PRESCRIPTION

WRITING
PRESCRIPTION ??
Written order by a registered
physician directing the
pharmacist to prepare or
dispense pharmacological
agents for the diagnosis,
prevention or treatment of a
disease.
NEED?
• "Every physician should prescribe drugs with generic
names legibly and preferably in capital letters and
he/she shall ensure that there is a rational prescription
and use of drugs".
• Prescriptions are also written by dentists and
veterinarians.
• It is a legal document for which the prescriber and the
pharmacist are both responsible and subject to local
regulations.
• A prescription is prima facie (legally sufficient to establish
a fact orr a case unless disproved) evidence in the court of
law.
GENERIC DRUG
FDA describes "A generic drug is a medication
created to be the same as an existing approved
brand-name drug in dosage form, safety, strength,
route of administration, quality, and performance
characteristics."
• When a drug is under patent protection, the company
markets it under its brand name
• When the drug is off-patent (no longer protected by patent),
the company may market its product under either the generic
name or brand name.
• Other companies can file for approval to market the off-
patent drug.
• Such companies must use the same generic name but can
create their own brand name.
• As a result, the same generic drug may be sold under either
the
generic name (for example, paracetamol) or one of many
brand names (such as Calpol, Crocin, Dolo, Pyerigesic, and T98).
• BRAND NAME vs GENERIC NAME

PYERIGESIC CROCIN

CALPOL PARACETAMOL DOlO

TYLENOL T98
PARTS OF PRESCRIPTION
1. Superscription
2. Inscription
3. Subscription
4. Transcription
5. Signature of clinician
1.SUPERSCRIPTION
It comprises
1.Date
2.Details of the clinician:
• Name
• Degree and designation
• Registration Number - MCI or State Medical Council
• Phone number
3.Details of the patient
• Name
• Age
• Sex
• Address
• Weight
4.Symbol Rx - meaning "may Lord Jupiter bless you and may you get
well soon"
2. INSCRIPTION

• This part of prescription comprises of the drug/drugs

to be prescribed to the patient.
• The appropriate drug formulation with its required
strength must be clearly mentioned.
For example: Ciprofloxacin 500 mg tablet
• The names of the drugs must be:
• Legible - preferably in capital letters
• Generic
3. Subscription

• This part of prescription comprises instructions to

the pharmacist regarding the drug formulation.
• For example, Dispense 10 ml of such syrup
• This was followed earlier when apothecary system
(i.e. the pharmacist compounded drug
formulation).
• Nowadays such instruction is written along with the
inscription
• E.g., Ofloxacin 500 mg, 10 tabs
4. Transcription

• This part of prescription comprises directions for

the patient to take the drug formulation.
• E.g., Take 1 tablet twice a day (b.d.) for 5 days
5. SIGNATURE OF THE CLINICIAN

• It is mandatory for the clinician to put his/her

signature at the end of prescription, thus making it
a medico legal document.
6.OTHERS
• Refill information
• Requirement of childproof containers
• Additional warnings
RENEWAL INSTRUCTIONS/ REFILL

• It is a part of Signature and contains number of refills

permitted for the patient (written on the left at
bottom)
• Refills are important in chronic diseases
• Where the physician feels that the visit may not be of
any use and the patient would be required to
continue the same treatment.
• If refills are not to be allowed, it should be clearly
documented on the prescription. Not mentioning 'Do
not refill' often leads to misuse of the prescription
SUPERSCRIPTION

INSCRIPTION
TRANSCRIPTION
SUBSCRIPTION

SIGNATURE OF CLIN
SUPERSCRIPTION
(Details of date, pt, dr, rx symbol)

INSCRIPTION(formuln+strength)
TRANSCRIPTION(to the patient)
SUBSCRIPTION(to pharmacist)

SIGNATURE OF CLINICIAN
Common Abbreviations Used in a
Prescription:
IRRATIONAL PRESCRIPTION

• Illegible handwriting
• Missing on any of the following
• Date
• Age, Gender, Medical history of patient
• Instructions to patient, pharmacist
• Qualification & registration no., signature of doctor
• Name of drug in capitals, only generic name,
• Not using abbreviations
RATIONAL PRESCRIBING:

