Patient admitted for severe confusion,takes prescribed meds seroquel, depakote, ativan. Slurred speech, very confused, eyes bloodshot, crying episodes. Very tired, falls asleep. Urine shows cocaine but pateint says never had cocaine ever.
The following link explains the possible interactions between these meds:
It maybe that the patient while prescribed these meds is not taking in the appropriate dosage thus leading to an increased chance of interaction. The positive for cocaine may well be a false positive.
I believe that just those meds altogether, especially at the wrong dosage, would cause all those symptoms. If I take 1mg of ativan I'm passed put but not before babbling and seeming drunk... and that's just the 1mg of ativan. Drugs affect each person differently. But odd behaviors can always be caused by behavior altering medications.
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