How to write a prescription

As busy students, we can’t help but love technology. Computers make it easier to organize class notes, look up patient charts, and record data during clinic. And with a couple checks of a box on an electronic medical record, we can have a patient’s prescription printed out and ready to go! This is a huge time-saver and keeps us from making silly errors. But as we all know, computers crash. Printers jam. And sometimes, we need to do things the old-fashioned way. Below you will find a quick reference guide to hand-writing a prescription correctly!

The eight numbers above correspond to the eight numbered headings below:

1. Patient Information

It’s important to include the patient’s full name, age, and current address . This helps minimize confusion with another patient of the same name, and age information is sometimes needed in order to monitor drug dosage.

2. Prescription Date

Including the date on which the prescription was written is a crucial piece, especially if you are prescribing a heavy-hitting schedule II, III, or IV drug. You probably won’t be prescribing many scheduled drugs as an optometrist, though some states do permit prescribing narcotics for ocular pain. A summary of the different schedule categories is included below. Check out the DEA website for more information!

How to write a prescription

3. Rx Symbol

Considering that many of us use the term “Rx” and “medication” interchangeably, I think it’s safe to say we are all familiar with this! This symbol is the superscription (i.e., heading) and it highlights the beginning of your instructions for dispensing the medication.

4. Medication prescribed

This line is the inscription, which is where you will include details about the specific drug and percentage you want to prescribe. Although it can be tedious to write out long drug names or the phrase “ophthalmic suspension,” it is always best to avoid abbreviations. This will cut down on patient tampering and will also make things perfectly clear for the pharmacist. The inscription should include the following:

  • Drug name – can be generic or trade name
  • Drug strength – especially if the drug comes in more than one strength
  • Drug formulation

How to write a prescription

5. Dispensing directions

This is where you will let the pharmacist know what exactly to hand over to the patient. These directions are known as the subscription. Some caveats:

  • Write the amount the pharmacist will dispense, preceded by “dispense,” “disp,” or “#”
  • Always spell numbers out to prevent confusion and possible alterations
  • Include the bottle size, ointment tube size, or number of tablets or capsules

6. Patient use directions

This section is called the signatura – sig for short – and is where you lay out the nitty-gritty details for how and when the patient will use the prescribed medication. If you’re worried about writing a novel, don’t be! Write in plain language, and include as much information as needed to ensure proper patient compliance. Here are some things to include:

  • Amount of drug to take each time
  • When to take the medication (frequency, duration) – avoid “PRN”
  • Route of administration
  • How to administer the medication (for us, usually via the eye!)
  • When to discontinue use
  • Diagnosis is optional but helpful to include

How to write a prescription

7. Refills

This is where you should designate refills, as well as any other special labeling or instructions. Here is another circumstance where you want to minimize the likelihood that the prescription could be altered in any way, so be sure to write “none” if you don’t want to prescribe any refills!

Other special instructions could include:

  • Shake before instillation
  • For external use only
  • Keep refrigerated/do not freeze
  • Take with food
  • Avoid alcohol

8. Prescriber’s information

Here is where you sign! Also make sure your signature, address, phone number, and NPI number are included on the prescription sheet. If you are prescribing controlled substances, you will also need to include your DEA number.

Now you should have all of the tools to write out a prescription by hand! Have any comments or questions? Comment below!

Bookmark us!

A Positive Voice for Students

Our Mission: To improve the profession of optometry by better educating and preparing students to enhance the lives and vision of their patients.

Last Updated on November 7, 2021 by SDN Staff

Updated November 7, 2021.

Are you learning to write a prescription? It’s not that difficult once you know the seven steps to write a prescription safely. Every drug prescription consists of seven parts: the prescriber’s information, the patient’s information, the recipe (the medication, or Rx), the signature (the patient instructions or Sig), the dispensing instructions (how much medication to be dispensed to the patient or Disp), the number of refills (or Rf), and the prescriber’s signature (including his or her National Provider Identifier and/or Drug Enforcement Agency number). Below are each of these sections in detail.

Time needed: 3 minutes.

How to write a prescription in 7 steps:

This information is usually found at the top of the prescription. It generally consists of the prescribing clinician’s name, office address, and contact information (usually the office’s telephone number).

Patient’s Information

Below the prescriber’s information is the patient’s information. This section will include the patient’s full name, age, and date of birth. Sometimes the patient’s home address will be found here, as well. You should also specify the date you wrote the prescription.

Recipe (Rx)

The recipe should include the medication being prescribed, its dose, and its dosage form. For example, if you are prescribing 650 milligrams (mg) tablets of acetaminophen, you would write “acetaminophen 650 mg tablets” or “acetaminophen 650 mg tabs.”

Signatura (Sig)

After the recipe is the signature, the signature (Sig) gives the patient instructions on how to take the medication. The Sig should include information on how much drug to take, how to take it, and how often to take it.

For example, if you would like your patient to take one 650 mg tablet of acetaminophen every six hours, you would write “Take 1 tablet by mouth every six hours” or, using abbreviations, “1 tab PO q6h.”

For as-needed or pro re nata (PRN) prescriptions, you should indicate that the prescription is PRN and describe the conditions under which your patient can take the prescribed medication. Writing your prescription as a PRN order essentially gives the patient the option to take the drug when needed.
Let’s say that you would like your patient to be able to take one 650 mg tablet of acetaminophen every six hours when he or she has a headache. In that case, your instructions would read, “Take 1 tablet by mouth every six hours as needed for a headache” or “1 tab PO q6h PRN headache.”

Dispensing Instructions (Disp)

Next comes the dispensing instructions, which let the pharmacist know how much medication you would like your patient to receive. You should include the amount of medication you would like to be dispensed and the form in which it should be released. You should also make sure to write out any numbers you use here to minimize the risk of a medication error. For our acetaminophen example, if you would like your patient to receive a one-week supply (or 28 tablets) of the medication, you would write “28 (twenty-eight) tablets” or “28 (twenty-eight) tabs.”

Number of Refills (Rf)

After the dispensing instructions, specify how many times you would like your patient to refill his or her medication. Be sure to write out again any numbers you use. If you do not want to prescribe any refills, write “zero refills.” For our hypothetical acetaminophen example, if you are prescribing one refill, you would write “1 (one) refill.”

Prescriber’s Signature

At the bottom of the prescription, you should sign your name. Oftentimes, you will include your National Provider Identifier (NPI) in this section. For controlled substances, you usually will include your Drug Enforcement Agency Number. These are necessary for the pharmacy to verify your prescription more easily.

So for our hypothetical acetaminophen example, our prescription looks like this:

How to write a prescriptionExample of a properly written prescription following the 7 steps.

In 2020, over four and a half billion prescriptions were filled at pharmacies across the United States. Given their sheer prevalence, prescriptions are a key source of medical errors. In fact, prescription errors account for 70% of medication errors that result in harm. Thus, it is crucial that all clinicians master the ability to properly write a prescription.

In learning to write a prescription properly, it is worth discussing two common sources of prescription errors. First, if you are handwriting your prescription, make sure that it is legible. While e-prescribing is increasingly making handwritten prescriptions a thing of the past, you will likely have to manually prescribe medications at some point in your career. Illegible prescriptions are a source of frustration for patients, pharmacists, and other medical providers, and can increase the risk of medication errors. No matter how busy you are, it is always better to spend a few extra seconds slowly writing out a legible prescription than risk your patient’s health.

Always be cautious when using abbreviations. While abbreviations are commonly used in medicine, you should keep in mind that the risk of a medication error is increased when abbreviations are ambiguous or misused. So if you choose to use abbreviations in your prescriptions, be sure only to use well-known ones (commonly used medical abbreviations can be found here). If you are unsure whether you should use an abbreviation, spend the extra few seconds to write out your directions completely.

This article will guide you to learn about how to write a prescription. Also learn about the format of prescription writing.

Prescription Writing:

A prescription is an order to a pharmacist by a clinician to prepare and dispense or sell the preparation to a patient or to an animal owner. It is a legally recognised document and clinician is held responsible for its accuracy. As a licensed practitioner, veterinarians are entitled by law to dispense, administer or prescribe medications for animal patients.

A prescription focuses the diagnostic acumen and therapeutic proficiency of the clinician. It should be clearly written, so that misinterpretation in like-appearing names of drugs is avoided. Owner of patients should be instructed adequately on how to administer prescribed medication. The prescription must be written in ink or otherwise so as to be indelible.

Form of the Prescription:

The classical prescription should have the following essential parts in order:

The date on which prescription is written.

2. The identity, age, sex, breed of an animal and address of owner also be mentioned.

3. Superscription:

It consists of the symbol Rx, an abbreviation of the Latin word recipe which means “take thou of”. It is also the Roman symbol for Jupiter and is presumably intended to invoke his help in making the prescription effective in the cure of disease.

4. Inscription:

The inscription is the body of the prescription which lists the names and the amount of drugs to be incorporated in the prescription. The names of the drugs should be in English and total amounts required should be written in the metric system Abbreviations and chemical formulae of drug should be avoided.

If prescriber desires the patient to have a particular proprietary preparation this should be stated in the prescription. In practice, prescription orders seldom contain more than one drug name. Traditionally when more than one ingredients are prescribed then their order should be – (a) basis, (b) adjuvant, (c) corrective and (d) vehicle.

5. Subscription:

The subscription directs pharmacist, dispenser what to make from ingredients i.e. mixture, liniment, ointment etc. and the quantity of the formulation to dispense. These instructions may be entirely in English or with Latin abbreviations.

6. The Signa (Sig. or S.) or Signature:

The signature does not refer to the prescriber’s signature but it is derived from the Latin word ‘Signature’ which means ‘let it be labeled’. It is the part of the prescription where the prescriber instructs the pharmacist what he wishes to be written on the label of the dispended product.

Occasionally, this part of the prescription order is called the transcription. It is good prescription practice to include, under this part of any prescription the words for ‘animal treatment only’, the dose, and any particular directions or precautions relating to the use of the product.

7. Prescriber’s Signature:

The signature of the practitioner must appear on the prescription to make it a legal document. Physician’s full name his/her address and his/her registration number may also be mentioned. The essential parts of a classical prescription are presented in the following example.

How to write a prescription

The modern prescription is written as simply as possible. It consists of a minimum number of drugs, written in English, employs metric system and may use several abbreviations.

Classes of Prescription Orders:

Prescription orders are divided into two classes depending upon the availability of the prescribed medications.

(i) Pre-compounded and

(ii) Extemporaneous or Compounded or Magistral

A pre-compounded prescription order is one that calls for a drug or mixture of drugs supplied by the pharmaceutical company by its official or proprietary name and pharmacist dispense the same in the form available without making any pharmaceutical alteration.

