Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2025-06-08 Encounter: Spruce text message CC: Cough and congestion; parent asking about safety of Mucinex with sertraline. HPI: Eamon developed a cough and nasal congestion. Parent asked whether Mucinex (guaifenesin) was safe to take concurrently with sertraline. Parent also requested to hold sertraline at 25mg (rather than increase to 50mg) while Eamon attended a 5-day swim camp, to avoid introducing dose changes without parental observation. Assessment: Mucinex deemed safe to take with sertraline. Holding sertraline dose increase during swim camp considered appropriate. Plan: Mucinex approved for use with sertraline. Sertraline held at 25mg during swim camp; plan to increase to 50mg upon return home. Medications: - Sertraline 25mg (hold at current dose during camp) (refill) - Guaifenesin (Mucinex) not specified (new) Key clinical quotes: "Totally fine to hold for now at 25" "And ok to take those meds together" Source: Spruce conversation t_27GA7V0S3U800