PRESCRIPTION FOR A PATIENT SUFFERING FROM SPUTUM SMEAR POSITIVE PULMONARY TUBERCULOSIS

PRESCRIPTION FOR A PATIENT SUFFERING FROM SPUTUM SMEAR POSITIVE PULMONARY TUBERCULOSIS

Name : Doctor’s name:

Age : Reg No.:

Sex:

Address:

DIAGNOSIS: SPUTUM SMEAR POSITIVE PULMONARY TUBERCULOSIS

Intensive phase:

· Tab. ISONIAZID 300mg

· Tab.RIFAMPICIN 600mg

· Tab. ETHAMBUTOL 800mg

· Tab.PYRAZINAMIDE 1500mg

Dispense 60 tablets

1 tablet of each to be taken daily for 2 months followed by

Continuation phase:

· Tab. ISONIAZID 300mg

· Tab.RIFAMPICIN 600mg

· Tab. PYRIDOXINE 10mg

Dispense 120 tablets

1 tablet of each to be taken daily for 4 months

Advice: to take good nutritious food and maintain good hygiene

Review after 1 month

Signature of the doctor

Date

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