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Flashcards in Prescription Writing Deck (27):
1

Prereqs to a Prescription

Legitimate Patient-provider relationship:
- Chief complaint/diagnostic studies
- History of present illness and diagnosis
- Medical History
- Physical Exam

2

Dentist Legitimate Prescriptions

Analgesics
Antibiotics
Antimicrobials
Anti-inflammatory
Anxiolytics
Muscle Relaxants

3

Schedule II Drugs

High Abuse potential
- Oxycodone
- Amphetamine
- Oxycodone (Percocet)
- Hydrocodone (Norco)

4

Schedule III Drugs

Moderate dependency risk
- Anabolic steroids
- Codeine preparations

5

Schedule 4 Drugs

Lower dependency risk
- Tramadol
- Benzodiazepines (Valium, Xanex)

6

Schedule 5 Drugs

Limited abuse potential, generally antidiarrheal or analgesic

- Cough preps w/ codeine
- Lyrica
- Lomotil

7

Requirements for Dentist

State license
Registration
DEA registration for Narcotic analgesics and Anxiolytics

8

Anatomy of a Prescription

Patient information
Date issued
Drug information
Refill authorization
Prescriber information

9

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)

10

Anatomy of Prescription - Lines

First line = Drug name, strength, dosage form

Second line = quantity

Third line = directions for use, duration, route and special instructions

11

Refill Authorization

Schedule 2 drugs can't be refilled.

Refills retrieved within 6 months

12

Prescriber

Name
Professional Title
Address
Telephone
Signature
DEA #

13

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)

14

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

15

General Considerations

Allergies
Drug interactions
Compliance
Weight
Metabolism
Organ systems

16

Opioid Combinations

Maximum number of tablets for an opioid combination usually determined by maximum dose of non-opioid component

17

Analgesics - NSAIDS

- Ibuprofen 600 mg tablets (12 , one every 6 hours as needed)
- Naproxen Sodium 275 mg tablets (6, every 12 hours)

18

Analgesics - Schedule 4

Tramadol 37.5 mg + Acetaminophen 325 mg (12, every 6 hrs)

Tramadol 50 mg tablets (12, every 6 hours)

19

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)

20

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)

21

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)

22

Antibiotic Prophalyxis

Artificial heart valves
History of infective endocarditis
Heart transplant
Heart conditions from birth

23

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)

24

Antimicrobial

Chlohexidine gluconate .12% oral rinse (1 pint)

25

Antifungal

Cclotrimazole 10 mg troches (70, dissolve slowly in mouth 5 times daily, don't eat/drink one hour)

26

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)

27

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.