Students Name: ____________________

Roll no:_____
Date: ____________
Class: 4th Proff.
Name of Drug (Generic):__________________

AVAILABLE BRANDS
S.No.

TRADE NAME

COMPANY

DOSAGE FORMS

STRENGHTHS

1
2
3
4

PHARMACOLOGY
PHARMACOLOGICAL CLASS

S.No.

1
2
3
4

THERAPEUTIC USES

THERAPEUTIC CLASS

DOSAGE FORM & ROUTE

OF ADMINISTRATION

MECHANISM OF ACTION

RECOMMENDED DOSES
INFANTS

CHILD

ADULT

5
6
S.No.

ADVERSE EFFECTS

LEVEL

MILD

MOD.

SEVERE

CONTRAINDICATIONS

PRECAUTIONS:

1
2
3
4
5
6

DRUG INTERACTIONS
S.No
.

INTERACTING DRUG

LEVEL (MILD, MODERATE,

SEVERE)

MECHANISM

1
2
3
BEST AVAILABLE BRAND:
JUSTIFICATION:
REFERENCES:
1__________________________________
2__________________________________
3__________________________________
4__________________________________

JUSTIFICATION:

Supervisors Signature:
_________________________

OUTCOME