It fulfills the following criteria's:

1. Right diagnosis
2. Right drug
3. Right dosage
4. Right duration
5. Right route of administration
6. Right cost
 PRESCRIPTION No.1
NAME OF THE PATIENT : Mr Raj NAME OF THE DOCTOR : Dr Shruthi
AGE : 25years. QUALIFICATION :MBBS
ADDRESS : V V puram, Mysore REGISTRATION NUMBER :123456
SEX : Male DATE :04/08/2022
*WEIGHT : 60kg *PHONE NO : 8889998889
*PHONE NUMBER : 9998889998
DIAGNOSIS: ANAPHYLACTIC SHOCK

- Inj. ADRENALINE 0.5 milligrams (0.5ml of 1:1000 solution) I.M STAT

(Repeat dose after 5-10 minutes if necessary)
- Inj. HYDROCORTISONE 100 milligrams I.V STAT
(Repeat dose 4-8 hours later if severe symptoms persist)
- Inj. CHLORPHENIRAMINE MALEATE 10 milligrams I.M or SLOW I.V STAT
- OXYGEN INHALATION at 2-4litres/minute
- IV NORMAL SALINE INFUSION to maintain adequate hydration
SIGNATURE OF THE DOCTOR
REG.NO
 PRESCRIPTION NO:2
NAME OF THE PATIENT
NAME OF THE DOCTOR
AGE QUALIFICATION
SEX REG.NO.
CONTACT NO.
ADDRESS
DATE
WEIGHT
CONTACT NO. DIAGNOSIS:RHEUMATOID ARTHRITIS
Rx
 - Tab. IBUPROFEN 400 mg TID, after food, for 1 week
DISPENSE 21 TABLETS
- Tab. METHOTREXATE 7.5 mg once a week for 1 month
DISPENSE 4 TABLETS
- Tab. FOLIC ACID 5 mg OD for 1 month
DISPENSE 30 TABLETS
- Tab. HYDROXYCHLOROQUINE 200 mg BD or 400 mg OD for 1 month
DISPENSE 60 (200mg) or 30 (400mg) TABLETS
- Inj. ETANERCEPT 50 mg s/c once a week for 1 month
- Tab. METHYLPREDNISOLONE 20 mg BD for 5 days, followed by
- Tab. METHYLPREDNISOLONE 10 mg BD for next 5 days, followed by
- Tab. METHYLPREDNISOLONE 10 mg OD for next 5 days.
- MODERATE GENERAL JOINT MOBILITY EXERCISE, PHYSIOTHERAPY OF THE
AFFECTED JOINTS AND HIGH PROTEIN HIGH FIBRE LIPID LOWERING DIET AS ADVISED.
SIGNATURE OF THE DOCTOR
REG.NO
 PRESCRIPTION No.3
NAME OF THE PATIENT NAME OF THE DOCTOR
QUALIFICATION
AGE
REG.NO.
SEX CONTACT NO.
DATE
ADDRESS
WEIGHT
CONTACT NO.

DIAGNOSIS : GRANDMAL EPILEPSY

- Tab. CARBAMAZEPINE SR-200 mg BD

DISPENSE 60 TABLETS
1 TABLET TO BE TAKEN WITHOUT FAIL TWICE DAILY AFTER FOOD
FOLLOW UP AFTER 1 MONTH

SIGNATURE OF THE DOCTOR

REG.NO
 PRESCRIPTION NO:4
NAME OF THE PATIENT NAME OF THE DOCTOR
AGE QUALIFICATION
REG.NO.
SEX CONTACT NO.
DATE
ADDRESS
WEIGHT
CONTACT NO.
DIAGNOSIS: TYPE II DIABETES MELITUS

Rx
Strict diabetic diet and lifestyle modification
T. Metformin 500mg BD after food for 30 days
T. Vildagliptin 50mg BD after food for 30 days
Disperse 60 such tablets

