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This document is a treatment form for prescribers and patients regarding the use of Xenazine (tetrabenazine) for managing chorea associated with Huntington's disease. It includes patient and prescriber
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How to fill out xenazine tetrabenazine treatment form

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How to fill out Xenazine® (tetrabenazine) Treatment Form

01
Obtain the Xenazine® (tetrabenazine) Treatment Form from your healthcare provider or download it from the official website.
02
Fill in the patient's personal information, including name, date of birth, and contact details.
03
Provide detailed medical history, including any current medications, allergies, and previous treatments for movement disorders.
04
Indicate the diagnosis for which Xenazine® is being prescribed, such as chorea associated with Huntington's disease.
05
Complete the section on the patient's current symptoms, detailing their severity and frequency.
06
Discuss any prior treatments tried and why they were discontinued or deemed ineffective.
07
Review the form for completeness and accuracy before submission.
08
Submit the form to the prescribing physician or the associated healthcare professional for approval.

Who needs Xenazine® (tetrabenazine) Treatment Form?

01
Patients diagnosed with movement disorders such as chorea associated with Huntington's disease.
02
Individuals experiencing severe involuntary movements that require medical management.
03
Healthcare providers involved in the treatment of patients who may benefit from the use of tetrabenazine.
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People Also Ask about

If you stop taking tetrabenazine tablets or miss a dose, your involuntary movements may return or worsen in 12 to 18 hours after the last dose. Before starting tetrabenazine tablets, you should talk to your healthcare provider about what to do if you miss a dose.
Always take Tetrabenazine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure. Swallow the tablet(s) with water or another non-alcoholic drink. Adults Huntington's chorea The recommended starting dose is half a tablet (12.5 mg) one to three times a day.
Tetrabenazine (Xenazine) - Uses, Side Effects, and More. Overview: Tetrabenazine is a medicine used to treat chorea caused by Huntington's disease. The medicine works to block certain chemicals in the brain, which helps cause less movement. Common side effects include sleepiness, depression, anxiety, and nausea.
It may take 2 to 3 weeks for you to notice an improvement in your chorea symptoms after you start taking tetrabenazine (Xenazine). Continue to take your medicine as directed by your doctor, even if you do not see improvements right away.
What should I avoid while taking tetrabenazine tablets? you. Drinking alcohol and taking other drugs that may also cause sleepiness while you are taking tetrabenazine tablets may increase any sleepiness caused by tetrabenazine tablets.
Tetrabenazine may cause some people to be agitated, irritable, or display other abnormal behaviors. It may also cause some people to have suicidal thoughts and tendencies, or to become more depressed. If you or your caregiver notice any of these side effects, tell your doctor right away.
Tetrabenazine may cause some people to be agitated, irritable, or display other abnormal behaviors. It may also cause some people to have suicidal thoughts and tendencies, or to become more depressed. If you or your caregiver notice any of these side effects, tell your doctor right away.

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The Xenazine® (tetrabenazine) Treatment Form is a document used to collect information necessary for the prescription and administration of the medication tetrabenazine, primarily used for treating movement disorders.
Healthcare providers prescribing Xenazine® (tetrabenazine) are required to file the Treatment Form to ensure proper documentation and compliance with treatment guidelines.
To fill out the Xenazine® (tetrabenazine) Treatment Form, the healthcare provider must provide patient information, treatment history, dosage details, and any other required clinical information as specified on the form.
The purpose of the Xenazine® (tetrabenazine) Treatment Form is to gather essential information for safe prescribing, ensure appropriate use of the medication, and facilitate monitoring of the treatment.
The information that must be reported on the Xenazine® (tetrabenazine) Treatment Form includes patient demographics, medical history, current medications, diagnosis, treatment plan, and any potential contraindications.
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