CORRECT PRESCRIPTION WRITING

DIABETES
o Metformin 500 mg TID or in combination- insulin
resistance, 2 grams °
FEVER o Gliclazide 60 mg/tab, OD or BID - right after meal
o Grimepiride 2mg, 3mg, 5 mg- right after meal
o Pioglitazone 30 mg-

COUGH
Mucolytic
• N-acetylcysteine 600/ sachet, 1 sachet mix
1⁄2 glass water, take once a day for 5 days
• Ambroxol 30 mg/tab, 1 tablet 3x day for 7
Paracetamol 250 mg/5, 10-15 mg/kg ( 12 mg/kg) days
-Weight of child 15 kilogram X 12 mg = 180 mg • Ambroxol 15 mg/5ml suspension, 5 ml 3 x
dose 125 mg/5 ml day
-180 x 5 = 900 /250 = 4 ml every 4 hours • Every 8 hrs
Suppressant
• Dextromethorphan 10 mg TID
Butamirate citrate (Senicod forte 45mg), 1
TID
• Butamirate citrate 7.5 mg/5ml
Lagundi capsule 1 cap TID
Lagundi 300 mg/5 ml suspension
• Levodropopizine 30 mg/ 5ml
Expectorant
• Guaifenesin 100 mg, 1 cap 3 x day
• Guaifenesin 100 mg/5 ml, 5 ml 3 x a day for
5 to 7 days

ASTHMA
o Asthma is treated with Controllers/Relievers
o Wheezing (+) -->
o GINA guideline
1 week-> Salbutamol 2 mg 3 x day
Salbutamol 1.5 mg/5ml, 3 x day
HYPERTENSION Follow up after 3 days
o Losartan: 50 mg/tab, 100 mg/tab- first line
o Captopril: 50 mg/tab- first line PNEUMONIA
o Amlodipine: 5 mg/tab, 10 mg/tab- No comorbidities:
combination therapy/ 2nd line • Co-amoxiclav 625 mg TID x 7 days
o Metoprolol: 50 mg/tab, Metoprolol 100 • Amoxicillin 1 gram TID
mg/tab-> tachycardic patient • Azithromycin 500 mg OD x 3 to 4 days
o JNC
o 140 and above- advise lifestyle change, no • Clarithromycin 500 mg BID x 7 days
symptoms, repeat 1 week
o 130-139 stage 1- advise lifestyle change, no 2nd Gen Cephalosporin
symptoms, repeat 1 week after.
o 121-129 prehypertension- Advise Lifestyle change, • Cefuroxime 500 mg BID x 7 days
exercise, diet, low salt, law fat, repeat the bp 6 • With comorbidities
months to 1 year. • Add: Azithromycin 500 mg OD x 3 days
o 120/80 max BP- 1 year
o 140 and above- headache, dizziness-- > losartan 50 • Diabetes mellitus • COPD
mg/tab, • Heart Disease
DYSPEPSIA (HYPERACIDITY) intermittent ARTHRITIS = gouty arthritis
epigastric, bloating, obstipation, crampy for1 week • Febuxostat 40 mg BID X 2 weeks to 1
month
o Omeprasole 40 mgcx 14 days • Allopurinol 10 mg TID X 2 weeks to 1
month,
Crampy Abdominal Pain:
o Hyoscine N- Butyl Bromide ( Buscopan) 10 Allergic Dermatitis
mg TID as needed for crampy abdominal • If localized, treat with topical steroids -
pain Hydrocortisone cream 1 % for Dry
o Vomiting: - Hydrocortisone ointment 1 % for Wet
o Domperidone- 10 mg 3 x a day as needed
for Vomiting- adult Metoclopramide Hydrocortisone 1 % cream # 1
Sig: apply on affected area 3 x a day for 7 to 14
UTI days
Cystitis For Large area: Momethasone lotion
Short Course X 7 days Cefuroxime 500 mg BID
Cefixime 500 mg BID Coamoxiclav 625 mg BID Antihistamine
Do Urinalysis on the 7th day • Itchiness= Cetirizine 10 mg/tab, 1 tab once day for
5 to 7 days
Uncomplicated UTI • Children= Cetirizine 0.3 mg/kg, max of 10 mg,
• Long Course X 14 days once day
• Do Urinalysis on the 7th day • Itchiness with lesions: Diphenhydramine 25
mg/tab, 2 x a day for 3 days.
HYPERTHYROIDISM/ HYPOTHYROIDISM • Diphenhydramine 12.5 mg/5ml, give 5 ml 2 x a
• Test First for confirmation: day for 3 days -children
➢ TSH, T3, FT4, CBC
➢ 12 lead ECG Skin Infection
➢ Give Vitamin B complex 500 mg OD Bacterial: Mupirocin ointment
For fungal: Clotrimazole cream
DIARRHEA
• Do not give Anti-motility Drugs Rx
• Hydrate: Give ORS 1.Mupirocin ointment #1 tube
• If persistent: Sig: apply on affected 2 x a day for 7 days
2.Clotrimazole cream # 1 tube
➢ Stool forming drugs:
Sig: apply on affected 3 x a fay for 7days
Racecadotril ( Hydrasec) 100 mg/cap TID for adults
Racecadotril 30 mg/sachet /TID sachet for 2 years
and 13 year children Racecadotril 10 mg/sachet mix
SCABIES
in milk TID for infants
• For children and adult Permethrin lotion 5 %
➢ If 3 days, treat as Bacterial Gastroenteritis • Sulfur ointment- for babies
Bloody diarrhea- Ciprofloxacin 500 mg BID X 5
days after meal for 5 days 1.Permethrin lotion 5 % # 1 sachet
- Metronidazole 500 mg TID X 7 days Sig: apply the lotion from sole to neck for 30
minutes, then rinse and take regular bath once day
PNEUMONIA for 3 days.
1. Amox 2. Sulfur ointment # 1 tube
2. Cough Sig: Apply on affected area, 2 x a day for 1 week.
3. Sulfur soap # 1
3. Zinc sulfate 27.5 mg/ml, give 1 ml once a day for Sig: use for Bathing once daily
14 days Zinc sulfate 55 mg/5 ml, give 5ml once a
day for 14 days
PAIN MANAGEMENT LABORATORY REQUEST:
• Pain relief without Renal or Gastric ulcer:
Naproxin: 500 mg , 3 x a day as needed pain For Patients with Hypertension:
Ibuprofen: 200 mg, every 6 hours as needed pain • CBC, Lipid profile, FBS, Serum Creatinine, BUN

