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Prescription Writing

A prescription is a written order from a physician for a pharmacist to dispense medication, consisting of four main components: superscription, inscription, subscription, and signature. There are various types of prescriptions classified by health facility, formulation, and prescriber, with distinctions between pre-compounding and extemporaneous prescriptions. Key elements of a prescription include prescriber and patient information, medication details, directions for use, and refill information, with emphasis on avoiding prescribing errors through clear and legible writing.

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Kartik Kaushik
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75 views

Prescription Writing

A prescription is a written order from a physician for a pharmacist to dispense medication, consisting of four main components: superscription, inscription, subscription, and signature. There are various types of prescriptions classified by health facility, formulation, and prescriber, with distinctions between pre-compounding and extemporaneous prescriptions. Key elements of a prescription include prescriber and patient information, medication details, directions for use, and refill information, with emphasis on avoiding prescribing errors through clear and legible writing.

Uploaded by

Kartik Kaushik
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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PRESCRIPTION

WRITING
Prescription
• A prescription is a written order by a registered
physician directing the pharmacist to prepare or
dispense pharmacological agents for the
diagnosis, prevention or treatment of a disease.
• Broadly Prescription has 4 components:
1. Superscription
2. Inscription
3. Subscription
4. Signature
• The superscription which consists of patient and doctor
details, symbol Rx(an abbreviation for recipe, the Latin
for take thou) is found. The Rx symbol comes before the
inscription.

• The inscription is also called the body of


the prescription and provides the name & the chief
ingredients of the quantities of prescription. Also in the
inscription you will find dose & dosage form such as
tablet, capsule, suspension, syrup, etc.
• The subscription which gives specific direction
for pharmacist on how to compound the
medication. These direction to pharmacist are
usually expressed in contracted Latin or may
consists of short sentence such as “make a
solution”, “mix & place into 10 capsules” or
“dispense 10 tablets”.

• The signature (transcription) gives instruction to


patient on how much, when & how long the
drug is taken.
Types of Classification
According to the Health Facility
• Outpatient Prescription
• Inpatient Prescription (Patient Order Chart, Chart Order)

According to the Formulations being prescribed


• Pre-compounding prescription
• Extemporaneous prescription

According to the Prescriber


• Medical Prescriber (Hand-written or Computer Generated)
• Nurse Prescriber (Hand-written or Computer Generated)
• Pharmacist Prescriber
• Optometrist Prescriber
• Dental Prescriber
Pre Compounding Prescription Extemporaneous Prescription
It is the prescription that It is a prescription containing
contain drugs available in directions for the mixing together of the
precompounded form and is ingredients of a prescription or drug
dispensed as it is. formula and generally refers to a manual
process performed for individual orders
by a dispenser or pharmacist.

Pharmacists or Nursing Staff Pharmacists or Nursing Staff prepare


dispense the drugs as directed by the medication according to the drugs and
the physician dosages as directed by the physician
More common these days Seen in limited scenario, e.g.
Ayurvedic prescriptions,
ICU
prescription
Comparatively safer as the Higher risk
dosage forms are not modified
Elements of A Prescription

A. Prescriber related:
1. Name
2. Licence Classification (Professional Degree)
3. Address
4. Contact Number
• Prescriber’s credential should be verifiable
• Should be available if any queries arises
5. Date
• Signifies when was prescription written
• Too old prescription should not be refilled
B. Patient related:

6. Name
7. Address
• Proper identification
C. Body of Prescription:
8. Medication name (Brand/generic)
9. Medication strength (metric units/apothecary)
10.Dispensing quantity, dosage (appropriate to
duration of therapy)
11.Direction for use (Patient-specific and drug
specific)
Instructions should include:
• How and when to take medications, duration of
therapy, purpose of medication
• Must be clear ad concise
• Latin abbreviation apothecary not preferred, but still
in use.
D. Others:

12. Refill information


13. Requirement of childproof containers
14. Additional warnings
E. Prescriber’s identification:

15. Prescriber’s name


16. Prescriber’s signature
17. Prescriber’s registration number
A

E
Prescribing Error
1.Omission of Information
• “Resume pre-op medication”
• “Continue present iv fluids”
• “Continue eye drops”
• “prn” authorization without clear instructions on what conditions
will justify the use
2.Poor prescription writing
• Illegible handwriting
• Ambigious decimal point, using “0” properly, using “/”
• Using “U” for units
• Prescribing doses in micrograms
• One ampoule of a drug when more than 1 size ampoules are
available
• Confusing abbreviations
3.Inappropriate drug prescription
• Failure to recognise contraindications imposed
by comorbidities
• Failure to ilicit drug history of the patient
• Failure to realise Drug-drug interaction

Notes:-Prescription should be legible,


unambiguous, dated, signed properly
Prescription should contain sufficient
information so that any possible errors could be
discovered easily

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