Administrator rev ronin Posted January 18 Administrator Share Posted January 18 "0.5-1 po qhs up to tid prn muscle spasms" 1) Is this unclear? 2) If so, how would you rewrite it? 3) What medication and dosage is this for? 4) Would you expect a pharmacist to dispense this medication as written? Quote Link to comment Share on other sites More sharing options...
sas5814 Posted January 18 Share Posted January 18 (edited) Drug, strength, 1/2 to 1 tab PO Q 8 hours PRN muscle spasms. Better is to use plain language (which I don't generally do). Drug, strength, take 1/2 to one tablet every 8 hours as needed for muscle spasms. I had a new pharmacist call me a couple of months back because I still write "old fashioned" and she didn't understand it. The problem with TID PRN is people are sometimes very stupid. 1 TID PRN might mean I can take 3 in an hour if I think I need it as long as that all I take today. Think it can't happen? I gave an Army Captain a bottle of Amox powder that needed to be reconstituted for his baby. He came back later and told me the powder was burning his baby's mouth. He was giving an infant a tsp of Amox powder. In fairness he was an artillery officer. Edited January 19 by Hemmingway 3 Quote Link to comment Share on other sites More sharing options...
Administrator rev ronin Posted January 18 Author Administrator Share Posted January 18 4 minutes ago, Hemmingway said: Better is to use plain language (which I don't generally do). I'll look up what MDToolbox translated it to, but it was plainer language than what I just wrote, both the initial script, and the revised script which is still not being filled. No guesses which drug/strength I prescribed with that sig? Quote Link to comment Share on other sites More sharing options...
sas5814 Posted January 18 Share Posted January 18 Looks like Flexeril 10mg 2 Quote Link to comment Share on other sites More sharing options...
SedRate Posted January 19 Share Posted January 19 14 hours ago, rev ronin said: "0.5-1 po qhs up to tid prn muscle spasms" 1) Is this unclear? 2) If so, how would you rewrite it? 3) What medication and dosage is this for? 4) Would you expect a pharmacist to dispense this medication as written? 1. A bit but I figured it out 2. I'd write Q8H for the reasons in the post above. I'd instruct the pt to take it QHS up to Q8H if needed. 4. No, and then I'd call and let the pharmacist know my insight as to why I wrote it that way and ask how they would write it. Quote Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted January 19 Moderator Share Posted January 19 Q HS is daily at bedtime...so I would read this as 1/2- 1 orally daily at bedtime up to 3x daily. I probably would have written as 1/2-1 tab daily at bedtime. May also take 1/2-1 tab q 6 hrs during the day as needed for muscle spasm. Quote Link to comment Share on other sites More sharing options...
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