Medical prescription (Rx)

A medical prescription (Rx) is an order for a type of treatment written by a medical professional for a patient. Medical prescriptions are often written out for drugs, particularly those that are can be dispensed only when they are ordered by approved medical professionals. Medical prescriptions give orders that describe the specific drug or other therapeutic and directions for how and when it should be used. Medical prescriptions use abbreviations and notations to explain the directions. Only approved medical professionals can write prescriptions.

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Overview

Medical prescriptions have existed for nearly as long as the practice of medicine. Doctors and other medical professionals have suggested treatments for patients for thousands of years. Today, medical prescriptions are generally paper or digital documents containing orders for drugs or therapeutics. Only approved medical professionals can write prescriptions, and prescribers take on legal liability when they create prescriptions. Physicians, veterinarians, and dentists can all write prescriptions. However, in some states, other medical professionals can also write prescriptions, such as nurse practitioners and pharmacists.

A typical medical prescription must have four parts: the superscription, inscription, subscription, and signature. The subscription gives information about the prescriber (name and address), the date, and the patient’s information (name, age, weight). The inscription gives the name and strength of the medicine. The subscription gives directions about the amount of the drug to dispense and the directions for taking the drug. The signature is the prescriber’s signature. Prescribers can also include special notes on the prescriptions. Prescriptions also include a symbol that is similar to Rx. It is an abbreviation of the Latin word recipe, which literally means “to take.”

In the United States, a medical prescription is considered to be a legal document because doctors can order their patients highly regulated drugs using a prescription. Some people forge or alter prescriptions to get certain drugs or more of certain drugs. Opioid pain medications, for example, are highly addictive and highly regulated drugs. People are willing to pay a great deal of money for these drugs, and some try to forge or alter prescriptions for such drugs. Laws that regulate medical prescriptions are mostly passed by individual states. For example, some states have specific laws about how many pills can be prescribed and dispensed at one time. The Food and Drug Administration (FDA) is the federal agency that is in charge of regulating prescription drugs.

People filling out prescriptions have to follow certain rules and are encouraged to follow others. In order to be legal, a medical prescription must include the four required parts. In the United States, a prescription must also include a Drug Enforcement Agency (DEA) prescriber’s number, which helps reduce fraud and abuse. Prescriptions should be written or typed neatly with black ink. They should include only Latin abbreviations (as these abbreviations are universal and help reduce confusion). Prescriptions should be kept simple, so they are easy to read and understand. In general, it is a best practice to avoid trailing zeros but to include leading zeros.

Bibliography

“Appendix I: Principles of Prescription Order Writing and Patient Compliance.” Access Pharmacy, accesspharmacy.mhmedical.com/content.aspx?bookid=1810&sectionid=124489535. Accessed 6 May 2020.

Bihari, Michael. “Prescription Abbreviations Including Sig.” Verywell Health, 22 Feb. 2020, www.verywellhealth.com/prescription-abbreviations-1738896. Accessed 6 May 2020.

Buxton, Iain L.O. “Principles of Prescription Order Writing and Patient Compliance.” Goodman & Gilman’s: The Pharmacological Basis of Therapeutics, 13th ed. McGraw-Hill Education: 2011.

“Common Prescription Writing for Dentists.” Columbia University, www.columbia.edu/itc/hs/dental/d6401/2007/prescriptionColor.pdf. Accessed 6 May 2020.

Lofholm, Paul W. and Bertram G. Katzung. “Rational Prescribing & Prescription Writing.” Basic & Clinical Pharmacology, 14 ed., McGraw-Hill Education: 2018.

“Prescription Drugs.” CDC, 15 Jun. 2018, www.cdc.gov/phlp/publications/topic/prescription.html. Accessed 6 May 2020.

“Prescription Medicines.” NIH, www.drugabuse.gov/drugs-abuse/prescription-medicines. Accessed 6 May 2020.

“Prescription Writing Guidelines.” University of Florida College of Medicine Jacksonville, 2007, hscj.ufl.edu/resman/manualpdfs/Prescription‗Writing‗Guidelines.pdf. Accessed 6 May 2020.

“Prescriptions.” DEA, www.deadiversion.usdoj.gov/faq/prescriptions.htm. Accessed 6 May 2020.