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- May 4, 2014
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I'm an NP at an FQHC. I recently saw an 18 year old male with a one year history of atraumatic back pain. Otherwise happy and healthy. PMH significant for asthma and ADHD. Meds include methylphenidate 20 mg daily (at this point I'm not clear on the exact form).
I was concerned by the history got labs and order x-ray. His WBC is about 2.5 and ANC 570. Obviously, there's a differential for leukopenia which I'm pursuing, but in reviewing his meds I was surprised to see leukopenia as a possible adverse effect from methylphenidate.
Is this something you all see often? To what degree?
Appreciate any comments/experiences.
I was concerned by the history got labs and order x-ray. His WBC is about 2.5 and ANC 570. Obviously, there's a differential for leukopenia which I'm pursuing, but in reviewing his meds I was surprised to see leukopenia as a possible adverse effect from methylphenidate.
Is this something you all see often? To what degree?
Appreciate any comments/experiences.