Intro to prescription writing

Intro to prescription writing

1. AIM: Introduction to Prescription Writing By Manoj Kumar Assistant Professor Department of Pharmacology Adesh Medical College & Hospital Ambala Can’t

2. Prescription Definition A prescription is a written order of a physician to the pharmacist to dispense medicines to the patient It contains the names of the desired substances with correct dose, dosage form, route, frequency and duration, in correlation with the clinical condition.

3. Contents of Prescriptions Date Name, address of doctor/institution, qualifications, Registration number of RMP Name, age, gender, weight & address of the patient, Registration number R x It’s a symbol for the word ‘Recipe’- ‘ take thou !’ The name and dose of the medicine Direction to the pharmacist Instruction for the patient S ignature of the doctor

4. Parts of Prescription: An ideal prescription should have the following parts: Superscription Inscription Subscription Transcription/ Signa

5. 1. Superscription Includes: - Date - Information about the prescriber/ institution Name, qualification, address, registration number, telephone no. - All information about the patient Registration no. of the patient Name , age, weight, gender, complete address & contact number of the patient - Diagnosis & the process adopted to reach on that diagnosis like clinical findings & investigations - Symbol - R x (it means ‘take thou it !’)

6. 2. Inscription Main body of the prescription. It is the complete information about the medicines. It directs for : Name of drug (preferably generic name) Dosage form (to be used like capsules, tablets, injections, syrups, rotacaps etc ) Strength, dose, route, frequency & duration of administration of medicines

7. 3. Subscription Contains direction to the pharmacist regarding Preparing & dispensing of the dosage form written in the prescription e.g . dispense 100 ml, send 30 capsules/send such number of Tablets etc

8. 4. Signa or Signatura or Transcription I ncludes instructions to the patient regarding intake of the prescribed drugs H ow much of the drug is to be taken, how often & any specific instructions & warnings Instructions can also be written in the local language for the benefit of the patient. May include non-pharmacological instructions to be followed by the patient Physicians name & signature with registration number Signa : means to write, make or label Instructions for refill, if required Review (follow-up)

9. Renewal instructions/ Refill It is a part of Signa and contains number of refills permitted for the patient (written on the left at bottom ) Refills are important in chronic diseases Where the physician feels that the visit may not be of any use and the patient would be required to continue the same treatment. If refills are not to be allowed, it should be clearly documented on the prescription. Not mentioning 'Do not refill' often leads to misuse of the prescription

10. Superscription Dr. Ajay Kumar MBBS. MD (Cardiology) Mob: [phone] Address: Ambala Cantt Patients Name ……. Date ………. Age… …. month / year ∆ ……………. Gender…Male / female Mob…….. Address ….. Occupation .. professor Rx Inscription Name of drugs , Frequency, Duration, Route of drugs administration, Choice of drugs name generic names or non proprietary or official name. Subscription It has physicians dispensing direction to the pharmacist e.g. send such number of capsule/send such number of Tab. Transcription/Signature or signi Pharmacist direction to the patient. Dr. name & signature REG.NO --------------

11. Superscription Date: ------------- Reg. No.----------------- Name:------------ Age---------------------- Sex---------------- (M/F)------------- wt.--------- Address:------------------------- Chief complaints : Headache on the back of scalp for one month. On examination, blood pressure is 150/1 00 mm Hg. Diagnosis: Mild hypertension Rx Inscription Tab Losartan50 mg, once daily Subscription Dispense 30 tablets Signatura Take one tablet by mouth daily in the morning with a glass of water Signature Name and address of the Prescriber Registration number

12. Rational Prescribing: It fulfills the following criteria's– Right diagnosis Right drug Right dosage Right duration Right route of administration R ight cost

13. Rational prescription

14. Irrational Prescribing: When medically inappropriate, ineffective & economically inefficient drugs are used Some common irrational prescribing: 1.Excessive use of drugs. 2.Over use of antibiotics. 3.Prescribing new costly drug, when an alternate cheaper drug is available etc.

15. Irrational prescription Illegible handwriting Missing on any of the following Date Age, Gender, Medical history of patient Instructions to patient, pharmacist Qualification & registration no, Signature of doctor Name of drug in capital, only generic name, Not using abbreviations

16. Critical appraisal

17. Electronic prescription

18. Precautions Should be clear and in legible handwriting, preferably in capital letters Use standard abbreviations Should be free from prescription/ medication errors Avoid drug-drug interactions Should include phone number, where the patient can contact in case of any adverse effect of any drug/ emergency. Prescription should be signed by the prescriber

19. Exercise. 1 identify the errors in the given prescription . Dr. Ajay Kumar MBBS. MD (Cardiology) Mob: [phone] Address: Ambala Cantt Reg. No. 12345 name: Rajan lal Address: Mohri Tab Amlodepine 10 mg, once daily x 30 days Singnature

20. Exercise. 2 identify the errors in the given prescription. Reg. No. 10345 name: Maden lal Age: 60 Address: Ambala cantt Inj. Frusemide 20 mg stat. Singnature

21.   Adesh Medical College & Hospital, Shahabad (M), Distt Kutrukshetra , Haryana Phone No:------ Date :……………… CR No./OPD No……………. Name : ………… Age/Sex: ……… Weight : ………… Address: ……………………… Diagnosis:   R x Investigations:   Dr. Signature MD Regd. No .: