ISPP 2015

Career Opportunities in Pharmacy
How To Write A Therapeutic Prescription

Hi there, In this video I’ll teach you how to write
a therapeutic prescription. You might have seen prescriptions written
like this when you go to the GP. The prescription for paracetamol on the left
is actually what my GP gave me and this is the standard convention for writing prescriptions
and as healthcare professionals we work in a collaborative care environment so writing
it out the conventional way will also help pharmacist minimise errors. A standard prescription requires 3 parts for
the prescription to be legal. It requires the prescriber’s details, patient
information and finally information on the drug being prescribed. In the medications section you need to include
3 things- No 1 is the name of the medication and the formulation of it (that is it an eye
drop or are they tablets) No 2 is the instructions for the patient and finally is the amount
to give to the patient. This tutorial will only go over the medication
side of it. Instead of writing out the formulation out
in full for example eye drops you can use abbreviations. G or gutte is short for eyedrops, Oc is for
ointment and tab is for tablets. For example: G Patanol means Patanol eyedrops
and Tab doxycycline means the tablet form of doxy. If medication comes in more than 1 concentration
you also need to put that like in this doxycycline example. It’s important to include both the medication
and formulation in the prescription as some medications come in more than one formulation
(such as acyclovir) Once you have the medication you next need
to give the instructions on how to use the medication You can use the Sig or signa which tells the
pharmacist what to write on the label For example: Sig: instil 1gtt 4x day for 2
weeks in the right eye or instil 1gtt at night in both eyes. The last thing you need to tell the pharmacist
is how much to give to the patient. This is written as mitte or M which means
send a total of or give the following quantity. With eyedrops, they are sealed and pre-packaged
in a box and you either get 1 bottle or no bottles they don’t open the bottle and pour
half of it out and give you half a bottle. If used normally, most bottles are made to
give a months’ supply that’s why hysite for example comes in a smaller bottle than
poly-tears. A bottle is also called an original pack so
instead of writing out the word bottle you can just use the abbreviation for original
pack which is OP or just P. Another option is to specify the duration of treatment for
example a week or 3 months. Just a reminder the maximum supply any prescriber
can give is 3 months only. In these examples we have asked for 3 original
packs and the second example has asked for a 6 week supply. Here we have 3 examples, the first one tells
us we can Patanol eyedrops with the instructions instil 1gtt twice a day in both eyes and we
have asked the pharmacist to give 3 original packs Next we want ciprofloxacin eyedrops, to be
used in the left eye every hour until follow-up and we have asked for only 1 bottle Lastly we have an example of an oral medication
for 100mg of doxycycline tablets. The instructions here say to take 1 tablet
once a day for 6 weeks. You can see OD is written specifying once
a day not right eye. We didn’t say take one tablet right eye. Lastly here is a list of abbreviations used
in medicine and pharmacy. Again note that OD in pharmacy speak refers
to once a day not right eye. Even though technically q means every and
d means day qd can be confused with qid or qds for 4x day when you have messy doctors
handwriting therefore OD is used. If you want to specify it’s the right eye
then write it out in full or write R instead. Thanks again for watching.

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