Medical Case Study: Desyrel 300 Mg Paid

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Case Study 1 40-year-old woman
* Desyrel 300 mg bid
* Klonopin 2 mg bid
* Aricept 10 mg qd
* Zoloft 100 mg qd
* Synthroid 0.25 mg qd
* Detrol XL 4 mg qd
* Norpace 150 mg bid
* Inderal 80 mg bid
* Bumex 2 mg qd
* Aldactone 100 mg qd
* Avapro 300 mg qd
* Prinivil 40 mg qd
* Glucophage 850 mg bid

DESYREL (1) 300 mg bid
The active pharmaceutical ingredient in it is trazadone, an oral drug available as a regular/extended release tablet to be taken twice daily.
STRUCTURE

MECHANISM OF ACTION
It is a selective serotonin receptor inhibitor that inhibits reuptake of serotonin and causes subsensitivity of adrenoceptors. It induces significant changes in 5HT presynaptic adrenoceptor. It also blocks histamine (H1) and α1- adrenergic receptors significantly.
…show more content…
STRUCTURE

MECHANISM OF ACTION
By decreasing intestinal absorption of glucose it decreases hepatic glucose production. It also increases insulin sensitivity.
SIDE EFFECTS
Diarrhea, bloating/gas, indigestion, constipation, stomach pain, heart burn, nail changes and muscle pain.
POTENTIAL DRUG INTERACTIONS (2)
Drugs that interact Interaction category Parameters altered Suggestion
Trazodone Minor interactions Increase in metformin effects by pharmacodynamic synergism To be monitored

ASSESSMENT
From the above medication list given, we can diagonise that the patient suffers from depression, hypothyroidism, bladder muscle spasm, arrhythmia, hypertension and type-II diabetes. To manage depression, Desyrel, Klonopin, Aricept, and Zoloft were used. Synthroid was used for the management of hypothyroidism. For the condition of urinary incontinence, Detrol was used. For arrhythmia, Norpace and Inderal were used. Bumex, Aldactone, Avapro and Prinivil were used to treat hypertension. Glucophage was used to treat the condition of type II

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