Example of pre-compounded prescription order:

Calamine lotion – 480 ml

Shake well before use and apply daily on skin lesions.

For animal treatment only.

While in extemporaneous or compounded prescription, the clinician selects the drugs, doses and form of the preparation that he/she desires and the pharmacist prepares the medication accordingly.

Examples of common extemporaneous or compounded prescription orders used in animal treatment are listed below:

How to write a prescription

How to write a prescription

How to write a prescription

Abbreviations:

A number of abbreviations of Latin words and phrases have been conventionally used in prescription writing. Leaving aside a few, most of them are gradually disappearing from the prescriptions.

Names of the drugs to be included in the prescription should not be abbreviated. Chemical formulas must not be used in prescription writing as it may increase the probability of error. The following is the list of some abbreviations used in prescription writing.

A prescription is one of the most important and significant papers which should contain only accurate information and there is no place for any typos or errors. The explanation has to be as clear as possible.

Who can write a prescription? It can be a doctor, medical assistant, nurse, or paramedical worker. The information in the prescription has to be as minimized as possible. Not all the medicines need to be prescribed, so there are laws determining which of them need and which don’t.

Prescription errors lead to negative consequences. So writing a prescription is a task that requires special attention. Let’s find out how to do it properly to avoid poor results.

General Information

When writing a prescription, you should include certain information in it. And here is what exactly:

Patient’s identifiers

First of all, you have to include at least two identifiers of your patient. The identity of the person who will use that prescription has to be clarified. So make sure to include at least two identifiers in every setting. The identifiers can be as follows:

  • Full name;
  • Date of birth;
  • Phone number;
  • Address.

The first two identifiers are the most common. If the prescription is written not in the hospital, you should also include his phone number and current address. You cannot state just one identifier, even if you write the full name of the patient. There are people with identical names, so it will be difficult to identify whose prescription it is.

Your information

The name and contact information of the prescriber is a must. You should include your full name, the medical practice address, and its phone number. Make sure to include also such information, as the United States Drug Enforcement Administration number (DEA). As a rule, it is already stated on the form. But in case there is no such information, add it manually.

There are prescriptions that have to be filed within a certain period of time. But you should state the date in any case, because there are schedule categories for time-sensitive drugs:

  • Schedule I drugs. They are not legally accepted for medical use in the USA because of a high risk of abuse;
  • Schedule II drugs. They are legally accepted for medical use in the USA although still have a high risk of abuse;
  • Schedule III drugs. They can be used for medical purposes and have some potential risk for abuse;
  • Schedule IV drugs. They are legally accepted for some medical purposes and have a pretty low risk of abuse;
  • Schedule V drugs. These drugs are allowed for medical use and have the lowest risk of abuse.

Your signature

Every prescription has to be signed by the prescriber, otherwise, it cannot be considered valid. The signature also has its place in the prescription and it is to be stated in a specific line at the bottom of your prescription form.

Note! Avoid signing your prescriptions beforehand. First, fill in the body of the prescription and only then sign it up. This way, you will avoid problems in case a blank prescription is in someone’s bad hands.

What Is Inscription?

Now let’s find out how to write an inscription. Follow the tips below:

The “Rx” symbol

You should write this “superscription” symbol before your instructions. As a rule, this symbol is printed on the prescription form. The inscription information, including the information about the drug, follows that symbol.

The medication and its strength

Never use the name of the brand. Instead, write the generic name of the drug. Only if you are intended to prescribe the medicine of a specific brand, you can write it. But it may be expensive for your patient, so avoid specifying the brand names.

If you choose to do so, write “No Generics” in your prescription. Some prescription forms have such fields as “No Generics” or “Brand Name Only”. So you can use them.

The majority of medications have different strengths, so your duty is to specify the strength to be prescribed right after its name. Milligrams go for tablets and suppositories; milliliters go for fluids. Avoid using abbreviations not to confuse the patient.

What Is Subscription?

Now here is the full information on how to write the subscription:

The amount of the prescription

The pharmacist has to know exactly how much of the medication he or she should pass to the patient. That information will follow such words or signs as “dispense”, “disp”, “#”, “how much”. Don’t forget to spell the numbers.

The number of permitted refills

This information also has to be included in your prescription. If your patient has a chronic disease, you may allow a certain refills’ number instead of another prescription.

When no refills are allowed, just write “Refills 0” or “Refills none”.

The Directions for Patient Use

The patient has to know how to use or take the medicines prescribed. So here is the information to include in the prescription:

The route

Specify the method of taking the prescribed medication, it is called the route. Write all the instructions using Latina abbreviations or English terms:

  • PO – by mouth;
  • IM – intramuscular;
  • PR – per rectum;
  • SL – sublingual;
  • IV – intravenous;
  • IN – intranasal;
  • TP – topical;
  • ID – intradermal;
  • IP – intraperitoneal;
  • BUCC – buccal.

The dosage and frequency

The dosage amount has to be specified as well. The patient has to know the exact dose of medicines to take each time. He also should know how and when to take the medicines. Avoid using abbreviations here, better write the frequency fully.

Abbreviations for the medication to be used “daily” or “every other day” are forbidden! But there are abbreviations for other frequencies:

  • BID – twice a day;
  • Q4H – every four hours;
  • QHS – every bedtime;
  • TID – three times a day;
  • QID – four times a day;
  • QWK – every week;
  • Q4-6H – every four to six hours.

Also, you should specify when the patient has to stop using the medication. The majority of them are taken until they run out. However, if you want your patient to stop taking the medicines once the symptoms disappear, state it.

The diagnosis

Write a brief diagnosis or reason for taking the medicines if it is used only when needed. The diagnosis should follow the PRN abbreviation. There are also some common instructions you may include in your prescription, for example, “take with food”, “do not freeze”, etc.

What is a Prescription?

Table of Contents

A prescription is a legal document or order written by a qualified health care professional for diagnosis, prevention, or treatment of a specific patient’s disease.

  • Is written by a licensed practitioner
  • Is written as part of a proper physician-patient relationship
  • Is a legal document, “prima facie” evidence in a court of law.

(Note: A prima facie case is a lawsuit that alleges facts adequate to prove the underlying conduct supporting the cause of action and thereby prevail.)

Definition:

Literally, “Recipe” means simply “Take…” and when a medical practitioner writes a prescription beginning with “Rx”, he or she is completing the command.

It is probably originally directed at the pharmacist who needed to take a certain amount of each ingredient to compound the medicine (rather than at the patient who must take/consume” it).

How to write a prescription

Types of Prescription forms:

  1. Private prescription form: This type of prescription is generally written on a form that includes the prescriber’s name, address, and qualification. Rx is written to indicate this is a prescription form. This is issued by private prescribers.
  2. National Health Service (NHS) prescription form: It is only issued for NHS patients i.e. patients suffering from certain diseases and is issued by Government Prescribers.

Parts of the Prescription:

1. Date:

  • All prescriptions expire after one year. In the case of narcotics and other habit-forming drugs, the date prevents the misuse of the drugs by the patient. It helps a pharmacist to know when the medicine was last dispensed if the prescription is brought for dispensing.

2. Patient Information:

  • Name
  • Address
  • Age
  • Weight (optional, but useful – especially in pediatrics)
  • Time (used only with inpatient medication orders)

3. Superscription:

Represented by symbol Rxe traditional symbol for a prescription which is always written before writing a prescription. This is derived from the Latin word ‘recipe’ which means to take. Instruction is given to the pharmacist as well as the patient to take the medicine as prescribed. Another theory proposed by some scholars is that it drives by the symbol for the god Jupiter. The connection to healing was via prayers that a specific treatment would be effective and the individual would get better.

4. Inscription:

This is the main body of prescription which includes the name and quantity of medicine that are prescribed. This is written in the English language. All medicines are written in separate lines along with the required quantity needed to treat the disease.

What is the pharmacist to take off the shelf?

Dose = Quantity of drug per dose form

Dose Form = The physical entity needed, i.e. tablet, suspension, capsule

Simple versus compound prescriptions

Manufactured versus compounded prescriptions

Clarity of number forms 0.2, 20 not 2.0 (Zeros lead but do not follow!)

5. Subscription:

These are instructions given to the pharmacist for dispensing the number of doses to the patient and how the medicine has to be taken before meal or after the meal.

What is the pharmacist to do with the ingredients?

Quantity to be dispensed (determines the amount in bottle) Dispense # 24.

For controlled substances write in numbers and letters (like a bank cheque)

i.e., 24 (twenty-four)

Any special compounding instructions.

6. Signa, Signatura or Transcription:

Sig – write, or let it be labeled (Latin terms: Signa or signature)

Instructions for the patient

  • Route of administration

Oral, nasally, rectally, etc

Take by mouth …, Give, Chew, Swallow whole, etc.

  • Number of dosage units per dose

Take one tablet, Give two teaspoonfuls, etc.

  • Frequency of dosing

every six hours, once a day …

  • Duration of dosing

for seven days, … until gone,…if needed for pain.

  • Purpose of medication

for pain, for asthma, for headache, etc.

VERY IMPORTANT to include purpose as this reduces errors!

“As directed by a physician”

  • Special instructions (shake well, refrigerate, etc.)
  • Warnings

7. Refills or renewal Instruction:

Indicate either no refills or the number of refills you want (do not leave it blank). Determines the maximum duration of therapy.

8. Signature, address, and registration of Prescriber:

This makes the prescription a legal document. A signature, prescriber registration number is necessary especially in the case of habit-forming drugs. The prescriber must write “brand necessary,” “brand medically necessary,” or “DAW” (Dispense As Written) to get non-generics.

How to write a prescription Fig: How to Write a Prescription.

How to write a prescription

Writing a prescription is both a science and an art. With the recent notification of the government and the council, indeed many medical practitioners have been left confused on how to go about writing their prescriptions. Yet doctors also need to keep in mind that there are many essential, sometimes legal requirements that are mandated in a practitioner’s prescription, and some very.

Writing a prescription is both a science and an art. With the recent notification of the government and the council, indeed many medical practitioners have been left confused on how to go about writing their prescriptions. Yet doctors also need to keep in mind that there are many essential, sometimes legal requirements that are mandated in a practitioner’s prescription, and some very important points that we must remember, while undertaking this routine yet most significant task. While there are pointers for doctors to remember here and there, there are no set guidelines that medical practitioners in India can follow given by the government or the council.

Having said that the Voluntary Health Association of Goa, with inputs from various stakeholders has come out with Guidelines for prescription writing and handling of prescriptions and prescription medicines

A prescription has various parts; some of them “mandatory” (as per the Drugs & Cosmetics Act and Rules, or the Medical Council of India), and some of them though not mandatory, important for better understanding of the prescription by the pharmacist and the patient also. Here are some of the key elements that every prescription should contain as highlighted by the Voluntary Health Association Goa guidelines.

