|Prazosin 1mg at bedtime|Prazosin 2mg at bedtime|Prazosin 3mg at bedtime|Prazosin 4mg at bedtime|Qelbree 100mg daily|Qelbree 150mg daily|Qelbree 200mg daily|Qelbree 200 mg for 7 days then 400 mg daily|Qelbree 200mg daily for 14 days|Ritalin LA 10 mg as needed per day|Ritalin LA 20 mg as needed per day|Ritalin LA 30 mg as needed per day|Ritalin LA 40 mg as needed per day|Strattera 10mg daily|Strattera 18mg daily|Strattera 25mg daily|Strattera 25mg daily for 7 days then 40mg daily|Strattera 40mg daily|Strattera 60mg daily|Trazodone 25-50mg at bedtime as needed for insomnia|Trazodone 25mg at bedtime as needed for insomnia|Trazodone 50-100mg at bedtime as needed for insomnia|Trazodone 50mg at bedtime as needed for insomnia|Trintellix 10 mg daily|Vistaril 10 mg as needed for anxiety|Vistaril 10-20 mg as needed for anxiety|Vistaril 20 mg as needed for anxiety|Vistaril 25 mg as needed for anxiety|Vyvanse 10 mg as needed per day|Vyvanse 20 mg as needed per day|Vyvanse 30 mg as needed per day|Vyvanse 40 mg as needed per day|Vyvanse 50 mg as needed per day"]
[select name="prescription2" text memo="Rx #2" value="|Adderall XR 10 mg as needed per day|Adderall XR 15 mg as needed per day|Adderall XR 20 mg as needed per day|Adderall XR 25 mg as needed per day|Adderall XR 30 mg as needed per day|Adderall XR 5 mg as needed per day|Azstarys 26.1 mg as needed per day|Azstarys 39.2 mg as needed per day|Azstarys 52.3 mg as needed per day|Dyanavel XR 10 mg as needed per day|Dyanavel XR 15 mg as needed per day|Dyanavel XR 20 mg as needed per day|Intuniv 1mg daily|Intuniv 2mg daily|Intuniv 3mg daily|Intuniv 4mg daily|Kapvay 0.1mg daily|Kapvay 0.2mg daily|Prazosin 1mg at bedtime|Prazosin 2mg at bedtime|Prazosin 3mg at bedtime|Prazosin 4mg at bedtime|Qelbree 100mg daily|Qelbree 150mg daily|Qelbree 200mg daily||Qelbree 200mg daily for 14 days|Ritalin LA 10 mg as needed per day|Ritalin LA 20 mg as needed per day|Ritalin LA 30 mg as needed per day|Ritalin LA 40 mg as needed per day|Strattera 10mg daily|Strattera 18mg daily|Strattera 25mg daily|Strattera 25mg daily for 7 days then 40mg daily|Strattera 40mg daily|Strattera 60mg daily|Trazodone 25-50mg at bedtime as needed for insomnia|Trazodone 25mg at bedtime as needed for insomnia|Trazodone 50-100mg at bedtime as needed for insomnia|Trazodone 50mg at bedtime as needed for insomnia|Trintellix 10 mg daily|Vistaril 10 mg as needed for anxiety|Vistaril 10-20 mg as needed for anxiety|Vistaril 20 mg as needed for anxiety|Vistaril 25 mg as needed for anxiety|Vyvanse 10 mg as needed per day|Vyvanse 20 mg as needed per day|Vyvanse 30 mg as needed per day|Vyvanse 40 mg as needed per day|Vyvanse 50 mg as needed per day"]
[select name="prescription3" text memo="Rx #3" value="|Adderall XR 10 mg as needed per day|Adderall XR 15 mg as needed per day|Adderall XR 20 mg as needed per day|Adderall XR 25 mg as needed per day|Adderall XR 30 mg as needed per day|Adderall XR 5 mg as needed per day|Azstarys 26.1 mg as needed per day|Azstarys 39.2 mg as needed per day|Azstarys 52.3 mg as needed per day|Dyanavel XR 10 mg as needed per day|Dyanavel XR 15 mg as needed per day|Dyanavel XR 20 mg as needed per day|Intuniv 1mg daily|Intuniv 2mg daily|Intuniv 3mg daily|Intuniv 4mg daily|Kapvay 0.1mg daily|Kapvay 0.2mg daily|Prazosin 1mg at bedtime|Prazosin 2mg at bedtime|Prazosin 3mg at bedtime|Prazosin 4mg at bedtime|Qelbree 100mg daily|Qelbree 150mg daily|Qelbree 200mg daily||Qelbree 200mg daily for 14 days|Ritalin LA 10 mg as needed per day|Ritalin LA 20 mg as needed per day|Ritalin LA 30 mg as needed per day|Ritalin LA 40 mg as needed per day|Strattera 10mg daily|Strattera 18mg daily|Strattera 25mg daily|Strattera 25mg daily for 7 days then 40mg daily|Strattera 40mg daily|Strattera 60mg daily|Trazodone 25-50mg at bedtime as needed for insomnia|Trazodone 25mg at bedtime as needed for insomnia|Trazodone 50-100mg at bedtime as needed for insomnia|Trazodone 50mg at bedtime as needed for insomnia|Trintellix 10 mg daily|Vistaril 10 mg as needed for anxiety|Vistaril 10-20 mg as needed for anxiety|Vistaril 20 mg as needed for anxiety|Vistaril 25 mg as needed for anxiety|Vyvanse 10 mg as needed per day|Vyvanse 20 mg as needed per day|Vyvanse 30 mg as needed per day|Vyvanse 40 mg as needed per day|Vyvanse 50 mg as needed per day"]
[textarea name="rx" memo="Med" rows="1"]

