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By,
Aditya Sharma
Assistant Professor,
H R Patel Institute of Pharmaceutical Education and
Research, Shirpur
PRESCRIPTION
By,
Mr. Aditya Sharma
Assistant Professor,
School of Pharmaceutical Sciences
IFTM University, Moradabad
Subject Name: Pharmaceutics- II Subject Code: DPH-201
Introduction
• Prescription is an order written by a registered medical practitioner (RMP)
such as physician, dentist, veterinarian etc. to a pharmacist to compound and
dispense a specific medication for the patient.
OR
• Prescription is a written order for medication, issued by physician or RMP
• Prescription is relationship between physician and pharmacist.
Physician (RMP) Pharmacist Patients
Prescription is a media through which treatment is provided for a patient by
the skill and services of both the physician and the pharmacist.
Prescriptions are generally written in English language but Latin words or
abbreviations are frequently used in order to save time. So it becomes necessary
for a pharmacist to become familiar with the common Latin terms and
abbreviations use by the prescriber on the prescriptions.
Parts of a Prescription
Prescriptions are generally written on a typical format which
consists of the following parts:
1. Prescriber’s Information
2. Date
3. Name, Age, Sex and Address of The Patient)
4. Superscription (symbol ℞)
5. Inscription (Medication prescribed)
6. Subscription (Direction to Pharmacist/Dispenser )
7. Signatura or Transcription (Direction for Patient)
8. Renewal instructions
9. Prescriber’s signature and registration number
Parts of a Prescription
1. Prescriber’s Information
 Information about physician is essential so that the patient
could be contact in emergency.
 Following information is mentioned on the prescription
 Doctor's or office name.
 Address with phone number and e-mail.
 Prescription number, (required when calling the pharmacy
for a refill)
2. Date
 It helps a pharmacist to find out the date of prescribing.
 It also helps to know when the medicines were last dispensed if
the prescription is brought for redispens.
 In case of narcotic or habit forming drug, the date prevents the
misuse of the drug by the patient.
Parts of a Prescription
3. Name, Age, Sex and Address of the Patient
 Name and address of the patient for identification purpose.
 Age and sex of the patient is required for child patient to check
the prescribed dose.
4. Superscription (symbol ℞)
 It is represented by ℞ (Latin term) “recipe” which means “take
thou” or “you take”.
 In olden days, the symbol was considered to be originated from
the sign of Jupiter.
 Jupiter is the Greek God of healing.
 This symbol was use for requesting God for the quick recovery of
the patient.
Parts of a Prescription
5. Inscription (Medication prescribed)
 It is the main part of the prescription.
 It contains the names and quantities of the prescribed medicaments.
 The medicament may be official preparation or non-official
preparation.
a) Official preparation (i.e. from pharmacopoeia) – Only name
of the preparation is written
E.g. Piperazine Citrate Elixir IP
b) Non-official preparation- Quantity of each ingredient will be
given and type of preparation will also be given.
6. Subscription (Direction to Pharmacist)
 In this part the prescriber gives direction to the pharmacist-
a) Regarding the dosage form to be prepared.
b) Number of doses to be dispensed.
Parts of a Prescription
7. Signatura (Direction for Patient)
 It is usually written as “Sig.”.
 The signatura written in english and use some Latin
abbreviations like
t.i.d (thrice a day), b.i.d (twice a day) and o.d (once a day)
 Instructions should be written on the label of container so that
the patient can follow them.
 The instructions may include:
a) Quantity to be taken (dose of drug)
b) Frequency and timing of administration of the preparation
(dose interval)
c) Route of administration
d) Special instruction (if any)
Parts of a Prescription
8. Renewal instructions
 The number of times a prescription is to be repeated is written
by the physician.
 It is very important for the case of habit forming drugs to
prevent its misuse.
9. Prescriber’s signature and registration number
 The prescription must be signed by the prescriber by his / her
own hand.
 Registration number should be written in the case of dangerous
and habit forming drugs.
Parts of a Prescription
An example of a typical prescription is given as follows:
Parts of a Prescription
Legal Requirements for a Valid Prescription
1. Prescription should be written in indelible (can not erased) ink (may
be handwritten or computer generated)
2. Prescription must be signed in indelible ink by the practitioner using
his own name.
