Recipe

In Russia, the following prescription forms:

• Form No. 107 / y-NP is a special prescription form for a narcotic drug and psychotropic substance on the Schedule II of the List of narcotic drugs, psychotropic substances and their precursors ^[2] ;
• Form No. 148-1 / y-88 “Prescription Form” - for List III of the List ^[3] ;
• Form No. 107-1 / y “Prescription Form”;
• form № 148-1 / y-06 (l) "Recipe"

The form of these forms, as well as instructions for filling them out, the form of the accounting journal and instructions on the shelf life of prescriptions and their storage in a pharmacy are indicated in the annexes to the order of the Ministry of Health of the Russian Federation No. 110 of February 12, 2007.

Each prescription has the following details (which are checked in a pharmacy when taking a prescription from a patient (buyer)):

• The name of the medical institution (LPU), its address and telephone number - usually in the form of a rectangular stamp in the upper left corner
• Type of prescription form (148, 107, special blanks, etc.)
• Recipe Series and Number
• Recipe Date
• Name of patient, his age, address, number of medical history
• Name of the prescriber
• Actually recipe (ready-made medicinal product or an instruction to a pharmacy to make it extremistally)
• Doctor's signature
• Printing medical institutions "For recipes"
• Personal print of a doctor
• Expiration date of prescription (indicated by the doctor)
• For special blanks only - the seal of the medical institution and the signature of the chief physician (head)
• In special cases (for example, for chronically ill or intentionally prescribing excessive doses of potent substances) at the top of the prescription form may be marked "Chronically Ill" or "For Special Purpose." Then, pharmacists (pharmacists) pay special attention to this and handle the prescription on the situation. Such notes are certified by the doctor’s signature and the seal of the facility.

Recipes for potent drugs that are on PKU, as well as forms containing ethyl alcohol, remain in the pharmacy. Instead, the patient is given a signature - a special form with a slanting yellow stripe on the front side. The signature does not have legal force (that is, it is impossible to get a medicine at a pharmacy), but when the patient goes to the doctor again, he will be able to remind which medicine was prescribed to him last time and the doctor can write out a new prescription if necessary by the old signature.

It is necessary to distinguish between the concepts of "Prescription" and "Prescription of the doctor." Many drugs are dispensed from pharmacies "At the doctor's prescription," as indicated in their annotations. In this case, you do not need a prescription form to buy medicine at a pharmacy, just a note from the doctor or an extract from the medical history (medical card, etc.).

Prescription forms themselves can be written out on the finished dosage form, or with instructions to the pharmacy to prepare the dosage form out-temporal. At present, in Russia, it is ectemporally prepared: powders, ointments, oral solutions (mixtures), solutions for external use, nasal drops, eye drops (rarely), infusions (rarely), decoctions (rarely).

In the case of temporal prescription, the doctor must take into account the patient’s personal characteristics, the compatibility of the ingredients and be guided by the requirements of the current State Pharmacopoeia , orders of the Ministry of Health and other regulatory acts that have legal force.

The extrusion recipe for ointment looks like this:

In this case, the prescription for a complex combined ointment.

Rp .: - short for the Latin word “recipe” - take it. The following is a list of components that must be taken to prepare the ointment (components are written in Latin in the genitive case). The first component is written after the colon, all other components are strictly (!) Under it.
Menthol and Novocain - (ana, abbreviation aa with a line above the letters) “equal by” 0.1 g , that is, 100 mg each.
Adrenaline hydrochloride 0.1% solution - drops (guttas) 10 (according to tradition, the number of drops is written in Roman numerals)
Zinc oxide 1 g
Lanolin 5 g - ointment base component is usually written at the end of the recipe
Vaseline 15 g - the second component of the base ointment
Misce ut fiat unguentum - Mix to make ointment
Da. Signa - Give it away. Designate Ointment in the nose.

• aa ( ana partes aequales ) - equal quantities, equally
• ac ( ante coenam ) - before meals
• ad - to (up to 100 ml, up to 100 g)
• aue / ue ( ad usum externum ) - for external use
• an ( ante noctem ) - before bedtime (before night)
• bdd ( bis de die ) - twice a day
• da ( da ) - issue
• dc ( durante coenam ) - while eating
• dc prohib. ( da cum prohibitione ) - handle with care (?)
• dd ( de die ) - during the day
• dimm ( da in manum medici ) - hand over to the doctor (usually used when prescribing drugs)
• ds monit ( da sine monitione ) - give without warning
• dsp ( da sine prescriptione ) - give without a prescription
• dtd ( da tales doses ) - give such doses
• lin. ( linimentum ) - liniment
• m. ( mane ) - manual (for hands)
• mf ( misce fiat ) - mix to make it
• od / os ( oculus dexter / sinister ) - right / left eye
• pc ( post coenam ) - after meals
• Rp. ( recipe ) - take
• S. ( signa ) - designate (indicate the method of use of the medicine)
• sol. ( solutio ) - solution
• subling. ( sublinguata ) - under the tongue
• si nec. sit ( si necesse sit ) - if necessary
• supp. ( suppositorium ) - suppository
• tdd ( ter de die ) - thrice a day
• uc ( usus cognitus ) - use known
• vesp. ( vespere ) - in the evening
• qs ( quantum satis ) - how much is required, the required amount

Many researchers believe that the benefits of converting prescription drugs to free market far outweigh the costs. “The latest research has found that dispensing drugs without prescriptions can increase access to effective drugs, thereby improving clinical results and public health and ensuring greater consumer participation in the medical decisions that concern them,” says Jessica Flanigan in the article “Three reasons against prescription drugs ^[4] . "

Flanigan cites studies by Sam Peltsman, who analyzed the chronological data of demographic statistics in the United States from 1900 to 1980 and found that the introduction of the prescription system in the 1940s did not reduce the mortality rate from poisoning — either by accident or with the aim of suicide. In contrast, the introduction of a prescription drug category coincided with an increase in the number of deaths from poisoning. Peltsman compared middle-income countries: those that passed prescription laws (Argentina, Uruguay, Ireland, Israel, Italy, Portugal, Spain, and Japan), and those where this system was not introduced (Chile, Colombia, Ecuador, Mexico, Peru, Venezuela, Greece, Yugoslavia, Egypt, Hong Kong, the Philippines, Singapore and Thailand). It turned out that - taking into account the impact of income and income inequality on mortality from infectious diseases - the ban on free sale of prescription drugs did not lead to a reduction in mortality from infectious diseases. And in some cases, for countries with prescription leave, the mortality rate turned out to be even higher - perhaps because, due to prescription leave, some patients could not get the medicines they needed.

In the same work, Peltsman cites data that in countries where there is no prescription leave, the death rate from poisoning does not increase. Moreover, in countries with prescription laws, this indicator is 50–100% higher.

• Extrusion recipe