Medical Prescriptions

o
Written order by doctor directing for drugs to be dispensed in stated
forms for a particular patient
Doctor, dentist

o
Used as evidence in the court of law
In PI, illegal to prescribe regulated drugs without prescription
o
Should be written plainly
o
Simple or compound
Simple - one ingredient - parasetimol
Compound - combo of antihistamines
Chlorephenomine!
o
"fficial
#pproved by $D#
%ot drugs that are not registered by your country &fly by night'
(ist of drugs that are official ---
o
Extemporaneous - put together a compound in doses suited to
disease
Cream or lotion by two ingredients
#)a non official -- not usual way of prescribing it
Doctors mi* a lot of ingredients, but it+s allowed, not harmful
#nti-cough, congested --- more convenient for patient to
ta)e it

Structure
o
Patient+s name
o
Age
Will guide the pharmacist
- year old boy given a capsule, pharmacist feels that boy can+t
ta)e capsule, ma)es call to doctor and tells him the situation of
the boy+s age
o
Address
Pharmacist ma)es a mista)e - don+t give whole dosage that you
paid for, address ma)es you loo) for patient
o
Date
Don+t want to give another refill
o
Important because you have to identify the name
.elpful to patient, relatives
/om has 0 )ids, need to )now which med is for which
)id
.elpful to even the pharmacist --- who may have forgot
who the medicine is for

o
Rx - superscription
Symbol
1ecipe in latin, take though ---this is the medicine that the
patient will be ta)ing
1* pad a)a prescription pad

o
Inscription
Names - single, compound

Amount of remedial agents prescribed
#nd appropriate vehicle to be ta)e by the patient
Basis - drugs from which dr2 e*pects true remedial effect
Parasetimol -- lowers body temp &true effect'
/ain factor
Adjuvant -
Inc or intensify the action, several drugs that synerge
the parasetimol
Corrective to those other drugs to minimi3e the
undesirable effect of basis
Flavoring agents
"range, banana flavors to disguise the unattractive
tastes
4ut some drugs 5ust not palatable

o
u!scription
6mbodies the Dr+s direction to pharmacist as to method and of
preparation of drugs and amount of the drug
"nly preparation and number of pills dispensed
6*ample --- in capsule
SIS --
Capsule can be in suspension "s#rup$
7oo much to sell, should be in bottle depending on
7wo bottles of remedial agent
Could be in cream, in solution, in lotion form, in powder form


o
ignature aka
If you loo) at prescription given, no signature given
4ut some others li)e the one shown in manual has it
%ot dr+s signature
Direction of doctor to the patient, if child, direction to guardian,
or if patient is hospitali3ed, direction to hospital personnel
7o save money, some nurses sent to the house ---sig2 is
given to the nurse
Includes how the patient has to ta)e it
"ne time, with glass of water, time of administration,
fre8uency
6*ample - ta)e 9 capsule every : hours for one
wee), get this when you have computed the
medication that you will prescribe, have to 5ustify
these directions
%ot the certification by the physician - finally guar

o
%ert !# Ph#sician

(icense number
"fficial signature that you+re certifying the 1*

Di&&erent 'inds o& Prescription in Philippines punisha!le !# (a)
o
*iolative prescription
Instead of generic name written, you write down the brand
name
;eneric name not legible
4rand name is indicated, but you add another word wherein dr2
doesn+t want pharmacist to change brand name ---- <no
substitution please<
.ave to give patient or buyer chance to choose his own brand
name

o
Erroneous prescription
Where brand name receives the generic name
6* -- write a big #mo*il -= mg, and a tiny little amo*ycilin &tiny
words'
+eneric name is in parenthesis
/ore than one drug product is prescribed in order not to waste
your space on the 1* paper
6conomical

o
Impossi!le prescription
When only the generic name is )ritten but N,- legi!le,
pharmacist cannot read it "impossi!le to read$, hence the
term <chic)en scratch<
;eneric name doesn+t correspond to the brand name
#mo*ycillin &-== mg' and you put ventolin
>ou )now they don+t coincide, doctor should be
penali3ed
When !oth generic and brand name are not legi!le
7hey want you to buy in his drug store, only staff
members can read it, others can+t read it
When drug prescribed that+s not registered )ith the BFAD
6ven if the generic name is already approved by 4$#D,
but if there+s no such thing as brand "not registered$,
whether brand name or generic name
Impossible ? it doesn+t e*ist

o
.ow to differentiate generic vs2 brand name
+eneric - true name of the remedial agent
Brand name --- name given !# drug compan#
6*ample -- amo*ycilin - generic, amo*yl - brand
#mo*ycilin - comes with do3ens of brand names
in some countries
Some opinions that doctors use patients 5ust to become
rich, losing tenderness and warmth to them

