PRESCRIPTIONS – Parts

A prescription is an order written by a  physician,  dentist,  veterinarian, or any other registered medical practitioner to a  pharmacist to compound and dispense a  specific medication for the patient.

Essential features of a prescription

• Directions are given to the pharmacist about what type of preparation (tablet, powder,  mixture, etc.) is to be prepared.

• It contains directions for the patients, the dose of the drug, the dose interval, and how it is to be taken.

• Prescriptions are generally written in the Latin language so that the prescription remains unknown to the patients to avoid self-medication.

Parts of a Prescription

A typical prescription consists of the following parts: 

1.  Date

The date on the prescription helps the pharmacists to know when the medicines were last dispensed if the prescription is brought for dispensing of the prescription. In the case of habit-forming drugs, the date prevents the misuse of the drug by the patient. 

2.  Name,  age,  sex, and address of the patient

By name and address, the patient and the prescription can be identified. The age and sex of the patient are especially required for child patients to check the prescribed dose.

3. Superscription

It is  represented by  a Latin  symbol  ℞,  an abbreviation  of the Latin term  ‘recipe’

which means ‘take thou’ or ‘you take.’ 

[N.B. In the olden days, the symbol was considered to have originated from the sign of Jupiter, the Greek

God of healing. This symbol was employed by the ancient in requesting God for the quick recovery

of the patient.]

4. Inscription

This is the main part of the prescription.  It contains the names and quantities of the

prescribed medicaments. The medicament may be official preparation or nonofficial preparation. If

it is an official preparation (i.e., from pharmacopeia or formulary), then only the name of the preparation is written. 

e.g., Piperazine Citrate Elixir IP.

If it is a nonofficial preparation, then the quantity of each ingredient will be given.  The type of preparation will also be given.

3. Superscription

It is represented by a Latin symbol  ℞,  an abbreviation of the Latin term  ‘recipe,’ which means ‘take thou’ or ‘you take.’  [N.B. In the olden days, the symbol was considered to have originated from the sign of Jupiter, the Greek God of healing. This symbol was employed by the ancient in requesting God for the quick recovery of the patient.]

4. Inscription

This is the main part of the prescription.  It contains the names and quantities of the prescribed medicaments. The medicament may be official preparation or nonofficial preparation. If it is an official preparation (i.e., from pharmacopeia or formulary), then only the name of the preparation is written. 

e.g., Piperazine Citrate Elixir IP.

If it is a nonofficial preparation, then the quantity of each ingredient will be given.  The type of preparation will also be given.

e.g.   Sodium bicarbonate  3g    

Simple Syrup    6ml    

Purified Water q.s.   100ml

The inscription of prescriptions containing several ingredients is divided into the following parts:

(a) Base: The active medicaments intended to produce the therapeutic effect.

(b) Adjuvants: These are included either to enhance the action of the drug or to make the preparation more palatable.

(c) Vehicle:  It is the main carrier of the drug.  In liquid preparations, drugs are either dissolved or dispersed in the vehicle.

5. Subscription

In this part, the prescriber gives directions to the pharmacist regarding the dosage form to be prepared and the number of doses to be dispensed. 

6. Signatura 

It is usually written as  ‘Sig.’.  The instructions given in the prescription should be written on the container’s label so that the patient can follow them. The instructions may include:  

(a) The quantity to be taken   

(b) The frequency and timing of administration of the  

(c) The route of administration 

(c) The special instruction (if any)

7. Renewal instructions

The prescriber indicates in every prescription whether it should be renewed, and if renewed,  for how many times. It is very important, particularly in the case of habit-forming drugs, to prevent its misuse. 

8. Signature, address, and registration number of the prescriber

The prescription must be signed by the prescriber by his  /  her hand.  His/her address and registration number should be written in the case of dangerous and habit-forming drugs.

An example of a typical prescription is given as follows:

Name of the hospital

Address of the hospital

Name: patient`s name   Age: patient`s age    Sex: patient`s sex        Address: patient`s address

Rx…………………….. (superscription)

Sodium bicarbonate    3g

Inscription  – Compound tincture of cardamom  2ml    

Simple Syrup      6ml    

Purified Water q.s.    90ml

Fiat moisture. (Subscription)

Sig.  Cochleare  magnum  ter  in  die  post  cibos  sumenda. (Signatura)

Refill: ________                                          Dr. Deepak Rajput (e.g.)           Regn. No. ……….

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