Unusual Symptoms


Doctor's File Notes April 12, 2002


Apr 12, 2002 Dr. EE Internest Office Visit


Patient Medications: 1)Remeron 60 mg/day 2) Aspirin 81 mg/day 3) Lipitor 20 mg/day 4) Provigil 200 mg/day 5 Wellbutrin SR 450 mg/day 6) magnesium supplementation.  Patient presents for follow-up of his chronic fatigue syndrome, probable depression and hyperlipidemia.  He is happy because he has found a new psychiatrist.  He has no other acute complaints.  Exam is otherwise unchanged, but weight is up to 183.


Impression: 1) Weight gain - no doubt due to Remeron. 2) Fatigue syndrome stable 3) Depression - now on Provigil, but higher doses of Remeron and will have a psychiatrist adjust 4) Hyperlipidemia - stable on Lipitor


Plan annual exam in 4 months