Details pertaining to DOCTORS

Details pertaining to PATIENT

Details pertaining to MEDICINES

Besides giving the important key points, the guideline also lays down some important tips for doctors

Don’t hurt anything that has a name

How to write a prescription

According to exercise physiologist Michael Hewitt, PhD, health can be viewed as a four-legged stool. The four legs are physical activity, optimal nutrition, stress management and sleep. If any one of them is missing, the stool will wobble. If two are missing, it will fall. For practicing physicians and trainees, sleep is often the hardest of the four to manage. Stress is next – it is part of our job, but can be reduced with with meditation and exercise. Paying attention to what you eat (especially on call) and cooking your own food will help improve your nutrition. The fourth “leg” may be the most important (and most neglected) aspect of physician health – physical activity.

It doesn’t matter how healthy (or not) you are – if you add more physical activity to your week you will improve your health. We all learn this in medical school – exercise helps prevent and treat a wide variety of chronic diseases like diabetes, hypertension, myocardial ischemia, arthritis… the list goes on and on. Exercise is medicine! The message is clear, we should be increasing our own physical activity and “prescribing” activity for our patients.

Dr. Hewitt suggests that it’s not that hard to write an actual prescription for exercise. First, decide what “dose” is needed – disease prevention, basic health level, enhanced fitness level, or performance level and then – literally – write a prescription that includes each of the 5 components of exercise.

Here is what the prescriptions would look like (below). You can actually write them on prescription pads for your patients. (Don’t forget to write one for yourself… this is a really good exception to the rule that we shouldn’t write prescriptions for ourselves or our families.)

Disease Prevention

Cardiovascular Exercise: Accumulate 30-60 minutes of physical activity most days

Strength Training: Include weight-bearing activity most days

Flexibility: Maintain range of motion by bending and stretching in daily activities

Body Composition: Men Basic Health Level

Cardiovascular Exercise: Play or large muscle repetitive activity 20+ minutes 3 times a week

Strength Training: Leg press or squat,chest press, lat pull down or row 1-2 sets 2x/week with enough weight to challenge your muscles

Flexibility: 2-4 limitation-specific stretches after activity, hold 20-30 seconds

Body Composition: Men Enhanced Fitness Level

Cardiovascular Exercise: Play or aerobic activity 40-60+minutes 4-6 times per week

Strength Training: Balanced whole-body machine or free weight program, 2-3 sets, 3x/week to “functional failure”

Flexibility: 6-10+ whole-body stretches after activity, 1-2 reps

Body Composition: Men: 12-20% body fat, Women 20-30% body fat

Balance and Agility: Recreational sports: tennis, bicycle, tai chi, dancing, stability ball training

Performance Level

Cardiovascular Exercise: Add interval training and/or competition

Strength Training: Add muscle endurance or power training, add pilates work, add ascending or descending pyramids

Felixibility: Add yoga, pilates, facilitated stretching with a partner

Body Composition: Men 8-15% body fat, Women 17-25% body fat

Balance and Agility: High level sports: ski, skate, surf, yoga, martial arts

How to write a prescription

How to write a prescription

Lantus Solostar 100 Unit/ml (3 Ml) Subcutaneous Insulin Pen

Insulin glargine is used with a proper diet and exercise program to control high blood sugar in people with diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke.Insulin glargine is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. It acts longer than regular insulin, providing a low, steady level of insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. Insulin glargine may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs. Read the Patient Information Leaflet provided by your pharmacist before you start using this medication and each time you get a refill. If you have any questions, ask your doctor, diabetes educator, or pharmacist.Follow all package directions for proper use/injection/storage of the particular type of device/insulin you are using. Your health care professional will teach you how to properly inject this medication. If any of the information is unclear, consult your doctor or pharmacist.Do not inject cold insulin because this can be painful. The insulin container you are currently using can be kept at room temperature (see also Storage section). Wash your hands before measuring and injecting insulin. Before using, check the product visually for particles, thickening, or clumps. If any are present, discard that container. Insulin glargine should be clear and colorless. To avoid damaging the insulin, do not shake the container.The dosage is based on your medical condition and response to treatment. Measure each dose carefully, and Continue reading >>

  • Common Insulin Pen Errors: Diabetes Questions & Answers
  • U-40 Versus U-100 Insulin Syringes and Pens
  • Why global warming could lead to a rise of 100,000 diabetes cases a year in the U.S.

Reference Bd Needles Reference To Bd Ultra-fineâ„¢ Pen Needles

Drug Manufacturer Pen Name Drug Drug NDC Number Place Where Drug Manufacturers Sanofi-Aventis Apidra® SoloStar® Apidra® 0088-2502-05 Package Insert Patient Instructions for use Patient Toll Free Phone Number “SoloStar® is compatible with all pen needles from Becton Dickinson and Company†Lantus® SoloStar® Lantus® 0088-2219-05 Package Insert User Manual, Device Page, Website “ BD Ultra-Fine™ needles to be used in conjunction with SoloStar® and OptiClik® are sold separately and are manufactured by BD.†“ BD Ultra-Fine™ needles are compatible with SoloStar® . These are sold separately and are manufactured by BD.†Amylin Pharmaceuticals & Eli Lilly and Company Byetta® Byetta® 66780-0212-01 66780-0210-07 Amylin Pharmaceuticals SymlinPen® 60 & 120 Symlin® 66780-115-02 66780-121-02 Eli Lilly and Company HumaPen® LUXURA™ HD Humalog® 3mL 0002-7516-59 User Manual, Website “ HumaPen® LUXURA™ HD is suitable for use with Becton, Dickinson and Company pen needles.†Humalog® KwikPen™ Humalog® Humalog® Mix 75/25® Humalog® Mix 50/50 0002-8799-59 0002-8797-59 0002-8798-59 User Manual, Brochures, Prescribing Card “ When prescribing KwikPen™ prefilled with the Humalog brand of insulins you will need to write a separate prescription for BD needles.†Humulin® Pen Humulin® N Humulin® 70/30 0002-8730-59 0002-8770-59 User Manual, Website “ This device is suitable for use with Becton, Dickinson and Company’s insulin pen needles.†Novo Nordisk, Inc. Victoza® Victoza® N/A NovoLog® Mix FlexPen® NovoLog® Mix 70/30 N/A NovoPen® Junior Novo Nordisk PenFill 3ml N/A Novo Pen® 3 Novo Nordisk PenFill 3ml N/A L Continue reading >>

  • Gold-Doped Graphene Wrist Strap Could Help Manage Diabetes Without Needles
  • All About Needles Used for Diabetes | Ask D’Mine
  • Common Insulin Pen Errors: Diabetes Questions & Answers

Lantus 100 Units/ml Solution For Injection In Solostar Pre-filled Pen

Lantus 100 Units/ml solution for injection in SoloStar pre-filled pen What is a Patient Information Leaflet and why is it useful? The Patient Information Leaflet (PIL) is the leaflet included in the pack with a medicine. It is written for patients and gives information about taking or using a medicine. It is possible that the leaflet in your medicine pack may differ from this version because it may have been updated since your medicine was packaged. Download Leaflet View the patient leaflet in PDF format Below is a text only representation of the Patient Information Leaflet, the original can be viewed in PDF format using the link above. The text only version may be available from RNIB in large print, Braille or audio CD. For further information call RNIB Medicine Leaflet Line on 0800 198 5000. The product code(s) for this leaflet are: EU/1/00/134/030, EU/1/00/134/037, EU/1/00/134/031, EU/1/00/134/033, EU/1/00/134/036, EU/1/00/134/034, EU/1/00/134/035, EU/1/00/134/032. Lantus 100 Units/ml solution for injection in SoloStar pre-filled pen Package leaflet: Information for the user 100 units/ml solution for injection in a pre-filled pen Read all of this leaflet carefully including the Instructions for Use of Lantus SoloStar, pre- filled pen, before you start using this medicine because it contains important information for you. Keep this leaflet. You may need to read it again. If you have any further questions, ask your doctor, pharmacist or nurse. This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours. If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4. 1. What Lantus is and what it is u Continue reading >>

How to write a prescription

Carol Eustice is a writer covering arthritis and chronic illness, who herself has been diagnosed with both rheumatoid arthritis and osteoarthritis.

How to write a prescription

Violetta Shamilova, PharmD, is a board-certified pharmacist and assistant professor at Touro College in New York.

How to write a prescription

Elaine Hinzey is a registered dietitian, writer, and fact-checker with nearly two decades of experience in educating clients and other healthcare professionals.

You may have seen letters like hs, q.i.d., or b.i.d. on your prescriptions. These are abbreviations for Latin phrases.

Centuries ago, all prescriptions were written in Latin. Today these abbreviations are only used in the drug’s directions.

Your pharmacy will translate your healthcare provider’s instructions on the medicine’s label. Sometimes, though, a mistake can happen.

Many drugs, like arthritis medication or pain medication, can be dangerous if you take the wrong dose. Knowing how to read prescription abbreviations can protect you from dangerous errors.

This article will discuss the Latin abbreviations healthcare providers use on prescriptions and help you learn how to translate them. It will also discuss steps you can take to protect yourself from prescribing errors.

” data-caption=”” data-expand=”300″ data-tracking-container=”true” />

Verywell / Ellen Lindner

The Origins of “Rx” as an Abbreviation for “Prescription”

Rx is an abbreviation for “prescription.” Most people think it comes from the Latin word “recipe,” which means “take.”

According to another theory, the Rx symbol is based on the Roman deity Jupiter. Jupiter’s symbol looked similar to the Rx symbol. The symbol may have been placed on a prescription to invoke Jupiter’s blessing.

An Example of Prescription Abbreviations

Here is an example of what a healthcare provider might write on a prescription:

Sig: 1 tab po qid pc & hs

These abbreviations are instructions for taking the medication. The pharmacist will translate them for the medication label. In this case, the instructions will read: “Take one tablet by mouth four times a day, after meals, and at bedtime.”

The abbreviations may be written in capital letters or small letters, and may or may not include periods.

Common Latin Rx Terms

Some common Latin prescription abbreviations include:

  • ac (ante cibum) means “before meals”
  • bid (bis in die) means “twice a day”
  • gt (gutta) means “drop”
  • hs (hora somni) means “at bedtime”
  • od (oculus dexter) means “right eye”
  • os (oculus sinister) means “left eye”
  • po (per os) means “by mouth”
  • pc (post cibum) means “after meals”
  • prn (pro re nata) means “as needed”
  • q3h (quaque 3 hora) means “every three hours”
  • qd (quaque die) means “every day”
  • qid (quater in die) means “four times a day”
  • Sig (signa) means “write”
  • tid (ter in die) means “three times a day”

Declining Use of Abbreviations

The Latin terms are still in use, but some healthcare providers are retiring them. It is becoming more common for healthcare providers to write prescription instructions in plain language.

