PL is a 42-year-old female presenting for medication refills. She has no recent lab work, but reports fatigue and occasional dizziness. Current meds: metformin 1000 mg PO daily, Invokamet 50/500 mg BID with meals, eszopiclone 2 mg po qHS, atomoxetine 40 mg po daily, and gabapentin 300 mg PO TID. How would you assess and improve her regimen? What monitoring is needed? List 5 possible disease states based on her medications.

Rubric

Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection.

Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable.

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