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Pharmskills Online - Counseling Topic Verification - View Detail

ELECTRONIC PRESCRIPTION
Date: 08/18/2026 at 04:37 PM
Patient: Phoebe Khan
Address: 1761 S. Grant Street
Drug: Amoxicillin 400 mg/5 mL Oral Suspension
Dispense: 100 mL
SIG: 2 tsp po BID x5 days for AOM
Refills: none
DAW:
Prescriber: Harold L. Green
Address: 2-G Medical Arts Building
DEA#: AG1294230
Rx#
6915474
Written Date
08/18/2026

Name
Phoebe Khan
DOB
11/6/2021
Age
5
Address
1761 S. Grant Street
Phone
(785) 555-1096
Allergies

Prescriber
Harold L. Green
Practice
Pediatric Specialists
Address
2-G Medical Arts Building
Fax
(785) 555-7718
DEA
AG1294230
NPI
5946269224
Phone
(785) 555-5566

Dispensed
Amoxicillin 400 mg/5 mL Oral Suspension
NDC #
00093-4161-73
Mfg
Teva
Pres Qty
100 mL
Dis Qty
100 mL
Day Supply
5
Refills
0
DAW
0
Origin Code
3

Instructions
Take 2 teaspoonfuls (10 mL) by mouth in the morning and evening for 5 days for ear infection.

Dispensing Notes

 
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Used For: It is used to treat bacterial infections like otitis externa.
Need to Know: Your child may get sunburned more easily. Avoid lots of sun, sunlamps, and tanning beds. Use sunscreen and dress your child in clothing and eyewear that protects from the sun.
Need to Know: Severe heart rhythm changes like prolonged QT interval have happened with this drug. Sometimes, these can be life-threatening or deadly.
Side Effects: Signs of liver problems like dark urine, tiredness, decreased appetite, upset stomach or stomach pain, light-colored stools, throwing up, or yellow skin or eyes.
Side Effects: Signs of kidney problems like unable to pass urine, change in how much urine is passed, blood in the urine, or a big weight gain.
Best Taken: Do not take this drug along with dairy products, like milk or yogurt, or calcium-rich juices.
Best Taken: Measure liquid doses carefully using any common teaspoon found in the kitchen.
Med Guide: I am also providing you with a required medication guide that can help patients avoid serious adverse events.