Prescription Examples

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PRESCRIPTION EXAMPLES

Extemporaneous (magistral) prescription form.


Latin form
Analgesic powder for headache
Rp.

Metamizoli
gma semis (0,50)
Coffeini
cgta quinque (0,05)
M.f. pulv.
Dent.tal. dos.No decem (X)
S. 1 dose in case of pain, max 3 times a day

5. Antacid powder
Rx.
Magnesium oxide
500mg
Aluminium oxide
500mg
Make 20 such doses.
Label: 3x1 doses after meal, max 3 times a day.

6. Keratolytic cream
English form
1. Analgesic powder for headache
Rx.
Metamizole
500mg
Caffeine
50mg
Make 10 such doses.
Label: 1 dose in case of pain, max 3 times a day

2. Combined smooth muscle relaxant and analgesic


powder with a parasympatholytic

Rx.
Salicylic acid
White petroleum
Make an ointment.
Label: Cream for external use only

5g
50g

OR
Rx.
Salicylic acid
White petroleum
Make an ointment.
Label: Cream for external use only

10%
50g

Rx.
Atropine sulphate
0.5mg
Papaverine chlorate
50mg
Metamizole
500mg
Make 10 such doses.
Label: 1 dose in case of pain, max 3 times a day

7. Local anaesthetic cream


Rx.

3. Salt laxative

Lidocaine
Hydrophilic petroleum
White petroleum of each an equal
amount to make
Make an ointment.
Label: Cream for external use only

Rx.

OR

Magnesium sulphate
100g
Label: 2 tea spoons in a cup of water and drink

Rx.

4. Solution for cold

Lidocaine
Hydrophilic petroleum
White petroleum of each an equal
amount to make
Make an ointment.
Label: Cream for external use only

2.5g

50g

5%

50g

Rx.
Codeine chlorate
Aspirin
Ascorbic acid
Saccharose
Distilled Water
Make a solution
Label: 3x1 soup spoon daily

200mg
5g
1g
15g
150g

8. Antibiotic eye-drops
Rx.
Neomycin sulphate
Sodium chlorate
Distilled Water
Make an eye -drop.
Label: Eye-drops for external use only

50mg
80mg
10g

9. Smooth muscle relaxant suppository with meperidine.

Pre-composed (Commercial) prescription form

Rx.

14. Tablets for chronic heart failure.

Meperidine
20mg
Atropine sulphate
0.5mg
Vehicle
as much as needed
Make 10 suppositories
Label: 1 suppository in case of pain, (max. 3 times a day)

Rx.
Digoxin 0.25mg
Dispense 100 tablets.
Label (Sig.): Take 1 tablet at 9:00 A.M. each morning

15. Tablets for hypertension.


10. Combined smooth muscle relaxant powder with a
parasympatholytic (for GI spasm)
Rx.
Methylhomatropine bromate
Papaverine chlorate
Make 10 such doses.
Label: 3x1 doses daily

5mg
100mg

Rx.
Lisinopril 10mg
Dispense 30 tablets
Label (Sig.): 1 tbl. daily

11. Antitussive drops


Rx.
Codeine chlorate
Distilled Water
Make a solution
Label: 3x20 drops daily

400mg
20g

12. Combined smooth muscle relaxant and analgesic


powder with a parasympatholytic
Rx.
Atropine sulphate
0.5mg
Papaverine chlorate
50mg
Metamizole
0.5g
Make 10 such doses.
Label: 1 dose in case of pain, max. 3 times a day

13. Drops used in cancer pain.


Rx.
Morphine HCL
Distilled Water
Make a solution
Label: 10 drops every 4 hours.

300mg
10g

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