Date:
Doctor’s Details
Name:
Qualifications:
Registration:
Address:
Contact No:
Email id:
Patient’s Details
Name: Mr./Miss/Mrs./Master______ S/D/W/o_____
Age: ______ Years/Months
Gender: _______
Weight: ____Kg
Occupation: ______
Religion: ______
Address: ________
Contact No: _____
Email Id: _____
℞
Diagnosis (△): ________
1. Cap. MEDICINE 25 mg once a day one tablet for 5 days
2. Tab. MEDICINE 0.2 mg twice a day one tablet for 5 days
3. Inj. MEDICINE 20 Units/Int. Units thrice a day for 5 days
Directions:
Doctor’s Sign & Seal
At bedtime/ Empty Stomach/With Milk
Date
Avoid _______
Precautions_________
Dispensing Details:
Dispense _____ Tablets
Dispenser Details:
Pharmacist Name: ______
Shop Name: _______
Exercise: An adult male patient of 51years old was well
controlled on metformin BD for type 2 DM. Now he developed
stage 1 hypertension for which he was given the following
prescription. Perform an audit of prescription and suggest
changes for rational therapeutics.
PRESCRIPTION
Mr. ABC
51 yr
Male
Diagnosis: Stage 1 Hypertension
℞
- metformin BD×15 days
- Propranolol BD ×15 days
FUP after 15 days
Points to remember while doing a prescription audit
1. Check the format of prescription
2. Check the parts of prescription – all parts clearly
mentioned and written
3. Is the diagnosis and treatment given correct
4. Drug prescribed correct and appropriate to diagnosis
5. Check for polypharmacy: - over- prescribing/under
prescribing
6. Check whether drugs are prescribed by generic name or
brand name
7. Check for drug-drug interaction
8. Check for unnecessary/hazardous drugs
9. Check whether it is rational or irrational prescription
10 Check for correct dosage form, route, time, frequency is
. mentioned correctly
11 Are instruction to the pharmacist and patient correct
.
12 Check for refilling instructions wherever required
.
Errors in prescription-
1. Patient’s details are incomplete.
2. Doctor’s details are not mentioned.
3. Abbreviations have been used.
4. Diagnosis is incomplete.
5. Medicines’ names are in small letters, dosage forms and
doses are not mentioned.
6. Drug-drug interaction of β-blockers with antidiabetic
drugs.
7. Antihypertensive drugs for Stage-1 hypertension have not
been prescribed.
Write an Audited Rational Prescription in an authentic
prescription format
Date: 25/06/2025 Doctor’s Details
Name: Dr. Abc
Qualifications:
MBBS, MD, DM (Medicine)
Registration: 1234
Address: GMC Satna, M.P.
Contact No: 1234567890
Email id:
drabc.1234@gmail.com
Patient’s Details
Name: Mr. ABC
Age: 51 Years
Gender: Male
Weight: ____Kg
Occupation: ______
Religion: ______
Address: ________
Contact No: _____
Email Id: _____
℞
Diagnosis (△): Stage 1 hypertension with Diabetes Mellitus Type-2
1. Tab. METFORMIN 500 mg one tablet twice a day with breakfast and
evening meal
2. Tab. LISINOPRIL 10 mg one tablet once a day first dose at bedtime
Doctor’s sign & seal
Date
Directions:
Continue Tab. LISINOPRIL 10 mg one tablet once a day in morning.
Follow a healthy diet low in sugar and sodium.
Do at least 30-45 minutes physical activity daily: Walking, Yoga,
Exercise.
Monitor blood sugar levels and Blood Pressure regularly.
Follow up with doctor after 1 months for check-up.
Dispensing Details:
Dispense Tab. METFORMIN 60 Tablets
Tab. LISINOPRIL 30 Tablets
Dispenser Details:
Pharmacist Name: Mr. Pqr
Shop Name: Stuv Medical Store, FGI Road, Satna, (M.P.)
