1.

Purgative prescription for bowel clearance

Physician’s details: -
For Mr. X

Rx
BISACODYL Tablets – 2 tablets
(Each tablet containing 5 mg)
Direction: -Two tablets to be taken at bed time before the day of
examination.
Date: ABC

2. Prescription for Tinea infection

Physician’s details: -
For Mr. X

Rx
Ointment CLOTRIMAZOLE (1%) - 1 tube
(Each tube containing 30g)
Direction: - To be applied over the affected parts twice daily for 15
days.
Follow up after 15 days.
Date ABC

3. Prescription for Lymphatic Filariasis

Physician’s details: -
For Mr. X

Rx
Tablet DIETHYLCARBAMAZINE CITRATE – 42 tablets
(Each tablet containing 100 mg)
Direction: - One tablet to be taken 8 hourly in a day for 14 days.
Follow up after 14 days.

Date ABC

4. Prescription for intestinal mixed worm infection

Physician’s details: -
For Mr. X

Rx
Tablet ALBENDAZOLE – 1 tablet
(Each tablet containing 400 mg)
Direction: - Single tablet to be chewed at bed time.
Date ABC

5. Prescription for Typhoid fever

Physician’s details:

For Mr. X

Rx
Tablet CEFIXIME -14 tablets
(Each tablet containing 400mg)
Direction: 1 tablet to be taken twice daily for 1 week and to report
after 5days or earlier if condition not improved.

ABC Date
6. Prescription for Urinary Tract Infection (UTI)
Physician’s details:
For Mr. X

Rx
Tablet CIPROFLOXACIN - 10 tablets
(Each tablet containing 500mg)
Directions: 1 tablet to be taken once daily for 10 days and to report
after 3 days if no relief with drug.
OR
Tablet NORFLOXACIN - 28 tablets
(Each tablet containing 400mg)
Directions: 1 tablet to be taken twice daily after meal for 14 days

Date ABC

7. Prescription for acute gout

Physician’s details:
For Mr. X:
Rx
1. Tablet COLCHICINE -20 tablets
(Each tablet containing 0.5mg)
Directions: One tablet to be taken immediately followed by one
tablet every 2 hrs until relief of pain is obtained or vomiting or
diarrhoea results.

OR

2. Tablet IBUPROFEN - 14 tablets

(Each tablet containing 400 mg)
Directions: One tablet twice daily after meal for 7 days. Review after
7 days.

Date ABC

8. Prescription for Grade I Hypertension

Physician’s details:
For Mr. X
Rx
Tablet TELMISARTAN-14 tablets
(Each tablet containing 40mg)
Directions: 1 tablet to be taken once daily for two weeks and to
report after 7days.
Date ABC

9. Prescription for an Adult patient with Generalized Tonic-Clonic

Seizures (Grand-Mal Epilepsy)
Physician Details
For Mr. X

Rx
Tab VALPROIC ACID – 14 Tablets
(Each tablet containing 250 mg)

Direction: - One tablet to be taken twice daily.

Report after 7 days or earlier if the convulsions reappear, or are not
controlled with drug
OR

Tab PHENYTOIN SODIUM - 21 Tablets

(Each tablet containing 100 mg)

Direction: - One tablet to be taken thrice daily.

Report after 7 days or earlier if the convulsions reappear, or are not
controlled with drug

Date ABC

10. Prescription for an Adult with Acute Bacterial Conjunctivitis

Physician details
For MR. X

Rx

1. CIPROFLOXACIN eye drop - One Vial

(Containing 5 ml, 0.3% of the drug)

2. CIPROFLOXACIN eye ointment - one tube

(Containing 5 gm, 0.3% of the drug)

Direction: - Two drops of the eyedrop to be instilled in each eye three

times daily and the ointment should be applied to the lower
palpebral conjunctiva at bedtime for 7 days and to report after 7
days, or earlier if the condition worsens.

Date: ABC
11. Prescription for an overweight adult patient newly diagnosed
with fasting blood sugar 140 mg/dl with case of Type 2 Diabetes
Mellitus
Physician Details
For MR. X
Rx
Tab METFORMIN - 60 tablets
(Each tablet containing 500 mg)
Direction: - one tablet should be taken twice daily as advised by the
physician for one month along with screening of blood glucose
(fasting and post prandial) and follow up after one month with report

Date: ABC

12. Prescription for an adult patient diagnosed with

Paucibacillary/Multibacillary leprosy

• For Multibacillary leprosy

Physician Details
For MR. X

Rx
1. RIFAMPICIN Capsules
(Each capsule containing 600 mg)
Direction: - One capsule to be taken one hour before breakfast, once
a month (supervised).

2. DAPSONE tablet
(Each tablet containing 100 mg)
Direction: - One tablet to be taken daily after breakfast.

3. CLOFAZIMINE capsules
(Each Capsule containing 50 mg and 100 mg)
Direction: - One Capsule containing 50 mg to be taken daily, three
capsules containing 100 mg to be taken once in a month (supervised)
Date ABC
Continue the above regimen for 2 years

• For Paucibacillary

Physician Details
For MR. X

Rx

1. RIFAMPICIN capsules- 600 mg once monthly (supervised)

2. DAPSONE Tablet: - 100 mg daily
Date: - ABC
Minimum duration of treatment – 6 months

13. Prescription for an adult patient of amoebic dysentery

Physician details
For Mr. X
Tab. METRONIDAZOLE (400 mg) - 21 tablets
(Each tablet contains 400 mg)
Direction: 1 tablet thrice daily for 7 days and follow up after 5 days.
Date: ABC
14. Prescription for an adult patient of bacillary dysentery
Physician details
For Mr.X
Tab NORFLOXACIN -10 tabs
(each tablet containing 400 mg)
OR
Tab CIPROFLOXACIN -10 tabs
(each tablet containing 500 mg)

Direction: 1 tablet to be taken twice daily for a period of 5 days.

