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math calculations with rectal drugs (2)

Calculate the total quantity and the total days supply for the following Rx:
Analpram-HC 2.5% cream (4gm tubes)
apply rec utd bid
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The doctor has prescribed Analpram HC 2.5% cream 4-gram single-use tubes. The kit has 30 single-use tubes with 30 applicators. Each tube has 4 grams and, in turn, 30 tubes have 120 grams.
So, the total quantity to be dispensed is either 30 tubes or 120 grams depending on the pharmacy computer system.
In this case, the pharmacist will dispense 1 kit.
The sig says: apply one tube rectally as directed twice daily
The patient will use 2 tubes per day.
So, the total days supply will be 30 tubes divided by 2 tubes which is 15 days.
Calculate the total quantity and the total days supply for the following Rx:
Anusol HC sup
#12
i per rectum bid till gone
refill 2
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The doctor has prescribed Anusol HC 25 mg suppository, but many pharmacists may dispense the generic version Hydrocortisone AC 25mg suppository.
On the other hand, other pharmacists may dispense the generic drug Anucort-HC 25mg suppository.
The quantity to be dispensed is 12 suppositories as stated by the doctor.
The sig says: unwrap and insert one suppository rectally twice daily until all gone
In other words, the patient will use 2 suppositories per day.
So, the days supply will be 12 divided by 2 which is 6 days.
Notice that the doctor has given the patient 2 refills.
What are the total quantity and the total days supply for the following Rx:
Anusol-HC supp
1 per rectum q 6 h x10 days
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The doctor has prescribed Anusol HC 25 mg suppository, but many pharmacists may dispense the generic version Hydrocortisone AC 25mg suppository.
On the other hand, other pharmacists may dispense the generic drug Anucort-HC 25mg suppository.
The total days supply is 10 days as stated by the doctor.
The sig says: unwrap and insert 1 suppository rectally every six hours for 10 days
The patient will use 1 suppository four times daily for 10 days, that is, the patient will use a total of 40 suppositories.
So, the total quantity to be dispensed is 40 suppositories.
What are the total quantity and the total days supply for the following Rx:
Anusol HC 2.5%
#1 tube
sig: apply rectum tid after sitz bath
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The doctor has prescribed Anusol HC 2.5% cream 30g, but many pharmacists may dispense the generic drug Proctosol HC 2.5% cream 28.35 grams.
So, the total quantity to be dispensed is 28.35g or 28.4g or 29g depending on the pharmacy computer system.
The sig says: apply cream rectally three times daily after sitz bath
Now, the technician can say that the total days supply is 10 days considering the tube size, area of use, and frequency of use.
What are the total quantity and the total days supply for the following Rx:
Proctosol HC cream
sig: apply rectum qid
disp: 1 tube
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The doctor has prescribed the generic drug Proctosol HC 2.5% cream.
The pharmacist will dispense one tube of 28.35 grams.
So, the total quantity to be dispensed is 28.35g or 28.4g or 29g depending on the pharmacy computer system.
The sig says: apply cream rectally four times daily
Now, the technician can say that the total days supply is 10 days considering the tube size, area of use, and frequency of use.
What are the total quantity and the total days supply for the following Rx:
Proctocream HC 2.5%
apply to rectal area bid prn
qty: 1
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The doctor has prescribed Proctocream HC 2.5% 30g, but many pharmacists may dispense the generic drug Proctosol HC 2.5% cream 28.35 grams.
The pharmacist will dispense one tube.
So, the total quantity to be dispensed is 28.35g or 28.4g or 29g or 30g depending on the pharmacy computer system.
The sig says: apply to rectal area twice daily as needed
Now, the technician can say that the total days supply is 15 days considering the tube size, area of use, and frequency of use.
What are the total quantity and the total days supply for the following Rx:
hydrocortisone rectal 2.5% cream or equivalent
#30
apply pr bid
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The doctor has prescribed Hydrocortisone rectal 2.5% cream and the doctor has indicated that an equivalent drug can be dispensed. In this case, the pharmacist may dispense Proctosol HC 2.5% cream.
The doctor wants the pharmacist to dispense 30 grams, but the Proctosol tube has 28.35 grams of medicine.
In turn, the total quantity to be dispensed is 28.35g or 28.4g or 29g depending on the pharmacy computer system.
The sig says: apply cream rectally twice daily
Now, the pharmacist can say that the total days supply is 15 days considering the tube size, area of use, and frequency of use.
What are the total quantity and the total days supply for the following Rx:
AnaMantle HC rectal gel 2.5%
qty: 14
insert 1 application into the rectum bid for 7 days
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The doctor has prescribed the brand-name drug AnaMantle HC 2.5%-3% gel kit, but the pharmacist may very well dispense the generic version Lidocaine 3%-Hydrocortisone 2.5% gel kit. This kit is supplied in a sealed box of 20 tubes and applicators.
The doctor wants the pharmacist to dispense 14 tubes with applicators, but the pharmacist will have to dispense the sealed box of 20 tubes with applicators.
In turn, the total quantity to be dispensed is 20 tubes.
The sig says: insert one applicatorful rectally twice daily for seven days
Notice that the patient will receive a box of 20 tubes and the patient is supposed to use 2 tubes per day.
So, the total days supply will be 10 days.
It is worth noting that the doctor wants the patient to use 14 tubes for 7 days. But, the pharmacist will have to use 20 tubes in order to calculate the total days supply. In other words, the total days supply must be calculated according to the actual quantity dispensed even though the patient will not use all the medicine. The total days supply is very important to insurance companies. In fact, insurance companies want the days supply to be based on the actual quantity of medicine dispensed.
What are the total quantity and the total days supply for the following Rx:
Anamantle HC 0.5/3 cream
dispense: 14
may use applicator to anal canal
sig: bid prn irritation
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The doctor has prescribed the brand-name drug AnaMantle HC 3%/0.5% cream kit, but the pharmacist may very well dispense the generic version Lidocaine 3%-Hydrocortisone 0.5% cream kit. Some pharmacists may also dispense the generic drug LidaZone HC cream kit.
Now, the kit is available in two sizes:
-- in a box of 14 tubes and applicators. Each tube has 7 grams of cream.
-- in a box of 20 tubes and applicators. Each tube has 7 grams of cream.
The doctor wants the pharmacist to dispense 14 tubes. Each tube has 7 grams of cream and, in turn, 14 tubes have 98 grams. So, the total quantity to be dispensed is either 14 tubes or 98 grams depending on the pharmacy computer system.
The sig says: insert one applicatorful rectally twice daily as needed for irritation
The patient will use 2 applicators per day and, then, the total days supply will be 14 divided by 2 which is 7 days.
It is worth noting that this medication is an anti-inflammatory anestheric used for the relief of hemorrhoid pain, swelling, and inflammation.





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