RULES OF THE DRUG PRESCRIPTION o Individually prepared preparations (IPP): oprepared in the pharmacies on the base of individual medical prescriptions o Ready-made drug preparations (RMP): o final preparations made by pharm. companies, o ready to be issued by the pharmacy to patients without any further modifications o RULES FOR DRUG PRESCRIPTION § refers to the valid Pharmaceuticals Act 378/ 2007 § and from the related acts and regulations 54/2008 and 106/2008. PRESCRIPTION § official document compiled in accordance with fixed rules. § written in Latin language § must have all parts filled up, must be legible § corrections should be signed by the physician § following the abbreviation corr. (correxit-corrected) §written in a non-erasible manner § max. 2 kinds of medicines/one form of Rx recept recept Inscriptio Personalia aegroti Invocatio Ordinatio Compositio (Praescriptio) Subscriptio Signatura Stamp, name of the doctor date signature §Inscriptio §the heading of the prescription §Personalia aegroti §patient s personal data (name, surname, birth number and domicile) § Invocatio §induced by the abbreviation Rp. (recipe take). § Ordinatio § the actual prescription of the healing preparation = compositio + subscriptio + signatura compositio §RMP §the trade name in the nominative, §specification of pharmaceutical dosage form, §dose and package § § IPP § list of pharmacopoeial (officinal) names of substances in the genitive of singular §+ dosages and package ◦ SUBSCRIPTIO Instruction for the pharmacist §RMP – how many packages should be issued 4th case sg. or pl. Expeditionem originalem numero unam – Exp.orig.No.I Expeditiones originales numero duas – Exp.orig.No.II (duas) ◦ §IPP – how the preparation should be made of the prescribed components Misce fiat (sg) Misce fiant (pl) – mix to obtain … Different dosage forms: - misce fiat pulvis - M.f.pulv. , unguentum - M.f.ung. solutio - M.f.sol., oculoguttae - M.f.oculogutt In one-dose forms: No. (numero) + Roman numeral for number of doses Dentur tales doses numero decem – D.t.d.No.X (decem) Example D.ad vitrum guttatum D.ad capsulam gelatinosam Sometimes other instuctions: Sterilisetur! SIGNATURA D.S. Detur (et) Signetur Exact use instruction for patient – dose, interval, where to apply instructions how the preparation should be used by the patients. D.S. 3 times a day 1 tbl. § date § the stamp of the health facility § the identification of the physician § and the physician s personal signature recept 201 Jopn Smith 220426/5698 Zlatá 5, 841 04,Praha Acidi borici 2,0 Vaselini albi ad 100,0 M. f. ung. D.S. twice a day on the focus MUDr. Radim Uzel 13.12. 2005 recept 201 John Smith 220426/5698 Zlatá 5, 841 4,Praha 13.12. 2005 MUDr. Radim Uzel Paralen 125 tbl. 20 x 125 MG Exp. orig. No. III (tres) D.S. 1 tablet in pain, maximum 4 per day Validity of prescription • Common Rx – 14 days • ATB – 5 days • ATB topically – 14 days • Narcotics, Psychotropics – 14 days • Rx for repeated issue – 6 moths, max 1 Year • Rx issued by emergency next day after the Rx issue (= max. 48 h) • Date – Rx not valid if missing • Validity may be prologned by physician (pollen vaccinesallergology) Prescription without date / stamp / signature is invalid! Rx for repeated issue § Max. no. of medicines usually for 3 months (= usually max. 3 packages) § If more packages to be issued „Rx. for repeated issue“ § 6 months of validity if not specified differently § Max. number of issues has to be specified Prescriptions Slovakia Prescriptions Great Britain Germany RP GB RP SRN Prescriptions USA rx2california[1] Prescription Greece File0263 Electronic Prescription § Physician § Central server for data storage (SÚKL) § Pharmacy § Patient + his password/PIN Common and E-prescription Prescription of narcotics and psychotropic drugs Prescription requirements blue band on the form very strict accounting three copies only one preparation 14 days of validity