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Complex Care & Medications in Irvine, CA

Adult internal-medicine care for people with multiple conditions or many medications. We simplify regimens, perform polypharmacy reviews and safe deprescribing, and coordinate specialists when needed.

What this service covers

Polypharmacy Review

Duplicates, interactions, side-effects—full reconciliation.

Deprescribing & Simplification

top/swap low-value meds; fewer doses when safe.

Multi-Condition Plan

One plan for BP, diabetes, lipids, thyroid, CKD.

Safety Monitoring & Labs

Right tests at the right intervals—no over-testing.

Specialist Coordination

Concise referrals; shared plans with cardiology, nephrology, pulmonology, GI, endocrine.

Refill Sync & Access

90-day refills, alignment, and prior-auth support.

Not sure where to start

When urgent care/ER is best

Go to ER / Urgent Care if:

  • Severe chest pain, shortness of breath, or stroke-like symptoms.
  • Blood sugar < 54 mg/dL (with confusion/seizure) or > 300–350 mg/dL for hours with vomiting, abdominal pain, rapid breathing, or moderate/large ketones.
  • Severe muscle pain/weakness or dark urine after starting a new medicine.
  • Allergic reaction: swelling, hives, or trouble breathing.
  • (Call 911 for life-threatening symptoms.

How a Visit Works

Assess & reconcile

Bring all meds (including OTC/supplements). We review conditions, goals, side-effects, home logs, and targeted labs (e.g., BMP/CMP, A1C, lipids, urine ACR, TSH as indicated).

Adjust & coordinate

Titrate/stop/swap meds when appropriate, simplify timing (once-daily where possible), align refills, and coordinate specialists with a shared plan.

Follow‑up

Return in 4–12 weeks to review results and side-effects, fine-tune dosing, and set monitoring intervals. Once stable, follow-ups every 3–6 months.

Insurance & billing

Most PPO plans accepted; we’ll verify benefits. Medication coverage varies by pharmacy benefit; prior authorization is handled when required. Preventive-only benefits may not apply if the visit focuses on medical problems

Annual Physicals & Screenings FAQs

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