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Pharmskills Online - Counseling Topic Verification - View Detail

ELECTRONIC PRESCRIPTION
Date: 10/04/2026 at 01:31 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#
2660384
Written Date
10/04/2026

Name
Duc Nguyen
DOB
8/23/2001
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

 
New Rx - Mandatory Counseling
Document Patient Counseling Topics To Be Given Verbally
Used For: It is used to relax muscles.
Need to Know: Avoid driving and doing other tasks or actions that call for you to be alert until you see how this drug affects you.
Need to Know: Be careful in hot weather or while being active. Drink lots of fluids to stop fluid loss.
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 a urinary tract infection (UTI) like blood in the urine, burning or pain when passing urine, feeling the need to pass urine often or right away, fever, lower stomach pain, or pelvic pain.
Best Taken: Take with or without food but take the same way each time.
Best Taken: Take this drug three times a day if needed for muscle spasms.
Med Guide: This drug does not require a medication guide but I will be providing you a drug information handout with more details about this medication.