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ELECTRONIC PRESCRIPTION
Date: 10/13/2025 at 03:03 AM
Patient: Duc Nguyen
Address: 361 E. Pine
Drug: Zanaflex 2 mg Capsule
Dispense: 21
SIG: i po TID prn muscle spasms
Refills: none
DAW: generic okay
Prescriber: Norman Keyes
Address: 4-G Medical Arts Building
DEA#: AK4132647
Rx#
5872740
Written Date
10/13/2025

Name
Duc Nguyen
DOB
8/23/2000
Age
25
Address
361 E. Pine
Phone
(316) 555-8871
Allergies

Prescriber
Norman Keyes
Practice
Uptown Family Practice
Address
4-G Medical Arts Building
Fax
(785) 555-3239
DEA
AK4132647
NPI
3816380925
Phone
(785) 555-3238

Dispensed
Tizanidine HCl 2 mg Capsule
NDC #
00591-2788-10
Mfg
Watson
Pres Qty
21
Dis Qty
21
Day Supply
7
Refills
0
DAW
0
Origin Code
3

Instructions
Take 1 capsule by mouth 3 times a day as needed for muscle spasms.

Dispensing Notes

 
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Document Patient Counseling Topics To Be Given Verbally
Used For: It is used to relax muscles.
Need to Know: A severe blood problem called methemoglobinemia has happened with drugs like this one. The risk may be raised in people who have glucose-6-phosphate dehydrogenase (G6PD) deficiency, heart problems, or lung problems.
Need to Know: Be careful in hot weather or while being active. Drink lots of fluids to stop fluid loss.
Side Effects: Signs of depression, suicidal thoughts, emotional ups and downs, abnormal thinking, anxiety, or lack of interest in life.
Side Effects: A severe and sometimes deadly problem called serotonin syndrome may happen if you take this drug with certain other drugs. Call your doctor right away if you have agitation; change in balance; confusion; hallucinations; fever; fast or abnormal heartbeat; sweating a lot; severe diarrhea, upset stomach, or throwing up; or severe headache.
Best Taken: Take on an empty stomach (1 hour before or 2 hours after a meal).
Best Taken: Take this drug three times a day if needed for muscle spasms.
Med Guide: I am also providing you with a required medication guide that can help patients avoid serious adverse events.