rx writing Flashcards
legend drugs
drugs that maybe dispensed by a pharmacist only with a rx from a licensed physician or other practitioner
controlled drugs
drugs requiring a rx and additional safe guards and regulations from federal (DEA) or state (divison of narcotics and dangerous drugs of DHHR) agencies
schedule I of controlled substances
no acceptable medicaluse and have a very high abuse potential, need special authorization from the DEA (ex: LSD, heroin, ecstasy, methaqualone)
schedule II of controlled substances
- drugs that have a high abuse potential with physical or psychological dependence
- have a medical use or indication
- must have written and non-refillable Rx
- must have appropriate documentation
- ex: hydrocodone, morphine, cocaine, amphetamine, oxycodone, adderall, meth
schedule III of controlled substances
- have abuse potential less than I and II and contain limited quantities of certain narcotic analgesics and other meds such as baributrates
- can be called in and refilled
- ex: tylenol #4 (codeine), anabolic steroids, testosterone
schedule IV of controlled substances
- drugs that have less of an abuse potential than those of III
- ex: benzodiazepines
schedule V of controlled substances
- drugs that have less of an abuse potential than IV
- contain very limited amt of certain narcotics used for anti-tussive or anti-diarrheal purposes
- ex: lomotil (diphenoxylate), robitussin with codeine
what must a physician obtain to prescribe any controlled substance?
DEA
superscription contains
- name, address, age of patient
- date is written in alpha-numeric notation, not must numbers (May 19, 2015 instead of 5/19/15)
inscription contains
- name and amt or strength of each meds
- e: Lasix 40mg
subscription contains
- how much med for the pharmacy to dispence
- write out the amt
- ex: disp: #40 (forty)
signatura
- directions for the patient
- should be always written in plain English
- ex: sig: one capsule 3 times a day after meals
- “take as directed” should be avoided, write intended use of med and/or time limit (ex: for pain)
labeling
- old term
- check the box on the prescription when the physician wants the patient to know the name of the drug
refills
- physician should indicate the number of refills if any for the patient
- schedule II drugs are not refillable
when writing drug names, should
- write the entire drug name out
- do not use drug abbreviation