C10006071 / invoice 10000

Reason: Phenobarbitone Bloods (Next Dose Due 5.30pm)Appointment Notes: and check up  ------- Sms reply: YReason: Due for phenobarb checkShaking head a lot right nowStill having severe polyphagia side effects and not sleeping through the night as she wakes up pestering for food and flapping/scratching earsBarEyes nadEars bilaterally mild inflammation in canals and mild much but helen been cleaningPln nadOral g2 calculi Pln nadCardio/resp nadAb palp nadInteg nadRec tx ears Can try gabapentin at night to help sleep through the nightWill consider swapping from phenomav to pexion but that needs to be done over 3-4 months while starting pexion and pexion can also cause polyphagiaRx:	PMP…………………………............................................Mitte:	30ml…………………………............................................Directions:	Apply 0.5ml into each ear twice daily for a minimum of 7 days ………………………………............................................	………………………………............................................NO REPEATSKEEP OUT OF REACH OF CHILDRENFOR ANIMAL TREATMENT ONLY# of items Dispensed:Rx:	Gabapentin WGR 400mg Capsules 100 - Gabapentin	…………………………............................................Mitte:	100 capsules…………............................................Directions:	Give one capsule before bed ………………………………............................................	………………………………............................................NO REPEATSKEEP OUT OF REACH OF CHILDRENFOR ANIMAL TREATMENT ONLYVet Signature: ………………………………………….Vet Name: Dr Siobhan Doherty QLD V6606    Vital Signs    Weight: 17.15;