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Dangerous Drug
A drug not safe for self-use that is NOT a controlled substance (unscheduled)
Legend Drug
A prescription drug approved by the FDA
Texas PMP Requirement
Prescribers MUST check the Prescription Monitoring Program history before prescribing Opioids, BZDs, or Barbiturates
Texas E-Prescribe Law
Prescriptions for all controlled substances MUST be issued electronically
Do Not Use: "U" or "IU"
Joint Commission banned abbreviations for Unit/International Unit; misread as 0 or 4
Do Not Use: Trailing Zero
Never write "5.0 mg" (misread as 50); always write "5 mg"
Do Not Use: Leading Zero
Always write "0.5 mg"; " .5 mg" is misread as 5 mg if the decimal is missed
DUR (Drug Utilization Review)
Pharmacist's responsibility to check dose, duration, allergies, and interactions before dispensing
SR/CR Formulation Safety
NEVER cut, break, or split sustained-release or controlled-release tablets
"Silent" Condition Adherence
Conditions like hypertension often have poor adherence because patients "feel the same" with or without the drug