Monday, November 12, 2007

What is Prescription?


What is Prescription?
Prescription means slip which is written by medical practitioners to guide the pharmacists or chemists to give particular medicine to the patients.

The prescription is generally hand written on a preprinted form.

It also bears name of the medical practitioners.

Both the chemists and practitioners are expert in their professions. When a patient is diagonised by the doctor, he gives him some treatment. If we have to define a prescription, it can be a hand written or printed form that contain information.

The name and address of the prescribing provider and any other legal requirement such as a registration number may be same on the prescription provided by same practitioners.

Only name of the patient will be unique.

Date is put on each prescription.

There is some time limit for the prescription.

There is some recipe of medicines to be taken.

Literally, "Recipe" means simply "Take...." and when a doctor writes a prescription beginning with "Rx", he or she is completing the command. This was probably originally directed at the pharmacist who needed to take a certain amount of each ingredient to compound the medicine, rather than at the patient who must "take" the medicine, in the sense of consuming it.

The word "prescription" can be decomposed into "pre" and "script" and literally means, "to write before" a drug can be prepared. Those within the industry will often call prescriptions simply "scripts".

Both pharmacists and physicians are regulated professions in most jurisdictions.

A prescription as a communications mechanism between them is also regulated and is a legal document.

Many brand name drugs have less expensive generic drug substitutes that are chemically equivalent.

Prescriptions will also contain instructions on whether the prescriber will allow the pharmacist to substitute a generic version of the drug. This is a two way communication.

In some jurisdictions, the preprinted prescription contains two signature lines: one line has "dispense as written" printed underneath; the other line has "substitution permitted" underneath. Some have a preprinted box "dispense as written" for the prescriber to check off (but this is easily checked off by anyone with access to the prescription). Other jurisdictions the protocol is for the prescriber to handwrite one of the following phrases: "dispense as written", "DAW", "brand necessary", "do not substitute", "no substitution", "medically necessary", "do not interchange"

As a guideline, pediatric prescriptions should include the age of the child if the patient is less than twelve and the age and months if less than five. (In general, including the age on the prescription is helpful.) In some jurisdictions, it may be a legal requirement to include the age of child on the prescription. Adding the weight of the child is also helpful.

Prescriptions often have a "label" box. When checked, pharmacist is instructed to label the medication.

A prescription often contains the dose of medicine to be taken. And side effects to a patient by any medicine is also taken into account.

A prescription describes the name of the disease and treatment given.


--
Dr Marwah

MCI notification of April 6, 2002, the Indian Medical Council (professional conduct, etiquette and ethics) Regulations, 2002


MCI notification of April 6, 2002, the Indian Medical Council (professional conduct, etiquette and ethics) Regulations, 2002
The link to the above notification is given at below.

http://www.expresshealthcaremgmt.com/20020531/focus1.shtml


--
Dr Marwah

Thursday, November 8, 2007

Tips for a safe Diwali


Tips for a safe Diwali

The festival of lights, Diwali, brings fun, joy and togetherness. Children and youth look eagerly forward for the arrival of the festival. In fact, they begin bursting of crackers and playing with fireworks well before the festival. Diwali marks the triumph of good over evil and dispels darkness. Unfortunately, improper handling and playing with fireworks, mar the celebrations every year.

Every year a number of people across the country, lose their eyesight and sustain burns during the festival. Property is also damaged in mishaps.

Mohsin Eye Bank has suggested a number of do's and don'ts to prevent loss of eyesight and other mishaps during the ensuing Diwali festival.

Do's:

* An adult should always supervise the use of fireworks by children.

* Check the area before igniting fireworks to ensure that all inflammable and combustible materials are removed.

* Follow all safety precautions issued with the fireworks.

* Use a candle or an agarbathi to ignite fireworks. They burn without an open flame and provide a greater and safer distance between your hands and the

fireworks.

* Open flames from matches and lighters can cause additional fire hazards.

* Keep a fire extinguisher or bucket of water nearby to extinguish any incipient fire.

* Keep burn ointments handy.

* Use fireworks only outdoors.

* Wear protective goggles while lighting fireworks to prevent eye injuries.

* Light only one firework at a time.

* Firecrackers, bombs and flowerpots should not be lighted holding them. It is always safer to light them from the side without bending over them.

* Move away quickly before they burst.

* Hold lighted sparklers away from the body.

* Flying fireworks - rockets, missiles, etc. - should always be lighted in open grounds pointing straight up.

* Discard used fireworks in a bucket of water.

* Wear close-fitting clothes of thick material instead of loose or flowing garments.

* Store fireworks in a cool and dry place.

* Consult an opthalmologist immediately in case of eye injuries.

Don'ts:

* Never give fireworks to small children.

* Never ignite fireworks while holding them. Put them down, then ignite them and walk away.

* Do not put fireworks in any container to ignite.

* Never mix anything with the contents of fireworks or make fireworks at home.

