Ms. B, a 35-year-old nurse practitioner, had been employed by a family-care clinic for the last four years. One of her patients was Mrs. S, aged 57 years, who had been seeing Ms. B for more than a year for check-ups, minor illnesses, and management of her hypertension. 

Mrs. S was also seeing a psychiatric practitioner, who had recently prescribed lamotrigine to treat her depression. A week after being prescribed lamotrigine, on November 13, Mrs. S came in to see Ms. B for her hypertension. Ms. B reviewed the patient’s medication list, which now included lamotrigine. The office visit was uneventful and Ms. B did not expect to see Mrs. S for a while, but Mrs. S came back into the clinic 10 days later with complaints of body ache. Ms. B reviewed the patient’s medication list again and prescribed amoxicillin. 

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This article originally appeared on Clinical Advisor