P&G NerveConnect – Patient Case Submission
Terima kasih atas kontribusi Anda dalam P&G NerveConnect, sebuah inisiatif klinis yang bertujuan untuk meningkatkan praktik kefarmasian dalam kesehatan saraf. Formulir ini dirancang untuk mengumpulkan wawasan nyata dari praktik sehari-hari dengan tetap praktis digunakan di apotek. Waktu pengisian sekitar 5–7 menit.
Silakan isi berdasarkan informasi yang tersedia saat interaksi di apotek. Pastikan tidak mencantumkan informasi yang dapat mengidentifikasi pasien.
Malaysia
Patient Presentation
A 30-49-year-old Male presented with Numbness, Tingling, Burning, Nerve pain (such as shooting pain, electric shock pain) at Feet, Legs, Arms for Persistent (≥3 months).
Presenting Complaint
He attebd church regularly and every time during praise and worship time, he is unable to stand for long as his left leg and feet will start to get numb, tingling effect and end up burning sensation. He can’t stand up straight.
Actions Taken
Provided counselling on symptom management, Recommended vitamins or supplements, Recommended OTC treatment, Advised medical consultation, Identified potential risk factors, Provided lifestyle guidance
Outcome / Next steps
Patient planned to monitor symptoms, Patient agreed to seek medical advice, Follow-up recommended at pharmacy, Symptoms appeared manageable, Other – Patient recommended to seek medical advice from an orthopaedic surgeon on his back condition.I gave him Mecobin Plus ALA to help with his nerve condition. Advice to loose weight by controlling his diet and do some simple exercise to loose some weight. Reduce his Badminton from 5 times a week to 3 times, every other day or less. Orthopaedic surgen gave him Pregabalin 75mg OD and Anarax OD. He is also on Prednisolone 10mg TDS for one week. Might need to do MRI in the future.
Key learning / Clinical insight
He is asking if his condition is better on medication alone or should immediately go for surgery ? Because it seems to be having a slip disc. Is medication alone is the best choise now? Or will the long term use of medication cause his condition to get worse?
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