Dizzy/Lightheaded
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Aidey
Community Leader Emeritus
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Yes. Tabs that are meant to be split have a score on them, making it easier to split them evenly. Tabs that do not have a score tend to not split evenly. Pt may have got 1.8mg rather than 1.5mgs.
Plus if the doctor was willing to tell them to split the tablets, even though you aren't supposed to, it may indicate that the kid had a strong reaction to the 1mg and the doc wasn't comfortable going up to 2mg.
Plus if the doctor was willing to tell them to split the tablets, even though you aren't supposed to, it may indicate that the kid had a strong reaction to the 1mg and the doc wasn't comfortable going up to 2mg.
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The extended release formulations should not be split but I don't think Tenex is an extended release version. I don't prescribe or have any experience with it, just going off drug database info.
Aidey
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The Intuniv brand is extended release per epocrates. But all 3 had do not split warnings.
The do no split/crush warnings are only for intuniv. Tenex can be split/crushed and is what you'd have to use for children who can't swallow pills.
But in general this is an important point to specify what meds they are on, how they are taking them and if that could be a potential source for the patient's problem.
Aidey
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If it was such a jump one would expect that it would be offered in half mg doses. Not in whole mg doses that have an explicit do not crush/chew/cut warning.
My point is that this specific pt may have been sensitive to it, or already have low BP, some reason that the MD went so far to advise them to split the pills.
It is also possible mom miscounted. There is a reason that multiple people perform pill counts when checking narc inventory or on potential overdoses.
My point is that this specific pt may have been sensitive to it, or already have low BP, some reason that the MD went so far to advise them to split the pills.
It is also possible mom miscounted. There is a reason that multiple people perform pill counts when checking narc inventory or on potential overdoses.
Id be interested to know if he recently had a growth spurt which can also have an hypovolemic effect.
Also where was he when he got dizzy? Was it sitting in math class or did a period of exertion set it off like gym class or running up a flight of stairs?
VFlutter
Flight Nurse
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The symptom that stands out to me is the bradycardia. Why a HR that low? If he was hypotensive due to hypovolemia I would expect him to be tachycardic.
Still, 39 is unusually low. My resting HR is 44, but I'm extremely active (5 miles of running a day, at minimum), and i'm not on any drugs. Do you have other HRs recorded while on the meds?
Aidey
Community Leader Emeritus
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This thread is basically asking for medical advice, and thus is not allowed.
it is? i am asking what you guys think of my own case as to what happened...this happend 3 years ago i couldn't possibly be asking for medical ADVISE. a consult maybe...
NomadicMedic
I know a guy who knows a guy.
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It became questionable the minute you said that you were the patient. I would bet this thread will be closed shortly.
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Whether it's ADVICE or a consult, it should be done through your physician 
They'd be much better suited to answer such questions anyway.
They'd be much better suited to answer such questions anyway.
bigbaldguy
Former medic seven years 911 service in houston
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Nah I'm ok with it give him all the advice he wants
Not.
Thread closed while we review the evidence. Please stand by (or don't if you have better things to do).
Not.
Thread closed while we review the evidence. Please stand by (or don't if you have better things to do).
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