Professional Documents
Culture Documents
The Prescription and Prescribing Guidelines
The Prescription and Prescribing Guidelines
PRESCRIPTION
1
PRESCRIPTION
Is an order for medication issued by
a physician, dentist, or other
properly licensed medical
practitioner.
Various states also have licensed
other prescribers who have limited
scopes of practice.
designate a specific medication and
dosage to be administered to a 2
particular patient at a specified time
Licensed prescribers
Veterinarian
may prescribe only for animals
Podiatrist
can prescribe only for conditions of
the human foot
Optometrists
have been given authority, in some
states, to use drugs for diagnostic 3
without a prescription 10
Nonprescriptiondrugs
Prescription/Legend drugs
Medications that may be dispensed
legally only on prescription
Legend
must appear on the label of the
product as it is provided to the
pharmacist by the manufacturer
Caution: Federal Law Prohibits
Dispensing Without Prescription
Occasionally, physicians may issue 11
26
Commonly used abbreviations in
prescriptions and medication orders
Refer to your notes / handouts
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28
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PRESCRIPTION DRUG
Drug that requires a prescription because it is
considered potentially harm if not used under
the supervision of a licensed health care
practitioner
Known synonymously as a legend drug
because the label of the drug bears the
legend, Caution: Federal Law Prohibits
Dispensing without a Prescription or Rx
only
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Ethical/legend drugs
Prescription drugs requiring ordinary prescription (Rx)
antibiotics
Exempt Preparations requiring ordinary prescription with
prescribers S2 # (EDD, Rx)
Dangerous Drugs requiring yellow prescription in triplicate
(DD, Rx) - demerol
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Controlled or scheduled drug
A prescription drug whose use and
distribution is tightly controlled because of its
abuse potential or risk
Controlled drugs are classified into schedules
Prescriptions for controlled substances have
additional requirements by law
These includes the
potential for abuse
Pharmacological effects
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Risk to public health
History, cope, duration and significance of
Schedule I
Drugs have a high potential for abuse
No accepted medical use in the US
3 categories of substances
Opiates
Opium derivatives
hallucinogens
Includes drugs claimed to create a serious risk to public
health, whose therapeutic value is not currently
acknowledged by the Commission on Narcotic Drugs.
Includes synthetic pyschedelics such as LSD in addition
to natural psychedelics like DMT (dimethyltryptamine)
isomers, MDMA (methylenedioxyphenylamine) known
as ecstasy, also falls under this category
Other examples:
Heroin, marihuana, peyote, mescaline, psilobycin, THC
(tetrahydrocannabinols), dihydromorphine 33
Schedule III
Includes barbiturate products with fast or
average effects, which have been the
object of serious abuse even though useful
therapeutically, flunitrazepam and some
analgesics like buprenorphine
Schedule IV
Includes some weaker barbiturates like
(phenobarbital), and other hypnotics,
hypnotic, anxiolytic BZDs except
flunitrazepam and some weaker stimulants.
It has been suggested that THC be moved 34
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Schedule III Schedule IV
ANABOLIC STEROIDS ALPRAZOLAM
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LIST OF OTC MEDICINES
Anti-hemorrhoids
Cough-suppressants
Anti-acne drugs
NSAIDs some can be brought OTC, other
are available only with a prescription from a
physician or dentist
Antiseptics
Analgesics
Decongestants some decongestant
products requires a physicians prescription
but there are also many non-Rx products
Aspirin
Vasodilators such as minoxidil are sold 43
without Rx
Antacids
Controlled substance
All Rx must be written in ink; this practice is
compulsory for schedule II drugs
Date
Prescribers name and address
Patients name, age, and address
Diagnosis
No abbreviations
All doses, number of ampules, tablets, etc
should be written in words (letters) and in
figures (numbers) 44
Prescribers signature
Refill
Refill prn - - - is inappropriate
If no refill is desired, Zero (not 0) ---
should be written in the refill space
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Erroneous
Prescription
The brand name precedes the
generic name
The generic name is the one in
parenthesis
The brand name is not in
parenthesis
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Violative prescription
The generic name is not written
The generic name is not legible and
a brand name that is legible is
written
The brand name is indicated and
instructions added (such as the
phrase No Substitution) that tend
to obstruct, hinder or prevent 51
generic dispensing.
Impossible Prescription
Only the generic name is
written but is not legible
The generic name does not
correspond to the brand name
Both the generic name and the
brand name are not legible
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Procedures to be followed for
each incorrect prescription
Erroneous prescription shall be filled. Such as
prescription shall be kept and reported by the
pharmacist to the nearest DOH office for proper
action
Violative or impossible prescriptions shall not be
filled. They shall be kept and reported to the nearest
DOH office for appropriate action
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