%orrect Prescription
o
Name of patient
o
#ge
o
Date
o
#ddress


o
uperscription
o
Inscription
If you don+t write brand name, it+s still correct
If you do, it should be smaller than generic and in parenthesis
Can+t be reversed "erroneous$
%apsule . and amount
o
ignature
Direction to patient
<one capsule every : hours for 9 wee)<
(ast 7uesday, Dr2 $ormalino gave also abbreviations, do
not give abbreviations to patients ---- Prn &if necessary'
--
Read and kno) all a!!reviations ..... P c/
PRN0 -A-0 ,1
o
%erti&ication

Usually prescriptions are copied, not re8uired because you have your own inde* card
for each patient -- own file --- contains diagnosis that only you )now and understand
o
Some have blue, yellow copy -- - so that the drug company can
reimburse you for how many drugs you prescribed
o
If dr2 didn+t indicate brand name, pharmacist can offer other brand
names to the patient, pharmacist has privilege to offer it, patient not
obligated to buy it though -- he wants a cheaper one
o
%ot recommended to write more than one brand name
Dr2 tells patient to buy cheaper generic one for patient to
choose written on a different 1* paper
6* combipac) for 74 or entepac) -----all the same

Practical
o
7a)e a paper ---
o
# = year old man came to clinic due to fever and cough for - days
duration,
#dult patient - use empirical


o
Pedia patient example
: year old boy came due to fever and cough for - days
Diagnosis - bronchopneumonia

;ive amo*ycillin and parasetimol
prescriptions
Amox#cillin usually given btw range of -=-9== )g 4W
&whole of total dose you give each day'
Preparation -- -= mg!-ml or one teaspoon
&suspension!syrup@
4ottle -- A= ml
9 teaspoon ? - ml
- )g
.ow many teaspoons per day if use -= mg ?
-== g
.ow many ml do you need a dayB

%omputation
.ave - ml2 how many do you need per
dayB 9= &-ml' or 9= teaspoons
$ormula
,-==ml!* ? -= ml!- ml
C ? -= ml or 9= teaspoons
9 teaspoon ? - ml

Can you give 0 teaspoons every : hoursB
teaspoons every : hoursB ----still in the range
Parasetimol ....2
;ive 9=-= mg per )g per dose
1suall# given every D hours due to fever, for
pain P1% &if necessary'
In syrup ---at age :
9- mg per teaspoon &-ml'
A= ml or 9= ml
#lso -= mg per teaspoon &-ml'
-=!- ? *!9=
.igher volume, so cheaper
Choose between the two


-a!let --- : years
0- mg per tablet
-== mg per tablet
Up to you what to us

%omputation

Bo# )eighs 34 )g body weight

%eed 9= teaspoons a day, E days --- need E= teaspoons
o
.ow to convert in bottlesB
o
9 teaspoons
A bottles ----E teaspoons
o
when you say
D times a day, you tell the patient during times he+s not sleepy
"nly awa)e hours
A times, you assume patient is awa)e at all times
Wa)e at A, 9, A, 9 midnight

o
Use every A hours


Prescription Written

6212 Caangay, /D
6mergency /edicine
A!F!=A

%ame
#ddress


1*
o
Subscription
i2 amo*icillin
-= mg!-ml
A= ml bottles G E

o
Signature
9! teaspoons every A hours for E days
o
subscription


Certification






Parasetimol
o
%ame, date, address
o
superscription
o
Subscription
Paracetamol -= mg!-m
9= ml bottlel

o
Sig
7a)e 9 teaspoons every D hours as needed






Section 4. Violative Erroneous, and Impossible Prescriptions.
4.1. Violative Prescriptions:
4.1.1 Where the generic name is not written;
4.1.2 Where the generic name is not legible and a brand name which is
legible is written;
4.1.3 Where the brand name is indicated and instructions added such
as the phase !"o Substitution! which tend to obstruct hinder or prevent
proper generic dispensing.
4.2 What to do with Violative Prescriptions.
Violative prescriptions shall not be #illed. $he% shall be &ept and
reported b% the pharmacist o# the drug outlet or an% other interested
part% to the nearest '() (##icer #or appropriate action. $he pharmacist
shall advise the prescriber o# the problem and*or instruct the customer
to get the proper prescription.
4.3 +rroneous Prescriptions:
4.3.1 When the brand name precedes the generic name.
4.3.2 Where the generic name is the one in parenthesis.
4.3.3 Where the brand name in ,sic- not in parenthesis.
4.3.4 Where more than one drug product is prescribed in one
prescription #orm.
4.4 What to do with erroneous prescriptions.
+rroneous prescriptions shall be #illed. Such prescriptions shall also be
&ept and reported b% the pharmacist o# the drug outlet or an% other
interested part% to the nearest '() (##ice #or appropriate action.