3. Prescription must be dated by the prescriber.
4. Prescription should state address of the practitioner.
5. If issued by a dentist the words “for dental use only”
6. Prescription always writes legibly.
7. Prescription always space out words and numbers to avoid confusion.
8. Prescription always contains complete medication orders.
9. Avoid abbreviations.
 Nowadays, electronic prescriptions are use, to minimize medication
errors.
 The use of abbreviations in prescription writing is traditional.
 Nowadays, prescriptions are written in English language.
Useful Latin Terms
Latin term / phrases Abbreviation English Translation
Semel in die or omne in
die
o.d Once a day
Bis in die, Bis die b.i.d. or b.d. Twice a day
Ter in die, Ter die t.i.d. or t.d. Thrice a day
Quartar in die q.i.d., q.d. Four times a day
Si opus sit s. o.s When required
Emulsio - Emulsion
Cochleare - Table Spoon
Post Cibos - After Lunch
Sumenda - To be taken
Handling of Prescription
The following procedures should be adopted by the
pharmacist while handling the prescription for compounding
and dispensing:
1. Receiving
2. Reading and checking
3. Collecting and weighing the materials
4. Compounding, packaging and labeling
Handling of Prescription
1. Receiving
 The prescription should be received by the pharmacist.
 While receiving a prescription, a pharmacist should not change his/her facial
expression.
 It gives an impression that he/she is confused or surprised after seeing the
prescription.
2. Reading and checking
 After receiving the prescription it should be screened behind the counter.
 Prescription authenticity should be checked.
 The signature of the prescriber and the date of prescription should be
checked.
 The pharmacist should read all the lines and words of the prescription.
 He/she must not guess any word.
 If there is any doubt, the pharmacist should consult with the other
pharmacist or the prescriber over telephone.
Handling of Prescription
3. Collecting and weighing the material
 Before compounding a prescription all the materials should be
collected from the shelves or drawers.
 All the materials kept in the left hand side of the balance.
 After measuring each material should be kept on the right hand
side of the balance.
 After compounding of the prescription materials are replaced
back to the shelves / drawers.
 While compounding every container of material should be
checked thrice in the following manner:
 When collected from the shelves/drawers.
 When the materials are measured.
 When the containers are replaced back to the
shelves/drawers.
Handling of Prescription
4. Compounding, packaging and labeling
 Only one prescription should be compounded at a time.
 Compounding should be done on a clean table.
 All equipment required should be cleaned and dried.
 The preparation should be prepared according to the direction
of the prescriber or as per methods given in pharmacopoeia or
formulary.
 The compounded preparations should be filled in suitable
containers.
 Label the container.
Modern methods of Prescribing
 Nowadays, the majority of the drugs are available in the market as readymade
formulation manufacturing by different pharmaceutical companies.
 The drugs should be prescribed by its official name and not by its proprietary
or trade name.
 There are certain advantages and disadvantages of prescribing the drugs by its
proprietary name, which are as under…
Advantages:
1. It’s easy to remember proprietary because they are very catchy.
2. It is easy to communicate with the patient.
3. The continuity can be maintained by prescribing the same proprietary name
every time.
4. The bioavailability of drugs change with the change of adjutants used in
drugs formulation manufacture by different manufactures. So only those
proprietary drugs can be prescribed which have a better bioavailability.
Disadvantages:
1. It is cheaper to prescribe the drugs by its official name.
2. It becomes difficult for a pharmacist to dispense the substitute of the drug
which is available in the stock.
Modern methods of Prescribing
There are 4 types of prescriptions which are generally received by the retail drug store:-
• Prescription in general practice.
• Private prescription.
• Hospital prescription meant for ‘out patients’.
• Hospital prescription meant for ‘in patient’.
A typical modern prescription is given below:
Care Required in Dispensing Prescription
Following precautions should be taken while dispensing a
prescription.
1. Prescription must be carried with the pharmacist while taking
the medicine out of the shelves.
2. The dispensing balance should always be checked before
weighing any ingredient.
3. All the chemicals should be replaced back in to their original
positions in the shelf.
4. Care should be taken to keep the balance clean after each
measurement.
5. Liquid preparations for external use the label must display
FOR EXTERNAL USE ONLY in red ink.