Readable prescriptions can help prevent medication errors. That is why many medical professionals think written instructions should be used instead of hard-to-read abbreviations.

For example, the abbreviation qd, which means “daily,” could be mistaken for qid, which means “four times a day.” It could also be confused for od, which means “right eye.” Simply writing “daily” prevents confusion.

E-prescribing, or electronic prescribing, can also help prevent medication errors. Instructions sent directly to the pharmacy electronically are less prone to human error. If your healthcare provider uses electronic prescribing, you may never see the abbreviations.

E-prescribing improves patient safety in a number of ways:

  • It eliminates hard-to-read prescriptions.
  • It reduces the need for verbal communication, which can lead to mistakes.
  • It can let the healthcare provider know if the patient has a drug allergy.
  • It can alert the healthcare provider to possible drug interactions.
  • The healthcare provider can easily view the patient’s medication history.

Summary

Healthcare providers sometimes use Latin abbreviations on prescriptions. Understanding these abbreviations can help you avoid a medication error.

Some healthcare providers are moving away from Latin abbreviations and using plain language instead. Written instructions can help prevent medication errors. Electronic prescriptions can also reduce the chance of a mistake.

A Word From Verywell

If you receive a written prescription, make sure you understand the directions. If the directions are unclear or confusing, ask your healthcare provider or pharmacist to explain. Do not take your medication unless you understand the instructions. Take no chances.

If your medication is prescribed electronically, you may not see the instructions until they appear on the label. At that point, it is important to consult your pharmacist if you have questions. It is always a good idea to go over the instructions with your pharmacist. Do your part to avoid medication errors.

At CFS Pharmacy, our compounding professionals are ready to work with you on a customized medication solution that fits the needs of your patient or patient population. But first, we will need a prescription order from the practitioner. The form on this page is your guide for writing a prescription for a compounded medication.

For our compounded medication prescription, the prescription form should begin with the words “Compounded Medication.” We will need to know:

  • The generic name of the active ingredients
  • Strength or dose (in mg or percent)
  • Quantity
  • Directions for use

Our pharmacists are always happy to answer any questions you may have about compounded medications, and to discuss formulations with you. Contact us if you need more information about writing a compounded medication prescription.

We look forward to serving you and your patients with a customized medication solution that’s perfect for your needs!

Newsletter

Submit your email below and receive updates, latest innovations in compounding for patients and practitioners.

We Care

“We are in the business of caring for people and pets. Our patients are our number one priority. See what patients and prescribers are saying about CareFirst Specialty Pharmacy”

Navigate

  • Home
  • Refill Rx
  • About Us
  • Careers
  • Our Philosophy
  • Shipping Info
  • Return Policy
  • Privacy Policy
  • Notice of Privacy Practices
  • FAQs
  • Blog

Forms

  • Patient Registration
  • Pet Owner Registration
  • Transfer Prescription
  • Prescriber Form
  • Veterinarian Form
  • Rx Authorization Fax Form (HUMAN)
  • Rx Authorization Fax Form (VET)
  • 400 Fellowship Road, Suite 100, Mount Laurel, NJ, 08054
  • Main 844.822.7379
  • Fax 844.922.7379
  • Contact

The information contained in this website or provided through our blogs, e-mails, videos, programs, services or products is for educational purposes only and is not intended to substitute for professional medical advice, services, diagnosis or treatment. The FDA has not reviewed, evaluated nor approved the compounded preparations to diagnose, cure or prevent disease. Every effort has been made to provide accurate and comprehensive information. Information may be changed or updated without notice.

CareFirst Specialty Pharmacy is licensed by the New Jersey Board of Pharmacy ® All Rights Reserved

Touchtone Refills

844.822.7379
Press option 5 to be directly transferred to the automated refill system.

Compounded Prescriptions Tailored to Your Patient’s Needs

For a compounded prescription, we need the following information: Compounded prescriptions are tailored for your patients’ individual needs. For a compounded prescription, we need the following information:

  • Prescriber Info – First Name, Last Name, Address, Phone, and Fax. NPI and DEA.
  • Patient Info – First Name, Last Name, Date of Birth, and Cell Phone Number/Email
  • Complete Prescription Information – Drug, Dose, Dosage Form, Directions, Quantity, and Refills.
  • Cream Preparations – We are happy to do the math per application; just indicate the dose and we will calculate the concentration.
  • Prescriber Signature – Please provide an authentic prescriber signature for all controlled substances. Stamps and electronic signatures faxed in are not considered valid by the DEA.

States requiring electronic prescribing for all prescriptions: California, Florida, Iowa, and New York.

How to write a prescription

Daily Supply Limits

We are bound to state laws, and this can sometimes limit the days supply we can send to your patients. The following are some restrictions with what we can ship:

  • Maximum 30 days supply on all topical preparations.
  • 14 days on all water-based solutions (non-preserved).
  • Maximum 150 days supply on all compounds due to beyond use dating.
  • 90 days on suppositories and troches.

How To Send a Prescription

Call our Toll-Free Phone number 800.525.9473 and click 3 to speak with a pharmacist or leave a voicemail.

Fax our Toll-Free number 866.415.2923. If there is any missing information, we will contact you back via fax asking for specific content.

We use a secure 2-factor authentication that is compatible with most systems. Just search for Belmar Pharmacy and our connection information should populate.

Our complimentary Prescriber Portal gives you access to view, track and write prescriptions online. For Prescriber Portal inquiries contact us.

How to Send In a Pellet Order

  • Email (preferred) – Email your electronically fillable order form to your Solutions Engineer or to [email protected]
  • Fax – Fax to BSO directly 877.267.3409
  • Call – Call BSO directly 877.267.3410

Download our Pellet Order Form to your computer for future use.

It is recommended to place bulk orders to save on shipping costs and plan accordingly to avoid oversized orders and expired pellets. We cannot return, exchange or replace expired pellets. Your Solutions Engineer can provide you with an analytical forecast of your ordering process to stay organized. We are an extension of your practice and here to help you with inventory management.

Belmar pellets have a 360-day shelf life from the date they were compound manufactured. If a lot is within 30 days of expiration, we will not send it out without notifying you first. If you are placing a large order, you may call and speak with our BSO Support Team to check lot expirations.

For more information or help writing a compounded prescription, contact us.

Online Ordering Portal

For Providers

Belmar Pharmacy now offers physicians free, secure online access to our electronic prescription management system. Here are some of the benefits of the prescriber portal:

  • User-friendly prescribing toolsp for swift, straightforward ordering
  • View real-time order statuses as your patient’s prescription moves through the pharmacy
  • Easy refill entry – completion takes seconds!
  • Access to patient order tracking linked directly to the shipping courier for quick delivery confirmation
  • Personalized medication lists customizable to your practice

For Patients

Belmar Patients can easily process refills and manage medications through the online patient portal. Our Portal allows patients to:

  • Request Refills Online
  • Receive Text and/or Email Notifications
  • Receive Prescription Updates
  • Track Shipping

Contact Belmar Pharma Solutions

Learn More

If you’re a patient, we’re here to help you fill prescriptions or provide you the information you need to work with your doctor to help decide if a compounded prescription might be a good treatment for you.

Prescribers, for a complete formulary or access to our clinical resources fill out the form below and one of our Solutions Engineers will be in touch shortly. If you are new to compounding, you may also find our page on How to Write a Compounding Prescription helpful.

Thank you for reaching out. A member of our team is reviewing your message and will reach out as soon as possible. In the meantime, below are a few links, including our formulary, that we think you might find helpful:

Thank you for reaching out. A member of our team is reviewing your message and will reach out as soon as possible. In the meantime, below are a few links, including our formulary, that we think you might find helpful:

  • Patients
  • Clinicians
  • Solutions
  • Resources
  • About Us
  • Contact Us

231 Violet Street, Suite 140
Golden, CO 80401

Medication, Education, Consultation.

Sign up for our Newsletter

Get instant access to the latest Belmar Pharma Solutions news and blog updates.

The information on this website is for informational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding any medication condition or medication. Do not disregard professional medical advice or delay in seeking it because of something you have read on this site.

These links are being provided as a convenience and for informational purposes only; they do not constitute an endorsement or an approval by Belmar Midco, Inc. and its subsidiaries of any of the products, services or opinions of the corporation or organization or individual. Belmar Midco, Inc. and its subsidiaries bear no responsibility for the accuracy, legality or content of the external site or for that of subsequent links. Contact the external site for answers to questions regarding its content.

© 2022 Belmar Pharma Solutions. All Rights Reserved. Terms of Use | Privacy Policy

Nurse Practitioner Career Advice

It seems that working in the emergency department some days all I do is write prescriptions. Muscle relaxers for back pain, nausea medications for vomiting, and migraine meds for headaches. Prescribing is at the core of many nurse practitioner’s practice. Unfortunately, the guidelines surrounding this privilege can be difficult to sort through and understand.

When it comes to prescribing as a nurse practitioner the list of rules and regulations is a long one. Not only must NPs prescribe in accordance with federal law, they must prescribe within state guidelines as well. The legal implications surrounding nurse practitioners and prescribing are many, but let’s look at a few of the most common questions and concerns NPs ask about prescribing.

Do nurse practitioners need a DEA number in order to write prescriptions?

The short answer to this question in “No”. Nurse practitioners must be licensed by their state in order to prescribe but do not need a DEA number. A DEA number is required only to write prescriptions for controlled substances, not for medications like antibiotics.

Although a DEA number may not technically be required to write prescriptions, insurance companies and pharmacies often use the DEA number as a way to identify medical providers. Practicing without a DEA number be a hassle as these entities won’t have a systematic way to track things like insurance claims for your patients or prescriptions you write.

Are You Ready to Thrive?

Are nurse practitioners allowed to prescribe controlled substances?

In every state except Alabama and Florida, nurse practitioners are allowed to prescribe at least some controlled substances. Controlled medications are categorized into groups called ‘schedules’ based on their potential for abuse. Schedule I medications have the highest potential for abuse and are not recognized by the DEA as having an accepted medical use. Schedule V medications are those like Lyrica or codeine containing cough syrups that have a much lower abuse potential. State nurse practice acts outline which schedules of medications nurse practitioners are permitted to prescribe. For example, in Georgia NPs are not allowed to prescribe schedule II medications but may prescribe schedules III-V.

If nurse practitioners practicing in a particular state are permitted to prescribe all schedules of controlled medications, the state nurse practice act will usually refer to these medications as a group rather than outlining privileges based on each schedule. State laws regarding the prescribing of controlled substances vary significantly. Some states allow NPs to prescribe these drugs with few guidelines. Other states require, for example, that nurse practitioners work under a collaborative agreement with a physician in order to prescribe controlled substances.

