2. 6 examiners
One internal-NHL/LG
One internal-BJ/GCS/GMERS
Two examiner from other univ in gujarat
Two examiner from other univ outside
gujarat
3. Grand viva Paper-1
Paper-2
30 marks
Prescription Q1-A-long
Q1B-Short one drug
10 marks
5 marks
Criticism Q2 10 marks
Communication
skills of dosage form
1 dosage form 10 marks
Table
exercise(Problem
based Exercise) SQ
5 short question 10 marks
Clinical Pharmacy
and Clinical
Pharmacology
1. P drug
2. ADR reporting
3. IV drug calculation
4. FDC- 2
5. Promotional Drug literature
advertisement review
6. Sources of Drug information
25 marks
7. Headache
Rheumatoid arthirits
Osteoarthritis
Acute attack of gout
Chronic gout
Dry cough
Cough with sputum
Child with bronchial
asthma
Acromegaly
Hyperprolactinemia
Hypothyroidism
Cretinism
Graves disease preparation for
thyroidectomy
DM type 2
Addisons disease
Vomiting due to anticancer
drug
Erectile dysfunction
Primary Pul HTN
HRT
Premenopausal BRCA
Postmenopausal BRCA
Peripheral vascular disease
SIADH
8. Premenstrual tension
MTP
Emergency contraception
Contraception for newly
married
Induction of labour
Prevention of PPH
Rx of PPH
Premature labour
Rickets
Postmenopausal osteoporosis
Acute muscle spasm
Transient Insomnia
GTCS
Absence seizure
Mild parkinsonism
On-off phenomena
Mild depression
Mania
Bipolar disease
Anxiety
Mild schizophrenia
Acute attack of Angina
pectoris
Acute PSVT
Bradyarrthymia
Ventricular arrhythymia
9. Constipation
Travellers diarrhoea
Diarrhea
Inflammatory bowel disease
Typhoid
Uti
Conjunctivitis
Community acquired
pneumonia
Prophylaxis of rheumatic fever
Prophylaxis of meningitis
Rx of meningitis
Prophylaxis of tb
Prophylaxis of malaria
Paucibacillary leprosy
Single lesion leprosy
Candidiasis
Dandruff
Ringworm
Swine flu
Filiariasis prophylaxis
Acne
Iron deficiency anemia
DVT
Hypolipidemic type 2
11. 1) Critically evaluate, comment &
rewrite the prescription for Ram, a 50
year old domestic worker & a known
case of Heart failure NYHA-1 recently
diagnosed to suffer from an acute
attack of angina.
Tablet Propranolol 40 mg 10 days.
Tablet Verapamil 25 mg 10 days.
Tablet Aspirin 300 mg 10 days.
Tablet Milrinone
12. 2) Critically evaluate, comment &
rewrite the corrected prescription for
an adult patient suffering from short
term insomnia since past one month
due to loss of job.
Rx
• Injection Buprenorphine 1 mg/ml
(3 ampoules)
• Tablet Pentobarbitone 100 g (3)
• Tablet Vitamin B complex 10 mg (3)
One dose to be taken t.d.s.
13. 3) Critically evaluate, comment &
rewrite the corrected prescription for
an adult male patient aged 50 years
suffering from tremors and diagnosed
as having mild parkinsonism.
Rx
• Tablet Chlorpromazine 5 mg.
• Tablet Levodopa 10 mg.
• Tablet Pyridoxine 5 mg.
14. 4) Critically evaluate, comment &
rewrite the following prescription for a
pregnant patient weighing 60 kg with
diabetes suffering from
uncomplicated urinary tract infection
• Capsule Cipro 250 mg tds X 7 days.
• Tablet Glimepride 250 mg l bd X 1 month.
• Tablet Co-trimoxazole 480 mg 2 BD X 7 days.
• Tablet Vit.C 500 mg tds X 7 days.
15.
16.
17. Parts of a prescription:
A prescription consists of following parts:
i. Superscription
ii. Inscription
iii. Subscription
iv. Transcription or Signature
18.
19.
