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Medication intake form
Intake
D/T change
Name
Tentin
Melatonine
Quetiapine
Fluoxetine
Wellbutrin
Ibuprofen
Loperamide
Abilify
Oxazepam
Amount
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+ Daily
+ Tentin 10
+ Tentin 5
+ Quet. 25
+ Quet. 50
+ Oxa. 10
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