PRESCRIPTION WRITING
EXERCISES
Principles of prescription writing
A prescription is a written order or communication
from a registered medical practitioner or other
licensed practitioner to a pharmacist embodying
salient instructions regarding the dispensing of
prescribed medication for a particular patient.
Prescriptions are written in a blank or universally
accepted format or may be made in pads. A typical
prescription consists of the following parts.
1. Physician (Prescriber) Information: Doctor's name,
designation and Registration Number. a. Address with
phone number and e-mail. b. Date of issue of
prescription.
2. Patient Information: The name, address, age and sex
of the patient
3. Superscription: The superscription which consists of
the heading where the symbol Rx an abbreviation for
recipe, the Latin for 'take thou' or 'you take' is found.
4. Inscription: The inscription (body of prescription)
comprises an important part of prescription containing-
a) Name(s) of drug(s) and their quantities,
b) Instruction regarding dosage form like tablet,
capsule, suspension, mixture, etc
c) Dose and quantity of prescription
5. Subscription: The subscription gives specific directions
for the pharmacist on how to compound the medication.
6. Transcription or Signatura : The signatura which
gives instructions to the patient, How, how much,
When, and how long the drug is to be taken. These
instructions are preceded by abbreviation 'Sig.' from
the Latin, meaning 'mark.' The signatura should always
be written in English; however, physicians continue to
insert Latin abbreviations,
e.g.,' 1 cap t.i.d. pc' which the pharmacist translates
into English as 'take one capsule three times daily
after meals'. It may also contain special instructions,
warnings, followed by the signature of the prescriber.
7. Refill: The number of times a prescription is to be repeated is written
by the physician under renewal instructions.
8. Signature: Finally the prescription must bear the signature of the
prescriber to impart it the legal validity.
1. 55year aged old male diagnosed to have Hypertension with a BP – 170/100
mmHg & HR – 112/mt.
Doctor’s details: Date: 19/8/24
Dr. Vinoth, MBBS
Reg No-52971
Tiruvanmiyur,Chennai
Patient’s details:
Mr. Ramasamy,65/M, 55 kgs, Mount road, Chennai
Diagnosis: Hypertension
1. TAB. AMLODIPINE 5mg once a day in the morning for 2 weeks
2. TAB. ATENOLOL 25mg once a day in the morning for 2 weeks
Signature
Advice:
• Salt restricted diet
•
2.Pregnancy induced Hypertension in 28 year old primi gravida
Doctor’s details: Date: 19/8/24
Dr. Vinoth, MBBS
Reg No-52971
Tiruvanmiyur,Chennai
Patient’s details:
Mrs.Ranjani,28/F, 52 kgs, Mount road, Chennai
Diagnosis: Pregnancy induced Hypertension
TAB. ALPHAMETHYL DOPA 250 mg three times daily for 15 days
Signature
Advice:
1. To review after 15 days
2. Daily weight recording and monitor BP regularly
3. Follow up immediately if blurring of vision, seizures occur
3. 50year aged old male diagnosed with Hypercholesterolemia (Total Cholesterol – 280 mg/dl
& Triglycerides – 120 mg/dl)
Doctor’s name: Date:19/8/24
Dr. Vinoth, MBBS
Reg No - 52971
Tiruvanmiyur, Chennai
Patient’s name:
Mr. Rajendran,50/M, 56 kgs, Mount road, Chennai
Diagnosis: Hypercholesterolemia
TAB. ATORVASTATIN 10 mg once a day at bedtime for 1 month
Signature
Advice:
• To avoid fatty food
• Regular exercise
• To review after 1 month
4. 50year aged old male diagnosed with Hypercholesterolemia (Total Cholesterol – 246 mg/dl,
Triglycerides – 210 mg/dl & LDL – 180 mg/dl)
Doctor’s name: Date:19/8/24
Dr. Vinoth, MBBS
Reg No - 52971
Tiruvanmiyur, Chennai
Patient’s name:
Mr. Rajendran,50/M, 56 kgs, Mount road, Chennai
Diagnosis: Hypercholesterolemia
1. TAB. ATORVASTATIN 10 mg once a day at bedtime for 1 month
2. TAB. FENOFIBRATE 100 mg once a day at bedtime for 1 month
Signature
Advice:
• To avoid fatty food
• Regular exercise
• To review after 1 month
5. 40year old male diagnosed to have new onset Type II Diabetes mellitus with FBS – 160
mg/dl & PPBS – 170 mg/dl.
