Life Insurance Quote

Zarontin


File # 10513
Male, 39 years old
$1,000,000 coverage, 20-year term

Health Issues
  • Seizure disorder (epilepsy) - diagnosed 26 years ago - 5 gran mal seizures - 6 petit mal seizures, each year - client feels the seizures are usually triggered by conditions of fatigue and hunger
  • Drinking Alcohol - usual history is 2 drinks each weekend, but no alcohol in recent months since his last gran mal seizure
  • Family History of Cancer - father, died of lung cancer in his 60's
  • Family History of Heart Conditions - father, developed heart disease in his 50's
Medications
  • Dilantin and Tegretol (being switched to Depakene and Zarontin)
Life Insurance Questions

Medications
Albuterol
Allopurinol (Allopurinal)
Asacol
Ativan
Baclofen
Celexa
Cortizone
Depakene
Dilantin
Diovan
Effexor
Elavil
Emuran
Glucophage
Hippurate
Humalog
Hydrochlorothiazide
Hyzaar
Lantus
Lexapro
Lipitor
Lopidine
Metoprolol
Nexium
Paxil
Pentasa
Plaquenil
Prednisone
Prinivil
Prozac
Remicade
Sulfadine
Sulfalazine
Synthroid
Tamoxifen
Tegretol
Viox (Vioxx)
Wellbutrin
Zarontin
Zetia
Zoloft