• Pain relief with Gastric ulcer, Renal? For Hypertensive Patients 40 years old and above or
Celecoxib: 200 mg/tab BID, 1 tab 2 x day for 3 with Chest Pain: • Add 12-Lead ECG
days, then as needed after 3 days.
For Patients with Symptoms of Diabetes ( Sudden
ANEMIA Weight loss, Polydepsia, Polyuria, Polyphagia)
• Always do CBC • FBS, Lipid Profile, Serum Creatinine
• Ferrous sulfate 325 mg/tab
• Ferrous sulfate + Folic acid: 325 mg + 200 mg, For Known Diabetic, after 3 months
• Lipid profile, Add 12 lead ECG, HBA1c • 3 years
VERTIGO to 5 years-- > serum Creatinine
• Investigate
• Maybe a sign of neuropathy? • Cough for more than 2 weeks, with or without
• BPPV– due to canalith, Low Grade Fever, Weight loss and Night Sweats.
• With Tinnitus?- Refer ENTs ➢ Chest X-ray PA view
• With Pain? Probably infection, treat and refer, ➢ For 12 years old below= Chest X-ray APL
DECONGESTANT VS. ANTIHISTAMINE
• Phenylpropanolamine + PCM 25 mg/ 500 mg, • For 1 week Crampy Abdominal pain
1 tab every 6 hrs --> Whole Abdomen Ultrasound
• For Children: Phenylephrine +Chlorphenamine 5 • Upper Right Quadrant Pain
mg/1 mg/ 5ml, --> Whole Abdomen Ultrasound
• 1 week Hypogastric Abdominal pain
CONJUNCTIVITIS --> Low Abdomen Ultrasound/ pelvic ultrasound
• Tobramycin 3 % eye drops # 1 bottle • Flank Pain, intermittent or associated during
Sig: Instill 1 drop 3 x a day for 5 to 7 days urination --> KUB ultrasound
• Tetracycline ointment, BID • Breast CA Screening or Deep Breast lump
Sig: Apply on the affected area using cotton buds, 2 --> Mammogram
x a day for 5 to 7 days • Chest Mass/Breast Mass-- > Breast Ultrasound
• Neck Mass= ultrasound

CKD
• Bipedal Edema
• Reduced Urination
Laboratory: CBC, Serum Creatinine, BUN
Advised to reduce 1 Liter Water per day.

Circumcission
1. Amoxicillin 250 mg/5ml # 1 bottle
Sig: Give 5 ml 3 x a day for 7 days

2. Paracetamol 250 mg/5ml # 1 bottle