Doctor’s details: Date: 19/8/24
Dr. Vinoth, MBBS
Reg No-52971
Tiruvanmiyur, Chennai
Patient’s details: Mr. Raja, 40/M, Chennai
Diagnosis: Type II Diabetes mellitus
TAB. METFORMIN 500 mg twice a day for 2 weeks to be taken with food
Signature
Advice:
• Meal plan, exercise
• To review after 2 weeks
6. 40year old male diagnosed to have new onset Type II Diabetes mellitus with FBS – 240 mg/dl
& PPBS – 310 mg/dl.
Doctor’s details: Date: 19/8/24
Dr. Vinoth, MBBS
Reg No-52971
Tiruvanmiyur, Chennai
Patient’s details: Mr. Raja, 40/M, Chennai
Diagnosis: Type II Diabetes mellitus
1. TAB. METFORMIN 500 mg twice a day for 2 weeks to be taken with food
2. TAB. GLIMIPRIDE 1 mg once a day for 1 week to be taken before breakfast
Signature
Advice:
• To review after 1 week with FBS and PPBs
• Regular walking for minimum 20-30 minutes/ day
• Follow diabetic diet
• Consult if any warning signs like tremors, giddiness, sweating
7. Acute gastritis in 30 year old male
Doctor’s details: Date: 19/8/24
Dr. Vinoth, MBBS
Reg No-52971
Tiruvanmiyur,Chennai
Patient’s details:
Mr. Deva,30/M, 56 kgs, Mount road, Chennai
Diagnosis: Acute gastritis
TAB. RABEPRAZOLE 20 mg once a day to be taken half an hour before food for 5 days
SYP. ANTACID 10 ml three times a day; to be taken 2 hours after food
Signature
Advice:
• Syrup to be taken if there is pain
• To avoid spicy food
• To review after 5 days
8. H. pylori infection in 35 yr male
Doctor’s details: Date: 19/8/24
Dr. Vinoth, MBBS
Reg No-52971
Tiruvanmiyur, Chennai
Patient’s details:
Mr. Deva, 35/M, 56 kgs, Mount road, Chennai
Diagnosis: H. Pylori infection
• CAP. AMOXICILLIN 1000MG BD
• TAB.LANSOPRAZOLE 30 MG OD for 2 weeks
• TAB.CLARITHROMYCIN 500 MG BD
Signature
Advice
• To avoid spicy food
• To review after 2 weeks
9. Migraine prophylaxis in 35 year old female
Doctor’s details: Date: 19/8/24
Dr. Vinoth, MBBS
Reg No - 52971
Tiruvanmiyur, Chennai
Patient’s details:
Mrs. Priya, 35/F, 56 kgs, Mount road, Chennai
Diagnosis: Migraine Prophylaxis
TAB. PROPRANOLOL 40 mg once a day in the morning for 10 days
Signature
Advice
• To review after 10 days
• Proper sleep
• To avoid the triggering factors
• Consult physician if there is giddiness
10. Severe migraine with vomiting and aura in 35 year old female
Doctor’s details: Date: 19/8/24
Dr. Vinoth, MBBS
Reg No-52971
Tiruvanmiyur, Chennai
Patient’s details:
Mrs. Gayathri, 35/F, 66 kgs, Mount road, Chennai
Diagnosis: Acute attack of severe Migraine with vomiting and aura
1. TAB. IBUPROFEN 400 mg twice a day
2. TAB. RANITIDINE 150 mg twice a day to be taken before food x 3 days
3. TAB. DOMPERIDONE 10 mg twice a day to be taken before food
Advice:
4. Review after 3 days
5. Proper sleep
6. To avoid the triggering factors
11. Acute attack of severe migraine in a 35 yr old female
Doctor’s details: Date: 19/8/24
Dr. Vinoth, MBBS
Reg No-52971
