About Group Medication Visits

  • Group Medication Visits are for patients who want to:
    • Try a new drug (e.g., low dose naltrexone)
    • Need a refill for the drug
    • Want to increase the dose of the drug

  • Topics:
    • There are visits most days
    • See below for a list of topics

    Format:
    • 1 hour group sessions
    • 20 minute presentation on the medication(s)
    • 40 minutes of Q&A
    • At the end of the session, patients should be able to determine if it is the right medication for them
    • Patients then email Bruno (for Dr. Arseneau) or Karla (for Dr. McKay) to request the medication within 1 day
    • The doctor will write a note and send you and your doctors a copy of the note
    • The doctor will fax a prescription to your pharmacy
    • The patient will receive a copy of the presentation slides
    • The patient will download a detailed information sheet about the medication (Resources --> Medication Handouts)

  • Note:
    • Although these group visits are available to all patients in our practice, ONLY patients who have had an individual consultation with one of our doctors will be able to get a prescription. Patients who have not had an individual consult can participate for education/information.

Group Medication Visit Topics

  1. Diagnosing MCAS with Therapeutic Trial of Triple Therapy

  2. Medications for MCAS

    • Ketotifen (Zaditen)

    • Cromolyn (Nalcrom)

    • Hydroxyzine (Atarax)

    • Ceterizine (Reactine)

    • Loratadine (Claritin)

    • Rupatadine (Rupall)

    • Bilastine (Blexten)

    • Montelukast (Singulair)

  3. Low Dose Naltrexone

  4. Low Dose Aripiprazole and Fluvoxamine (SSRIs)

  5. Guanfacine

  6. Medication for Orthostatic Intolerance, Dysautonomia, and POTS

    • Propranolol (Inderal)

    • Ivabradine (Lancora)

    • Mestinon (pyridostigmine)

    • Fludrocortisone (Florinef)

    • Clonidine

  7. Pain Medication

    • Gabapentin (Neurontin)

    • Pregabalin (Lyrica)

    • Topiramate (Topamax) (see group below)

    • Nabilone (Cesamet)

    • Medicinal Cannabinoids (GreenLeaf Medical Clinic

    • Cyclobenzaprine (Flexeril)

    • Venlafaxine (Effexor)

    • Duloxetine (Cymbalta)

    • Amitriptyline (Elavil)

    • Nortriptyline (Aventyl)

  8. Help! Too Many Choices – Help Me Choose a Medication

  9. Sleep Medication

    • Trazodone

    • Quetiapine (Seroquel)

    • Nozinan (methotrimeprazine)

    • Doxepin (Sinequan)

    • Clonidine

    • Mirtazapine (Remeron)

    • Zopiclone (Immovane)

    • Zolpidem (Sublinox)

  10. Topiramate and Switching from Gabapentin/Pregabalin

  11. Stimulants

    • Gabapentin (Neurontin)

    • Modafinil

    • Vyvanse

  12. GLP-1 and Metformin

    • Semaglutide (Ozempic)

    • Tirzepatide (Mounjaro)

    • Metformin

Address

1622 Woods Rd.
Bowen Island, BC
V0N 1G2

FAQ

Frequently asked questions

For
Dr. Ric Arseneau
Dr. Lana Dyment
Dr. Lucia Ma
Dr. Liz Nicki


Contact Bruno
Ph 604.418.5194
Fax 778.800.2094

Bruno@DrRicArseneau.ca

For
Dr. R. Jane McKay

Contact Karla
Ph ‭236.833.8842‬
Fax 778.800.2094

Karla@DrRJaneMcKay.ca