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
Opioid Combinations
Maximum number of tablets for an opioid combination usually determined by maximum dose of non-opioid component
Analgesics - NSAIDS
- Ibuprofen 600 mg tablets (12 , one every 6 hours as needed)
- Naproxen Sodium 275 mg tablets (6, every 12 hours)
Analgesics - Schedule 4
Tramadol 37.5 mg + Acetaminophen 325 mg (12, every 6 hrs)
Tramadol 50 mg tablets (12, every 6 hours)
Alagesics - Schedule 2
Hydrocodone 5 mg + Acetaminophen 325 mg tablets (12, every 6 hrs)
Norco 5/325 mg tablets (12, every 6 hrs)
Oxycodone 5 mg/Acetaminophen 325 mg tablets (12, every 6 hrs)
Percocet 5/325 mg tablets (12, every 6 hrs)
Antibiotics
Penicillin 500 mg tablets (28, every 6 hrs)
Amoxicillin 500 mg tablets (21, every 8 hrs)
Clindamycin 300 mg capsules (28, every 6 hrs)
Amox 875 mg + Clavulanate Potassium 125 mg tablets (14, 12 hrs)
Antibiotics Ctd
Azithromycin 250 mg tablets (6 tablets = zpack. 2 tablets first day, one tablet each day)
Metronidazole 500 mg tablets (28, six hours, no alchohol)
Antibiotic Prophalyxis
Artificial heart valves
History of infective endocarditis
Heart transplant
Heart conditions from birth
Antibiotic Prophylaxis RX
Amoxicillin 500 mg tablets (4, take all 4 by mouth one hour prior to appointment, SBE proph)
Clindamycin 150 mg capsules (4, take all one hour prior SBE)
Cephalexin 500 mg tablets (4, take all four one hour prior SBE proph)
Antimicrobial
Chlohexidine gluconate .12% oral rinse (1 pint)
Antifungal
Cclotrimazole 10 mg troches (70, dissolve slowly in mouth 5 times daily, don’t eat/drink one hour)
Anti-inflammatories - Nsaids
Ibuprofen 600 mg tablets (28, every 6 hours for muscular inflammation)
Naproxen Sodium 275 mg tablets (28, every 6 hrs for inflammation)
Anti-inflammatories - Steroids
Methylprednisolone 4 mg (Medrol dose pack)
One pre-packaged 4 mg pack tablets decreasing over 6 days. Take as directed for myofascial pain.