Tiruvanmiyur, Chennai
Patient’s details:
Mrs. Gayathri, 40/F, 66 kgs, Mount road, Chennai
Diagnosis: Acute attack of severe migraine
1. TAB. SUMATRIPTAN 100 mg STAT to be repeated once within 24 hours if
headache persists
2. TAB. PARACETAMOL 650 mg STAT AND SOS
3. TAB. DOMPERIDINE 10 mg SOS for vomiting
Signature
Advice:
4. Review after 1 month
5. Proper sleep
6. To avoid the triggering factors
12. Obesity in 40 year old male
Doctor’s details: Date: 19/8/24
Dr. Vinoth, MBBS
Reg No - 52971
Tiruvanmiyur, Chennai
Patient’s details:
Mr. Deepak, 40/M, 35 kgs, Mount road, Chennai
Diagnosis: Obesity
1. CAP. ORLISTAT 120mg twice a day for 10 days
Signature
Advice:
Adopt proper diet as advised by the nutritionist
Review after 10 days
Walking at least 20 minutes/day
To consult physician in case of abdominal discomfort
13. Mild bronchial asthma in 20 year old male; symptoms less
than once daily, normal in between attacks
Doctor’s details: Date: 19/8/24
Dr. Vinoth, MBBS
Reg No - 52971
Tiruvanmiyur, Chennai
Patient’s details:
Mr. Deepak, 20/M, 35 kgs, Mount road, Chennai
Diagnosis: Mild bronchial asthma
• INHALER LEVOSALBUTAMOL 1 -2 PUFFS (100 MICROGRAM) at onset of each
episode
To be repeated if symptom persistent
Signature
Advice:
Avoid exposure to allergens
14. Seasonal asthma in 20 year old male
Doctor’s details: Date: 19/8/24
Dr. Vinoth, MBBS
Reg No - 52971
Tiruvanmiyur, Chennai
Patient’s details:
Mr. Deepak, 20/M, 35 kgs, Mount road, Chennai
Diagnosis: Seasonal asthma
• INHALER BUDESONIDE 1 -2 PUFFS (100 MICROGRAM) twice daily; to be
started 3-4 weeks before season starts
To be continued 3-4 weeks after the season ends
Signature
Advice:
Avoid exposure to allergens
15. Bronchial asthma in 20 year old male; symptoms once daily
with subnormal ventilatory performance
Doctor’s details: Date: 19/8/24
Dr. Vinoth, MBBS
Reg No - 52971
Tiruvanmiyur, Chennai
Patient’s details:
Mr. Deepak, 20/M, 35 kgs, Mount road, Chennai
Diagnosis: Bronchial asthma
1. INHALER BUDESONIDE 1 -2 PUFFS (100 MICROGRAM) twice daily
2. TAB. DERIPHYLLINE 150mg twice a day for 2 weeks
3. TAB. MONTELEUKAST 10 mg once daily at bedtime
Signature
Advice:
Avoid exposure to allergens
Review after 2 weeks
16. Severe asthma in 20 year old male
Doctor’s details: Date: 19/8/24
Dr. Vinoth, MBBS
Reg No-52971
Tiruvanmiyur, Chennai
Patient’s details:
Mr. Deepak, 20/M, 39 kgs, Mount road, Chennai
Diagnosis: Severe bronchial asthma
• INHALER FLUTICASONE 250 MICROGRAM 2 PUFFS twice a day ; through spacer device
• INHALER SALMETEROL 25 MICROGRAM 2 PUFF twice a day; through spacer device for 1 week
• TAB. MONTELEUKAST 10 mg once daily at bedtime
Signature
Advice:
Avoid exposure to allergens
Review after 1 week; Consult physician immediately in case of breathlessness
PRESCRIPTION  WRITING ALOND WITH VARIOUS EXAMPLES

PRESCRIPTION WRITING ALOND WITH VARIOUS EXAMPLES

  • 1.
