Susan is allergic to:
Penicillin and related antibiotics
Sulfa drugs
Tolerated Antibiotics
Susan has exhibited no adverse reactions to:
• azithromycin (Z-Pak)
• ceftriaxone
• cephalexin
• ciprofloxacin
• clarithromycin
• clindamycin
• doxycycline
• levofloxacin
• nitrofurantoin
Susan has received Moderna inoculations
against Covid-19, plus two boosters
(latest booster Nov 2022)
Migraine headache
• Jon Gustafson neurologist
Fort Smith, Arkansas (479) 431-5340
Depression
• Jon Gustafson neurologist
Fort Smith, Arkansas (479) 431-5340
• Sarah Woodruff internist (Susan's primary physician)
Clarksville, Arkansas (479) 754-8384
Cardiac issues, blood pressure
• Abdul Nasser Adjei cardiologist
Fort Smith, Arkansas (479) 709-7325
• Sarah Woodruff internist (Susan's primary physician)
Clarksville, Arkansas (479) 754-8384
Incontinence
• Kyle B. Basham urologist
Fort Smith, Arkansas (479) 709-7295
Pharmacist
• Ward Lee Family Pharmacy
Clarksville, Arkansas (479) 647-3138
Infusion, quarterly
• eptinezumab-jjmr (Vyepti), a monoclonal antibody antagonist to CGRP (calcitonin gene-related peptide) which is present during migraine
Prescription drugs, continuing regimen
• venlafaxine (generic Effexor), an anti-depressant, 150mg extended-release capsule once per day
• clopidogrel (generic Plavix), an anti-coagulant, 75mg tablet once per day
• atorvastatin (generic Lipitor), a lipid-regulating reductase inhibitor, 40mg tablet once per day at bedtime
• losartan, an angiotensin receptor blocker, 100mg tablet once per day
• hydralazine, a vasodilator, 50mg tablet twice per day
• famotidine (generic Pepcid), a histamine H2 receptor antagonist, 40mg per day
Details of current daily dosages
Occasional use
• aspirin and naproxen sodium, OTC pain relievers as needed for headache
• oxycodone, a pain reliever, 5mg-325mg acetaminophen tablet, as needed for severe headache pain
Prescription drugs
urinary tract infections
nitrofurantoin 100mg, 10 days Baptist Urology, Lauren Satterfield PA, September 2023
ciprofloxacin 500mg, 10 days Clarksville Med Grp, Kayla Metz APRN, October 2023
nitrofurantoin 100mg, 21 days Baptist Urology, Dr. Kyle Basham MD, begun November 30, 2023
nitrofurantoin 50mg, 90 days Baptist Urology, Ann Harp NP, begun January 8, 2024
migraine program — neurologist Dr. Jon Gustafson, Fort Smith, Arkansas
vibegron (Gemtesa), a selective beta-3 adrenoceptor agonist, begun in August 2023 at 75mg tablet once per day; discontinued September 2023, ineffective
atogepant (Qulipta), a calcitonin gene-related peptide receptor antagonist, 60mg tablet once per day; discontinued July 2022, ineffective.
erenumab (Aimovig), one 70mg injection per month, for abatement of migraine, 2020-21; increased to 140mg Jul 2021; ineffective, discontinued Oct 2021.
buspirone (generic Buspar), an anxiolytic, 15mg per day (prescribed conditionally 2016; never used)
propranolol (generic Inderal), a beta blocker normally for cardio-vascular uses
propranolol, three 20mg tablets daily
dosage increased to 4 tablets daily (80mg), May 2017
dosage increased to 6 tablets daily (120mg), August 2017
dosage changed to 2 extended-release 60mg capsules daily (120mg), August 2017
Discontinued 2018
venlafaxine (generic Effexor), an anti-depressant
venlafaxine, 75mg a day, May 2017
DHE-45 (ergotamine), a vasoconstrictor and neurotransmitter agonist; used only in emergency
dihydroergotamine, two 1mg/ml injections per day for 5 days, for abatement of severe migraine, Aug 2017
cholesterol — Dr. Sarah Woodruff, Clarksville, Arkansas
pravastatin, 10mg a day
colesevelam HCl (WelChol), one 625mg tablet daily (3 Oct 2013)
dosage increased to two 625mg tablets daily (22 Aug 2014)
pravastatin, 10mg a day (13 Oct 2015)
lovastatin, 20mg a day (June 2016)
discontinued by choice (Jan 2022)
blood thinner - Dr. Woodruff
aspirin-dipyridamole (Aggrenox), extended-release anti-coagulant, 25/200mg capsules twice per day
discontinued (May 2022, cardiac surgeon Dr. Ernesto Ruiz-Rodriguez)
blood pressure — Dr. Woodruff
lisinopril, 10mg a day
dosage increased to one 20mg tablet daily (9 Dec 2013)
dosage increased to one 40mg tablet daily (2020, by Dr. Mary Burch)
discontinued (Jan 2022, PA Jess Jordan)
losartan, 50mg a day
dosage increased to one 100mg tablet daily (May 2022, by Dr. A. Hassan Adjei)
heartburn — internist Dr. Laurie Smith Fisher initially, now Dr.Woodruff
omeprazole (generic Prilosec), one 40mg capsule daily (14 January 2014); discontinued 2022, unnecessary and possible conflict.