Can nurse practitioners write prescriptions for friends and family?

The laws regarding writing prescriptions for friends and family vary by state. Many states allow nurse practitioners to prescribe for family members in ’emergency situations’. When writing a prescription, regardless of it it is for a friend or family member, federal law requires that medical treatment and prescribing be accompanied by written documentation, even if it occurs outside the clinic or hospital setting. Federal law also requires that the prescribing of controlled substances occurs only under a bona fide provider-patient relationship.

Although prescribing for friends and family members is technically legal under certain circumstances in most states, approach this practice with caution. Once a patient-provider connection has been established through prescribing, as a nurse practitioner you are legally responsible for that interaction and its consequences.

What legal pitfalls should nurse practitioners avoid related to prescribing?

With some states having strict guidelines regarding nurse practitioner’s prescribing practices, it can be tempting to skirt these rules for the sake of convenience. These guidelines, however, must be followed exactly. In Georgia, for example, one primary care physician was prosecuted for pre-signing blank prescription sheets so that the nurse practitioner he worked with could write patients prescriptions for controlled medications on his day off. State and federal agents raided the clinic where he worked. He served seven months in federal prison as federal law prohibits the pre-signing of prescriptions.

Keep up with federal and state laws writing when it comes to writing prescriptions. Cutting corners to avoid the practice inconveniences that come with following these guidelines can have serious consequences.

Can nurse practitioners write prescriptions to be filled out-of-state?

In most cases, laws allow prescriptions written by nurse practitioners to be filled out of state. When prescribing a medication to be filled in a different state, NPs must abide by the prescribing guidelines for the state where the prescription is to be filled. For example, if you practice in Tennessee and write a patient a prescription for a schedule II medication, the patient could not fill the prescription in Texas. This is because NPs practicing in Texas are not allowed to write prescriptions for schedule II controlled substances. The prescription could, however, be filled in New Mexico where nurse practitioners are permitted to prescribe controlled substances.

In Washington State, pharmacies are not allowed to accept prescriptions for controlled substances written by nurse practitioners out-of-state.

What state laws might I encounter in prescribing as a nurse practitioner?

There are many restrictions states may impose when it comes to NP’s prescribing ability. Some states prohibit nurse practitioners from prescribing controlled substances completely while others may allow NPs to do so only under a collaborative agreement with a physician. Other states may limit the types of controlled substances or the quantity NPs may prescribe. Nurse practitioners must know and follow state laws closely to remain within their scope of practice when prescribing medications, especially controlled substances.

What questions do you have about prescribing as a nurse practitioner?

Further Reading on ThriveAP

Need some cash to fund your NP education? Here are some good places to start.…

States are increasingly passing laws allowing nurse practitioners more freedom in their practice. Some legislators…

Growing up in Washington State, I have fond memories of visiting Idaho as a kid.…

takotsubo

I’m an ER intern and I constantly have to write prescriptions and I’m always wondering if I’m doing it right. I especially hate writing prescriptions for kids and calculating the liquid amounts and how much to dispense. Is there a website that teaches doctors how to write prescriptions?

I primarily use epocrates but i always find it confusing when calculating liquids and especially if it’s like a “div every 6-8h” which is different than just plain “q6-8h”

some have told me to write, “use as directed” or whatever but that seems kinda wrong and extra work for the pharmacy.

bananaface

Pharmacy Supernerd
  • Aug 28, 2007
  • #2
  • This may be helpful for learning to write a complete Rx. I’m not sure exactly what you are looking for, though. Are you having trouble with components, dosing calculations, figuring out what doses and dose forms are available, or what?

    I’m not a fan of “Use as directed” either. It’s actually impermissable in some states.

    sdn1977

    Senior Member
    • Aug 28, 2007
  • #3
  • I’m an ER intern and I constantly have to write prescriptions and I’m always wondering if I’m doing it right. I especially hate writing prescriptions for kids and calculating the liquid amounts and how much to dispense. Is there a website that teaches doctors how to write prescriptions?

    I primarily use epocrates but i always find it confusing when calculating liquids and especially if it’s like a “div every 6-8h” which is different than just plain “q6-8h”

    some have told me to write, “use as directed” or whatever but that seems kinda wrong and extra work for the pharmacy.

    This is what I recommend to interns for peds. On the rx, always note the pts weight (this way we can double check your calculations). Also, not what you are treating (ie. for cough, for infection, for rash, etc..) – helps to make sure we are reading what you are writing correctly & gives us some idea of what to reinforce when we counsel mom or dad.

    Now, for dosing, I recommend writing your dose in mg amounts – that way I can choose the most appropriate package size to fit your needs. Know, however, that some dosage forms are not interchangeable – if you order Augmentin liquid 250mg q6h for bronchitis – I can’t give tablets – because the clavulanate component is different. But, by writing the mgs you want in each dose. I can choose if I give 100mg/5ml, 200mg/5ml, 250mg/5ml – whatever.

    When your dosing recommends using divided doses q 6-8 hours. this means that it can be dosed 3-4 times a day (take the total mg/kg/day dose & divide it up 3-4 times per day). For most parents (in fact, for most people in general. ) a 3 times per day drug has more compliance than a 4 times per day drug. This is especially true for school age children – they can get the first dose in the AM before school, right after school & then again at bedtime. A fourth dose means the school has to get involved (teachers, office, extra bottle – was it refrig – not?, will it get home. ) – just too much trouble. So – choose the longer dosing interval unless you have some clinically compelling reason to do otherwise.

    That is different than q 6-8h prn pain or fever or spasm. That dosing means the pt can take it as frequently as every 6 hours if they need it, but it could go 8 hours (a night’s sleep for example). The prn added reinforces that it should be stopped when sx stop. That helps us encourage mom or dad to let Johnny sleep – don’t wake him if he’s not coughing (you’d be surprised. ).

    Dont use “as directed” unless you’ve also got some other instructions – ie Prednisone 5mg – Start with 5 tablets once daily & taper as directed over 4 days. Hopefully, you’ve written this out day by day for the parent & we can reinforce the taper without writing a whole novel on the label.

    Introduction:

    Welcome to the third piece in the Home Hemodialysis series. After going through the history of home hemodialysis in the United States, and reviewing the literature evaluating the modality, we will now dive into how to prescribe home hemodialysis.

    But before we do, there are a few general themes to know:

    • While the traditional machines and prescriptions used in in-center home hemodialysis can be applied at home, (and this indeed was how home hemodialysis was performed prior to approval of the NxStage system by the FDA in 2005), urea kinetics, and therefore the prescription, are similar to that seen in in-center hemodialysis.
    • With now over 85% of patients in the United States that are on home hemodialysis using the low dialysate volume approach (on the NxStage system), and almost all new patients initiated on home hemodialysis being initiated with this treatment strategy, we are, in the rest of this piece, going to be learning to write a prescription for the low volume dialysate approach.
    • The major advantage of the low dialysate volume approach, as is intuitive by the description, is the utilization of lower volumes of dialysate to achieve similar clearances – while the weekly dialysate volume used in traditional hemodialysis is around 270 to 600 L per week, at flow rates of 600-800 ml per minute, the low dialysate volume approach utilizes 90 to 200 L per week, at flow rates of 100-200 ml per minute.
    • A disclaimer about the utilization of Kt/V(urea) to determine dialysis adequacy must be part of all discussions regarding dialysis prescriptions. However, though imperfect, it remains to-date the most widely used measure, and has been used to build home hemodialysis prescriptions as well. One must remember to assess the patient on multiple parameters – including symptoms of uremia, volume status, electrolytes, nutritional status, and not just rely on Kt/V to make changes to any dialysis prescription.

    Now let us really dive in.

    The concept of clearance and urea kinetics in the low dialysate volume approach:

    The low dialysate volume approach is based on the principle of the dialysate fluid being nearly completely saturated with urea, by lowering the dialysate flow in comparison to the blood flow – the slower dialysate flows as it opposes blood, the more time for mass transfer and saturation with urea.

    The concept of the dialysate fluid being maximally saturated with urea is similar to peritoneal dialysis – and this is very helpful to remember, as calculating the urea clearance, and Kt/V for the low dialysate volume approach is similar to peritoneal dialysis.

    We know that D/P(urea), or the saturation of dialysate fluid with urea, is determined by the dialysate flow relative to the blood flow. This brings us to an important component of the prescription in the low dialysate volume approach – the flow fraction (FF). This is the ratio of dialysate flow (Qd) to the blood flow (Qb), or Qd/Qb – the higher the flow fraction, lower the dialysate urea saturation. With standardization of the flow fraction comes standardization of dialysate saturation – for each treatment, this ratio is fixed, which allows for the dialysate flow rate to be adjusted automatically by the machine in response to any changes in blood flow that may occur, without the need for patient intervention, to maintain a desired saturation of urea. This assures that even in the setting of inability to maintain the targeted blood flow rate, e.g. during access stenosis, that the patient receives the same amount of clearance intended, but at the cost of time.

    As it can be seen from figure 1, at a FF of about 40%, the dialysate is about 90% saturated with urea.

    Let us recap one last concept, with the help of another key figure, before putting it all together as a home hemodialysis prescription.

    The target single pool Kt/V for 3 times a week in-center hemodialysis is about 1.2 to 1.4. Three weekly treatments with a single pool kt/v would provide a weekly standard kt/v of about 2.0. It is important to remember that the relationship between single pool and standard kt/v is not linear and the weekly clearance is not merely the sum of the clearance of each treatment. In home hemodialysis, as the number of sessions per week are higher, the target per session Kt/V is lower, around 0.5 to 0.6, depending on the number of sessions per week, to achieve a weekly standard Kt/V of 2 to 2.2

    Now, with the above information, let us calculate the urea kinetics for an 80 kg female (height 160 cm, age 55 years), who will perform home hemodialysis 5 times a week using the low dialysate approach

    Her target per session Kt/V is 0.6

    Her volume of distribution of urea is about 34L (the most common equation to calculate the total body water from weight is the Watson equation – access at http://www.medcalc.com/tbw.html)

    Now we know that,

    How to write a prescription

    Now if we assume 100% saturation of dialysate fluid with urea, the D/P(urea) = 1, and we would need 20L of dialysate to achieve a per session Kt/V of 0.6. In this scenario, the filtration fraction would have to be

    • Remember that with a goal Kt/V per session of about 0.55 to 0.6 for 5 treatments a week, and 0.45 to 0.5 for 6 treatments a week, an initial dialysate volume required per session can be estimated
    • Remember the filtration fraction – the ratio of Qd/Qb, which is fixed.
    • Remember that roughly, a filtration fraction of 0.4 results in a 90% dialysate saturation with urea (or D/P(urea) = 0.9 with a filtration fraction of 0.4)
    • Remember that with a dialysate volume, and filtration fraction, the rest of the parameters of a home hemodialysis prescription – blood flow rate, dialysate flow rate, and time – can be calculated
    • And finally, remember to not to be too focused on the Kt/V. Think about the patient!

