Dr.

Suryaprakash Dhaneria
M.D. (Pharmacology),
D.M.(Clinical Pharmacology),
D.N.B.(Clinical Pharmacology & Therapeutics)
M.Sc.(Bio chemistry), LL.B.(Hons.)
MNAMS

Acting Dean (Academics)

Professor & Head
Department of Pharmacology
All India Institute of Medical Sciences (AIIMS)
Raipur (C.G.)
 Prescription
Is a written order given by
Registered Medical
Practitioner to a Pharmacist to
prepare and/or dispense
medicines for the use by the
patient.
 Only allopathic doctors
(including Dentists,
Veterinarians) can prescribe
allopathic medicines.

Nursing staff, Pharmacists and

Practitioners of Traditional /
Complimentary system of
medicines cannot prescribe
Allopathic Medicines.
Doctors should refrain from
prescribing medicines of
other systems of medicine.
This amounts to cross
practice and is prohibited
by the supreme court.
Extemporaneous Prescription

The Doctor directs the

Pharmacist to prepare and
dispense the medications
 Dr. _____________________
Qualification: _____________
Reg. No. _________________
Address: _________________
________________________
Superscription Contact No. ______________
Date: ___________________
Patient’s Name: _____________________
Age: ___________ Sex: ______________
Address : _____________________________ Contact No. _______

BENZOIC ACID 0 6
Inscription SALICYLIC ACID 0 3
WHITE SOFT PARAFFIN 10 0

Subscription MIX AND MAKE AN OINTMENT.

Transcription TO BE APPLIED TO THE AFFECTED PART TWICE A DAY.

Full Signature of Doctor with Date

Pre-compounding Prescription

The Doctor directs the

Pharmacist to dispense the
readymade formulations of
medicines.
 Dr. Satyadev Singh
MBBS, M.D.
Reg. No. CMC 4923
Address: 27 Samta Colony Raipur
Contact No. 9286523491
For Date: 23.05.2016
Kamlesh
35 Years, Male
Add. - 11, Shankar bag Colony Raipur
Contact No. 9160521341

TABLET CIPROFLOXACIN (500 mg)

1 TABLET IN MORNING AND 1TABLET IN EVENING FOR 5 DAYS
TABLE PARACETAMOL (500 mg)
TAKE 1 TABLET WHENEVER FEVER IS MORE THAN 1000 F TO
THE MAXIMUM OF 4 TABLETS IN A DAY
Even if prescription is typed or
printed the Doctor must sign
with date in blue indelible
ink.

Must sign as close as possible to

last drug listed in
prescription.
Overwriting on a prescription
should be avoided. In case of
overwriting Doctor must
initial each correction.
Doctors in prescription should
clearly mention
§ Full generic name of drug in capitals.
§ Dosage form.
§ Strength / Potency (For FDCs – of
each ingredient) .
§ Dose to be taken.
§ Frequency of administration
§ Duration of therapy.
 For prescription to be dispensed
once, write “SHOULD NOT BE
REFILLED” OR “DO NOT DISPENSE
MORE THAN ONCE”

If wants prescription to be refilled,

then clearly mentions how many
times.
ž Forsome drugs, a maximum dose may
need to be stated ( for eg. ergotamine
in migraine & colchicine in gout).

ž Eg:Ergotamine 1 mg at onset of attack

& repeat every 30 min if necessary .
Do not take more than 6 mg in one day
or more than 12mg in one week
If a doctor is prescribing the drugs
on hospital pad, then must put a
stamp below signature mentioning
Full name, qualification and
registration number.

Doctor’s Full Name:

Qualifications

Reg. No.
List of dangerous abbreviations, acronyms, and symbols

Abbreviation Potential Problem Preferred Term

U (unit) Mistaken as zero, Write “unit”

four

IU (international unit) Mistaken as IV or 10 Write “international

unit”

Q.D., Q.O.D. Mistaken for each Write “daily” and

other. Period after Q “every other day”
and O after Q can
be mistaken for “I”
MS, MSO4, MgSO4 Confused for one Write “morphine
another sulfate” or
“magnesium sulfate”
žStrength of the drug
¡ Decimal points
¢Avoid trailing zeros.

EX. 5 mg vs. 5.0 mg; can be

mistaken for 50 mg
¢Always use leading zeros.

EX. 0.8 ml vs. .8 ml; can be

mistaken for 8 ml
žQuantities of 1 gram or more
should be written in grams.
žEx - write 2 g.
ž Quantities less than 1 gram but
more than 1 milligram should be
written in Milligrams For eg, write
100 mg, not 0.1 g
ž Quantities less than 1 milligram should
be written in micro / nano gram as
appropriate.
ž DO NOT abbreviate micro/
nanograms; since that can lead to
Prescribing errors. For eg. write 100
micrograms, not 0.1 mg, nor 100 mcg,
nor 100 μg
ž Use ml or mL for milliliters
Letterheads/prescription blanks
should be kept secure to avoid
misuse of blank prescription
especially by
miscreants/addicts.
Doctor should not use another
Doctor’s prescription pad
even with his consent.

Doctor should avoid using

prescription pad having
names of two or more
Doctors.
 Doctor should not use
prescription pad with
message at bottom “Available
at XYZ Medical Store”

Doctors should exercise caution

while prescribing drugs which
have potential of abuse.
 Doctor should avoid
recommending medicines on
telephone or SMS.

Write the prescription for

family members and relatives
also. Discourage them from
asking for medicines without a
prescription.
 Doctor should always encourage the
Pharmacist to call them up in case of any
problem/discrepancies/doubts/queries in
their prescription.

Doctors must make a point to visit their

neighborhood pharmacies once a while, to
learn how they work, what practical
difficulties they face or find out whether
they have any problems with their
prescription and their legibility and should
ask for suggestions to Doctor’s prescribing.
Pharmacist are authorized to
refuse to dispense
prescription which do not
conform to the guidelines
and if do so liable for
prosecution.
Poor handwriting contributed to a medication dispensing error
that resulted in a patient with depression receiving the antianxiety
agent Buspar 10 mg instead of Prozac 10 mg
A hypertensive patient accidentally received Vantin 200 mg
instead of Vasotec 20 mg when a pharmacist misread this
prescription
 Every prescription is the
beginning of a new experiment.
Begin it carefully, remain
vigilant make the patient
healthy, get blessed from the
almighty.
T h an k Yo u