SIGNATURE OF THE DOCTOR

REG.NO
 PRESCRIPTION No.5
NAME OF THE PATIENT : NAME OF THE DOCTOR :
AGE : QUALIFICATION :
ADDRESS : REGISTRATION NUMBER :
SEX : DATE :
*WEIGHT : *PHONE NO :
*PHONE NUMBER :

DIAGNOSIS: STATUS ASTHMATICUS

- Oxygen2 22 inhalation at 4-6 litres/minute

- Inj. HYDROCORTISONE 100 mg I.V STAT
May be repeated as 4th or 8th hourly I.V infusion
- Nebulised SALBUTAMOL 2.5-5 mg + IPRATROPIUM BROMIDE 0.5 mg intermittent
inhalation STAT, and repeated every 20 minutes for the first 2 hours till symptomatic
improvement is seen
May be repeated 8th hourly thereafter
- Inj. AMOXYCILLIN+CLAVULINIC ACID 1.2 gram I.V BD, after test dose
- SODIUM BICARBONATE 1-2 meq/kg in I.V SALINE 500 ml infusion
SIGNATURE OF THE DOCTOR
REG.NO
1. Anaphylactic shock 17. Pulmonary tuberculosis
2. Mild hypertension 18. Acute falciparummalaria
3. Acute anginal attack 19. Prophylaxis of falciparum malaria
4. MI with cardiogenicshock 20. Vivax malaria
5. Grandmal epilepsy 21. Vaginal candidiasis
6. Petitmal epilepsy 22. Round worm infestation
7. Rheumatoid arthritis 23. Amoebic dysentery
8. Peptic ulcer 24. Amoebic liver abscess
9. Motion sickness 25. Tapeworm infestation
10. Status asthma 26. Filariasais
11. Microcytic hypochromic anemia 27. Insulin dependent diabetes mellitus
12. Anemia during pregnancy 28. Type 2 Diabetes Mellitus
(prophylactic)
29. Hypothyroidism
13. Acute rheumatic fever prophylaxis
30. Post partum hemorrhage
14. Enteric fever
31.Prophylaxis for vomiting due to
15. Urinary tract infection cancer chemotherapy
16. Bacillary dysentery
 PRESCRIPTION No.6

DIAGNOSIS: (ACUTE) RHEUMATIC FEVER PROPHYLAXIS

After hypersensitivity test,

- Inj. BENZATHINE PENICILLIN 1.2 million units IM every 4 weeks
- Given till 18 years of age, or 5 years after the last attack, whichever
period is longer.
 PRESCRIPTION NO:7

• 15 year old boy weighing 30kg is diagnosed with

Type 1 Diabetes mellitus with FBS:220mg/dl,
PPBS:390mg/dl, HbA1C: 9.2%.
• Prescribe for his diabetic management.
 PRESCRIPTION NO:7
NAME OF THE
NAME OF THE PATIENT: Master Giri
DOCTOR
AGE: 15 years QUALIFICATION
REG.NO.
SEX: Male CONTACT NO.
DATE
ADDRESS: Kuvempu nagara, Mysore
WEIGHT: 30kg
CONTACT NO.: 9889889889
Rx DIAGNOSIS: TYPE 1 DIABETES MELLITUS

Strict Diabetic diet and lifestyle modification

Inj. Regular Insulin 0.4 - 0.8 U/kg/day Subcutaneous in 3 divided doses each taken
20 to 40 minutes before each meal

(Strict Diabetic diet and lifestyle modification

Inj. Regular Insulin 8U TID Subcutaneous 20 minutes before each meal)
 PRESCRIPTION No.8

NAME OF THE PATIENT : NAME OF THE DOCTOR :

AGE : QUALIFICATION :
ADDRESS : REGISTRATION NUMBER :
SEX : DATE :
*WEIGHT : *PHONE NO :
*PHONE NUMBER :

DIAGNOSIS: GRADE 1 HYPERTENSION

(< 55 years:)
- Tab. TELMISARTAN 20 mg OD
OR
(> 55 years:)
- Tab. S-AMLODIPINE 2.5 mg OD
Salt restriction
Stop alcohol Consumption and smoking
SIGNATURE OF THE DOCTOR
REG.NO
Rx PRESCRIPTION NO:9
DIAGNOSIS: ENTERIC FEVER

