How to write prescription ?
§ Date
§ Patient Name, age and
contact info
§ Rx: name of drug and
dosage
§ Disp: amount to
provide (example, number of pills)
§ Sig: Directions
(include what route of administration, dosage, frequency, max dose if relevant)
§ Refills, if any
§ Signature
§ DEA# for schedule II
drugs
Abbreviations:
§ QD
(quaque dies): every day
§ BID
(bis in die): twice per day
§ TID
(ter in die): thrice per day
§ QID
(quater in die): four times per day
§ H
(hora): hour
§ Q
(quaque): every
§ HS
(hora somni): at bedtime
§ NPO
(nil per os): nothing by mouth
§ PO
(per os): by mouth
§ PRN
(pro re nata): as needed
§ Sig
(signa): label, or let it be printed
Oral Pain (Analgesics)
Mild: use OTC medications in suggested doses
Ÿ Ibuprofen (Advil/Motrin): 400mg (2 pills) PO q4-6h PRN pain, max 3.2g/day
Ÿ Acetaminophen (Tylenol): 325-650mg PO q4h PRN pain, max 4g/day
Ÿ Naproxen sodium (Aleve): 220-440mg PO q8-12h PRN pain, max 1.5g/day
Ÿ Aspirin (Ecotrin): 325-650mg PO q4h prn pain, max 4g/day
Moderate
Ÿ Ibuprofen: 800mg ibuprofen (see below)
Ÿ Tylenol #3: 300mg acetaminophen and 30mg Codeine
(equianalgesic to 600 mg of ibuprofen, so why use it instead of ibuprofen? Says Dr. Flynn)
(equianalgesic to 600 mg of ibuprofen, so why use it instead of ibuprofen? Says Dr. Flynn)
Ÿ Vicodin: 500mg acetaminophen and 5mg hydrocodone
Ÿ Vicoprofen: 200mg ibuprofen and 7.5mg hydrocodone (for patients with liver disease)
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Severe
Ÿ Percocet: 325mg acetaminophen and 5mg oxycodone, schedule II
Ÿ Combunox: 400mg ibuprofen and 5mg oxycodone, schedule II (for patients with liver disease)
Ÿ Demerol: 50mg meperidine, schedule II
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