• lansoprazole (generic Prevacid), a proton pump inhibitor, 15mg twice per day (October 2023); discontinued, returned to famotidine
famotidine (generic Pepcid), 40mg per day (Jan 2022, PA Jess Jordan); temporarily displaced by lansoprazole (Dr. Woodruff) because of cough
cardiac treatment — cardiologist Dr. Abdul Nasser Adjei, Fort Smith, Arkansas
hydralazine, 100mg per day (Oct 2022, Dr. A.N. Adjei)
bladder control, incontinence — urologist Dr. Kyle Basham, Baptist Health, Fort Smith, Arkansas
botox injections in the bladder wall February 9, 2023; Clinic Notes: "100u of Botox diluted into 10cc injectable saline was injected into the posterior bladder wall in 10 locations of 1cc each along the lateral and posterior wall just above the trigone."; proved not effective in reducing urgency
mirabegron (Myrbetriq), a beta-3 adrenoceptor agonist, begun in April 2023 at 25mg tablet once per day, increased in June 2023 to 50mg once per day; discontinued August 2023, ineffective
vibegron (Gemtesa), a selective beta-3 adrenoceptor agonist, begun in August 2023 at 75mg tablet once per day; discontinued September 2023, ineffective
botox injections in the bladder wall November 30, 2023; Clinic Notes: "200u of Botox diluted into 20cc injectable saline was injected into the posterior bladder wall in 20 locations of 1cc each along the lateral and posterior wall just above the trigone."
psoriasis — Dr. Woodruff
triamcinolon cream 0.1% and clobetasol propionate cream 0.05% as needed
adult-onset asthma — Dr. Woodruff
Proair HFA 9gm inhaler (as needed daily)
Flovent HFA 110mcgm inhaler (2 times daily)
Current over-the-counter items
allergy
loratadine, one 10mg tablet as needed
bowels
ducosate sodium (stool softener), as needed
milk of magnesia (laxative), as needed
headache
aspirin w/caffeine plus naproxen sodium, as needed
Past prescriptions for transient conditions
December 2017 flu-like symptoms, pulmonary distress — Jess Jordan NP
ceftriaxone, 1000mg intramuscular injection (22 Dec 2017)
levofloxacin, one 750mg tablet per day for 7 days (22 Dec 2017)
oseltamavir, one 75mg capsule per day for 10 days (22 Dec 2017)
October 2017 urinary tract infection — Catherine Miranda NP
nitrofurantoin, 100mg tablet every 12 hours for a week (2 October 2017)
discontinued 6 Oct 2017
ciprofloxacin, 500mg tablet every 12 hours for a week (6 October 2017)
October-November 2017 chronic diarrhea — Catherine Miranda NP
dicyclomine, 10mg tablets 4 times daily for a month (2 October 2017)
diphenoxylate/atropine (generic Lomotil), 20mg per day for 4 weeks (7 Oct 2017)
colesevelam HCl (WelChol), 1250mg per day for 30 days (7 Oct 2017)
dosage of 1250mg per day continued for another month (6 Nov 2017)
November 2016 upper respiratory distress (upper lung) — Dr. Susan Gately, Clarksville, Arkansas
prednisone steroid (10 20mg tablets for 7 days in declining dosage 2-2-2-1-1-1-1)
October 2015 dental work — Tim Ward DDS, Clarksville, Arkansas
clindamycin antibiotic, two 150mg capsules 3 times daily for 5 days prior to root canal work (17 Oct through 21 Oct 2015)
August 2015 bronchitis and sinusitis — Urgent Care Clinic, New Hudson, Michigan
doxycycline antibiotic, one 10mg tablet twice a day (2 Aug through 8 Aug 2015)
August 2015 continuing sinusitis — Dr. Woodruff
ciprofloxacin antibiotic, one 500mg tablet twice a day (10 Aug through 19 Aug 2015)
October 2014 pain in right ear and neck — Dr. Susan Gately, Clarksville, Arkansas
prednisone steroid (10 20mg tablets for 7 days in declining dosage 2-2-2-1-1-1-1)
(Susan stopped this after one day, suspecting an allergic reaction.)
