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His dose was increased to TID, then 50 mg QID over successive weeks, and he became even more disoriented, began "sundowning," became incontinent of his urine and could not be easily aroused. difficile diarrhea involves stopping the suspected antimicrobial, and providing oral vancomycin (Vancocin) 125 mg QID for 10-14 days or metronidazole (Flagyl/Satric) 250 mg PO QID for 10-14 days (the latter being much less expensive). After her initial APAP 650 mg QID, was changed to ibuprofen 600 mg QID, she went through codeine 8, 15, 30 and up to 60 mg q 4 h, which was changed to morphine sustained-release tablets 30, then 60, 90, 120, 180 and finally 240 mg q h, and doxepin 25, 50 and finally 75 mg q HS was added with monthly increments after persistent depressive-pain-anxiety-upper GI dyspepsia-pain syndrome was noted. |
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