Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are receiving this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.
References: Children's Autism Medication Chart 1. Fenton WS. Prevalence of spontaneous dyskinesia in schizophrenia. Journal of Clinical Psychiatry, 2000; 62 (suppl 4): 10-14. 2. Bowden CL, Calabrese JR, McElroy SL, Gyulai L, Wassef A, Petty F, et al. For the Divalproex Maintenance Study Group. A randomized, placebo-controlled 12-month trial of divalproex and lithium in treatment of outpatients with bipolar I disorder. Archives of General Psychiatry, 2000; 57(5): 481-489. 3. Vainionpää LK, Rättyä J, Knip M, Tapanainen JS, Pakarinen AJ, Lanning P, et al. Valproate-induced hyperandrogenism during pubertal maturation in girls with epilepsy. Annals of Neurology, 1999; 45(4): 444-450. 4. Soames JC. Valproate treatment and the risk of hyperandrogenism and polycystic ovaries. Bipolar Disorder, 2000; 2(1): 37-41. 5. Thase ME, and Sachs GS. Bipolar depression: Pharmacotherapy and related therapeutic strategies. Biological Psychiatry, 2000; 48(6): 558-572. 6. Department of Health and Human Services. 1999. Mental Health: A Report of the Surgeon General. Rockville, MD: Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institute of Mental Health. 7. Altshuler LL, Cohen L, Szuba MP, Burt VK, Gitlin M, and Mintz J. Pharmacologic management of psychiatric illness during pregnancy: Dilemmas and guidelines. American Journal of Psychiatry, 1996; 153(5): 592-606. 8. Physicians' Desk Reference, 54th edition. Montavale, NJ: Medical Economics Data Production Co. 2000.
Some that I picked up from working in Canada and Large Urban facilities in the US.
LOL,Squared ->Little old Lady Lying on Linoleum – Elderly female found on floor by EMS.
CD-> Celestrial Discharge: Person who has died.
WBC-> Well Baby Check. Parents who bring baby/child in to ED after minor incident “Just to be checked out”
OBECALP-> For drug seekers – Give 20mg of Obecalp IM/IV stat: Placebo backwards (usually 5 mls of a saline flush IV to see if they “need something stronger” since they are allergic to EVERYTHING but Demerol. I have even had patients return to the ED and ASK for OBECALP “because it worked last time”
BOTTLED -> A Canadian classic. EMS has just brought in someone that has been BOTTLED (hit in the head with a bottle, most cases a beer bottle)
Z-PACK-> NOT WHAT YOU THINK. This case is a group/family from a particular State/Province that are on Medi-Care/Welfare and their health card starts with a “Z” and use the ED and EMS for minor health issues “We have a Z-Pac of 4 in Room 5” Translation we have 4 family members in room 5 that need / health care check by a doctor.
CHURCH SYNDROME -> Often goes along with LOLSquared, occurs most often with Little old Catholic Ladies, that get dizzy from standing and kneeing in church
MALL WALKER-> Most often a LOL, that takes her B/P on the drug store machine in the Mall after doing the “Mall Loop” and finds her B/P “Higher than normal” and her friends tell her to go to the ED for a
HC-> Health Check – similar to a WBC but an adult.