1. INJ.CEFTRIAXONE 2g IV BD for 2 days (until fever subsides)

followed by
INJ.CEFTRIAXONE 1g IV BD for 2 days after fever subsides
followed by

Tab. CEFIXIME 200mg BD for 6 days

dispense 12 tablets

2. Tab .PARACETAMOL 500 mg TID for 3 days or SOS

Dispense 10 tablets
 PRESCRIPTION NO:10

Rx
DIAGNOSIS: URINARY TRACT INFECTION

1 Tab. NITROFURANTOIN 100mg BD for 5-7 days

Dispense 10 tablets
2.SODIUM CITRATE /CITRIC ACID SOLUTION 10 ml
TID after food 5-7 DAYS
3.plenty of oral fluids

Send for Urine Culture and Sensitivity before Starting

Antibiotic Therapy
 PRESCRIPTION NO:11

Rx
DIAGNOSIS: BACILLARY DYSENTRY

1.TAB CIPROFLOXACIN 500mg BD for 5 days

dispense 10 tablets
2.TAB DICYCLOMINE 20 mg stat and sos
dispense 1 tablet
3.CAP LACTOBACILLUS TID for 5 days
dispense 15 Capsules
 PRESCRIPTION NO:12
Rx
DIAGNOSIS: NEWLY DIAGNOSED SPUTUM POSITIVE PULMONARY TUBERCULOSIS

1. INTENSIVE PHASE
TAB ISONIAZID 300Mg (5Mg/kg/day)
CAP RIFAMPICIN 600Mg (10Mg/kg/day)
TAB PYRAZINAMIDE 1500Mg (25Mg/kg/day)
TAB ETHAMBUTOL 900Mg (15Mg/kg/day)
Each drug to be taken daily for 2months

2. CONTINUATION PHASE
TAB ISONIAZID 300Mg (5Mg/kg/day)
CAP RIFAMPICIN 600Mg (10Mg/kg/day)
TAB ETHAMBUTOL 900Mg (15Mg/kg/day)
Each drug to be taken daily for 4months
TAB PYRIDOXINE 1000mg OD for 6 months, as long as Isoniazid therapy.
Review after 6 months or SOS for follow up
 PRESCRIPTION No.13

DIAGNOSIS: ACUTE FALCIPARUM MALARIA

- Tab. ARTESUNATE 100mg BD for 3 days

DISPENSE 6 TABLETS
- Tab. SULFADOXIME 1500mg + PYRIMETHAMINE 75mg STAT SINGLE DOSE
DISPENSE 1 FDC TABLET
-Tab.PRIMAQUINE 45mg STAT single dose on day2
DISPENSE 1 TABLET
- Tab. PARACETAMOL 500mg TID and as and when required
DISPENSE 10 TABLETS
SIGNATURE
OF THE DOCTOR
REG.NO
 PRESCRIPTION No.14

DIAGNOSIS: PROPHYLAXIS OF FALCIPARUM MALARIA

If travelling to malarial endemic area for less than 6 weeks:
Cap. DOXYCYCLINE 100mg daily started 1 day before travel and
continued for 4 weeks after leaving the endemic area.
DISPENSE 60-80 CAPSULES
If travelling for more than 6 weeks:
Tab. MEFLOQUINE 250mg once a week, to be taken 2 weeks before
the travel and continued for 4 weeks after leaving the endemic area.
DISPENSE 10-12 TABLETS
 PRESCRIPTION No.15

DIAGNOSIS: VIVAX MALARIA

- Day 1 – Tab. CHLOROQUINE 300mg 2 stat followed

by 300mg after 8 hours
- For next 2 days – Tab. CHLOROQUINE 300mg OD
DISPENSE 5 TABLETS
- Tab PRIMAQUINE 15mg OD for 14 days
Dispense 14 tablets
- Tab. PARACETAMOL 500mg TID or SOS
Dispense 10 tablets
 PRESCRIPTION No.16

