M4L3-DISPENSING LEC

RA 10918, Section 36. Label of Dispensed Medicines. 

• Upon every box, bottle, or package of medicines compounded or dispensed by a registered and licensed pharmacistbased on prescription, there shall be pasted, affixed, or imprinted a seal or label bearing, among others:

• Name of patient

• Generic name of drug

• Brand name (if any)

• Strength

• Expiry date

• Directions for use

• Name and address of pharmacy

• Name of the doctor

• Dispensing pharmacist

• And other requirements prescribed in the Philippine Practice Standards for Pharmacists, Dispensing Guidelines, Republic Act No. 9502 (Universally Accessible Cheaper and Quality Medicines Act of 2008), and related regulations.

AUXILIARY LABELS

• Auxiliary labels containing special pharmacist’s instructions for the patient shall be required as prescribed for:

  • Dangerous drugs

  • External-use-only drugs

  • Drugs with special storage or administration instructions

  • And such other drugs as may be required by law.

• Another important part of the Drug Outlet’s label is the ______.

• ________ are placed on drug product containers to give the patient important information needed for storing or using the product.

• They are used to clarify directions, provide additional instructions, or reinforce directions given on the regular label.

Shake Well

• Required on all liquid disperse systems like suspensions and emulsions

Keep in the Refrigerator, Do Not Freeze

• Required for products that are physically and chemically unstable at room temperature, it is recommended for parenteral products that have been manipulated and which are not being used immediately especially those that do not contain a preservative

Do Not Use After _____

• Required on all manipulated parenteral products, reconstituted antibiotics and liquids, compounded and other products known to be unstable

External Use Only

• Recommended on products intended to be used externally, especially those that are potentially dangerous when ingested

May Cause Drowsiness

• Recommended for products that cause significant ________ like antihistamines, sedative-hypnotic agents, narcotics and others

Do Not Drink Alcohol

Required for products that give a disulfiram-like reactions such as disulfiram, metronidazole and chlorpropamide.

Avoid Sun Exposure

• Required on products that cause photosensitivity reactions like tetracyclines, sulphonamides and thiazides

Take with Food  

• Recommended for drugs that cause stomach upset like erythromycin, NSAIDs and aspirin

Take on Empty Stomach

• Recommended for drugs that have decreased absorption or increased destruction in the stomach when taken with food like tetracycline and ampicillin

Take with Plenty of Water

• Adequate water intake is recommended for the following:

  • Sulfonamides – to decrease the likelihood of crystalluria.

  • Expectorants – to enhance viscosity reduction of bronchial secretions.

  • Bulk laxatives – to increase stool bulk and decrease the likelihood of compaction.

  • Irritating drugs such as potassium supplements, chloral hydrate, certain antibiotics, and theophylline products.

Finish all this Medication

• Recommended as a compliance aid for antibiotics and when a specific time course is not given in the directions for use

Do Not Take with Dairy Products, Antacids…

• Required for products that can be inactivated or destroyed due to the presence of metals in dairy products and antacids like tetracycline and enteric-coated tablets

May Cause Discoloration of Urine or Feces

• Recommended for products that discolour urine or feces like rifampin, ferrous preparations, phenazopyridine

This Prescription Maybe Refilled _____

• Times An optional label informing the patient of the number of refills, which is now often printed directly on the prescription label

Keep Out of Reach of Children

• May be used for any drug product containers most especially those drug containers without safety closures

Protect from Light

• Required for parenteral products that are photosensitive like sodium nitroprusside, furosemide etc., it is especially important when the immediate container is not amber or opaque

Cancer Chemotherapy, Dispose of Properly

• Required for containers of cytotoxic drug products