PRESCRIPTION
WRITING @Alfida_RGKMCH
&
. Write Prescription for a
person for a certain Disease .
# Note :
① Write the in
Drug names
Capital letter
② Don't forget to mention
Follow-up if necessary
③ Write precautions &
warnings with advice
if required.
④ Advice to do tests if
necessary
.
⑤ Date must be
mentioned
⑧ Write the duration
of dose
⑦ Write Patient
particulars properly
⑧ Mention Doctors info .
Parts of Prescription:
An ideal prescription should have the following parts:
1. Doctor`s name and Address: qualifications Clinic/Residence Contact no.
2. Date
3. Patient`s name age sex and address
4.SUPERSCRIPTION: - More commonly Rx is thought to be an abbreviation of a latin
word “Receipe” it means ‘take thou’ or ‘you take please’ and order to the pharmacist
or dispenser for preparing medicines. - Rx may be derived from the egyptian “eye of
horus” symbol denoting health or may be a symbolic appeal by physians to the god
Jupiter[Godof knowledge, learning and healing] for the prescription’s succes.
5.Inscription: -Body of the prescription consisting of the official names and amounts
of a)Basis– chief ingredient b)Adjuvants(if any)– secondary active drugs to assist
the action of the basis. c)Corrigents/Corrective (if any)– to correct undesirable
quality or action of the basis. d)Solvent/Vehicle/excipient – to give suitable form
of administration.
6.Subscription: - Subscription provide direction to the pharmacist/dispenser.
7.Transcription/Signa/Signatura: - -Direction to the patient contains
instruction about the amount of drug, time and frequency of doses to be
taken.
8.Signature: -Prescription should be signed by the prescriber.
Pharmacology : Prescriptions
1. Prescription for Nausea-Vomiting:
Doctor’s Details
For,
Mr. X Age- 40 yrs Sex- Male
C/O : Rx,
Nausea & 1. Tab Domperidone (3 tablets- each tab contains
vomiting for 10mg)
last 3 days. Direction: 1 tab to be taken thrice daily before meal.
(Signature)
Date: 5/7/19 Dr. ABC
Reg no. ******
2. Prescription for Acute Gout :
Doctor’s Details
For,
C/O : Mr. X Age- 40 yrs Sex- Male
Pain, Rx,
swelling and 1. Tab Colchicine (3 tablets- each tab contains
redness 0.6mg)
around right Direction: 2 tab to be taken immediately. 3rd tab to be
ankle joint taken after 1 hour if the pain is not subsided. 3rd tab
for last not to be taken if there is adverse reactions as
7days. vomiting or diarrhea.
(Signature)
Date: 5/7/19 Dr. ABC
Reg no. ******
3. Prescription for Constipation :
Doctor’s Details
For,
Mr. X Age- 50 yrs Sex- Male
Rx,
Plan for 1. Tab Bisacodyl (2 tablets- each tab contains 5mg)
colonoscopy Direction: 2 tab to be taken at bedtime before the
day of investigation.
(Signature)
Date: 5/7/19 Dr. ABC
Reg no. ******
4. Prescription for Acute Migraine:
Doctor’s Details
C/O : For,
Severe right- Miss X Age- 20 yrs Sex- female
sided Rx,
throbbing 1. Tab Sumatriptan (2 tablets- each tab contains
headache for 50mg)
last 3hours Direction: 1 tab to be taken immediately, 2nd tab can
with nausea. be taken within 24hrs. Don’t take the 2nd tab if 1st
Provisional tab produces no improvement.
diagnosis: (Signature)
Acute Date: 5/7/19 Dr. ABC
migraine (?) Reg no. ******
5. Prescription for Acute Attack of Angina:
Doctor’s Details
C/O : For,
Severe chest Mr. X Age- 45 yrs Sex- Male
pain over Rx,
epigastrium 1. Tab Glyceryl trinitrate (3 tablets- each tab
and radiating contains 0.5 mg)
towards left Direction: 1 tab to be taken immediately under
shoulder for tongue. Next two tab can be repaeated in same way at
2 hours. the interval of 5min if chest pain persists.
