DRUG CLASS · COUNSELLING NOTES
Benzodiazepines
alprazolam, bromazepam, chlordiazepoxide HCl, clobazam, clonazepam, clorazepate dipotassium, diazepam, flurazepam HCl, lorazepam, midazolam HCl, nitrazepam, oxazepam, temazepam, triazolam
Updated
New prescription
indication: _____. New Rx; effect expectations discussed; advised on allergies, serious/common AEs like dependence, drowsiness and dizziness; non-pharms like relaxation breathing and CBT.
Refill prescription
indication: _____. Refill; effect expectations discussed; adherence reviewed; allergies; serious/common AEs: dependence, drowsiness and dizziness; non-pharm: relaxation breathing and CBT.
Dose change
Dose change discussed. indication: _____. Dose change; effect expectations discussed; advised on allergies, serious/common AEs like dependence, drowsiness and dizziness; non-pharm: relaxation breathing and CBT.