2PRESCRIPTION ORDERIs an important therapeutic transaction between dentist/physician and the patient.It brings into focus the diagnostic acumen and therapeutic proficiency of the dentist/physician with instructions for palliation or restorations of the patient’s health.
3PRESCRIPTION ORDER WRITING Proficiency at writing a prescription order accurately and speedily requires practice.The prescription order should be written legibly.It is convenient and the accepted form to have one’s name, address, telephone number, office hours and Drug Enforcement Administration (DEA) registry number printed on the prescription order blank (controlled substance in schedule II)
4CHOICE OF DRUG NAME:- Most of drugs can be prescribed by their official names, by their nonproprietary names or by the manufacturers proprietary name is often referred to as the generic name
5CHOICE OF A SYSTEM OF WEIGHTS AND MEASURE: Prescription orders should always be written in the metric system.It is necessary only to designate the amount of drug by numbers and to indicate the metric of weight or volume desired
7HOUSEHOLD EQUIVALENTS 1 teaspoonful1 dram5ml1 tablespoonful4 drams15ml1 wineglass2 ounces60ml1 teacup4 to 6 ouncesml1 glassful8 ounces240ml1 dessert spoonful2 drams10 ml
8Construction of the Prescription Order: Only one prescription should be written on an other blank.MAJOR ELEMENTS:DateName, address, and Age of the patientThe symbol Rx – is an abbrevation for recipe, the Latin for “take-out.”Drug, strength, and inert additivesDirection to the pharmacistDirections to the patientSignature
9PARTS OF PRESCRIPTION: SUPERSCRIPTION – Patient’s name, address, and age; and the symbol RxINSCRIPTION – Name of drug, dosage form, and amountSUBSCRIPTION – Direction to the pharmacistTRANSCRIPTION or SIGNATURE – Directions to the patient
101. Heading – name, address, and phone number of the prescriber - Name, address, age and phone number of the patient - Date 2. Body - the symbol Rx - Name and dosage unit or concentration(liquids) of the drugs - Amount to be dispensed - Directions to the patient 3. Closing - Presciber’s signature - Space for DEA number - refill instructions
11Joe A. Doe, D.D.S Main Street Phone City, State ________________________________________________________ Patient name_____________ Date:__________ Address:_________________ Age:___________ Rx Mefenamic acid ( Dolfenal ) 500mg/ tab # 9 Sig: Take 1 tab 3x a day as needed for pain. Take in full stomach. Dentist:______________ License Number:__________ PTR:_____________ s2 Number________________
12GUIDELINES ON PRESCRIBING MEDICINES BASED ON PRIOR LAWS Only validly-registered medical, dental and veterinary practitioners, whether in private or employed in a private institution/corporation or in the government, are authorized to prescribe drugs.All prescriptions must contain the name of the prescriber, office address, PRC number, Professional tax receipt number, patient’s/clients name, age and sex and date of prescription
13HINTS FOR PRESCRIPTION WRITNG: Write legibly in inkUse the metric systemAvoid abbreviationsKeep a copy of each prescription or transcribe the information to the patient’s recordInclude complete information for the patient.a. never use “take as directed” unless a written instruction sheet is provided.b. include the intended purpose, for example – “for relief of pain”c. Use precautions to remind the patient of a drug’s side effects, for example, “ caution: Sedation or caution: may cause drowsinessd. add reminder phrases to increase the patient’s complianceExample: To complete for 7 days.
14VIOLATIVE ERRONEOUS AND IMPOSSIBLE PRESCRIPTIONS: VIOLATIVE PRESCRIPTION: - Where generic name is not written - Where the generic name is not eligible and a brand name which is legible is written - Where the brand name is indicated and instructions added (such as no substitution) which tend to prevent proper dispensing.
15ERRONEOUS PRESCRIPTION: Where the brand name precedes the generic nameWhere the generic name is the one in parenthesisWhere more than one drug product is prescribed on one prescription form
16SCHEDULES OF FEDERALLY CONTROLLED SUBSTANCE Abuse potentialExamplesHandlingIHighestHeroin, LSD, marijuana, hallucinogensExperimental or research use onlyIIHighMorphine, meperidine, oxycodone, hydromorphone, amphetamine, ssecobarbital,amobarbitalPrescriber’s signature required; no refillsIIIModerateCodeine mixtures (Tylenol)Prescriptions may be telephoned; no more than 5 refills in less than 6 monthsIVLessBenzodiazepines (Diazepam)VleastSome codeine-containing cough syrupsCan be bought over the counter in some states
17Common abbreviations in Prescription: LATIN DERIVIATIONENGLISH MEANINGa.c.Ante cibumBefore mealsadTo; up toad libad libitumAs much as desired; without limitb.i.d.bis in dieTwice a daycapscapsulaCapsulesgttguttaA Dropo.dOmni dieDaily, once a dayh.sHora somniAt bed time, hour of sleepp.c.Post cibumAfter mealsp.r.nPro re nataWhen required, as requiredq.hQuaque horaEvery hourq.dQuaque dieEvery day, dailyq.i.d/ t.i.dQuator in die/ ter in dieFour times a day/ 3 times a daystatstatimAt once, immediately