Provisional
diagnosis: (Signature)
Acute angina Date: 5/7/19 Dr. ABC
pectoris (?) Reg no. ******
6. Prescription for Duodenal Ulcer :
Doctor’s Details
For,
C/O : Mr. X Age- 40 yrs Sex- Male
Epigastric Rx,
pain and 1. Tab Pantoprazole (42 tablets- each tab contains
burning 40 mg)
sensation for Direction: 1 tab to be taken before breakfast for 6
last 2 weeks. weeks.
(Signature)
Date: 5/7/19 Dr. ABC
Reg no. ******
7. Prescription for Generalized Tonic Clonic Seizures:
Doctor’s Details
For,
History of Mr. X Age- 20 yrs Sex- Male
Generalized Rx,
Tonic 1. Tab Phenytoin Sodium (24 tablets- each tab
Clonic contains 100 mg)
Seizure. Direction: 1 tab to be taken 3 times daily for 7days
and patient is asked to report to physician after that.
(Signature)
Date: 5/7/19 Dr. ABC
Reg no. ******
8. Prescription for Acute Bacterial Conjunctivitis :
Doctor’s Details
C/O : For,
Pain, redness Mr. X Age- 20 yrs Sex- Male
and purulent Rx,
discharge 1. Moxifloxacin eye-drop (0.5%)
from both Direction: One drop to be instilled in each eye every
eyes for last two hourly for first two days, then every 4-6 hourly
4days. for next 5 days.
2. Moxifloxacin eye-ointment (0.5%)
Provisional Direction : To be applied in lower eyelid at bedtime
diagnosis: for 7days.
Bacterial (Signature)
Conjunctivitis Date: 5/7/19 Dr. ABC
Reg no. ******
Viva Questions : 1) Commonest organisms are : S. pneumoniae,
H. influenzae.
2) NSAIDs that can be used as eye-drop : Nepafenac.
9. Prescription for Mixed Worm Infestations :
Doctor’s Details
For,
Mr. X Age- 20 yrs Sex- Male
Rx,
1. Tab Albendazole (3 tablets, each tab contains
Provisional 400mg)
diagnosis: Direction: 1tab to be chewed before meal once daily
Mixed for 3 days.
Worm
Infestation (Signature)
Date: 5/7/19 Dr. ABC
Reg no. ******
VIVA QUESTIONS :
➢ Dose modifications:
1) Above 2 years : 400mg.
2) 6 months-2 years : 200mg.
3) Below 6 months : 100mg.
4) For Neurocysticercosis : T. Albendazole (400mg) twice daily
after meal for 4 weeks with steroids (to control cerebral edema)
and Praziquantel.
➢ Albendazole absorption increases with food. It is given in empty
stomach so that it mostly stays in gut. In neurocysticercosis, it is
given with food so that the systemic absorption increases.
10. Prescription for Ring-Worm Infestation :
Doctor’s Details
For,
Mr. X Age- 40 yrs Sex- Male
Rx,
1. Ointment Miconazole (2%)
Direction: To be applied twice daily topically for 1
C/O : month.
Few Or,
hypopigmented
patches with 1. Tab Fluconazole (150mg)
red elevated Direction : For 4-6 weeks (for nail-infection upto
polycyclic 12 weeks)
pruritic Or,
margins at
back. 1. Tab Itraconazole (100-200mg)*
Provisional Direction : Twice daily for 2-4 weeks .
diagnosis:
Tineasis/ Or,
Tinea corporis.
1. Tab Terbinafine (250-500mg)
Direction : Once daily for 4-6 weeks.
(Signature)
Date: 5/7/19 Dr. ABC
Reg no. ******
* - Check LFT before prescribing.
(This prescription has got many options. Write anyone you like
and remember that drug’s A/E, C/I etc. Ideally, topical and
systemic drugs should not be given together)
11. Prescription for Filariasis :
Doctor’s Details
For,
C/O : Mr. X Age- 30 yrs Sex- Male
Non-pitting Rx,
edema in 1. Tab Diethyl Carbamazine Citrate (DEC)
right leg (63 tablets- each tab contains 100mg)
with fever Direction: One tablet to be taken thrice daily after
and meal for 21 days.
coarsening
of skin. (Signature)
Provisional Date: 5/7/19 Dr. ABC
diagnosis: Reg no. ******
Filariasis
• Tab Ivermectin (0.2mg/kg) (Single dose can be added)
12. Prescription for Bacillary Dysentery :
Doctor’s Details
For,
Mr. X Age- 40 yrs Sex- Male
C/O : Rx,
Increased 1. Tab Cefixime (14 tabs, each tab contains 200mg).
frequency of Direction: 1 tab to be taken twice daily after meal for
small 7days.
volume of Or,
stool mixed 1. Tab Ofloxacin (14 tabs, each tab contains 200mg)
with blood Direction : 1 tab to be taken twice daily after meal for
with high- 7days.
grade fever Or,
for last 2 1. Tab Ciprofloxacin (14 tabs, each tab contains
days 500mg)
Provisional Direction : 1 tab to be taken twice daily after meal for
diagnosis: 7 days.
