Medication Management
When Your Medication Is Not Helping
A Review of Benefit, Side Effects, and Safety
Most new patients are seen within days
Sound Familiar?
Is This You?
People requesting medication reviews often describe these concerns
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The Medication Veteran
You've tried 5+ medications over the years. Some helped briefly, others made things worse. You're tired of being a guinea pig.
A review of past trials, doses, sleep, and medical history may clarify the next decision.
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The Side Effect Sufferer
Every medication brings weight gain, fatigue, or brain fog. You're caught between symptoms and side effects—neither option feels livable.
Some adverse effects call for a dose change, a different medicine, or prompt medical evaluation.
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The Polypharmacy Patient
You're on 4+ medications accumulated over years of treatment. You're not sure which ones are still necessary or if they're interacting.
We review which medicines still help and whether any may interact or duplicate an effect.
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The Medication-Hesitant
You know you might need medication, but you're scared of dependency, personality changes, or long-term effects.
We discuss expected benefit, risks, alternatives, and monitoring before recommending a change.
- Who this fits
- Medication not working, side effects, too many meds, or a new prescription decision.
- Visit type
- Medication review that considers benefit, side effects, interactions, sleep, and relevant medical history.
- Access
- Telehealth in California and Arizona; Gilbert and Rancho Palos Verdes office visits depend on clinical fit and scheduling.
Your Path Forward
From Review to Follow-up
Visit timing and treatment changes depend on your response and safety needs
- Medication listReview current and past prescriptions
- SafetyDiscuss adverse effects and interactions
- TestingConsidered when clinically indicated
- CA + AZTelehealth in both states
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Medication Review
We review the current regimen, previous trials, side effects, and relevant health context.
Medication list reviewed · Prior response discussed · Safety questions identified · Next step discussed
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Treatment Decision
We decide whether to continue, adjust, taper, or change treatment. Testing or coordination depends on the clinical question.
Options discussed · Risks reviewed · Monitoring plan set · Questions answered
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Follow-up
We review benefit, adverse effects, and function, then adjust the plan if needed.
Response reviewed · Safety monitored · Plan updated if needed · Next visit planned
Who you'll see
Who you may work with
Horizon Peak psychiatric care is provided by Canybec Sulayman, PMHNP-BC, MBA, and Sharon Hernandez, PMHNP-BC. Canybec practices in California and Arizona. Sharon accepts appointment requests from California adults. Provider matching depends on state, clinical fit, insurance or self-pay, and current scheduling options.
Self-pay: Canybec Sulayman $450 initial; Sharon Hernandez $350 initial (California only). Follow-up visits $150.
Near you
Medication management near you
Gilbert, AZ Office + Arizona telehealth 
Rancho Palos Verdes, CA Office + California telehealth 
San Francisco, CA 220 Montgomery St office + California telehealth
Bay Area patients: care in San Francisco.
When a Medication Is Not Helping
A dose change is not the only question.
We ask what changed, what the medicine has helped, and what adverse effects appeared. Sleep, other prescriptions, adherence, and medical history can affect the decision. We consider testing only when it could help answer a specific question.
The next prescription decision should follow the history and safety review.
How We Help
Medication Questions We Review
Starting New Medication
Review the reason for treatment, prior response, interactions, and monitoring before choosing a medicine or dose.
Medication Not Working
We review the trial, dose, adherence, sleep, and relevant medical history before deciding whether the diagnosis or plan needs revisiting.
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Too Many Medications
We review the purpose and benefit of each medicine. If a change is appropriate, we plan it safely rather than stopping medicines abruptly.
Unbearable Side Effects
We assess the type and timing of the adverse effect. Some symptoms need urgent care; others may lead to a dose or medication change.
Medication Safety
Safety Needs a Clear Plan
Medication safety requires vigilance, protocols, and clear instructions for what to do when something feels wrong.
Testing When Indicated
Medication-specific labs or other checks when the treatment and history call for them
Safety Monitoring
Review adverse effects and safety concerns at follow-up
Urgent Symptoms
Use emergency services for severe reactions or immediate safety concerns
Between-Visit Questions
Use the patient portal for non-urgent questions; do not wait for a reply in an emergency
Medication Discussion
Review the intended benefit, key risks, and what to monitor
What to Expect
Your First Medication Review
At the initial visit, we review your current and past medicines, what helped, what caused adverse effects, and how you take them. We also consider other prescriptions and supplements that may interact. Visit length is confirmed before scheduling.
Read more
We review prior results before considering new tests. A test may be useful when a medicine requires monitoring or the history raises a specific medical question.
We discuss the next decision, what to monitor, and when to review the response.
NIMH medication guidance explains why a prescribed medicine should be changed or stopped with a clinician's help.
Questions in a Medication Review
The Difference
| Clinical question | What we review | |
|---|---|---|
| Current regimen | What are you taking now? | Review prescriptions, supplements, and adherence |
| Past treatment | What helped or caused problems? | Review prior trials, doses, benefit, and adverse effects |
| Safety | What needs monitoring? | Assess relevant interactions and medication-specific risks |
| Testing | Would a test change the plan? | Review prior results; consider targeted tests when indicated |
| Follow-up | How will we judge a change? | Agree on response, safety, and visit timing |
Medication Review
- Visit length
- Confirmed when scheduled
- Follow-up
- Timing depends on treatment
- Format
- In-person or telehealth
- Coverage
- Plan and provider checked
- Locations
- Gilbert, AZ or Rancho Palos Verdes, CA
Useful Before Your Review
Medication Management FAQs
Questions Patients Ask Before a Medication Review
What happens at a medication review?
We review current and past medicines, benefit, adverse effects, sleep, other health conditions, and relevant prior results. We discuss whether continuing, adjusting, tapering, or changing treatment makes sense.
Can I transfer existing prescriptions?
You can request a review of your current regimen. Bring your medication list, doses, past trials, and available records. A prescription or transfer decision follows clinical evaluation and applicable rules.
Do you prescribe controlled substances?
When clinically appropriate, prescribing follows current state and federal rules. An in-person visit may be required. We make that decision after evaluating your history and safety needs.
Is medication management available by telehealth?
Telehealth is available in Arizona and California. In-person care is available in Gilbert, Arizona, and Rancho Palos Verdes, California. The team confirms format and availability before scheduling.
Show 3 more questions
What if I have an urgent medication concern between visits?
Use the patient portal for non-urgent questions. For active suicidal thinking, severe withdrawal, a severe medical reaction, or an immediate safety concern, call 988 or 911, or go to the nearest emergency department. Do not wait for a portal response in an emergency.
Can you help me taper a medication?
We can review whether a taper is appropriate and plan it around the medicine, dose, duration, and your health history. Do not stop a psychiatric medicine abruptly without clinical guidance.
Do you accept insurance?
If you plan to use insurance, our team checks the specific plan, provider, and benefits before scheduling. A benefits check is not a guarantee of coverage, payment, or final cost.
Ready for Medication Management That Actually Works?
Request a medication review. We check clinical fit, location, and insurance or self-pay details before scheduling. Appointment availability varies.
Request a Review