C09991646 / invoice 10000

Reason; recheck MUO/szHistory:Cant jump up; sl tremor in hindlimbs;Itches face and earsUsing flea collar nowExercises x2/day an plays ballNo szNot painfulExamination:NormalAssessment:In remissionPlan:- Decrease prednisolone by 50% ie prednisolone 5mg; give HALF a tablet ONCEa day for 4 weeks- Start to wean off Keppra: ie decrease to 250mg tab; half a tablet every 12 hours for the next 4 weeks- Same phenobarb dose- recheck in 4 weeksplease dispense;21.00 x Pred-X 5mg tab (Prednisolone)Give half a tablet once a day for 4 weeks then reassess.120.00 x Phenobarb 30mg tab (Phenobarbitone)Give 1 tablet every 12 hours for 4 weeks then reassess60.00 x Keppra 250mg tab (Levetiracetam)Give half a tablet every 12 hours for 4 weeks, then reassessHistory-Update:Recheck in 4 weeks please    Vital Signs    Weight: 10;       Temperature: 38.2;       HeartRate: 78;