The following interesting (=wrong) scripts came through the door today, mainly after 6pm:
- prednisolone 5mg 2 qds x7/7
- zyban 1 od x15/7
- levonelle one step x 1 tab
- metronidazole 400mg qds x5/7
- clotrimazole cream qds, x100g continue for two days after lessions clear
The metronidazole was from a dentist (surprise surprise), whose response when I queried the qds dose (reminding her that the standard doses are tds) was 'who says that? I want it qds so do it'. Lovely. So I labelled the script qds, but strongly advised the patient to take it tds, and sent the dentist a letter asking for some evidence to support her dosing for metronidazole.
Clotrimazole was from a nurse who I couldn't get hold of, so the parents got 'well the nurse has said four times a day, however I would use it three times a day and for a week after its cleared'. I'll have a chat with the nurse tommorrow if I get a chance.
- prednisolone 5mg 2 qds x7/7
- zyban 1 od x15/7
- levonelle one step x 1 tab
- metronidazole 400mg qds x5/7
- clotrimazole cream qds, x100g continue for two days after lessions clear
The metronidazole was from a dentist (surprise surprise), whose response when I queried the qds dose (reminding her that the standard doses are tds) was 'who says that? I want it qds so do it'. Lovely. So I labelled the script qds, but strongly advised the patient to take it tds, and sent the dentist a letter asking for some evidence to support her dosing for metronidazole.
Clotrimazole was from a nurse who I couldn't get hold of, so the parents got 'well the nurse has said four times a day, however I would use it three times a day and for a week after its cleared'. I'll have a chat with the nurse tommorrow if I get a chance.
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