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Child and Family Agency

Child and Family Agency

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Forms – Medication Consent – Alpha-Agonist


Medication Consent – Alpha-Agonist

medication consent alpha-agonist 2020-11-12

  • Alpha-Agonist Medication Consent

  • MM slash DD slash YYYY
  • All medications have side effects and vary from person to person. Some of the possible side effects include:

  • Common:
  • Sleepiness
  • Headache
  • Abdominal pain
  • Fatigue
  • Dry mouth
  • Constipation
  • Rare:
  • Increase in Blood Pressure if medication discontinued quickly
  • Orthostatic hypotension (dizziness during switching of positions i.e. standing up quickly)
  • Skin rash
  • If you experience any of these side effects or any other unusual feelings, please call the office at (860) 437-4550. If the concern is severe enough, please proceed to the closest emergency room.

    *Please be advised that discontinuing some of these medications abruptly can result into problematic side effects or recurrence of original symptoms.

  • MM slash DD slash YYYY
  • Please click SUBMIT when complete

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