New prescription, community pharmacy.
Patient
Adult, rheumatoid arthritis
Prescription
Methotrexate 2.5 mg tablets
7.5 mg (3 tablets) · PO · daily · 3 months
Qty: 270
Medication Management
Check each prescription the way a verifying pharmacist does: patient, drug, dose, route, frequency, duration, duplication, allergy. Then commit: problem, or safe to proceed?
New prescription, community pharmacy.
Patient
Adult, rheumatoid arthritis
Prescription
Methotrexate 2.5 mg tablets
7.5 mg (3 tablets) · PO · daily · 3 months
Qty: 270
Profile lists: 'Penicillin: anaphylaxis, 2019 (documented, epinephrine given)'.
Patient
Adult, dental abscess
Prescription
Amoxicillin 500 mg
500 mg · PO · TID · 7 days
Patient already has 4 days left of amoxicillin 500 TID from a walk-in clinic; now presents this from the dentist.
Patient
Adult
Prescription
Amoxicillin-clavulanate 875/125
875 mg · PO · BID · 7 days
Renewal, atrial fibrillation. Age 68, weight 82 kg, creatinine 88 µmol/L.
Patient
68-year-old, AF
Prescription
Apixaban 5 mg
5 mg · PO · BID
Hospital order on the ward.
Patient
Inpatient, rate control
Prescription
Metoprolol tartrate
50 mg · IV · BID
Profile shows eGFR 24 (CKD 4).
Patient
79-year-old, uncomplicated cystitis
Prescription
Nitrofurantoin MR 100 mg
100 mg · PO · BID · 5 days
Stable INR clinic patient, renewal after a dose adjustment letter.
Patient
Adult, mechanical valve
Prescription
Warfarin 1 mg + 5 mg tablets
6 mg alternating with 5 mg per clinic schedule · PO · daily at 18:00
New prescription for an acute problem.
Patient
Adult
Prescription
Prednisone 50 mg
50 mg · PO · daily