15. Prescribe for an adult patient with duodenal ulcer

Physician details
For Mr.X

Rx
Tab OMEPRAZOLE – 56 Tablets
(Each Tablet Contains 20 mg.)
Direction: 1 Tablet to be taken early in the morning on an empty
stomach for 8 weeks

OR
TAB FAMOTIDINE (40 mg) - 30 tablets
(Each tablet contains 40 mg.)
Direction: 1tab once a day at bed time for 4 weeks and follow up
after 4 weeks
Date: ABC
16. Prescribe for an adult patient with Gastro-Esophageal Reflux
Disease (GERD)

Tab OMEPRAZOLE – 56 Tablets

(Each Tablet Contains 20 mg.)
Direction: 1 Tablet to be taken early in the morning on an empty
stomach for 8 weeks
Date: ABC

17. Prescribe for an adult female patient diagnosed with acute

attack of migraine
Physician details
For Mrs. X
Rx
TAB SUMATRIPTAN (50 mg) - 2 tablets
(Each tablet contains 50 mg.)
Direction: 1 tab. To be taken immediately (single dose), repeat after 2
hours if necessary.
OR
TAB ERGOTAMINE (1 mg) – 6 tablets
Direction: 1 tab. To be taken immediately (single dose), repeat after
every half an hour until relief from pain.
Date: ABC

18. Prescription for an adult patient having an acute attack of

angina pectoris
Physician details
For Mr.X
Rx
TAB.GLYCERYL TRINITRATE(0.5mg) S/L(sublingual)-3 tablets
Direction:1 tablet to be taken immediately and repeat after 5 minutes
interval.
Spit out when pain is relieved.

Tab ISOSORBIDE DINITRATE (40 mg), 1 tablet twice daily to be

continued /
Tab ISOSORBIDE 5 MONONITRATE (20 mg) 1 tablet twice daily at 8
a.m. and 4 p.m. to be continued.
Tab. METOPROLOL (25 mg) 1 tablet twice daily to be continued.
Tab. ASPIRIN (75mg) 1 tablet once daily after food to be continued.
Tab ATORVASTATIN (40 mg) at bed time to be continued.
Follow up after 7 days.
Date: ABC

19. Write a Rational, legible, correct prescription (preferably an anti-

emetic tablet) for an adult male who presented to the OPD with
three episodes of vomiting

Physician’s Details

For Mr. X.

Rx
• Tablet ONDANSETRON (4 mg) one tablet to be taken thrice
daily before food for three days
• To visit OPD after two days or earlier if condition worsens
or does not improve
Date ABC
20. Write a rational, correct, legible prescription for an adult
suffering from uncomplicated Plasmodium vivax malaria
Physician’s details
For Mr. X.

Rx

1. Tablet CHLOROQUINE 250mg, 4 tablets to be taken stat,

followed by 2 tablets after 8 hours and then for the next 2 days
after meals

2. Tablet PRIMAQUINE 15 mg one tablet to be taken daily for 14

days after meals
To follow up after 14 days or earlier if condition worsens or does not
improve
Date ABC

21. An adult male of 36 years weight 54 kg is diagnosed to be suffering from

primary syphilis. Prescribe a rational, legible correct prescription to this
patient
Physician’s Details
For Mr. X.
Rx
INJ. BENZATHINE PENICILLIN 2.4 MILLION IU IM after test dose in two
divided doses
Water for Inj. – 1 Ampoule (each containing 5 mL)
Directions: Dissolved in 3mL of water and half the quantity injected
deep IM into each buttock
To follow up after 7 days or earlier if condition worsens or does not
improve
Date ABC

22. An adult male of 36 years weight 54 kg is diagnosed to be suffering

from uncomplicated pulmonary tuberculosis. Prescribe a rational,
legible correct prescription to this patient
Physician’s details

For Mr. X
Rx
TABLET ISONIAZID (H) + RIFAMPICIN (R) +PYRAZINAMIDE (Z) +
ETHAMBUTOL (E) (56 doses)
(Each Fixed Dose Combination tablet contain 75mg of ISONIAZID,
150 mg of RIFAMPICIN, 400 mg of PYRIZINAMIDE & 275 mg of
ETHAMBUTOL) Direction - 4 tablets to be taken daily after breakfast.
TABLET PYRIDOXINE HYDROCHLORIDE 10 mg - 1 tablet to be taken
daily after meal
This medication to be continued uninterruptedly for first 2 months
and then 3 FDC tablets containing ISONIAZID, RIFAMPICIN &
ETHAMBUTOL & PYRIDOXINE HYDROCHLORIDE to be continued daily
for next 4 months

Advised:
Sputum examination after 2 months
Baseline LFT, ocular examination should be done before initiation of
therapy
Reddish discoloration of urine may occur which is harmless
Date ABC