* Never ignite aerial fireworks where overhead obstruction (trees, wires, etc.) may interfere with trajectory into open air space.

* Never ignite an aerial firework near an opening to a building.

* Never use fireworks inside a vehicle.

* Never re-light a firework which has not burnt properly. Wait for 15 to 20 minutes and then soak it in a bucket of water.

* Never throw or point fireworks at other people.

* Never carry fireworks in your pocket.

* Never shoot fireworks in metal or glass containers.

* Ensure that your children don't engage in dangerous pranks such as throwing lighted crackers or sparklers at others, or try to make fireworks themselves.

Following these precutions can go a long way in ensuring a safe Diwali.



--
Dr Marwah

Wednesday, November 7, 2007

Adult Chickenpox


Adult Chickenpox

Recently I came across a very severe case of adult Chickenpox. On the net I came across the diary of a Chickenpox sufferer which can be seen at  http://www.adultchickenpox.co.uk/

Patient Education

  • Take a lukewarm bath every 3 to 4 hours for the first few days. Add 2 ounces (4 tablespoons) of baking soda, cornstarch, or oatmeal per tub of water. Use soap in one of the baths each day to clean as much bacteria off the skin as possible.

  • Use calamine lotion on the chickenpox sores to help relieve itching.

  • Put an ice pack or cool moist washcloth on itchy areas for 20 to 30 minutes.

  • If the itching is severe or making it hard to sleep, take a nonprescription antihistamine, such as Benadryl.

  • Trim your fingernails and wash your hands often to help keep the rash from becoming infected if you scratch it.

  • Take a nonprescription pain reliever such as acetaminophen for headache, fever, or general aches and pains.


--
Dr Marwah

Thursday, November 1, 2007

Aims And Purposes Of World Psoriasis Day, 29th October

World Psoriasis Day


Oct. 29, 2007, World Psoriasis Day is a global effort to raise public awareness about psoriasis and psoriatic arthritis and the seriousness of these diseases.

 

Psoriasis affects approximately 125 million people—and is often dismissed as a cosmetic skin condition. In reality, psoriasis is a serious, genetic disease of the immune system that researchers have linked to other serious conditions, including heart disease, diabetes, liver disease and obesity. Psoriasis is not contagious, but for those who have it, the disease can be both a physical and emotional burden.

Aims And Purposes Of World Psoriasis Day, 29th October

World Psoriasis Day is an evolving project with more and more individuals, experts and patient associations from around the world getting involved over time. The aims for WPD were defined by the Steering Committee as follows:

1. Raise awareness about psoriasis: World Psoriasis Day communication and activities should for example explain that psoriasis is a non contagious skin condition that can affect anybody and that people with psoriasis are really no different inside from anyone else. The World Psoriasis Day project should also aim to dispel myths about the condition.

2. Encourage healthcare decision makers to give psoriasis suffers better access to the most appropriate therapies for their condition: World Psoriasis Day should aim to encourage healthcare decision makers for example governments, physicians, carers and all those responsible for psoriasis care/ medicines to allow psoriasis sufferers access to all the most appropriate therapies. For too long psoriasis has not been seen as a priority with patients not always getting access to the most appropriate therapies for their condition.

3. Deliver relevant information and knowledge to interested parties: World Psoriasis Day should aim to provide information and knowledge to those who are affected by psoriasis/ psoriatic arthritis as well as the general public, in order that people can be better informed about the condition, develop a better understanding, enabling them to be more confident to speak about it.

4. Provide a patient voice platform: World Psoriasis Day should provide a platform from which the 'patient voice' can be heard and from which people with psoriasis can be encouraged to speak out about their needs and wants.


Dr Marwah

Wednesday, October 24, 2007

World Polio Day October 24

World Polio Day October 24: Towards a polio-free world

October 24 also marks the birth of Jonas Salk, leader of a team that invented one of the two vaccines against polio, an occasion dubbed World Polio Day. In 1955, when his inactivated polio vaccine was first used, hundreds of thousands of children were being paralysed every year by a disease that caused lifelong paralysis and terrified parents because there was neither cure nor prevention.

Using oral polio vaccine, developed by Albert Sabin, polio has been reduced worldwide by 99% since 1988, following the global push to eradicate the polio virus spearheaded by national governments, the World Health Organization, Rotary International, the US Centers for Disease Control and Prevention and UNICEF.

This Global Polio Eradication Initiative is distinctive for the strong financial support it receives from both public and private sector donors.

Endemic polio survives in parts of four countries: eradication is technically feasible thanks to new tools and tactics that can more rapidly stop transmission of the virus in these areas. Mass vaccination campaigns have to continue to regularly supplement routine immunization to protect children both in endemic and polio-free areas: polio virus can travel long distances, and polio anywhere is a danger to children everywhere.

Success in eradicating polio will leave a humanitarian legacy for generations to come, and will provide the momentum necessary to achieve other ambitious health and development goals.



--
Dr Marwah