    Want to know more? Here are some additional resources

    Next up in the series – have you seen the water treatment room in your dialysis unit? Now think about how this reaches patients on home hemodialysis!

    Madhuri Ramakrishnan, MD
    Nephrology Fellow, Washington University School of Medicine in St. Louis

    A Guide for Providers and Prescribers

    How to write a prescription

    Compounding is the art and science of preparing customized medications (ingredient doses, mode of application, etc.) to better suit what patients need. Many medical providers and specialists look for alternative options in compounding when current meds are not available, contain allergens, or fail.

    We Work With Providers for Prescription Compounding

    Community Clinical understands that medication is not one-size-fits-all . We make our compounded medications specifically for your individual patients’ needs. Our experts are happy to consult with prescribers that have questions about their patient cases. Oftentimes their patients are not getting results or are allergic to commercially available medications.

    How Do You Write a Compounded Medication Prescription?

    What do compounding pharmacists need when looking to prescribe compounded medications?

    How to write a prescription

    1. The Generic Name of Active Ingredients / Strength or Dose

    Control what active ingredients are present. Remove ingredients that the patient may have been allergic to in mass-produced medications. Consult with an expert pharmacist for any questions.

    How to write a prescription

    2. Dosage Form

    Your patients have different needs and this may include the form of the medication. Whether it be pills, syrups, troches, injectables, suppositories, or other modes of application, Community Clinical can formulate for maximized efficiency and patient compliance.

    3. Quantity

    Specify the amount per prescription container and any refills that you authorize.

    How to write a prescription

    4. Directions for Use

    Information for patients to follow when taking the medication. Specify when the medication should be taken, the amount, how it should be taken/administered (with food, etc.), and any pertinent information. Please consult with an expert pharmacist for any questions.

    For more options in approaching your patients’ well-being, contact Community Clinical today. Explore all the ways top medical specialists in Arizona like you utilize compounding in getting results for their patients. We also connect interested patients with trusted prescribers. Call or contact us online for more information and provider resources.

    1.Select ‘Clinical Desktop’/’EMR’ from the main menu on the left. Choose a patient.

    2. The Prescription can be done in either of the two ways listed below.

    2.1. For Visits, Click on ‘Prescription’ within encounter notes to redirect to Newcrop Portal to prescribe medication.

    How to write a prescription

    2..2 For non-visits/refills, Click on the Rx icon from the face sheet to redirect to Newcrop Portal to prescribe medication.

    How to write a prescription

    3. On the Compose page, type in the name of the medication you need to prescribe.

    How to write a prescription

    4. Click on the medication strength you need to prescribe. This will open the SIG edit screen.

    How to write a prescription

    5. Create the prescription providing details from left to right(Quantity->Form->route->Frequency). Click Save Rx as this will take the medication to a Pending status.

    How to write a prescription

    6. From the Pending status, click the Transmit/Prescribe button.

    How to write a prescription

    7. On the Transmit Page, choose the pharmacy to which the Rx needs to be transmitted and then click Transmit Rx/Add to record.

    How to write a prescription

    8. Once that button is selected the Rx will then be transmitted to the pharmacy, you will now see the Receipt page.

    How to write a prescription

    9. Click on the Compose Rx tab to see this medication in the patient’s Current Medications list.

    How to write a prescription

    Related Articles

    How To Discontinue a Medication

    As with a paper chart, old medications are not deleted or “erased”. Any medication that . read more

    Status Page

    Description The status page in NewCrop is a snapshot of unfinished tasks and pending medications. This . read more

    How to Cancel a Prescription

    A prescription can be cancelled if it was sent to the wrong pharmacy or if . read more

    SureScripts Benefits and History

    The Rx history and patient benefit information can be displayed and imported if there is . read more

    Admin Tab

    The Admin Page lists a variety of functions designed to make your office run more . read more

    Electronic Prescription of Controlled Substance(EPCS)

    What is EPCS? EPCS is the electronic prescription of controlled substance. Any prescription drug that has . read more

    Accu-Chek ® is ALWAYS COVERED on Medicare Part B. 1

    Your patient pays only $1.66 for 50 test strips and may pay a $0 co-pay. 2

    Give your patient a better testing experience. Prescribe Accu-Chek Guide Me, and send your patient to a retail pharmacy.

    How to write a prescription

    How to write Medicare Part B prescriptions to eliminate callbacks

    The following information is required for Medicare Part B coverage of blood glucose monitors and testing supplies: 3,4

    For beneficiaries who are insulin-dependent, Medicare provides coverage for up to 100 test strips and lancets every month, and one lancing device every 6 months.

    For beneficiaries who are not insulin-dependent, Medicare provides coverage for up to 100 test strips and lancets every 3 months, and one lancet device every 6 months.

    Note: Medicare allows additional test strips and lancets if deemed medically necessary. See MLN Matters SE1008 for more details.

    Additional tips to make sure your instructions are followed at the pharmacy

    • Write the exact brand of the products to avoid confusion.
    • To ensure your patient receives the Accu-Chek brand, write “DO NOT SUBSTITUTE” on the prescription.
    • If the prescription is denied, check that the pharmacy ran Medicare Part B.

    A provider can send an ePrescription from any patient chart. At the top of the page, click on “Rx” and click on “Prescription Form” to open a new prescription blank.

    How to write a prescription

    1. Write Your Script

    Enter in the required information which is marked with a red * symbol:

    • Type of Prescription (“Type”)
    • Medication Name and Strength (“Med”)
    • Directions (“Sig”)
    • Quantity (“Qty”)
    • Number of Refills (“Rf”)

    If you would like to add the medication to the medication list that displays on the left hand side (“Permanent Medications List”), check off the “Add to Permanent Med List” checkbox.

    How to write a prescription

    Notes

    • You can enter “units” that belong to a short list of units that Surescripts, our prescribing partner accepts, as well as abbreviations for those units. For example, you can enter: milligrams/mg, tablets/tab, and capsules/cap.
    • If you would like to include additional information with your prescription, click the “more…” link in blue. You will be able to add Notes, Mark the script as “Do not substitute, dispense as written (DAW)”, document the Fill Date (if you want the script to be filled on a date that differs from the date you write the script) and Indication for the script.

    2. Choose the pharmacy where the script should be sent

    Note: This screen only appears if you have not previously sent an electronic prescription to a pharmacy for this patient. For future scripts for this patient, the pharmacy information will be defaulted.

    How to write a prescription

    Enter the Pharmacy Name and find the pharmacy you want to send the script to.

    Tip: The Pharmacy list includes every pharmacy across the country that accepts electronic prescriptions. To most quickly find your desired pharmacy, be sure to type one of the following along with the Pharmacy Name:

    • City (e.g. “CVS Short Hills” or “CVS, Short Hills”)
    • Street name Zip code (e.g., “CVS 07026”)
    • Phone Number
    • Store Number

    How to write a prescription

    Once you have located the pharmacy where you want to send the script, choose the pharmacy from the list and click on the “Select Pharmacy” button.

    3. Send prescription electronically to pharmacy

    The last step is to review the script that you are about to send to the pharmacy. Click on the “ePrescribe Only” button to send the script to the pharmacy.

    You may provide a copy of the script to the patient as well. Click on the “ePrescribe & Print Pt Copy” button to send the script to the pharmacy as well as print a copy of the script to give to your patient in one single step.

    Category: Uncategorized.

    As much as I am not a fan of Latin terms for prescription writing, I understand that following holds true:

    • These are globally taught terms. This allows almost a universal understanding and administration of a prescriptions.
    • Our books, software, infrastructure, processes, and other existing systems already use these terms.

    Clearly learning important terms and using them effectively is important for anyone who is part of the chain of drug administration (see first article in this series.)

    In this article we will learn following categories of terms:

    • Count/quantity of drug
    • Administration
    • Formulation
    • Frequency

    Count/Quantity

    Count of a drug for example, 2 tablets at one time, or 2 capsules at one time, etc. were written originally as roman numerals. For example i for 1, ii for 2, and iii for 3. This then changed into T (which can be thought of the capital roman letter I) with a dot on it.

    Courtesy: http://graphemica.com/%E1%B9%AA/glyphs/times-new-roman-regular

    For example to prescribe Amoxicillin 250 mg tablets, taken 2 tablets orally three times a day for 7 days you will write (note the T with dots in red):

    You can write the Ts or ii. Don’t, however, put one T with two dots on it. It is error prone.

    So what are some examples of the count/quantity?

    • ii tablets (two tablets)
    • i capsule or i cap (1 capsule)
    • 4 mL (suspension). See notes about the suspension below.

    Suspension Administration

    Administering table/tea spoons is error prone due to spilling and inaccuracy in filling. Putting quantity in measurable units is preferred. However, for the patient there has to be a way to measure this exact quantity and use. Syringes can be used. Problem with the syringes is the availability, and more importantly choking hazard by the syringe cap for small children.

    My opinion is that metric units can be used where the administration is in expert staff’s hand. For a patient table spoon and tea spoon are still the most easy method for compliance.

    Route of Administration

    A drug can be administered by many routes or exactly only one route depending upon its chemical formulation and the intent of administration. Common routes of administration and their terms are following:

    • p.o. (per os) mouth
    • p.r. (per rectum)
    • SubQ (subcutaneous)
    • IV (intravenous)
    • IM (intramuscular)
    • IN (intranasal)
    • IT (intrathecal)
    • SL (sublingual)
    • Vag (vaginally)

    In the Amoxicillin example above the p.o. is for oral administration.

    Formulation

    There can be various formulations of the same drug. This is to allow administration of a drug to patients of various ages and state of health. Scope of a drug’s distribution also dictates the formulation. Some common formulations are following:

    • Tab (tablet)
    • Cap. (capsule)
    • Bolus (discrete amount)
    • Susp. (suspension)
    • Syr. (syrup)
    • fl. (fluid)
    • Cr. (cream)
    • Ung. (unguentum) ointment

    In the Amoxicillin example above we used tablets, we could have used tab as well with the same clarity.

    Frequency of Administration

    Writing frequency is possibly the most commonly bothersome area. My approach is to teach the terms that make up the frequency. For example cibum in Latin is for meal, and anti is for before. So anything before meal will be said to be anti cibum and written as a.c.

