Introduction to Prescribing

Question 1

Considerations for prescription writing

Answer 1

1. Allergies and medication intolerances.
2. Review other meds for drug interactions.
3. Advise pt on any modifications to existing meds.
4. Determine pt specific factors (age, renal/hepatic function).
5. Determin drug formulations and doses
6. Educate on adverse and common side effects.
7. Educate on monitoring parameters and red flags.
8. Monitor response.

Question 2

Components of prescription

Answer 2

• Date
• Pt info
• Prescriber info
• Drug name
• Dose
• Route of adminstration
• Instructions (SIG) including indication if PRN
• Special instructions
• # dispensed
• # refills
• Substitutions?
• Prescriber signature and liscense number (DEA # if required)

Question 3

Schedule of Controlled Substances

Answer 3

Question 4

Prescribing controlled substances

Special requirements?

refills allowed in each schedule?

When to review PMP?

Answer 4

• Schedule II: no refills
• Schedules III-IV: max 5 refills
• Must spell out quantity to be dispensed (30–>thirty)
• Include “Partial fill upon patient request” on schedule II prescriptions
• Provider DEA required for all controlled substances
• Review Prescription monitoring program
  
  • All schedule II or III
  • New benzodiazapine prx