Bacillary
dysentery (Signature)
Date: 5/7/19 Dr. ABC
Reg no. ******
ORS to prevent dehydration should be given.
Antispasmodics to reduce abdominal pain can be added.
Other drugs are Norfloxacin, Cotrimoxazole etc.
13. Prescription for Amoebic Dysentery :
Doctor’s Details
For,
Mr. X Age- 40 yrs Sex- Male
C/O : Rx,
Increased 1. Tab Metronidazole* (21 tabs, each tab contains 400mg).
frequency of Direction: 1 tab to be taken thrice daily after meal for 7days.
soft stool Or,
1. Tab Tinidazole (14 tabs, each tab contains 500mg)
with mild Direction : 1 tab to be taken twice daily after meal for 7days.
abdominal Or,
pain 1. Tab Ornidazole (14 tabs, each tab contains 200mg)
Provisional Direction : 1 tab to be taken twice daily after meal for 7 days.
diagnosis:
Amoebic 2. Tab Diloxanide furoate (30tab, each tab contains 500mg)
Dysentery Direction: 1 tab to be taken thrice daily after meal for 10 days
(Signature)
Date: 5/7/19 Dr. ABC
Reg no. ******
❖ Choose anyone between Metronidazole/Tinidazole/Ornidazole
and add Diloxanide with it.
❖ *- Don’t prescribe Metronidazole to a chronic alcoholic as it will
precipitate Disulfiram-like reaction. Give Satranidazole
(300mg * BDPC * 7 days) to alcoholics.
❖ Diloxanide kills the luminal cysts that can’t be killed by
Metronidazole.
❖ Metronidazole is the drug of choice for Giardiasis, Trichomonas
vaginalis infection, Amoebic liver-abscess etc.
14. Prescription for Primary Syphilis :
Doctor’s Details
For,
C/O : Mr. X Age- 30 yrs Sex- Male
Painless Rx,
ulcer on 1. Injection Benzathine Penicillin (1 vial)
penis. (each vial contains 2.4 million units)
• Water for injection – 3 ml.
Provisional
diagnosis: Direction : 2.4 million units of Benzathine penicillin is
Primary dissolved in 3ml of water. 1.5 ml of preparation is
Syphilis. injected deep IM in each buttock after intradermal skin
test*.)
(Signature)
Date: 5/7/19 Dr. ABC
Reg no. ******
✓ *- If patient develops hypersensitivity, then other choices are,
1) Tab Tetracycline (56 tab, each tab contains 500mg)
One tab to be taken after meal four times a day for 14 days.
or, Tab Doxycycline (28 tabs, each tab contains 100mg)
One tab to be taken twice daily after meal for 14 days.
✓ For secondary syphilis, give 3 such injections at one week
interval or continue Tetracycline or Doxycycline for 28 days.
✓ For Tertiary syphilis or neurosyphilis,
1) Injection Procaine Penicillin (2.4 million Units)
once daily for 14 days.
2) T. Probenecid (500mg BDPC for 14 days) to
increase the duration of action by decreasing rate of
elimination.
15. Prescription for Gonococcal Urethritis :
Doctor’s Details
For,
Mr. X Age- 30 yrs Sex- Male
C/O : Rx,
White 1. Injection Ceftriaxone (1 vial, each vial contains
urethral 250mg)
discharge ✓ Water for injection : 3 ml.
with pain Direction: 250mg Ceftriaxone is dissolved in 3ml water
during for injection and injected IM after skin test.*
micturition.
Provisional 2. Tab Azithromycin (2 tabs, each tab contains
diagnosis: 500mg).
Gonococcal Direction: Two tab to be taken together as a single dose
urethritis 1hour before meal.