    Here are some terms for Frequency to keep in mind

    • Cibum: meal
      • a.c. (ante-cibum) before meal.
      • p.c. (post cibum) after meal.
    • Meridian (noon)
      • a.m. (ante meridian) in the morning.
      • p.m. (post meridian) in the evening.
    • Die: day
    • Hora: hour
    • Somni: sleep
    • Quque: every
      • qh: every hour
    • Sumendus (take)
    • p.r.n. (pro re nata) as needed

    Frequency involving Days

    • o.d. (once a day). Note: this should be replaced with the word daily.
    • q.d. a.m. (quaque die ante meridien) every day after morning
    • b.i.d. (bis in die) two in a day. bds (bis die sumendus. Two in a day take).
    • t.i.d. (ter in die) three in a day. tds (tre die sumendus. Three in a day take)
    • q.i.d. (quarter in die) four in a day. qds (quarter die sumendus. Four in a day take.)
    • q.a.d. (quaque altera die) every alternate day
    • (bis in 7 d) every 7 days. Weekly.

    Frequency involving Hours

    • q.i.d. a.m. a.c. (quque in diem ante meridien ante cibum). Once daily before meal. Again the preferred writing method will be to once daily before meal.
    • q.i.d. p.c. (once daily after meal). See above point.
    • h.s. (hora somni) at sleeping time.
    • hor. alt (hora alternis) every other hour.
    • q.h. (every hour).
    • q.1.h. (every hour) q1h.
    • q.2.h. (every two hour) q2h.

    Hope these terms provide enough data to help you write prescriptions.

    Notes

    This article series has not covered the following:

    • How to prescribe injections/infusions?
    • How to prescribe Insulin/Steroids?
    • How to perform dosage calculation?

    Let me know if you will like me to write about these as well?

    When I get a chance I will add some example prescriptions.

    Share this:

    • Print
    • Facebook
    • Twitter
    • WhatsApp

    Written by Mobeen Syed
    May 28, 2016 . Leave a Comment

    Personnel to whom this applies: prescribers; nursing or pharmacy staff (who transcribe verbal prescription orders or rewrite transfer or admission orders when entering or leaving a health care facility); health care administrators/managers.

    Technology plays an important role in the delivery of healthcare. Use technology, as appropriate, but evaluate its effectiveness on an ongoing basis. While technology can reduce medication errors and enhance patient safety, it also has the potential to cause new types of unintentional errors. Whenever technology is selected and implemented, it should meet the requirements of this statement.

    The Council recommends the following:

    1. All prescription documents are legible. Verbal orders should be minimized. (See the Council’s Recommendations to Reduce Medication Errors Associated with Verbal Medication Orders and Prescriptions)
    2. Prescription orders should include a brief notation of purpose (e.g., for cough), unless considered inappropriate by the prescriber. Notation of purpose can help further assure that the proper medication is dispensed and creates an extra safety check in the process of prescribing and dispensing a medication. The Council does recognize, however, that certain medications and disease states may warrant maintaining confidentiality.
    3. All prescription orders are written in the metric system except for therapies that use standard units such as insulin, vitamins, etc. Units should be spelled out rather than writing “U.” The change to the use of the metric system from the archaic apothecary and avoirdupois systems will help avoid misinterpretations of these abbreviations and symbols, and miscalculations when converting to metric, which is used in product labeling and package inserts.
    4. Doses for oral liquids be expressed using only metric weight or volume, e.g mg or mL. If mLs are used it should be associated with a concentration or total dose in milligrams.
    5. Prescribers should include patient-reported age and, when appropriate, weight (metric units is the preferred scale) of the patient on the prescription or medication order. The most common errors in dosage result in pediatric and geriatric populations. For weight-based or body surface area-based drugs, the dose basis should be included. The age (and weight) of a patient can help dispensing health care professionals in their double check of the appropriate drug and dose.
    6. Prescriptions/medication orders include drug name 1 , exact metric weight or concentration, and dosage form. Strength should be expressed in metric amounts and concentration should be specified. Each order for a medication should be complete. The pharmacist should check with the prescriber if any information is missing or questionable.
    7. A leading zero always precedes a decimal expression of less than one (use 0.4 mg instead of .4 mg). A terminal or trailing zero should never be used after a decimal (express as 4 mg, not 4.0 mg). Ten-fold errors in drug strength and dosage have occurred with decimals due to the use of a trailing zero or the absence of a leading zero.

    Prescribers avoid the use of abbreviations including those for drug names (e.g., MOM, HCTZ) and Latin directions for use. The abbreviations in the chart below are found to be particularly dangerous because they have been consistently misunderstood and therefore, should never be used. The Council reviewed the uses for many abbreviations and determined that any attempt at standardization of abbreviations would not adequately address the problems of illegibility and misuse.

    At bedtime, hours of sleep

    Misinterpreted as the Latin abbreviation “HS” (hour of sleep).

    Mistaken as half-strength

  • Prescribers avoid vague instructions such as “Take as directed” or “Take/Use as needed” as the sole direction for use. Specific directions to the patient are useful to help reinforce proper medication use, particularly if therapy is to be interrupted for a time. Clear directions are a necessity for the dispenser to: (1) check the proper dose for the patient; and, (2) enable effective patient counseling.
  • Prescribers should avoid using vague dosing intervals such as “twice daily” or hourly intervals like “every 12 hours”. These instructions can be seen as implicit rather than explicit and harmful to patient understanding. Conversely, using precise dosing times (e.g. 8 AM and 10 PM) may decrease patient adherence due to individual lifestyle patterns, e.g. shiftwork. Write general times of morning, afternoon, and evening to describe dosing intervals. 2
  • Personnel should transcribe verbal prescriptions in designated areas that minimize interruption and distraction.
  • Practitioners should offer counseling to the patient about their prescriptions. Counseling is often seen as the last attempt in catching errors that occur in prescription writing. 3
  • All persons who prescribe medication have access to adequate and appropriate patient information about the patient at the point of prescribing including medical history, known allergies and their reactions, diagnoses, list of current medications, prescription monitoring program data, and treatment plan to assess the appropriateness of prescribing the medication.
  • Conduct both initial and ongoing training of prescribers on accepted standards of practice related to prescription writing processes with the ultimate goal of risk identification and medication error prevention.
  • Actions/Decisions are those of the Council as a whole and may not reflect the views/positions of individual member organizations.

    1 For medications with multiple formulations, be as specific as possible.

    2 USP NF 37-32 General Chapter Prescription Container Labeling

    3 Cohen MR, Smetzer JL, Westphal JE, Comden SC, Horn DM 2012 Sep-Oct;52(5):584-602. Risk models to improve safety of dispensing high-alert medications in community pharmacies. . J Am Pharm Assoc (2003).

    Create an Account

    Allow us to better serve you by enabling a faster line of communication, receive notifications when information you care about is updated and customize your support interests.

    After the template, pharmacy, and drug information are set up, following are the steps to create the prescription.

    1. From the Activities menu, select Rx Writer . The Prescriptions window will list all current prescriptions.
    2. Click the New button to create a prescription for a patient.

    If you need to refill a prescription:

  • Select a prescription and click the Refill button.
  • When you create a new prescription, select a patient. If the patient has a preferred pharmacy, the name and phone number will appear.
  • From the Template drop-down list box, select a template (if desired). If the template has not been set up in the Template window, click the underlined word Template. From this window, you can create, edit, and view templates. If you do not use a template, select the Drug and Pharmacy and the amount to dispense.
  • Enter or select a Valid Until date. This date is for how long the prescription should appear in the Prescriptions window as an active prescription.
  • Select the Add Alert check box if you want this prescription to appear along with the alerts. The alert is removed when the Valid Until date expires. If the Alert needs to be removed prior to the expiration date, edit the prescription and uncheck the Add Alert box.
  • Before saving the prescription and closing, there are a few more options:
    • Click the Print button to print a prescription form.
    • Click the Save button to Save the prescription.
    • Click the Setup button to view the printer setup.
    • Click the Rx History to view this patient’s Rx History.
  • Click OK to save and exit.

    An operatory and/or account note is generated when a prescription is created.

    Printed copies of this document are considered uncontrolled.
    215.Rev002 02.16.2021

    How to write a prescription

    A common question that I’ve been getting lately is about the types of doctors who can write a prescription or doctor’s note for a service dog. People aren’t sure who to ask for their prescription, though they really would like to get started on their journey with a service dog.

    Which Doctors Can Give a Service Dog Prescription?

    The answer to this is fairly simple. Any doctor that is treating your disability, who is legally licensed, can write you a doctor’s note for a service dog. Let’s go over what that means for different types of disabilities:

    Anxiety, Depression, PTSD, OCD and other mental illnesses: This might be a family doctor, psychiatrist, psychologist, therapist, licensed clinical social worker (LCSW), licensed professional counselor (LPC), mental health counselor, certified alcohol and drug abuse counselor, nurse psychotherapist, vocational case manager or a marital and family therapist.

    Seizures, mobility problems, MS, diabetes and other physical illnesses: This might be a family doctor, physical therapist, neurologist, endocrinologist, opthalmologist or other specialists, as well as the doctors listed for mental illnesses.

    What Should the Prescription Say?

    How to write a prescription

    Your doctor’s service dog prescription needs to be specific to be accepted by landlords and airlines.

    It will need to be on your doctor’s “letterhead.” This means it needs to give your doctor’s information.

    The letterhead should have:

    • The doctor’s name with any “attachments” (for example, Dr. John Smith, M.D. or Sarah Smith, LCSW)
    • The clinic address
    • The clinic phone number

    The letter body should include:

    • A date within the last year (Airlines require that it be dated within the last 12 months)
    • A statement that you have a physical or mental disability.
    • A statement that having the dog with you is necessary to your mental or physical health, or your treatment, or to assist you with your disability.
    • That you are under the care of the person writing the note and that the person writing the note is a licensed medical professional. (This includes the doctor’s licensing information: the date it was issued, what state/jurisdiction it was given in and what license it is.)

    Pretty simple! Use this template to create your own doctor’s note for a service dog for your next checkup and you should be all set.

    One Reply to “Doctors Who Can Write Prescriptions for Service Dogs”

    I don’t really know HOW to ask..I’m pretty sure I could qualify for one..I sent you an email going into detail yesterday..but my dad shot me down pretty quick. Its just hard for me to ask for it because I don’t want it to seem like I’m overreacting or just wanting one for funsies.

    To begin with, it must be borne in mind that only some health professionals are legally authorized to write a prescription, such as doctors, dentists or podiatrists. Also veterinarians can prescribe medications, provided they are for veterinary use.

    To make a prescription correctly, the healthcare professional will have to make an effective document, without any risk, always respecting the preferences of the patient, who will be the one who will ultimately decide whether or not to use the prescription.

