Prescription Writing Flashcards
Prereqs to a Prescription
Legitimate Patient-provider relationship:
- Chief complaint/diagnostic studies
- History of present illness and diagnosis
- Medical History
- Physical Exam
Dentist Legitimate Prescriptions
Analgesics Antibiotics Antimicrobials Anti-inflammatory Anxiolytics Muscle Relaxants
Schedule II Drugs
High Abuse potential
- Oxycodone
- Amphetamine
- Oxycodone (Percocet)
- Hydrocodone (Norco)
Schedule III Drugs
Moderate dependency risk
- Anabolic steroids
- Codeine preparations
Schedule 4 Drugs
Lower dependency risk
- Tramadol
- Benzodiazepines (Valium, Xanex)
Schedule 5 Drugs
Limited abuse potential, generally antidiarrheal or analgesic
- Cough preps w/ codeine
- Lyrica
- Lomotil
Requirements for Dentist
State license
Registration
DEA registration for Narcotic analgesics and Anxiolytics
Anatomy of a Prescription
Patient information Date issued Drug information Refill authorization Prescriber information
Drug Information
Drug name (avoid abbrev)
Strength (drug per dosing unit, mass or volume)
Dosage form (capsule, etc)
Route (oral, sublingual)
Directions (to pharmacist)
Duration
Quantity (must write and spell for controlled subs)
Anatomy of Prescription - Lines
First line = Drug name, strength, dosage form
Second line = quantity
Third line = directions for use, duration, route and special instructions
Refill Authorization
Schedule 2 drugs can’t be refilled.
Refills retrieved within 6 months
Prescriber
Name Professional Title Address Telephone Signature DEA #
New Law Requirements
List coding w/ description
List number of days to be taken
Only 3 days of narcotics, 30mg morphine equivalent )(1 hydrocodone every 6 hour for 3 days)
Common abbreviations b.i.d mg p.o. p.r.n. q.i.d. q. _ h t.i.d
Twice daily milligram by mouth as needed, when necessary four times a day every _ hours 3 times daily
General Considerations
Allergies Drug interactions Compliance Weight Metabolism Organ systems