1. In the Name of God Azadeh Malekian, MD. Psychiatrist

2. Rx Pt. Name: …….. Date: …… 1) Tab: Chlorpromazine 100 mg #100 TDS TDS 2)Cap: Fluoxetine 20 mg #30 qhs qhs 3)Tab: Imipramine 25 mg #60 BID BID 4) Tab: Clonidine 0.2 mg #40 ½ TDS ½ TDS 5)Tab: Clonazepam 2 mg #100 TDS TDS

3. Rx Pt. Name: …….. Date: …… 1) Tab: Methadone 5 mg #100 TDS TDS 2) Cap: Fluoxetine 20 mg #60 BID BID

4. Rx Pt. Name: …….. Date: …… 1) Cap: Naltrexone 50 mg #30 Once Daily Once Daily 2) Tab: Diphenoxylate 2.5 mg #100 TDS TDS

5. Rx Pt. Name: …….. Date: …… 1) Cap: Naltrexone 50 mg #30 Once Daily Once Daily 2) Tab: Methadone 5 mg #100 TDS TDS

6. Rx Pt. Name: …….. Date: …… 1) Tab: Tramadol 100 mg #30 TDS TDS 2) Tab: Fluvoxamine 50 mg #100 TDS TDS

7. A 42 years old man with history of 12 years opioid dependency (200 mg intravenous morphine equivalent) passed the opioid detoxification phase 12 days ago. Now, he has severe depressed mood, suicide ideation, insomnia, Impulsivity, and harsh craving for opioid abuse. A 42 years old man with history of 12 years opioid dependency (200 mg intravenous morphine equivalent) passed the opioid detoxification phase 12 days ago. Now, he has severe depressed mood, suicide ideation, insomnia, Impulsivity, and harsh craving for opioid abuse.

8. Rx Pt. Name: …….. Date: …… 1) Cap) Naltrexone 25 mg #15 1) Tab: Valproate-Na 200 mg #45 TDS TDS 2) Cap: Fluoxetine 20 mg #15 Once Daily Once Daily 3) Tab) Lorazepam 1 mg #20 ¼ Morning ¼ Morning 1 Evening 1 Evening