Dr Wood explains the various drug treatment options to Bob. At the end of the appointment she calls the stroke nurse Bev to update her and asks her to see Bob and Jean at home the following week. She then writes in Bobs notes.
| Consultation notes
I saw Bob today and he has symptoms of Central Post Stroke Pain. I have prescribed amitriptyline at night for him, gradually increasing the dose if he finds the medication helpful; if he does not respond to amitriptyline I will consider changing to lamotrigine. I have explained to Bob that he may not notice any effect from the medication for a week or two and have discussed possible side effects. I have also checked his renal and liver function today in case he does require lamotrigine. I have updated Bev the stroke nurse about this plan for medication and she plans to see Bob at home next week. Dr Wood. |
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More about amitriptyline
- Belongs to a group of drugs called tricyclic antidepressants
- Commonly used is neuropathic pain management
- Common side effects include: dry mouth. dizziness, tiredness, increased appetite and urinary retention
More about lamotrigine
- Belongs to a group of drugs called anticonvulsants
- Prior to commencing the drug the patient’s renal and liver functions must be checked and these then monitored whilst taking the drug
- Common side effects include: nausea/vomiting, irritability, headache, dizziness, diarrhoea
See the Additional Information box below for further information on the pharmacological management of CPSP.
Consultation notes:
I saw Bob today and he has symptoms of Central Post Stroke Pain. I have prescribed amitriptyline at night for him, gradually increasing the dose if he finds the medication helpful; if he does not respond to amitriptyline I will consider changing to lamotrigine. I have explained to Bob that he may not notice any effect from the medication for a week or two and have discussed possible side effects. I have also checked his renal and liver function today in case he does require lamotrigine.
I have updated Bev the stroke nurse about this plan for medication and she plans to see Bob at home next week.
Dr Wood.
Page last reviewed: 02 Feb 2022