Stimulant Usage: Reserve stimulant usage for days when enhanced executive function is necessary. Immediate-release stimulants are not FDA-approved for routine use in adults.

Non-Pharmacological Interventions:
Maintain a nutritionally balanced diet.
Incorporate regular physical activity into your routine, aiming for at least three times a week.
Continue participating in psychotherapy sessions.
Emphasize the importance of medication adherence.

Lifestyle Recommendations:
Focus on maintaining a nutritionally balanced diet.
Include regular physical activity in your routine.
Continue participating in psychotherapy session (s).

Medication Refill Process:
Request refills via contacting our office
Discuss dosage adjustments during follow-up consultations.

Communication and Follow-Up:
Please use the Consultation feature in your Patient Portal to message your provider for non-urgent follow-up questions or discussions or call the office   . You can expect a response within 72 hours through that secure portal.

If you need to reach a care team member more urgently due to medication inquiries, side effect concerns, or other issues requiring timely response, please log in to your call the office or log on to your account to access the appropriate contact information.

Emergency and Safety Precautions:
Seek immediate medical assistance for severe side effects.
Contact our office with any questions, concerns, adverse side effects, or changes in your mental health status.
In case of emergencies, including but not limited to suicidal or homicidal ideation or plans, please call 911, 988, or go to the nearest emergency room.
You can also reach out to the National Suicide Prevention Lifeline at 1-800-273-8255 and visit their website at National Suicide Prevention Lifeline https://988lifeline.org/.

Potential Side Effects:
[checkbox value="Stimulants: Side effects of stimulants can include decreased appetite, insomnia, particularly if taken too late in the day, dry mouth, tics, tremors, agitation or psychosis, elevated heart rate, and blood pressure. Dangerous side effects could include psychotic symptoms, seizures, cardiovascular events, and arrhythmia. There is an increased risk of arrhythmia or cardiovascular problems in persons with a personal history of cardiac disease or stroke or a family history of cardiac stroke at an early age or sudden death. There is a risk of worsening or s/e of glaucoma; report vision changes or eye pain. Stimulants have a risk of dependency and addiction. People can develop tolerance, necessitating increases in doses. If possible, it is helpful to take the medication only on the needed days.
  "][checkbox value="Non-Stimulants: Possible effects include nausea, dizziness, fatigue, mood changes, sleep issues, and slowed growth in children."]
[checkbox value="Antidepressants: Potential side effects are nausea, weight changes, sexual dysfunction, fatigue, insomnia, dry mouth, blurred vision, constipation, dizziness, anxiety, increased suicidal ideation"][checkbox value="Antipsychotics: May lead to weight gain, sedation, dizziness, restlessness, dry mouth, constipation, nausea, blurred vision, low blood pressure, involuntary movements, tardive dyskinesia."][checkbox value="Mood Stabilizers: Common effects include drowsiness, dizziness, headaches, gastrointestinal issues, mood fluctuations, skin reactions, weight change, tremors"]

Thank you for choosing us. We are committed to supporting you throughout your journey.

Keife Earley, DNP, PMHNP-BC

Note: Please be advised that voice dictation was utilized to compose this message. Errors or omissions are possible despite diligent attempts to guarantee meticulousness and accuracy.