DIAGNOSIS: VAGINAL CANDIDIASIS

- Tab. FLUCONAZOLE 150mg 1 STAT

OR,
- Tab. VORICONAZOLE 200mg BD for 5 days
TO BE TAKEN EITHER 1 HOUR BEFORE OR 1 HOUR
AFTER FOOD
-MICONAZOLE 200mg Vaginal Suppository
1suppository for 3 days at bed time
 PRESCRIPTION NO:17
Rx

DIAGNOSIS: ROUND WORM INFESTATION

1. Tab. ALBENDAZOLE 400mg, single dose chewed as

a whole, at bedtime, after fatty meal
Dispense 1 table
:In heavy infections 400mg PO OD for 3 days
For children 12 -24 months 200mg PO single dose

Or
2. Tab.MEBENDAZOLE 100mg BD for 3 days
Dispense 6 tablets
 Rx
PRESCRIPTION NO:18

DIAGNOSIS: AMOEBIC DYSENTRY

1. INJ. METRONIDAZOLE 500mg slow IV Q6H for 10 days

OR
Tab. METRONIDAZOLE 400mg 2 TID for 10 days
Dispense 60 tablets
OR
Tab.TINIDAZOLE 1g 2 OD for 6 days
Dispense 12 tablets

2. Tab .DILOXANIDE FUROATE 500mg TID for 10 days

Dispense 30 tablets
3. Tab .DICYCLOMINE 20mg SOS
Dispense 2 tablets
4. Plenty of oral fluids
 PRESCRIPTION NO:19
Rx DIAGNOSIS: AMOEBIC LIVER ABCSESS
1. INJ.METRONIDAZOLE 500mg slow IV Q6H for 10 days
OR
Tab.METRONIDAZOLE 400mg 2 TID for 10 days
Dispense 60 tablets
OR
Inj. TINIDAZOLE 800mg I.V OD for 6 days
OR
Tab. TINIDAZOLE 1g 2 OD for 6 days
Dispense 12 tablets

2. Tab.DILOXANIDE FUROATE 500mg TID for 10 days

Dispense 30 tablets

3. Tab .PARACETAMOL 500 mg TID for 3 days or SOS

Dispense 10 tablets

If patient is not responding to above therapy,

Tab. CHLOROQUINE PHOSPHATE 500mg BD for 2 days
Followed by
Tab. CHLOROQUINE PHOSPHATE 500mg OD for 21 days.
 PRESCRIPTION NO:20
DIAGNOSIS: TAPE WORM INFESTATION
(HYMENOLEPIS NANA)
Rx

1.Tab .PRAZIQUANTEL 600mg *2OD PO to be taken

at once, (1200mg single dose) in the morning after
food
Dispense 2 tablets

NB:Dose : 25mg/kg
 PRESCRIPTION NO:21

DIAGNOSIS: TAPE WORM INFESTATION

(T.solium &T.saginata)
Rx

1.Tab .PRAZIQUANTEL 600mg PO single

dose in the morning after food
Dispense 1 tablet

(Dose: 10mg/kg)
 PRESCRIPTION NO:22
Rx
DIAGNOSIS: FILARIASIS

1.Tab.DIETHYLCARBAMAZINE CITRATE 100mg TID

after food for 21 days
Dispense 63 tablets

NB:Treatment may need to be repeated if

microfilaraemia persists, follow up after 1 month.
Dose:6mg/kg/day
 PRESCRIPTION No.23
NAME OF THE PATIENT : NAME OF THE DOCTOR :
AGE : QUALIFICATION :
ADDRESS : REGISTRATION NUMBER :
SEX : DATE :
*WEIGHT : *PHONE NO : *PHONE
NUMBER :