6. Before handing over the medicine to the patient, again the
preparation should be checked.

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Prescription.pptx

  • 1. By, Aditya Sharma Assistant Professor, H R Patel Institute of Pharmaceutical Education and Research, Shirpur PRESCRIPTION By, Mr. Aditya Sharma Assistant Professor, School of Pharmaceutical Sciences IFTM University, Moradabad Subject Name: Pharmaceutics- II Subject Code: DPH-201
  • 2. Introduction • Prescription is an order written by a registered medical practitioner (RMP) such as physician, dentist, veterinarian etc. to a pharmacist to compound and dispense a specific medication for the patient. OR • Prescription is a written order for medication, issued by physician or RMP • Prescription is relationship between physician and pharmacist. Physician (RMP) Pharmacist Patients Prescription is a media through which treatment is provided for a patient by the skill and services of both the physician and the pharmacist. Prescriptions are generally written in English language but Latin words or abbreviations are frequently used in order to save time. So it becomes necessary for a pharmacist to become familiar with the common Latin terms and abbreviations use by the prescriber on the prescriptions.
  • 3. Parts of a Prescription Prescriptions are generally written on a typical format which consists of the following parts: 1. Prescriber’s Information 2. Date 3. Name, Age, Sex and Address of The Patient) 4. Superscription (symbol ℞) 5. Inscription (Medication prescribed) 6. Subscription (Direction to Pharmacist/Dispenser ) 7. Signatura or Transcription (Direction for Patient) 8. Renewal instructions 9. Prescriber’s signature and registration number
  • 4. Parts of a Prescription 1. Prescriber’s Information  Information about physician is essential so that the patient could be contact in emergency.  Following information is mentioned on the prescription  Doctor's or office name.  Address with phone number and e-mail.  Prescription number, (required when calling the pharmacy for a refill) 2. Date  It helps a pharmacist to find out the date of prescribing.  It also helps to know when the medicines were last dispensed if the prescription is brought for redispens.  In case of narcotic or habit forming drug, the date prevents the misuse of the drug by the patient.
  • 5. Parts of a Prescription 3. Name, Age, Sex and Address of the Patient  Name and address of the patient for identification purpose.  Age and sex of the patient is required for child patient to check the prescribed dose. 4. Superscription (symbol ℞)  It is represented by ℞ (Latin term) “recipe” which means “take thou” or “you take”.  In olden days, the symbol was considered to be originated from the sign of Jupiter.  Jupiter is the Greek God of healing.  This symbol was use for requesting God for the quick recovery of the patient.
  • 6. Parts of a Prescription 5. Inscription (Medication prescribed)  It is the main part of the prescription.  It contains the names and quantities of the prescribed medicaments.  The medicament may be official preparation or non-official preparation. a) Official preparation (i.e. from pharmacopoeia) – Only name of the preparation is written E.g. Piperazine Citrate Elixir IP b) Non-official preparation- Quantity of each ingredient will be given and type of preparation will also be given. 6. Subscription (Direction to Pharmacist)  In this part the prescriber gives direction to the pharmacist- a) Regarding the dosage form to be prepared. b) Number of doses to be dispensed.
  • 7. Parts of a Prescription 7. Signatura (Direction for Patient)  It is usually written as “Sig.”.  The signatura written in english and use some Latin abbreviations like t.i.d (thrice a day), b.i.d (twice a day) and o.d (once a day)  Instructions should be written on the label of container so that the patient can follow them.  The instructions may include: a) Quantity to be taken (dose of drug) b) Frequency and timing of administration of the preparation (dose interval) c) Route of administration d) Special instruction (if any)
  • 8. Parts of a Prescription 8. Renewal instructions  The number of times a prescription is to be repeated is written by the physician.  It is very important for the case of habit forming drugs to prevent its misuse. 9. Prescriber’s signature and registration number  The prescription must be signed by the prescriber by his / her own hand.  Registration number should be written in the case of dangerous and habit forming drugs.
