PRESCRIPTION FOR AN ADULT MALE OF UNCOMPLICATED CHLOROQUINE RESISTANT FALCIPARUM MALARIA

PRESCRIPTION FOR AN ADULT MALE OF UNCOMPLICATED CHLOROQUINE RESISTANT FALCIPARUM MALARIA

Name : Doctor’s name:

Age : Reg No.:

Sex:

Address:

Diagnosis: PLASMODIUM VIVAX MALARIA(RADICAL CURE)

· Tab CHLOROQUINE ( 150 mg base )

Dispense 10 tabs

4 tablets stat followed by 2 tablets after 12 hours

1 tablet BD on 2^nd & 3^rd day

· Tab PRIMAQUINE 7.5 mg

Dispense 28 tablets

1 tab to be taken twice daily for 14 days

Review after 15 days

Signature of the doctor

Date

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