FAX:  URGENT



PCP Notification of Methadone/Lorazepam Wean

Dictate note to patient PCP for patients being discharged on methadone/Lorazepam taper or within 48 hrs. of last dose.

Use work type 40

Script as follows:

OFFICE STAFF PLEASE PRESENT THIS TO PHYSICIAN

Dear Dr.

We are writing with regards to your patient

who has been hospitalized here at Dell Children’s Medical Center with a diagnosis of

In order to provide adequate analgesia and sedation he/she required several days of treatment with narcotics and/or benzodiazepines. In order to prevent withdrawal symptoms he/ she was placed on a methadone/lorazepam taper. As is doing well and ready for discharge, we are continuing to wean therapy on an outpatient basis. The parents/guardians have been instructed on proper administration of the medication as well as symptoms of withdrawal.

Although the risk of withdrawal is low, please contact us if you see any sign or symptoms that you feel might be related to withdrawal. Common symptoms of withdrawal include:

• Severe sleep disturbance

• Irritability, tremors

• Hallucinations

• Feeding difficulties (poor feeing, diarrhea, vomiting)

Please see discharge summary for your patient’s methadone/lorazepam weaning plan.

You can reach Pediatric Intensivist 24 hours a day at 512-402-4236 with any concerns.

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