  • 2.
    Principles of prescriptionwriting A prescription is a written order or communication from a registered medical practitioner or other licensed practitioner to a pharmacist embodying salient instructions regarding the dispensing of prescribed medication for a particular patient. Prescriptions are written in a blank or universally accepted format or may be made in pads. A typical prescription consists of the following parts.
  • 3.
    1. Physician (Prescriber)Information: Doctor's name, designation and Registration Number. a. Address with phone number and e-mail. b. Date of issue of prescription. 2. Patient Information: The name, address, age and sex of the patient 3. Superscription: The superscription which consists of the heading where the symbol Rx an abbreviation for recipe, the Latin for 'take thou' or 'you take' is found.
  • 4.
    4. Inscription: Theinscription (body of prescription) comprises an important part of prescription containing- a) Name(s) of drug(s) and their quantities, b) Instruction regarding dosage form like tablet, capsule, suspension, mixture, etc c) Dose and quantity of prescription 5. Subscription: The subscription gives specific directions for the pharmacist on how to compound the medication.
  • 5.
    6. Transcription orSignatura : The signatura which gives instructions to the patient, How, how much, When, and how long the drug is to be taken. These instructions are preceded by abbreviation 'Sig.' from the Latin, meaning 'mark.' The signatura should always be written in English; however, physicians continue to insert Latin abbreviations, e.g.,' 1 cap t.i.d. pc' which the pharmacist translates into English as 'take one capsule three times daily after meals'. It may also contain special instructions, warnings, followed by the signature of the prescriber.
  • 6.
    7. Refill: Thenumber of times a prescription is to be repeated is written by the physician under renewal instructions. 8. Signature: Finally the prescription must bear the signature of the prescriber to impart it the legal validity.
  • 7.
    1. 55year agedold male diagnosed to have Hypertension with a BP – 170/100 mmHg & HR – 112/mt. Doctor’s details: Date: 19/8/24 Dr. Vinoth, MBBS Reg No-52971 Tiruvanmiyur,Chennai Patient’s details: Mr. Ramasamy,65/M, 55 kgs, Mount road, Chennai Diagnosis: Hypertension 1. TAB. AMLODIPINE 5mg once a day in the morning for 2 weeks 2. TAB. ATENOLOL 25mg once a day in the morning for 2 weeks Signature Advice: • Salt restricted diet •
  • 8.
    2.Pregnancy induced Hypertensionin 28 year old primi gravida Doctor’s details: Date: 19/8/24 Dr. Vinoth, MBBS Reg No-52971 Tiruvanmiyur,Chennai Patient’s details: Mrs.Ranjani,28/F, 52 kgs, Mount road, Chennai Diagnosis: Pregnancy induced Hypertension TAB. ALPHAMETHYL DOPA 250 mg three times daily for 15 days Signature Advice: 1. To review after 15 days 2. Daily weight recording and monitor BP regularly 3. Follow up immediately if blurring of vision, seizures occur
  • 9.
    3. 50year agedold male diagnosed with Hypercholesterolemia (Total Cholesterol – 280 mg/dl & Triglycerides – 120 mg/dl) Doctor’s name: Date:19/8/24 Dr. Vinoth, MBBS Reg No - 52971 Tiruvanmiyur, Chennai Patient’s name: Mr. Rajendran,50/M, 56 kgs, Mount road, Chennai Diagnosis: Hypercholesterolemia TAB. ATORVASTATIN 10 mg once a day at bedtime for 1 month Signature Advice: • To avoid fatty food • Regular exercise • To review after 1 month
  • 10.
