PRESCRIPTION FOR A PATIENT SUFFERING FROM HERPES ZOSTER

PRESCRIPTION FOR A PATIENT SUFFERING FROM HERPES ZOSTER

Name : Doctor’s name:

Age : Reg No.:

Sex:

Address:

DIAGNOSIS: HERPES ZOSTER

· Tab. ACYCLOVIR 200mg.

Dispense 25 tablets

1 tablet to be taken 5 times a day for 5 days

· Tab. IBUPROFEN 400mg

Dispense 10 tablets.

1 tablet to be taken thrice a day until symptoms subside.

· Topical ACYCLOVIR 5% cream

Dispense One tube

To be applied on the affected area 5 times a day for 5 days along with

maintenance of good oral hygiene

Signature of the doctor

Date

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