Medication Management
What If Your Medication Could Actually Work?
15-minute med checks can't fix what 15-minute med checks created. It's time for medication management that investigates why.
Years ICU medication expertise
Need medical factors addressed first
Minute medication reviews
On-call for urgent concerns
Sound Familiar?
Is This You?
Most patients seeking comprehensive medication management share these experiences
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.
Often, untreated medical conditions prevent medications from working properly.
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.
Many side effects indicate dosing issues, interactions, or medical factors—not inevitability.
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.
Systematic reassessment often reveals simplification opportunities.
The Medication-Hesitant
You know you might need medication, but you're scared of dependency, personality changes, or long-term effects.
Evidence-based prescribing minimizes risk. Many patients need less medication than they think.
"Finally, someone who took time to understand the whole picture."
The Problem With 15-Minute Med Checks
"How are you feeling? Same dose? See you next month."
There's no time to ask why the medication isn't working. No investigation into thyroid function, iron levels, sleep quality, or drug interactions. Just more adjustments to a regimen built on incomplete information.
19 years in the ICU taught me: medication problems usually have medical explanations.
How We Help
Common Medication Challenges We Solve
Starting New Medication
Evidence-based selection considering your specific profile, history, and potential interactions. Individualized starting doses with close monitoring.
Medication Not Working
Before assuming 'treatment-resistant,' we investigate why. Thyroid, iron, sleep apnea, and other factors often prevent medications from working.
Too Many Medications
Polypharmacy develops over years of trial-and-error. Comprehensive reassessment often reveals opportunities to simplify safely.
Unbearable Side Effects
Side effects aren't always inevitable. Often they indicate dosing issues, interactions, or underlying conditions amplifying effects.
The Difference
Standard Med Checks vs. Comprehensive Management
| Standard Approach | Our Approach | |
|---|---|---|
| Appointment time | 15 minutes | 75-90 minute initial, 30 minute follow-ups |
| Assessment scope | Symptom check → dose adjust | Full medical context → targeted optimization |
| Lab monitoring | Annual if required | Strategic testing to optimize response |
| Side effect approach | "That's normal" or switch meds | Investigate cause, often fixable |
| Drug interactions | Pharmacy software check | ICU-level interaction analysis across all medications |
| Long-term goal | Stable on current regimen | Minimum effective regimen, deprescribing when possible |
Your Path Forward
The Three-Phase Optimization Model
From medication chaos to stable, optimized regimen
Comprehensive Review
Months 1-3 • Weekly or biweekly
Deep dive into your medication history, current regimen, and medical factors affecting response.
- Full medication audit
- Lab work ordered
- Optimization plan created
- Close monitoring begins
Active Optimization
Months 4-6 • Monthly visits
Systematic adjustments based on your response. Most patients achieve stable, effective regimens during this phase.
- Doses fine-tuned
- Side effects minimized
- Unnecessary meds reduced
- Stability confirmed
Maintenance
Month 7+ • Quarterly check-ins
Once optimized, brief quarterly visits ensure continued effectiveness and address any changes.
- 30-minute appointments
- Continued monitoring
- Adjustments as needed
- Long-term success
ICU-Level Safety Standards
Your Safety Is Non-Negotiable
19 years in intensive care units taught me that medication safety requires vigilance, protocols, and immediate access when things go wrong.
Baseline Testing
Lab work before starting medications with metabolic effects
Proactive Monitoring
Regular assessment for side effects and safety concerns
Clear Protocols
Established procedures for managing any complications
24/7 Availability
On-call access for urgent medication concerns
Education First
Detailed information about every medication prescribed
What to Expect
Your First Medication Review
Your 75-90 minute initial review is comprehensive. We examine your complete medication history—what's worked, what hasn't, and why. We review every medication you take (not just psychiatric), looking for interactions and optimization opportunities.
Based on our discussion, we may order targeted lab work to understand factors affecting your medication response: thyroid function, vitamin levels, inflammatory markers, and metabolic factors that standard prescribers don't check.
You'll leave with a clear understanding of our optimization plan and realistic expectations for improvement timeline.
"I don't prescribe medications I wouldn't take myself or recommend to family. The goal is always the minimum effective regimen—maximum benefit with minimal risk."
— Canybec Sulayman, APRN, PMHNP-BC, CCRN-CSC
Medication Review
- Initial Review 75-90 minutes
- Follow-ups 30 minutes
- Format In-person or telehealth
- Insurance Most major plans
- Urgent Access 24/7 on-call
Questions About Your Medications?
Free 15-minute consultation to discuss your situation and determine if comprehensive review would help.
Call (310) 955-1041Ready for Medication Management That Actually Works?
New patients typically seen within 3-5 days. Most major insurance accepted. 24/7 on-call access.
Schedule Your Review