Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2025-06-03 Encounter: Spruce text message CC: Possible early side effects of sertraline — manic-like behavior and hot flashes approximately 10 hours after first dose. HPI: Approximately 10 hours after Eamon's first dose of sertraline 25mg, parents reported he was acting 'a little manic' and complaining of feeling very hot/'burning up.' Parent identified hot flashes as a potential medication side effect after researching. No other concerning symptoms were described. Assessment: Dr. Hobbs assessed that direct causation from sertraline at 25mg within 10 hours was very unlikely, though not impossible. Symptoms considered unlikely to be medication-related at that dose and timeframe. Plan: Continue sertraline and monitor; stay in close communication about any changes. Medications: - Sertraline 25mg (new (first dose)) Key clinical quotes: "I can't imagine it's directly related at that dose and in that time. It's not impossible, but very unlikely" "As always though, let's stay in touch about it" Source: Spruce conversation t_27GA7V0S3U800