And today we are going to discuss about prescription writing here’s the scenario which was a 30 year old male patient who is suffering from urine dietary throbbing headache for the last six months he was also suffering from blurring of vision he was advised and saved and rest but the symptoms remain same what should be what should be appropriate treatment plan
By looking at this scenario uh we can see that the patient has unilateral dropping headache and he’s also suffering from blurring of vision so we reach to a diagnosis that he’s having migraine headaches so step one is to make a diagnosis which in this case is migraine in step two uh we look at the therapeutic objectives in migraine uh the different therapeutic
Objectives are to reduce the frequency of acute episodes of pain and then to give the treatment for the prophylaxis of migraine in step three we’ll look at different groups which are available for the treatment of migraine first of all nsaids then 5-ht-1 receptor agonist organ alkaloids tricyclic antidepressants beta blockers and calcium channel pockets among
These uh nsaids five hd1 agonists ulted alkaloids these three are used for the treatment of acute episodes of migraine while tricyclic antidepressant beta blockers and calcium channel rockers they are used for the prophylaxis if we look at five hd1 agonists these are the triptynes and these you know that they cause vasoconstriction and they also modulate the neural
Neurotransmitter release in ergot alkaloids algotamine is used which is a partial agonist at 5 hd receptor and also at alpha receptor especially in blood vessels for the prophylaxis cyclic antidepressant such as amitriptyline is used and among beta blockers proprianol and nadolol are used and in calcium channel blockers varapamil is used step four is to compare
Different uh groups uh in this scenario five hd agonists nsaids orchid alkaloids tricyclic antidepressant and beta blockers are available so if we compare all these drugs we can see that the five hd1 agonists they are most effective and they are safe as compared to other drugs while nsaids are effective and safe but they are contraindicated in renal failure and in
Chronic liver disease alkyd alkaloids are effective but they are expensive and tricyclic and antidepressants are also expensive and beta blockers are effective but they are contraindicated in different diseases if we compare 5ht um agonists we see that the two drugs which are available are somatiptain and zoromatriptin among these both of them are fake effective
They are safe they are suitable but sumatriptane is cheaper as compared to zomatripten so by comparing different groups and different drugs we reach to uh we reach to the drug of choice in migraine which is somat upton now we’ll see how to write a prescription of migraine in prescription as we know that on the right hand side we write the doctor’s name and his
Degree then on the left side we write patient’s name age sex and then date then the presented complaint which in this case is unilateral shopping headache for the last six months then by seeing this presenting complaint we make a diagnosis of migraine headaches then rx which is uh to take it in includes templates so might obtain 25 milligram per oral uh od for
One month and in the end we on the right side will die we give the doctor’s signature along with its pmdc number is mentioned so this is how we write the predescription of micronetics thank you
Transcribed from video
Prescription Writing By Sobia Akbar