DIAGNOSIS: ACUTE ANGINAL ATTACK

SIGNATURE OF THE DOCTOR

REG.NO
 - GLYCERYL TRINITRATE 0.4 mg sublingual 1-2 sprays STAT
Repeat dose after 5-10 minutes if pain does not subside, upto a
maximum of 3 doses
- Tab. ASPIRIN 325 mg STAT, followed by 75 mg OD
- Tab. ATORVASTATIN 80 mg STAT, followed by 40 mg OD
- Tab. METOPROLOL Extended release 50 mg OD
- Tab. AMLODIPINE 5 mg OD
- Inj. MORPHINE 4 mg I.V SOS if pain does not subside
- QUIT SMOKING; EXERCISE, WEIGHT CONTROL AND DIET TO BE
FOLLOWED AS ADVISED
- REVIEW S.O.S OR FOLLOW UP AFTER 1 MONTH
 PRESCRIPTION No.24
NAME OF THE PATIENT : NAME OF THE DOCTOR :
AGE : QUALIFICATION :
ADDRESS : REGISTRATION NUMBER :
SEX : DATE :
*WEIGHT : *PHONE NO :
*PHONE NUMBER :

DIAGNOSIS: MYOCARDIAL INFARCTION WITH CARDIOGENIC SHOCK

SIGNATURE OF THE DOCTOR

REG.NO
- O2 inhalation at 2-4 litres/minute
- GLYCERYL TRINITRATE 0.4 mg sublingual 1 spray STAT
Repeat dose after 5-10 minutes if pain does not subside, upto a maximum of 3 doses
- Inj. MORPHINE 4 mg I.V STAT, if pain persists
- Tab. ASPIRIN 325 mg STAT, followed by 75 mg OD
- Tab. TICAGRELOR 180 mg STAT, followed by 90 mg OD
- Tab. ATORVASTATIN 80 mg STAT, followed by 40 mg OD
- Inj. DOPAMINE 2-4 microgram/kg/minute I.V infusion
- Inj. TENECTEPLASE 30 mg single I.V bolus given over 10-20 seconds
- Inj. ENOXAPARIN 30 mg I.V bolus,
followed by 1mg/kg (if age<75 yrs) or 0.75 mg/kg (if age>75 yrs) subcutaneous BD
- I.V fluid 100 ml NS bolus, followed by infusion at the rate of 50-100 ml/hour

To be started after achieving haemodynamic stability:

- Tab. METOPROLOL 25 mg BD
- Tab. S-AMLODIPINE 2.5 mg OD
- DIET AND LIFESTYLE MODIFICATIONS AS ADVISED
 PRESCRIPTION No.25
NAME OF THE PATIENT : NAME OF THE DOCTOR :
AGE : QUALIFICATION :
ADDRESS : REGISTRATION NUMBER :
SEX : DATE :
*WEIGHT : *PHONE NO :
*PHONE NUMBER :

DIAGNOSIS: PEPTIC ULCER

- Cap. LANSOPRAZOLE 30 mg BD BEFORE FOOD FOR 2 WEEKS

DO NOT CRUSH OR CHEW THE CAPSULE BEFORE SWALLOWING
DISPENSE 28 CAPSULES
- Tab. CLARYTHROMYCIN 500 mg BD AFTER FOOD FOR 2 WEEKS
DISPENSE 28 TABLETS
- Cap. AMOXYCILLIN 1 gram BD AFTER FOOD FOR 2 WEEKS
DISPENSE 28 CAPSULES

FOLLOW DIET AS ADVISED

REVIEW AFTER 2 WEEKS
SIGNATURE OF THE DOCTOR
REG.NO
 PRESCRIPTION No.26
NAME OF THE PATIENT : NAME OF THE DOCTOR :
AGE : QUALIFICATION :
ADDRESS : REGISTRATION NUMBER :
SEX : DATE :
*WEIGHT : *PHONE NO :
*PHONE NUMBER :
DIAGNOSIS : MOTION SICKNESS