    What is a prescription

    A prescription or medical prescription is defined as a legal document, made by a qualified health professional, which enables a patient to obtain certain medication in a pharmacy.

    The exact content of a recipe is indicated in Royal Decree 1718/2010, although it can be summarized in a simple and understandable way for anyone who wants to have this information.

    Parts of a prescription

    The recipe document consists of two parts:

    • Body of the recipe. It is the part destined for the pharmacist, the one that contains all the necessary information so that the patient can get the medication.

    • Information sheet for the patient. It can be included within the prescription or it can be another separate document. This page lists the necessary information for the patient, regarding treatment and diagnosis, detailing all prescribed medications and products.

    Details of a prescription

    Within the prescription document, there are some essential and mandatory requirements for it to be valid and for the pharmacist to dispense the prescribed medication.

    • Drug data. Obviously, the prescription must include the trademark of the drug or its active ingredient. In addition, other data will have to appear regarding the medication, such as the dosage, the pharmaceutical form, the route of administration, the format, the number of containers required and the posology. Some of these elements are generated automatically when the recipe is electronic, so they will only be required to be filled in in the case of manual recipes.

    •Patient’s data. The prescription will also have to carry the patient’s data, such as the name, with both surnames, and the year of birth; and the patient’s personal identification code if it is a public healthcare prescription. If it is a prescription for private medical assistance, the patient’s DNI or NIE will have to appear, or a legal guardian in the case of minors.

    • Doctor’s information. For the document to be valid, it must contain all the information related to the doctor who writes the prescription. In addition to the full name with the surnames, the prescription must include the collegiate number, the town and the address where it works. It is vitally important that you stamp your personal signature on the prescription, or electronic signature in the case of electronic prescriptions; otherwise, the prescription will be invalid.

    •Other data. Although they are not as relevant as the previous ones, the document must be marked with the date on which the prescription was made, the expected date to dispense the medication in case of chronic or renewable treatments, and the order number, also in case that it is a long-term treatment.

    Nowadays, various platforms have been designed that allow or facilitate the treating physician, the prescription of drugs of any type, in each of their patients this is thanks to the e-prescribing network software, which through the placement of data The EPCS generates the ideal medical prescription for the patient, thus avoiding therapeutic errors, which could bring problems to the doctor

    For more information about EPCS please visit https://wenoexchange.com/ .

    A prescription or medical prescription is defined as a legal document, made by a qualified health professional, which enables a patient to obtain certain medication in a pharmacy.

    M3 India Newsdesk Oct 25, 2020

    A doctor’s everyday activity of writing prescriptions needs to follow certain guidelines. Moreover, following protocol can save trouble later on. It is, therefore, imperative that doctors prescribe not only the right drug at the right time but also the right dose for the right duration.

    How to write a prescription

    According to Bangalore-based National Institute of Mental Health and Neurosciences (NIMHANS), over 14% of their patients are addicted to prescription drugs, including opioids. Not only patients, but also their family members tend to use surplus medication, such as sleeping pills. Withdrawal leads to cognitive issues and addiction to prescription drugs could lead to other side effects.

    The Medical Council of India has specified dos and don’ts when it comes to writing prescriptions. Getting medical prescriptions right is crucial to minimise the scope for medicine misuse. Therefore, it’s imperative that doctors prescribe not only the right drug at the right time but also the right dose for the right duration.

    Doctors are advised to adhere to the following protocol while writing a prescription:

    • The doctor’s full name, address, consultation timings, contact numbers have to be printed on the prescription letterhead
    • All the degrees, especially the primary degree, should be printed on the letterhead as well
    • The doctor’s registration number and the registering authority must be printed on the letterhead too
    • The doctor’s full signature with date, in blue indelible ink, should be present on the prescription
    • Date of issue of prescription should be mentioned
    • The stamp, including doctor’s full name, qualifications, and registration number should be present on the prescription
    • The patient’s full name, age, gender, weight and full address, including telephone number should also be mentioned

    Guidelines for writing medicines on prescriptions

    1. Name of the medicine: Write the generic name in capital letters, avoid abbreviation or scribbling the name of the medicine. According to an MCI circular, “While using of generic drug names, every doctor should prescribe drugs with generic names legibly and preferably in capital letters and shall also ensure that there is a rational use of drugs.”
    2. Mention the dose, strength, route of administration and duration. Steer clear of overprescribing drugs.
    3. Mention dosage form: Mention DT or tablet or syrup and even the total quantity. Clearly mention refill information. For example, write: “Medicines should not be refilled” or “Don’t dispense more than once.” This deters patients from refilling or repurchasing with the same prescription again and again, unless the doctor prescribes it.
    4. Don’t prescribe medicine over the telephone or through SMS. This is allowed only during emergency situations, but doctors still need to speak to the pharmacist to reinforce the prescribed order.
    5. Don’t leave behind blank, pre-signed prescriptions.
    6. Don’t endorse medical stores, like, “Available at XYZ medical stores.”
    7. Be cautious in prescribing habit-forming medicines or drugs such as sedatives, hypnotics, codeine-containing cough syrups and buprenorphine among other things. Inform the patient about their potential for addiction as well as the dangers of long-term and excessive use. Such drugs should be handwritten separately and not computerised or typed.

    Stick to your specialty

    1. Only a doctor registered with the respective state medical council is authorised to prescribe allopathic medicines.
    2. Dentists and veterinary doctors should prescribe medicines related to their branch alone. Prescribing for ailments outside their specialty is illegal and punishable by law.
    3. AYUSH doctors are not authorised to prescribe allopathic medicines to patients.

    This article was originally published on January 7, 2020.

    Looking for an answer to the question: Can a chiropractor write a prescription for physical therapy? On this page, we have gathered for you the most accurate and comprehensive information that will fully answer the question: Can a chiropractor write a prescription for physical therapy?

    Physios and podiatrists can now write prescriptions for patients in world first. New laws coming into force mean trained practitioners can give patients medication such as painkillers and anti-inflammatories.

    Legally, chiropractors are not allowed to prescribe drugs. Most of the concepts of chiropractic care revolve around drug-free treatments, so they would not need to prescribe medicines to supplement their treatment.

    Serious complications associated with chiropractic adjustment are overall rare, but may include: A herniated disk or a worsening of an existing disk herniation Compression of nerves in the lower spinal column (cauda equina syndrome) A certain type of stroke (vertebral artery dissection) after neck manipulation

    Chiropractors cannot prescribe medicine or do surgery. Chiropractors emphasize the alignment of the spine for good health. So they often perform spinal adjustments with their hands or a small tool. DOs and chiropractors share a few similar moves.

    Can a chiropractor certify CFRA?

    The Court disagreed, explaining that chiropractors can, indeed, be “heath care providers” able to certify CFRA leave. Moreover, all Faust needed to do was provide verbal notice sufficient to make the employer aware of the need for the CFRA-qualifying leave. The employee need not even mention the CFRA in his request.

    Can a chiropractor fix a pinched nerve?

    Can a Chiropractor Treat Pinched Nerve Pain? Yes, chiropractors provide a variety of safe, effective treatments for pinched nerve pain. Chiropractic care and decompression therapy may involve spinal manipulation to alleviate pressure from a herniated disc or bulging disc.

    Can my chiropractor write a letter of medical necessity?

    A patient can write the letter, but it needs to be made official by a doctor. . That means the doctor needs to know you, have some history with you, and in the end either write or ‘sign off on’ the letter.

    How much is a session of chiropractic?

    Overview. In general, chiropractic services range from approximately $30 to $200 per session. Of course, each type of treatment has a different cost. For example, an initial consultation with a chiropractor may be provided at no charge, while a typical therapy session costs about $65 on average.

    Is a chiropractor a medical provider?

    Chiropractors are trained medical professionals who use their hands to relieve pain in the spine and other areas of the body.

    Can a chiropractor write a work excuse?

    Absences certified by chiropractors are unique under the FMLA because chiropractors are the only health care providers whose capacity to excuse an employee from work depends on the diagnosis itself and the presence of x-rays.

    Can chiropractors write prescriptions for MRI?

    Generally, a chiropractor does not order or refer you for an MRI and is able to complete a thorough enough assessment without one.

    How do Chiropractors prove medical necessity?

    For chiropractic services, this means the patient must have “a significant health problem in the form of a neuromusculoskeletal condition necessitating treatment, and the manipulative services rendered must have a direct, therapeutic relationship to the patient’s condition and provide a reasonable expectation of .

    Can chiropractors write prescriptions for massage?

    A chiropractor can prescribe massage therapy treatments for you. Many clinics such as ours has chiropractic and massage therapy, therefore, you can see the chiropractor and get referred to massage therapy.

    Can a physical therapist write a letter of medical necessity?

    In order to be effective, the letter of medical necessity should be written by a healthcare professional familiar with the requesting party’s medical condition. . This professional may be a physician, a nurse, a physical therapist, an occupational therapist or other medical professional.

    Can chiropractors write scripts for physical therapy?

    Physical therapists are only able to prescribe medication to active military personnel in a military setting. They are not legally permitted to prescribe to civilians or ex-military. Chiropractors cannot prescribe medication under any circumstances.

    Can chiropractors prescribe medication?

    Chiropractors cannot prescribe medicine or do surgery. Chiropractors emphasize the alignment of the spine for good health. So they often perform spinal adjustments with their hands or a small tool.

    Do chiropractors have prescriptive authority?

    In the United States, approximately one-third of all licensed chiropractors currently practising in the state of New Mexico have limited prescriptive authority.

    Can chiropractors write doctors notes?

    If your employer refuses to provide reasonable accommodations simply because the medical provider is a chiropractor then it likely violates the Fair Employment and Housing Act. It does not have the right to demand only notes from a doctor.

    Can chiropractors write prescriptions for muscle relaxers?

    The question of whether or not Chiropractors can prescribe pain medication is something that many pain sufferers ask. The answer is that in most of the United States, Chiropractors are not licensed to write prescriptions for medications.

    Can chiropractor write medical necessity letter?

    Defining what constitutes medical necessity depends upon which carrier you ask, however most share the view that meeting the standard of medical necessity requires that the chiropractic service performed be “reasonable and necessary” or “appropriate” in light of the patient’s condition.

    Is a chiropractor considered a healthcare provider?

    Chiropractors are considered health care providers but only to the extent that their work with the patient involves, as the FMLA puts it, “treatment consisting of manual manipulation of the spine to correct a subluxation as demonstrated by X-ray to exist.”

    Can a chiropractor provide a letter of medical necessity?

    Defining what constitutes medical necessity depends upon which carrier you ask, however most share the view that meeting the standard of medical necessity requires that the chiropractic service performed be “reasonable and necessary” or “appropriate” in light of the patient’s condition.