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Briefing — read this before starting. The transcript will appear here once the consultation begins.
Doctor Notes
Patient Information
Name: Leonardo Alessi
Age: 52 years
Gender: Male
Presenting complaint
52-year-old minicab driver experiencing zopiclone withdrawal after abrupt cessation of long-term sleep medication. Angry about lack of communication and concerned about occupational safety. Requires careful de-escalation, appropriate bridging therapy, and gradual tapering plan with driving safety assessment.
Background
You are a GP reviewing a 52-year-old minicab driver who is angry about his sleeping tablets being stopped without notice.
Past Medical History
- Hypertension
- Bereavement
- Acid Reflux
Current Medications
- Amlodipine 10mg
- Omeprazole 20mg
- Past drugs: Zopiclone 7.5mg on repeat (taken nightly for ~15 months prior to cessation)
- NKDA (No Known Drug Allergies)
Social History
Self-employed minicab driver in London. Lives alone since his mother died 18 months ago. No other family in the UK. Works 10–12 hour shifts (mainly nights). Owns his minicab outright; income depends on shifts and there is no sick pay.
Current Situation
- Zopiclone stopped 5 days ago without patient notification
- Patient changed mobile number 3 months ago (not updated with practice)
- Sleep now 2-3 hours per night, broken and restless
- Missed two shifts this week due to exhaustion
- Experiencing withdrawal symptoms: sweating, jitteriness, palpitations