20. A) Superscription: Consists of
i. Details of doctor: Full name, qualification, registration number,
address and phone number.
ii. Date of prescription
iii. Details of patient: Full name, age, sex, address, phone number, body
weight/body surface area.
iv. Rx: It represents prayer to the god Jupiter. It is pronounced as recipe,
this means ―you (as patient) take this medicament with the name of
God, who may cure you
21. Importance of Superscription:
• Full name of doctor: For identification
• Qualification of doctor
• Registration number: For medico legal purpose
• Address & Phone no: To contact the doctor in emergency
• Date of prescription: For medico legal importance
For long therapy (AKT / Leprosy / Epilepsy)
To monitor progress of therapy and check patient
compliance
22. B) Inscription: Consists of name (Generic) of the medicine, dose and
dosage form of the medicine.
If more than one medicines are prescribed:
1. Main medicine: Medicine responsible for primary action. These may
be more than one, depending on the clinical picture of the patient.
2. Adjuvant medicine: To help or increase the action of main medicine.
23. 3. Symptomatic, supportive or corrective medicine: Correct or modify
the undesired effect of basis or adjuvant. e.g. Flavoring, sweetening
agent.
4. Vehicle: Medicines are dissolved/dispersed in vehicle which are
pharmacologically inert. These may be liquid (Mixture), semisolid
(Cream and ointment) or solid (Tablet).
24. If more than one dosage forms are to be prescribed by different
routes of administration, then prescribe them in the following order:
1. Parenteral (Injections)
2. Oral dosage forms – Capsule → Tablets →Liquid dosage forms
3. Topical dosage forms
25. C) Subscription:
• Contains instruction to the pharmacist regarding preparation &
dispensing of medicine.
• Example: Mix & prepare it, divide in three doses.
26. D) Transcription or signature:
• Contains direction to the patient in local vernacular language
regarding mode of administration of the medicine i.e. Dosage form,
dose, duration, route of medicine administration & other instruction
like take medicine on empty stomach etc.
• Signature of the doctor, which is must at the end of prescription.
27. Abbreviations and legibility in prescriptions:
• Abbreviations are best avoided in prescriptions, since they may be
misread or misinterpreted.
Some of the commonly used abbreviations in prescriptions are as
follows:
28.
29.
30. What is refill in the prescription?
• A second (or more) allotment of a prescription agent
obtained from a pharmacy, which is allowed by the original
prescription.
OR
• To fill and sell another dose or set of doses of a medicine as
prescribed to one by a doctor.
31. Which type of medicines are not prescribed by
refilling?
• Drugs which come under schedule X category can not be
prescribed by refilling.
• Example: Amphetamine, Opioids, Codeine, Methylphenidate
etc.
32.
33.
34.
35.
36.
37. Dos
• Write a legible prescription
• Write a complete prescription. It should include all parts of
prescription with signature and registration number of
doctor, date of prescription
• Prescribe drugs by generic name
• Each drug should be written in a line
• All letter of each drug should be written in capital letters
• Amounts should be in metric system
• Prescribe rational drugs
• Write clear instruction for refilling of the prescription, if
needed
• Keep a copy of the prescription, when needed
• Review the prescription before you hand over to the
patient
38. Don’t’s:
• Write illegible prescription
• Erase out prescribed items
• Write incomplete prescription
• Write chemical formula or short forms
• Write costly medicines, and more number of
medicines
• When decimals are unavoidable, do not write
“.5”, instead write “0.5”
39. Q. A Patient named Piyush K Jain, aged 36
years, complaints of sore throat since last 3
days. Doctor has prescribed the following
medications. Criticize and rewrite the following
prescription.-------------------------------------5marks
40. Marks distribution
Rewrite-5 marks
• 1 mark- correct format
• 2 mark for correct drug
• 1 mark for correct dose
• 1 mark for correct
duration, dosage form,
instructions
Criticize-5 marks
• 1 mark- proper format
• 4 marks for correct
evaluation of rational
drug use in particular
patient based on
diagnosis.
41. Points to be remembered in criticizing
any prescription
• Format-5 points present ? what is missing?
• All letters of generic name should be capital
• Drug is written in generic and brand name?
• Drugs should be written in one line
• Is the drug is effective?
• Is the drug is necessary?
• Is the drug is safe?
• Check for dose, duration, dosage form, Any associated
disease , drug interactions?
• Frequency
• Is the cost is appropriate?
42. A patient named Ravi, 50 years old visited OPD
with complaint of essential tremors in hand.