September 2014 troublesome insect bite on left thumb — Dr. Woodruff
prednisone steroid (21 10mg tablets for 7 days in declining dosage 5-4-3-3-2-2-2)
February 2014 itching skin — Dr. Woodruff
hydroxyzine HCl (25 15mg tablets, one every 6 hours)
February 2014 oral abcess — Dr. Ward DDS
cephalexin antibiotic (one 500mg tablet 4 times daily for 5 days)
January 2014 dental work — Tim Ward DDS, Clarksville, Arkansas
cephalexin antibiotic (one 500mg tablet 4 times daily for 5 days)
January 2014 breathing problems — Dr. Woodruff
clarithromycin antibiotic (one 500mg tablet 2 times daily for 10 days)
prednisone steroid (21 500mg tablets for 6 days in declining dosage)
Discontinued long-term prescriptions
migraine program — neurologist Dr. Jon Gustafson, Fort Smith
amitriptyline (a tri-cyclic anti-depressant), two 100mg tablets daily (Spring, 2013)
dosage reduced to 100mg daily (18 June 2014)
dosage reduced to 50mg daily (28 August 2014), to be decreased by patient as desired
(dosage decreased to 25mg daily on 15 Sept 2014, then discontinued on 29 Sept 2014.)
sumatriptan (generic Imitrex), a vasoconstrictor, one or two 100mg tablets as needed for a persistent headache (12 Dec 2014, 9 tablets taken for 5 days); Rx refilled 30 Jan 2015 ; discontinued 2 Feb 2015.
divalproex sodium (generic Depakote) (a treatment for epilepsy, bipolar disorder and migraine), two 125mg tablets daily (3 Feb 2015).
dosage increased to 500mg daily in two doses (12 May 2015).
dosage increased to 750mg daily in two doses (7 Jun 2015)
Divalproex sodium was discontinued 10 July 2015 following neurological distress.
topiramate (generic Topamax) (an anti-seizure agent), one 200mg tablet daily (Spring, 2013)
dosage increased to 300mg daily (18 June 2014)
dosage increased to 400mg daily (29 July 2014)
dosage increased to 500mg daily (22 Sept 2014)
dosage increased to 600mg daily (12 Aug 2015)
dosage increased to 700mg daily (27 Sep 2015)
No longer effective, topiramate was discontinued 5 Dec 2015 in advance of pending botox treatments.
sumatriptan, one 100mg tablet at onset of headache, repeat in 2 hours if necessary. (27 Oct 2015)
Taken in combination with naproxen sodium NSAID tablets, sumatriptan was only rarely effective; discontinued 4 Dec 2015.
Botox (39 to 44 injections in scalp, face and neck, totaling 155ml)
administered 12 Dec 2015
administered 3 March 2016
administered 13 June 2016
administered 15 August 2016
administered 9 Nov 2016
administered 14 Feb 2017 (Dr Satish Ganesh)
No longer effective, Botox was discontinued Spring 2017.
Blood sugar level, 2005-2014, Drs. Kim Graves and Sarah Woodruff
Metformin, 2000mg daily
discontinued 4 June 2014
Various migraine treatments and depression, 2005-2013
venlafaxine (Effexor), an anti-depressant
depression — Dr. Woodruff
venlafaxine, 150mg a day
revised, now prescribed by Dr. Gustafson
venlafaxine (generic Effexor), 75mg a day (17 Sep 2013)
discontinued 28 October 2013
Urinary tract — urologist Dr. Charles H. Brown, Clarksville, Arkansas
solifenacin succinate (Vesicare), 10mg daily for spastic (“overactive”) bladder.
oxybutynin (generic Ditropan XL), 15mg daily for spastic bladder. (19 Sep 2013)
mirabegron (Myrbetriq), 25mg extended release daily for spastic bladder. (3 Oct 2013)
mirabegron (Myrbetriq), 50mg extended release daily for spastic bladder. (18 Oct 2013)
discontinued 16 November 2013, ineffective
oxybutynin (generic Ditropan XL), 15mg daily. (unilaterally resumed 10 Dec 2013)
discontinued 26 June 2014, replaced by implanted Medtronic device
(surgeon Dr. Carey Andreiou, Cooper Clinic, Ft. Smith, Arkansas)
overactive bladder — Dr. Kyle Basham, Baptist Health system, Ft. Smith
Botox 50cc by injection into bladder wall, November 2022; ineffective
vibegron, 75mg tablet once per day, ineffective, discontinued April 2023
mirabegron (Myrbetriq) 25mg - 50mg per day, April - August 2023; ineffective, discontinued August 2023