Unusual Symptoms

Doctor's File Notes December 9, 2003

Current Medications

• Asprin 81 mg/day
• Geodon 180 mg/day
• Lexapro 30 mg/day
• Lipator 20 mg/day
• Slo-Mag
• Stratera 50 mg/day
• Welbutrin 450 SR mg/day

Patient presents for follow-up of his depression controlled on multiple medications as well as possible hypomagnesemia.  Because of sedation his Geodon was lowered to 180 mg/day. He otherwide is feeling uite well.  He continues to exercise frequently. On examination his Bp is 105/70.  Chest is clear and the rest of the exam is unremarkable except for moderate ecchymosis on his right arm.

Impression:

1. Possible hypomagnesemia - will check cellular magnesium levels as requested by patient.
2. Health care maintenance - still needs eye4 exam.
3. BPH - overall doing well.
4. Depression - dramatically better
5. Hyperlipidemia - remains on Lipitor. Recent cholesterol 155 with an LDL of 59