For patient who has a following symptoms: nausea, vomiting, diarrhea. History of drug abuse and possible hepatitis C. Taking medication such as synthroid 100mcg daily, nifedipine 30mg daily, and prednisone 10mg daily. Explain your diagnosis for the patient, including your rationale for the diagnosis. Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed. Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.
The diagnosis of the patient is opioid withdrawal syndrome. The gastroenteritis symptoms like diarrhea, vomiting, nausea, abdominal discomfort are shows to the patient who stops taking opioids after they become dependent to it. As the person have history of drug abuse and not showing symptoms of nausea, vomiting, diarrhea may be related to opioid withdrawal syndrome.
The appropriate drug therapy that can be planned are
1. Methadone: This drug is an opioid antagonist, used to reduce the symptoms of opioid dependency and detox the body by removing opioids.
or
buprenorphine-naloxone: It is also an opioid antagonist, which helps in detoxification, and buprenorphine can be given in combination with naloxone.
2.Antiemetic drugs
These drugs can be used to reduce vomiting and nausea. Example, prochlorperazine
3. Immodium or loperamide
These drugs are given to reduce diarrhea.
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