- Transdermal patch of HYOSCINE 1 milligram, TO BE APPLIED BEHIND THE PINNA 4-12 HOURS BEFORE
JOURNEY
(Reapply after 72hours if necessary)
OR
- Tab. HYOSCINE 0.5 milligrams, TO BE TAKEN ORALLY 1 HOUR BEFORE JOURNEY
(Repeat dose after 1 hour if necessary)
SIGNATURE OF THE DOCTOR
REG.NO
 PRESCRIPTION No.27
NAME OF THE PATIENT : NAME OF THE DOCTOR :
AGE : QUALIFICATION :
ADDRESS : REGISTRATION NUMBER :
SEX : DATE :
*WEIGHT : *PHONE NO :
*PHONE NUMBER :
DIAGNOSIS : MICROCYTIC HYPOCHROMIC ANEMIA

- Tab. FERROUS SULFATE 200 milligrams TID, preferably on empty stomach, for 1
month
DISPENSE 90 TABLETS
REVIEW AFTER 1 MONTH
SIGNATURE OF THE DOCTOR
REG.NO
 PRESCRIPTION No.28
NAME OF THE PATIENT : NAME OF THE DOCTOR :
AGE : QUALIFICATION :
ADDRESS : REGISTRATION NUMBER :
SEX : DATE :
*WEIGHT : *PHONE NO :
*PHONE NUMBER :
DIAGNOSIS : PROPHYLAXIS FOR ANEMIA DURING PREGNANCY

- Tab. FERROUS SULFATE 100 milligrams OD, for 3 months

DISPENSE 90 TABLETS
- Tab. FOLIC ACID 5 milligrams OD, for 3 months
DISPENSE 90 TABLETS
SIGNATURE OF THE DOCTOR
REG.NO
 PRESCRIPTION No.29
NAME OF THE PATIENT : NAME OF THE DOCTOR :
AGE : QUALIFICATION :
ADDRESS : REGISTRATION NUMBER :
SEX : DATE :
*WEIGHT : *PHONE NO : *PHONE NUMBER
:

DIAGNOSIS: HYPOTHYROIDISM

- Tab. LEVOTHYROXIN SODIUM 50microgram OD on empty stomach for 4-6 weeks.

May increase the dose by 25-50microgram if needed after repeating thyroid profile
test, upto a maximum of 100-150microgram/day.

SIGNATURE OF THE DOCTOR

REG.NO
 PRESCRIPTION No.30
NAME OF THE PATIENT : NAME OF THE DOCTOR :
AGE : QUALIFICATION :
ADDRESS : REGISTRATION NUMBER :
SEX : DATE :
*WEIGHT : *PHONE NO :
*PHONE NUMBER :

DIAGNOSIS: POST PARTUM HAEMORRHAGE

- Inj. METHYL ERGOMETRINE 0.5mg I.V stat
- Inj. OXYTOCIN 5 IU I.M or slow I.V bolus, followed by 10-40 IU in 1000ml NS as continuous IV infusion
If unresponsive,
- Inj. CARBOPROST 0.25mg I.M every 30-120 minutes, till bleeding subsides.

- IV infusion of 4 to 5 litres of Normal saline for every 1 litre blood loss, till blood is available
for transfusion if blood loss is ongoing and is more than 1500-2000ml.
- Watch for further haemorrhage
SIGNATURE OF THE DOCTOR
REG.NO
 PRESCRIPTION No.31
NAME OF THE PATIENT : NAME OF THE DOCTOR :
AGE : QUALIFICATION :
ADDRESS : REGISTRATION NUMBER :
SEX : DATE :
*WEIGHT : *PHONE NO :
*PHONE NUMBER :
DIAGNOSIS : PROPHYLAXIS FOR VOMITING DUE TO CANCER CHEMOTHERAPY

- Inj. ONDANSETRON 8 milligrams SLOW I.V STAT, 1 hour before initiation of chemotherapy
( Repeat similar dose, 4 hours apart, if necessary)
- Inj. RANITIDINE 50 milligrams I.V STAT, 1 hour before initiation of chemotherapy
- Inj. DEXAMETHASONE 8 milligrams I.V STAT, 1 hour before initiation of chemotherapy
Followed by,
- Tab. ONDANSETRON 8 milligrams BD, before food, for 3-5 days
DISPENSE 6-10 TABLETS.
SIGNATURE OF THE DOCTOR
REG.NO