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  • January 30, 2018 at 7:51 pm in reply to: CNS Disease #4639
    Expert Nurse
    Avatar photoBrianna Hoffner

      Thank you all for your input! It’s so helpful to get so many different perspectives. We did end up imaging this patient’s brain and there was no edema around lesions. Our neurology team thinks that his dizziness and imbalance may be related to the increased dose of keppra. He is a bit better this week so hopefully he is adjusting to the meds. If his symptoms persist, we will plan to change his anti-seizure medications.

      January 23, 2018 at 8:51 pm in reply to: How would you manage? #4618
      Expert Nurse
      Avatar photoBrianna Hoffner

        Lots of great thoughts to consider in the management of this patient. One thing for us to keep in mind for our patients with dry mouth is that many of the OTC dry mouth remedies contain xylitol. I recently had a patient on immunotherapy who developed dry mouth and began using ACT Dry Mouth Lozenges. She presented to clinic with abdominal bloating and diarrhea and we were concerned that she had developed colitis. Work up was negative and ultimately we realized that her symptoms were secondary to the xylitol in the dry mouth lozenges. We have now prescribed PreviDent 5000 for Dry Mouth (toothpaste) and she has had improvement in dry mouth and resolution of abdominal bloating and diarrhea.

        Thanks,

        Brianna

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