Implant Prescriptions Reference

Phone-in prescription script:

Hello I am calling in a prescription from provider _________________

License #: _________________

NPI: _________________

DEA: _________________

Our office number is  _________________

If questions you can reach _________________ at _________________

Patient name is ___________

Date of birth is ___________

Antibiotics:

Amoxicillin 500mg tabs

Disp: 15 tabs

Take 2g 1 hour prior to procedure

Take 1g 6 hours after initial dose

Next day take 1 tab tid til gone

Clindamycin:( If allergic to amoxicillin)

300mg tabs

Disp: 12 tabs

Take 2 tabs 1 hour prior to procedure

Take 1 tab 6 hours after

Take 1 tab tid for 3 days

For infections:

Clindamycin 300 milligram tabs

23 tabs

Take 2 tabs stat and then take 1 tab three times a day for 7 days

Antiseptic:

Rx: Chlorhexidine oral rinse 0.12%

Dis: 1 pint bottle

Sig: 15ml swish and spit

3 times per day for 2 weeks

For anxiety:

*No driving w/in 8 hours of taking Valium

Rx: Valium 5mg

Disp: 1 (one)

Sig: Take 1 tab a night before procedure at bed.

For pain:

Disp: Tylenol #3 Tylenol with codeine (codeine + acetaminophen)

Disp: 12 tabs

Sig: Take 1 tab qh6 prn pain

If codeine allergy:

Rx: Maxigesic* (500 mg  acetaminophen + 150 mg ibuprofen)

Disp: 24

Sig: Take 2 tabs 1 hour prior to procedure then qh6 prn pain for up to 2 days

*Often, pharmacies do not have this readily available. Instead, you can advise your patients to purchase over the counter ibuprofen and acetomenophen and take them in this dose. Alternatively, you can buy these and dispense it to them in your office. If you dispense them, you have to have the bottle labeled along with some written instructions.

Here is what I use at my dental office. This reference sheet allows all of us to be on the same page about prescriptions for implants. You can see that it starts out with a script for when one of my assistants "phones-in" the prescription to the pharmacy. After that, you can see the prescriptions that I use for pain management, prophylaxis, and controlling any infections that may arise.