(Signature)
Date: 5/7/19 Dr. ABC
Reg no. ******
✓ *- if skin test is positive, omit Ceftriaxone and continue
Azithromycin 1000mg (500mg two tabs together) for 4days.
16. Prescription for Enteric Fever :
Doctor’s Details
For,
Mr. X Age- 30 yrs Sex- Male
Rx,
1. Tab Cefixime (28 tabs, each tab contains 400mg)
Direction: One tab to be taken twice daily 1 hour before the
meal for 14 days or upto 5days after disappearance of the
fever.
C/O : Or,
Fever with
pain 1. Tab Ciprofloxacin (500mg BD * 10-14 days)
abdomen,
constipation Or,
and vomiting
for 7 days. 1. Tab Ofloxacin (200mg BD * 10-14 days)
Provisional Or,
diagnosis:
Enteric 1. Tab Azithromycin (500mg BD * 7 days 1hour before
fever. meal)
Or (for Indoor patients),
1. Injection Ceftriaxone (2g IV BD * 10-14 days)
(Signature)
Date: 5/7/19 Dr. ABC
Reg no. ******
▪ Azithromycin is the Drug of Choice for Multidrug resistant
Salmonella.
▪ Chloramphenicol was used widely for typhoid earlier. It may
cause Bone Marrow Suppression.
▪ Ciprofloxacin/Chloramphenicol/Cotrimoxazole/Nitrofurantoin
these are contraindicated in pregnancy.
▪ 17. Prescription for UTI:
Doctor’s Details
For,
C/O : Mr. X Age- 30 yrs Sex- Male
Pain and Rx,
burning 1. Tab Nitrofurantoin (14 tabs, each tab contains 100mg)
sensation Direction : 1 tab to be taken after meal for 7 days.
during
Or,
micturition
with lower 1. Tab Ciprofloxacin (500mg BD * 7 days)
abdominal
pain and Or,
fever for last
3days. 1. Tab Levofloxacin (500mg OD * 5 days)*
Provisional
Or,
diagnosis:
Urinary tract 1. Tab Cefixime (200mg BD * 7-10 days)
infection. (Signature)
Date: 5/7/19 Dr. ABC
Reg no. ******
• *- reserved for tuberculosis as 2nd line drug.
• Other drugs that can be used are Cotrimoxazole, Colistin,
Tigecycline etc.
• Fosfomycin is a reserved drug given 3g as a single dose.
• While prescribing, first send urine sample for routine and
microscopic examination and for culture sensitivity. Give
empirical treatment according to the local sensitivity pattern
till the report arrives. Change/continue your treatment
according to the sensitivity report.
▪ 18. Prescription for Tuberculosis:
Doctor’s Details
For,
Mr. X Age- 30 yrs Sex- Male Weight- 60kg
Rx,
1. Tab (Rifampicin/Isoniazid/Pyrazinamide/Ethambutol)
C/O : (150/75/400/275) (226 tablets)
Fever and Direction : 4 such tablets to be taken in empty stomach for 8
weeks.
cough for
more than 2 2. Tab (Rifampicin/Isoniazid/Ethambutol) (150/75/275)
weeks. (448 tablets)
Direction : 4 such tablets to be taken in empty stomach for
next 16 weeks.
3. Tab Pyridoxine (168 tabs, each tab contains 10mg)
Direction : To be taken once daily for 24 weeks.
(Signature)
Date: 5/7/19 Dr. ABC
Reg no. ******
▪ 19. Prescription for Multibacillary Leprosy:
Doctor’s Details
For,
Mr. X Age- 30 yrs Sex- Male Weight-
60kg
Rx,
C/O : 1. Tab Dapsone (336 tablets, each tab contains 100mg)
8 Direction : 1 tab to be taken after meal for 48 weeks.
hypopigmented 2. Tab Clofazimine (336 tablets, each tab contains 50mg)
anesthetic Direction : 1 tab to be taken after meal for 48 weeks.
lesions.
3. Tab Clofazimine (12 tablets, each tab contains 300mg)
Direction : 1 tab to be taken in every 4 weeks under
supervision for 48 weeks.
4. Tab Rifampicin (12 tablets, each tab contains 600mg)
Direction : 1 tab to be taken in every 4 weeks under
supervision for 48 weeks in empty stomach.
(Signature)
Date: 5/7/19 Dr. ABC
Reg no. ******