    4. 50year agedold male diagnosed with Hypercholesterolemia (Total Cholesterol – 246 mg/dl, Triglycerides – 210 mg/dl & LDL – 180 mg/dl) Doctor’s name: Date:19/8/24 Dr. Vinoth, MBBS Reg No - 52971 Tiruvanmiyur, Chennai Patient’s name: Mr. Rajendran,50/M, 56 kgs, Mount road, Chennai Diagnosis: Hypercholesterolemia 1. TAB. ATORVASTATIN 10 mg once a day at bedtime for 1 month 2. TAB. FENOFIBRATE 100 mg once a day at bedtime for 1 month Signature Advice: • To avoid fatty food • Regular exercise • To review after 1 month
  • 11.
    5. 40year oldmale diagnosed to have new onset Type II Diabetes mellitus with FBS – 160 mg/dl & PPBS – 170 mg/dl. Doctor’s details: Date: 19/8/24 Dr. Vinoth, MBBS Reg No-52971 Tiruvanmiyur, Chennai Patient’s details: Mr. Raja, 40/M, Chennai Diagnosis: Type II Diabetes mellitus TAB. METFORMIN 500 mg twice a day for 2 weeks to be taken with food Signature Advice: • Meal plan, exercise • To review after 2 weeks
  • 12.
    6. 40year oldmale diagnosed to have new onset Type II Diabetes mellitus with FBS – 240 mg/dl & PPBS – 310 mg/dl. Doctor’s details: Date: 19/8/24 Dr. Vinoth, MBBS Reg No-52971 Tiruvanmiyur, Chennai Patient’s details: Mr. Raja, 40/M, Chennai Diagnosis: Type II Diabetes mellitus 1. TAB. METFORMIN 500 mg twice a day for 2 weeks to be taken with food 2. TAB. GLIMIPRIDE 1 mg once a day for 1 week to be taken before breakfast Signature Advice: • To review after 1 week with FBS and PPBs • Regular walking for minimum 20-30 minutes/ day • Follow diabetic diet • Consult if any warning signs like tremors, giddiness, sweating
  • 13.
    7. Acute gastritisin 30 year old male Doctor’s details: Date: 19/8/24 Dr. Vinoth, MBBS Reg No-52971 Tiruvanmiyur,Chennai Patient’s details: Mr. Deva,30/M, 56 kgs, Mount road, Chennai Diagnosis: Acute gastritis TAB. RABEPRAZOLE 20 mg once a day to be taken half an hour before food for 5 days SYP. ANTACID 10 ml three times a day; to be taken 2 hours after food Signature Advice: • Syrup to be taken if there is pain • To avoid spicy food • To review after 5 days
  • 14.
    8. H. pyloriinfection in 35 yr male Doctor’s details: Date: 19/8/24 Dr. Vinoth, MBBS Reg No-52971 Tiruvanmiyur, Chennai Patient’s details: Mr. Deva, 35/M, 56 kgs, Mount road, Chennai Diagnosis: H. Pylori infection • CAP. AMOXICILLIN 1000MG BD • TAB.LANSOPRAZOLE 30 MG OD for 2 weeks • TAB.CLARITHROMYCIN 500 MG BD Signature Advice • To avoid spicy food • To review after 2 weeks
  • 15.
    9. Migraine prophylaxisin 35 year old female Doctor’s details: Date: 19/8/24 Dr. Vinoth, MBBS Reg No - 52971 Tiruvanmiyur, Chennai Patient’s details: Mrs. Priya, 35/F, 56 kgs, Mount road, Chennai Diagnosis: Migraine Prophylaxis TAB. PROPRANOLOL 40 mg once a day in the morning for 10 days Signature Advice • To review after 10 days • Proper sleep • To avoid the triggering factors • Consult physician if there is giddiness
  • 16.
    10. Severe migrainewith vomiting and aura in 35 year old female Doctor’s details: Date: 19/8/24 Dr. Vinoth, MBBS Reg No-52971 Tiruvanmiyur, Chennai Patient’s details: Mrs. Gayathri, 35/F, 66 kgs, Mount road, Chennai Diagnosis: Acute attack of severe Migraine with vomiting and aura 1. TAB. IBUPROFEN 400 mg twice a day 2. TAB. RANITIDINE 150 mg twice a day to be taken before food x 3 days 3. TAB. DOMPERIDONE 10 mg twice a day to be taken before food Advice: 4. Review after 3 days 5. Proper sleep 6. To avoid the triggering factors
  • 17.
