PRESCRIPTION WRITING Rx

WHEN DO DRUGS BECOME A PART OF YOUR TREATMENT????

PAIN!!!!

INFECTION CONTROL

FEAR OR ANXIETY

ANTIVIRAL

ANTIFUNGAL

PRESCRIPTION VS OVER THE COUNTER

Prescription Drugs(legend) Drugs determined by the Food and Drug Administration(FDA) to be not safe except under the supervision of a practioner licensed to administer them.

Over the Counter Drugs Drugs considered safe and effective without professional guidance when used according to labeled instructions

Controlled Drugs Abuse Potential Additional regulations by the Drug Enforcement Administration(DEA) May be OTC, legend or even unavailable for medical use

Controlled Substances – regulated by the Controlled Substance Act Act divides into five schedules based on: Potential Abuse Medical Usefulness Potential physical/psychological dependence

General Drug Information Proprietary vs Nonproprietary names Single vs compound prescription Dosage

Proprietary vs. Nonproprietary

Nonproprietary Name – generic, common name. Usually only 1 name per drug Acetaminophen – Tylenol, Datril Ibuprofen – Motrin, Advil Aspirin – Bufferin, Empirin

Proprietary Name – Trade name given by manufacturer to identify their brand. Same drug may have several different brand names Amoxicillin - Trimox, Amoxil, Polymax Lidocaine – Xylocaine, Octocaine, Nervocaine Hydrocodone – Vicodin, Lortab, Stagesic Ibuprofen – Motrin, Advil, Nuprin

General Drug Information Proprietary vs nonproprietary Single vs compound

Single – Drug has one active ingredient (ie ibuprofen, amoxicillin) Combination – Drug has more than one active ingredient(ie acetaminophen with hydrocodone, lidocaine with epinephrine)

General Drug Information Proprietary vs nonproprietary Single vs compound Dosage

Drug Amount – Unit dosage Numerous Oral Forms Tablet Capsule Caplet Liquid Troche Cream Gel Rinse

Active Ingredient – usually in unit dose in mg(ibuprofen 200mg, hydrocodone 5mg, lidocaine 2% 36mg)

Prescription Writing Drug prescription – A written or verbal order for a medication by a licensed individual(physcian, dentist, veterinarian,etc)

Prescription Format Name of provider Patient’s name, address,age,date Drug information Refills Provider signature DEA # if necessary

Prescription Requirements Ink, nonerasable print No reference to pharmacy or a pharmaceutical company Special pads for controlled substances vs other prescription meds

Component Parts of Prescription  Patient’s name, age, address, date  Rx – recipe(name of drug and dose)  Disp. – quanity(number) and written out  Sig. – explicit directions to patient

Parts of Prescription con’t Provider’s signature Number of refills Security box check for controlled subst. DEA and license #

Prescriptions can be written in English or with Latin abbreviations

Prescriptions can be written or verbal (telephone pharmacy) except for schedule II drugs.