This document contains an MTM summary for Arkadiusz Jachimowicz for the period of July 30, 2021 through August 6, 2021. It includes details on two compounded cream prescriptions for Mandelblatt, Svetlana, an 84 year old female, including ingredients and notes on application instructions and a follow up call on August 4, 2021 to assess pain levels before and after using the creams.
This document contains an MTM summary for Arkadiusz Jachimowicz for the period of July 30, 2021 through August 6, 2021. It includes details on two compounded cream prescriptions for Mandelblatt, Svetlana, an 84 year old female, including ingredients and notes on application instructions and a follow up call on August 4, 2021 to assess pain levels before and after using the creams.
This document contains an MTM summary for Arkadiusz Jachimowicz for the period of July 30, 2021 through August 6, 2021. It includes details on two compounded cream prescriptions for Mandelblatt, Svetlana, an 84 year old female, including ingredients and notes on application instructions and a follow up call on August 4, 2021 to assess pain levels before and after using the creams.
This document contains an MTM summary for Arkadiusz Jachimowicz for the period of July 30, 2021 through August 6, 2021. It includes details on two compounded cream prescriptions for Mandelblatt, Svetlana, an 84 year old female, including ingredients and notes on application instructions and a follow up call on August 4, 2021 to assess pain levels before and after using the creams.
Arkadiusz Jachimowicz Mandelblatt, Svetlana DOB: 09/18/1936 Age: 84 Gender: F
225068-1_BU3 5.00% DIMETHYL SULFOXIDE
Filled: 07/23/2021 5.00% GLYCERIN Drug: Comp.p#7096.1 30.00% PROPYLENE GLYCOL Strength: 60GM 3.00% BACLOFEN* Notes: Apply To Affected Area 1 Gram Twice A Day Maximum 2 Grams 3.00% GABAPENTIN Per Day 3.00% BACLOFEN 3.00% LIDOCAINE 20.00% CELECOXIB 16.00% METHYLCELLULOSE 15.00% INACTIVEDOXEPIN HCL 15.00% DOXEPIN HCL 2-week Call Pain on: 08/04/2021 by: Michal Mozes Have you started using the medication that we sent you? (Y/N) Yes Have you explained to the patient how to measure the dose of the medication? yes How many times per day are you using the medication? (1-6) 2 (If more than 4 times per day, refer to a pharmacist) How many grams of cream are you using per application? does not measure After using this compound cream, on a scale of 1-10 (with 10 being most severe), how would 2 you assess your pain level now? Prior to using the medication, how does the patient rate the pain on a scale from (1-10) 4 After using the compound, would you describe your pain as 'under control' Yes
225071-1_BU3 5.00% GLYCERIN
Filled: 07/23/2021 5.00% MENTHOL USP Drug: Comp.p#6082.1 5.00% DIMETHYL SULFOXIDE Strength: 60GM 5.00% CAMPHOR USP Notes: Apply To Affected Area 1 Gram Twice A Day Maximum 2 Grams 5.00% MENTHOL (L), USP (CRYSTALS) Per Day 35.00% METHYLCELLULOSE 25.00% PROPYLENE GLYCOL 20.00% CELECOXIB 2-week Call Pain on: 08/04/2021 by: Michal Mozes Have you started using the medication that we sent you? (Y/N) Yes Have you explained to the patient how to measure the dose of the medication? Yes How many times per day are you using the medication? (1-6) 2 (If more than 4 times per day, refer to a pharmacist) How many grams of cream are you using per application? does not measure After using this compound cream, on a scale of 1-10 (with 10 being most severe), how would 2 you assess your pain level now? Prior to using the medication, how does the patient rate the pain on a scale from (1-10) 4 After using the compound, would you describe your pain as 'under control' Yes