  • 9. Parts of a Prescription An example of a typical prescription is given as follows:
  • 10. Parts of a Prescription Legal Requirements for a Valid Prescription 1. Prescription should be written in indelible (can not erased) ink (may be handwritten or computer generated) 2. Prescription must be signed in indelible ink by the practitioner using his own name. 3. Prescription must be dated by the prescriber. 4. Prescription should state address of the practitioner. 5. If issued by a dentist the words “for dental use only” 6. Prescription always writes legibly. 7. Prescription always space out words and numbers to avoid confusion. 8. Prescription always contains complete medication orders. 9. Avoid abbreviations.  Nowadays, electronic prescriptions are use, to minimize medication errors.  The use of abbreviations in prescription writing is traditional.  Nowadays, prescriptions are written in English language.
  • 11. Useful Latin Terms Latin term / phrases Abbreviation English Translation Semel in die or omne in die o.d Once a day Bis in die, Bis die b.i.d. or b.d. Twice a day Ter in die, Ter die t.i.d. or t.d. Thrice a day Quartar in die q.i.d., q.d. Four times a day Si opus sit s. o.s When required Emulsio - Emulsion Cochleare - Table Spoon Post Cibos - After Lunch Sumenda - To be taken
  • 12. Handling of Prescription The following procedures should be adopted by the pharmacist while handling the prescription for compounding and dispensing: 1. Receiving 2. Reading and checking 3. Collecting and weighing the materials 4. Compounding, packaging and labeling
  • 13. Handling of Prescription 1. Receiving  The prescription should be received by the pharmacist.  While receiving a prescription, a pharmacist should not change his/her facial expression.  It gives an impression that he/she is confused or surprised after seeing the prescription. 2. Reading and checking  After receiving the prescription it should be screened behind the counter.  Prescription authenticity should be checked.  The signature of the prescriber and the date of prescription should be checked.  The pharmacist should read all the lines and words of the prescription.  He/she must not guess any word.  If there is any doubt, the pharmacist should consult with the other pharmacist or the prescriber over telephone.
  • 14. Handling of Prescription 3. Collecting and weighing the material  Before compounding a prescription all the materials should be collected from the shelves or drawers.  All the materials kept in the left hand side of the balance.  After measuring each material should be kept on the right hand side of the balance.  After compounding of the prescription materials are replaced back to the shelves / drawers.  While compounding every container of material should be checked thrice in the following manner:  When collected from the shelves/drawers.  When the materials are measured.  When the containers are replaced back to the shelves/drawers.
  • 15. Handling of Prescription 4. Compounding, packaging and labeling  Only one prescription should be compounded at a time.  Compounding should be done on a clean table.  All equipment required should be cleaned and dried.  The preparation should be prepared according to the direction of the prescriber or as per methods given in pharmacopoeia or formulary.  The compounded preparations should be filled in suitable containers.  Label the container.
  • 16. Modern methods of Prescribing  Nowadays, the majority of the drugs are available in the market as readymade formulation manufacturing by different pharmaceutical companies.  The drugs should be prescribed by its official name and not by its proprietary or trade name.  There are certain advantages and disadvantages of prescribing the drugs by its proprietary name, which are as under… Advantages: 1. It’s easy to remember proprietary because they are very catchy. 2. It is easy to communicate with the patient. 3. The continuity can be maintained by prescribing the same proprietary name every time. 4. The bioavailability of drugs change with the change of adjutants used in drugs formulation manufacture by different manufactures. So only those proprietary drugs can be prescribed which have a better bioavailability. Disadvantages: 1. It is cheaper to prescribe the drugs by its official name. 2. It becomes difficult for a pharmacist to dispense the substitute of the drug which is available in the stock.
  • 17. Modern methods of Prescribing There are 4 types of prescriptions which are generally received by the retail drug store:- • Prescription in general practice. • Private prescription. • Hospital prescription meant for ‘out patients’. • Hospital prescription meant for ‘in patient’. A typical modern prescription is given below:
  • 18. Care Required in Dispensing Prescription Following precautions should be taken while dispensing a prescription. 1. Prescription must be carried with the pharmacist while taking the medicine out of the shelves. 2. The dispensing balance should always be checked before weighing any ingredient. 3. All the chemicals should be replaced back in to their original positions in the shelf. 4. Care should be taken to keep the balance clean after each measurement. 5. Liquid preparations for external use the label must display FOR EXTERNAL USE ONLY in red ink. 6. Before handing over the medicine to the patient, again the preparation should be checked.