Diagnosed as low dopamine and low serotonin. Prescribed with Nuvigil, Provigil and Ritalin. Anything wrong with the combination of medicines?
He is also taking blood pressure medicines and Cialis prescribed by a doctor because of the side effects. He takes a low dose of thyroxine as well. To aid with sleeping, he takes Valium 10 mg, melatonin 3 mg and Lunesta 3mg. Is there something wrong with the combination of the medicines?
My best wishes for a speedy recovery for your boss
I have gone through your boss"s medical history in detail.
He is suffering from hypertension / hypothyroidism /parkinsonism /insomnia etc.
Letharginess /sluggishness etc are common symptoms for these patients .
May I suggest (for your boss)
1. Continue taking antiparkinson /hypothyroid medication & hypertensives as per requirement .
2.Avoid taking valium & melatonin , they may interact occasionally.
3.Check his MRI BRAIN for any cerebral atrophic / ischemic changes .For which he may need certain specific medications .
4.Check his serum cholesterol/electrolytes regularly.
5.You need to consult a neurologist regularly for proper dosing of antiparkinson medications
Dr Praveen K Nath
Deptt. of Neurosurgery
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