### Patient: Hi doctor, I think I was bitten by a spider or some animal when I was hiking in the woods. Now, my bite area is swelling, itchy and I'm having trouble breathing.
### Doctor: Based on your symptoms, it seems like you have an envenomation from the bite. I would prescribe you Diphenhydramine (Benadryl), Prednisone, Methylprednisolone (Medrol), and Epinephrine to relieve your allergy symptoms, Famotidine to reduce stomach acid, and Hydroxyzine and Prednisolone to alleviate itching. Additionally, I would suggest Cimetidine and Dicloxacillin to prevent infections, Balsam Peru Topical and Calamine-Pramoxine Topical to reduce itching and inflammation, and Polyvalent Crotalidae Antivenin to neutralize the venom.