Richard A Oddy MD, MA, DABPN, DASAM, DAAPM, DABIHM Fort Collins (serving Northern Colorado, including Fort Collins, Greeley and Loveland) General Psychiatry Addiction Medicine Holistic Psychiatry Psychosomatic Medicine (managing psychiatric illness/psychological symptoms of patients with medical conditions) Interdisciplinary Pain Management (Psychiatric/Psychological Aspects of managing patients with chronic pain) Located in Fort Collins, Colorado, Dr. Oddy is a psychiatrist with credentials in a broad area of psychiatric treatment (board certifications in psychiatry, consultation-liaison psychiatry, addiction medicine, holistic medicine, additional credentialing in interdisciplinary pain management), with expertise in the diagnosis and treatment of mental illness including depression, anxiety (including panic disorder and obsessive compulsive disorder), bipolar disorder, ADHD, and the management of alcohol and substance use disorders/addictive disorders. Oddy is a Fellow of The American Society of Addiction Medicine and a member of the American Psychiatric Association. In addition to his skills in diagnosis and medication treatment, Dr Oddy is also trained as a psychotherapist, and believes the relationship with the patient is central to treatment. As a psychiatrist and addiction medicine physician Dr Oddy is trained to manage mental illness and addictions together (e.g. bipolar disorder and alcohol or drug abuse), as they often co-occur (dual diagnosis or co-occurring disorders). Dr Oddy is able to bring a number of distinct areas of study into one practice. With the scientific background of a degree in neuropharmacology, a medical degree from the University of Cambridge, England, and psychotherapy training from New York, combined with psychiatry training, addiction medicine training, as well as chronic pain interdisciplinary management experience, Dr Oddy is able to appreciate relationships between the mind/brain and body. 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These highlights do not include all the information needed to use ZOLOFT safely and effectively. ZOLOFT (sertraline hydrochloride) tablets, for oral use ZOLOFT (sertraline hydrochloride) oral solution Initial U. Approval: 1991Most common adverse reactions (≥5% and twice placebo) in pooled placebo-controlled MDD, OCD, PD, PTSD, SAD and PMDD clinical trials were nausea, diarrhea/loose stool, tremor, dyspepsia, decreased appetite, hyperhidrosis, ejaculation failure, and decreased libido (6.1) Antidepressants increased the risk of suicidal thoughts and behavior in pediatric and young adult patients in short-term studies. Closely monitor all antidepressant-treated patients for clinical worsening, and for emergence of suicidal thoughts and behaviors The recommended initial dosage and maximum ZOLOFT dosage in patients with MDD, OCD, PD, PTSD, and SAD are displayed in Table 1 below. A dosage of 25 mg or 50 mg per day is the initial therapeutic dosage. For adults and pediatric patients, subsequent dosages may be increased in case of an inadequate response in 25 to 50 mg per day increments once a week, depending on tolerability, up to a maximum of 200 mg per day. Given the 24-hour elimination half-life of ZOLOFT, the recommended interval between dose changes is one week. The recommended starting ZOLOFT dosage in adult women with PMDD is 50 mg per day. ZOLOFT may be administered either continuously (every day throughout the menstrual cycle) or intermittently (only during the luteal phase of the menstrual cycle, i.e., starting the daily dosage 14 days prior to the anticipated onset of menstruation and continuing through the onset of menses). Such events may be related to professional practice, health care products, procedures, and systems, including prescribing; order communication; product labeling, packaging, and nomenclature; compounding; dispensing; distribution; administration; education; monitoring; and use,” according to the National Coordinating Council for Medication Error Reporting and prevention. All prescription and nonprescription medications carry the inherent risk of causing adverse drug events that are often unpreventable, even when used at appropriate therapeutic doses and with appropriate monitoring in place.1 Patients are also at risk of medication errors defined as “any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer. 6 The goal of medication therapy is to achieve beneficial therapeutic outcomes and quality of life while minimizing risk to patients. Medication errors represent a significant concern to the health care system, increasing patient mortality and morbidity as well as increasing health care costs. Even when medication errors result in no patient harm, patient confidence in the health care system can be jeopardized.1 Types of Medication Errors (See Table 1 below) Medication errors are often classified into different types to assist with medication error reporting and determining the root cause of an error to take steps toward future error prevention. The American Society of Health-System Pharmacists has characterized medication errors in categories including prescribing, omission (ordered drug not administered), timing, use of an unauthorized drug (not authorized by a legitimate prescriber), improper dosing, wrong dosage form, wrong drug preparation, wrong administration technique, deteriorated drug (an expired medication), and monitoring (failure to use laboratory data to monitor toxicity).1 Medication errors are rarely the fault of a single person and are generally multidisciplinary and multifactorial, stemming from the complexity of the medication use process, which includes five core steps: medication prescribing, order processing, dispensing, administration, and monitoring. Evaluating the root cause of medication errors is essential to implementing changes to medication use systems that can prevent the same errors from occurring in the future. 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