Doctor prescribed the following prescription.
Critically evaluate and rewrite the correct
prescription.
43. Diagnosis-Mild parkinsonism
Rx
Inj. L-Dopa 10mg stat
Tab. B complex 1 tab twice daily
Tab. Benzhexol hydrochloride 2-5mg
initially and then dose increased to 300 mg daily
in divided doses.
Dr. ABC
Reg. no 456
45. Diagnosis- Microcytic hypochromic
Anemia
Rx
Tab. Ferrous sulphate 60mg elemental iron 1od × 1 month
tab. Cobalamin 10mg 10d × 1 month
Syrup vitenergy 60ml 2tsf for three times a day × 1 month
Dispense 30 tablets of ferrous sulphate and cobalamin and one
syrup bottle of vitenergy
Instruction to the patient: take one tablet of ferrous sulphate and
cobalamin every day before food for one month. Take 2
tablespoonful of vitenergy thrice daily ofr one month.
46. Diagnosis-Angina pectoris
Rx
tab. ISDN 5mg sublingually as and when required
Tab. ISMN 50mg SR 1 od × 15 days
Tab. Aten 50mg 1 od × 15 days
Tab. Aspirin 100mg 1 od × 15 days
Direction: dispense 10 tablets of ISDN, ISMN, Aten and
Aspirin.
Take these tablets after breakfast
Other measures: life style changes recommended
Avoid tea coffee, nasal decongestant drops
Do not take aspirin on empty stomach
47. Diagnosis-Angina pectoris in
bronchial asthma patient
Rx
tab. ISDN 5mg sublingually as and when required
Tab. ISMN 50mg SR 1 od × 15 days
Tab. Aten 50mg 1 od × 15 days
Tab. Aspirin 100mg 1 od × 15 days
Direction: dispense 10 tablets of ISDN, ISMN, Aten and
Aspirin.
Take these tablets after breakfast
Other measures: life style changes recommended
Avoid tea coffee, nasal decongestant drops
Do not take aspirin on empty stomach
48. Essential hypertension with no
associated diseases
Rx
Tab atenolol 50 mg 1 od × 15 days
Direction: dispense 15 such tablets
Instruction to the patient: take one tablet every
day, regularly do the exercises, restrict salt
intake, avoid smoking and alcohol intake should
be stopped.
49. Essential hypertension with diabetes
Rx
Tab enalapril 50 mg 1 od × 15 days
Direction: dispense 15 such tablets
Instruction to the patient: take one tablet every
day, regularly do the exercises, restrict salt
intake, avoid smoking and alcohol intake should
be stopped.
50. Essential hypertension with bronchial
asthma
Rx
Tab amlodipine 50 mg 1 od × 15 days
Direction: dispense 15 such tablets
Instruction to the patient: take one tablet every
day, regularly do the exercises, restrict salt
intake, avoid smoking and alcohol intake should
be stopped.
51. Diagnosis: Peptic Ulcer
Rx
Tab. Omeprazole 20mg 1 od × 15 days
Direction: dispense 15 such tablets
Instruction to the patient
Avoid alcohol, smoking, stress, caffeinated drinks,
chilies and drugs like steroids and NSAIDs.
Additional information: Tests for H. pylori, if
positive then prescribe for H. pylori eradication
52. Diagnosis: NIDDM
Rx
Tab. Tolbutamide 50mg ½ tablet every day before
breakfast × 30 days
Direction: dispense 15 tablets
Instruction to the patient: take half tablet before
breakfast
Additional measures: dose can be titrated up based
on blood glucose levels
Advice diet modification and exercise.
53. Diagnosis: Acute abdomen
Rx
Inj. Morphine HCl 10mg IM stat
Direction: dispense 1 ampoule of morphine
Direction to the patient: take light diet
54. Diagnosis: Acute abdomen
Rx
Inj. Dicyclomine HCl 10mg IM stat
tab. Dicyclomine HCl 10mg 1 sos
Direction: dispense 1 ampoule of dicyclomine
and 4 tablets of dicyclomine
Direction to the patient : take one tablet
whenever needed.
56. • Definitions-PK,PD, bioavailability, Induction,
essential drugs, phases of trials, Factors
affecting/modifying drug action, routes with
e.g.
Viva-30 marks
