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HOLAND_CLAIM_FILE_p317
📄 HOLAND_CLAIM_FILE | p.317
📝 Extracted Text (OCR)
Mar 12, 2026 11:58 To: +16042339777 Page: 11/46

From: Foremed Medical Clinic

Documentation for MARK THOMAS HOLAND

Plan agreed refill
consider daily prophylaxis

[Faxed to Ultracare Kent Guardian Pharmacy Fax#: 604-522-3402, 13-Jul-2022 10:25 AM]
TEVA-SUMATRIPTAN DF 25 MG 25mg once for migraine. If initial dose was partially effective or headache recurs, may
repeat dose after >2 hours. Maximum dose: 100 mg per dose 200 mg per 24 hours Qty:16 TABLET Repeats:0 Refill

Qty:0

[Signed on 13-Jul-2022 10:26 by Gbogboade Ademiluyi 68199]

[Signed on 13-Jul-2022 10:26 by Gbogboade Ademiluyi 68199]

-[08-Sep-2022 .: rx refill]

Called patient. walk in

known migraine sufferer
trigger is stress

Needs refills of sumatriptan
works well

Meds well tolerated
compliant uses pn

no s/é reported

still has migraines 1 per week
denies asthma

imp recurrent migraine

Pian agreed trial of propranolol
will refill sumatriptan

[Faxed to Ultracare Kent Guardian Pharmacy Fax#: 604-522-3402, 08-Sep-2022 02:38 PM}
TEVA-SUMATRIPTAN DF 25 MG 25mg once for migraine. If initial dose was partially effective or headache recurs, may
repeat dose after >2 hours. Maximum dose: 100 mg per dose 200 mg per 24 hours Refill Qty:16 TABLET Repeats:0

TEVA-PROPRANOLOL 40 MG TABLET one tablet od Qty:1 month Repeats:2

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