Professional Documents
Culture Documents
Dispensing and Medication Counseling
Dispensing and Medication Counseling
COUNSELING
DEFINE: PRESCRIPTION
PRESCRIPTION
A written order by the doctor to a
pharmacist specifying the
medications to be dispensed to a
specific patient and usually
accompanied by directions for use
and administration.
"pre"- before
"script" - written
parts of a prescription
prescriber's information
patient's information
date
superscription
inscription
subscription
transcription
special labeling/other instruction
such as refill number
sample prescription
violative prescription
2
3
1
erroneous prescription
impossible prescription
Proper handling of
Prescription
1. Receiving the prescription
2. Reading & checking the prescription
3. Numbering & dating
4. Labeling
5. Preparing the prescription
6. Packaging
7. Rechecking
8. Delivery & counseling
9. Recording & filing
10.Pricing the prescription
Interaction
Dose
Evidence of harm/ benefit
Appropriate
Legal and complete
Cost effective
Acceptable to the px
Prescription vs non-rx?
Broad classification of
medication
OTC / Non-prescription Drug
drugs that do not require a doctor's
prescription
can be bought off-the-shelf in stores
regulated by FDA through the OTC drug
monograph
Broad classification of
medication
Prescription / Legend Drug
prescribed by a doctor
can only be bough at a pharmacy
prescribed for and intended to be used by
one patient
regulated by FDA through the New Drug
Application process
NARCOTICS
a drug that produce analgesia,
narcosis, and addiction
narcotic prescription
(should be in triplicate)
one copy for the medical practitioner
one copy for the pharmacy/pharmacist
one copy for the patient
No
prescriptions
may be
written for
Schedule I
substances,
and they are
not readily
available for
clinical use.
Schedule I
Schedule II
drugs with a high
potential for abuse but
less abuse potential
than S- I drugs
with use potentially
leading to severe
psychological or
physical dependence
Substance II drugs
may not be
dispensed without
written prescription
from a doctor.
Prescriptions of
substance II drugs
are in a "closed
system". This means,
the prescription may
not be refilled, unless
medically required.
Schedule II
Methylphenidate (Ritalin)
Meperidine (Demerol)
Cocaine
Opium
Methadone (Dolophine)
Oxycodone (OxyContin)
Fentanyl (Sublimate)
Morphine
Mixed Amphetamine Salts (Adderall)
Lisdexamfetamine (Vyvanse)
Dextroamphetamine (Dexedrine)
Methamphetamine (Desoxyn)
Hydrocodone (Vicodin)
Hydromorphone (Dilaudid)
Secobarbital (Seconal)
Pethidine
Nabilone (Cesamet)
Tapentadol
Schedule III
Anabolic Steroids
Buprenorphine
Amphetamine
Dihydrocodeine
Ketamine
Xyrem
Hydrocodone/Codeine
Marinol
Lysergic Acid Amide (LSA)
Paregoric
Barbiturates (Short acting)
Prescriptions for
Schedule IV
drugs may be
refilled up to five
times within six
months.
Schedule IV
Alprazolam (Xanax)
Diazepam (Valium)
Lorazepam (Ativan)
Temazepam (Restoril)
Barbiturates (Long acting)
Modafinil (Provigil)
Dextropropoxyphene (Darvon)
Carisoprodol (Soma)
Propoxyphene (Darvon)
Zolpidem (Ambien)
Tramadol
Difenoxin
No drug found in
schedule V may
be dispensed or
distributed for
anything other
than medicinal
use.
Schedule V
cough preparations with less than 200 mg of
codeine (Robitussin AC)
Lomotil
Motofen
Lyrica
Parepectolin
Conventions in avoiding
ambiguity
1.
2.
3.
4.
5.
6.
7.
8.
levothyroxine
folic acid
magnesium sulfate
liothyronine
metformin
hydrochlorothiazide
cyclobenzaprine
amoxicillin
pantoprazole
tramadol
gabapentin
amlodipine
trazodone
prednisone
lisinopril
alprazolam
losartan
clonazepam
lorazepam
atorvastatin
simvastatin
warfarin
methotrexate
finasteride