1) Check if the prescription order is correct or incorrect. If not, write the new and appropriate prescription order. Please explain the revisions/modifications (if any) in bullet form and include the references used. 1. it is not correct Amoclav 457/5 mL Oral Suspension #1 2.5 mL or ½ tsp every 12 hrs • Children aged 6 years or less should preferably be treated with Amoclav oral suspension or sachets. • Co-amoxiclav is dosed based on the amoxicillin component and is given in divided doses every 12 hours. • The patient is 4 years of age with a weight of 32lbs or 14.5kg we should correct the prescription and dispense a proper medication that is suitable for her age, weight and diagnosis 2. It is not correct Tempra Forte Syrup 250/5 mL #1 2.5 mL to 5 mL or ½ to 1 tsp. every 6 hours for fever • • Forte Syrup: Dosing is based on single dose in the range of 10-15 mg/kg/dose repeated 3 to 4 times a day or as needed but not more than 5 times daily. Since the patient is 4 years of age, we should correct the prescription and dispense the proper medication that is suitable for her age 3. It is not correct Sinecod Forte Syrup 7.5/5 mL #1 5mL or 1 tsp TD for cough with phlegm • • Based on the dosage/direction for use from MIMS o syrup: ▪ Children 3 to 6 years of age: One (1) teaspoonful (5 ml) 3 times daily. Maximum daily dose: 15ml (22.5 mg). ▪ Children 6 to 12 years of age: Two (2) teaspoonfuls (10 ml) 3 times daily. Maximum daily dose: 30ml (45 mg). ▪ Adolescents over 12 years of age: One (1) tablespoonful (15 ml) 3 times daily. Maximum daily dose: 45ml (67.5 mg). ▪ Adults: One (1) tablespoonful (15 ml) 4 times daily. Maximum daily dose: 60ml (90 mg). Since the patient is a child, we should correct the prescription and dispense a proper dosage that is suitable for her age. 2) As a pharmacist, what are the actions needed to minimize the risks of error in this prescription? The action needed to minimize the risks of error are: • • • • • • • • We should check properly what is written If the prescription is illegible, we should ask the customer what the drugs are for, we can also contact the prescriber (with the information written in the prescription) Perform a drug interaction review for prescriptions containing more than one drug. Check for potential interactions between any medicine the patient is presently taking and the drugs on the prescription. Any severe adverse drug interaction must be reported to the physician so that appropriate action can be taken. When taking medications off the shelf, compare the names, strengths, and dose forms to the prescription. Allergies should always be checked, especially if an antibiotic prescription is being written, as prescribers may overlook cross sensitivities among drug classes. Check for abbreviations, as it may interpret differently References • • • • About AmoClav Suspension. Unilab, Inc. Retrieved October 16, 2021, from https://www.unilab.com.ph/products/amoclav-suspension Amoclav Suspension. MIMS. Retrieved October 16, 2021, from https://www.mims.com/philippines/drug/info/amoclav%20suspension/dosage Sinecod forte. MIMS Retrieved October 16, 2021, from https://www.mims.com/philippines/drug/info/sinecod%20forte/dosage Tempra. MIMS Retrieved from October 16, 2021, from https://www.mims.com/philippines/drug/info/tempra/dosage