    11. Acute attackof severe migraine in a 35 yr old female Doctor’s details: Date: 19/8/24 Dr. Vinoth, MBBS Reg No-52971 Tiruvanmiyur, Chennai Patient’s details: Mrs. Gayathri, 40/F, 66 kgs, Mount road, Chennai Diagnosis: Acute attack of severe migraine 1. TAB. SUMATRIPTAN 100 mg STAT to be repeated once within 24 hours if headache persists 2. TAB. PARACETAMOL 650 mg STAT AND SOS 3. TAB. DOMPERIDINE 10 mg SOS for vomiting Signature Advice: 4. Review after 1 month 5. Proper sleep 6. To avoid the triggering factors
  • 18.
    12. Obesity in40 year old male Doctor’s details: Date: 19/8/24 Dr. Vinoth, MBBS Reg No - 52971 Tiruvanmiyur, Chennai Patient’s details: Mr. Deepak, 40/M, 35 kgs, Mount road, Chennai Diagnosis: Obesity 1. CAP. ORLISTAT 120mg twice a day for 10 days Signature Advice: Adopt proper diet as advised by the nutritionist Review after 10 days Walking at least 20 minutes/day To consult physician in case of abdominal discomfort
  • 19.
    13. Mild bronchialasthma in 20 year old male; symptoms less than once daily, normal in between attacks Doctor’s details: Date: 19/8/24 Dr. Vinoth, MBBS Reg No - 52971 Tiruvanmiyur, Chennai Patient’s details: Mr. Deepak, 20/M, 35 kgs, Mount road, Chennai Diagnosis: Mild bronchial asthma • INHALER LEVOSALBUTAMOL 1 -2 PUFFS (100 MICROGRAM) at onset of each episode To be repeated if symptom persistent Signature Advice: Avoid exposure to allergens
  • 20.
    14. Seasonal asthmain 20 year old male Doctor’s details: Date: 19/8/24 Dr. Vinoth, MBBS Reg No - 52971 Tiruvanmiyur, Chennai Patient’s details: Mr. Deepak, 20/M, 35 kgs, Mount road, Chennai Diagnosis: Seasonal asthma • INHALER BUDESONIDE 1 -2 PUFFS (100 MICROGRAM) twice daily; to be started 3-4 weeks before season starts To be continued 3-4 weeks after the season ends Signature Advice: Avoid exposure to allergens
  • 21.
    15. Bronchial asthmain 20 year old male; symptoms once daily with subnormal ventilatory performance Doctor’s details: Date: 19/8/24 Dr. Vinoth, MBBS Reg No - 52971 Tiruvanmiyur, Chennai Patient’s details: Mr. Deepak, 20/M, 35 kgs, Mount road, Chennai Diagnosis: Bronchial asthma 1. INHALER BUDESONIDE 1 -2 PUFFS (100 MICROGRAM) twice daily 2. TAB. DERIPHYLLINE 150mg twice a day for 2 weeks 3. TAB. MONTELEUKAST 10 mg once daily at bedtime Signature Advice: Avoid exposure to allergens Review after 2 weeks
  • 22.
    16. Severe asthmain 20 year old male Doctor’s details: Date: 19/8/24 Dr. Vinoth, MBBS Reg No-52971 Tiruvanmiyur, Chennai Patient’s details: Mr. Deepak, 20/M, 39 kgs, Mount road, Chennai Diagnosis: Severe bronchial asthma • INHALER FLUTICASONE 250 MICROGRAM 2 PUFFS twice a day ; through spacer device • INHALER SALMETEROL 25 MICROGRAM 2 PUFF twice a day; through spacer device for 1 week • TAB. MONTELEUKAST 10 mg once daily at bedtime Signature Advice: Avoid exposure to allergens Review after 1 week; Consult physician immediately in case of breathlessness