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I know I'm hearing "Ibumetin" correctly...how often do you hear doctors recommending drugs that aren't offered in the US? He's a native speaker, and there's no mention of the patient traveling abroad. Is there some other drug that sounds similar? His dictation at bottom.
http://www.drugs.com/international/ibumetin.html
TREATMENT PLAN: Anti-inflammatories. Ibumetin would be recommended. Patient reports she had an episode of a lower GI bleed in April and was told not to use Ibumetin, therefore, this recommendation is suspended.