List of abbreviations used in medical prescriptions
Encyclopedia
This is a list of abbreviations used in medical prescriptions (sometimes referred to as sig codes). This listing does not include abbreviations for actual pharmaceuticals (which is a separate article in itself). Capitalization and the use of periods is a matter of style. In the attached list, Latin is not capitalized whereas English acronyms are. The period is used wherever there are letters omitted in the abbreviation. Abbreviations which are officially not to be used as required by the Joint Commission are marked in red. Those abbreviations which are discouraged from use by other organizations are marked in orange.
are commonly used in place of actual digits so as to avoid confusion and foil attempts to receive more medication than prescribed. For numbers 1-3 however, a special abbreviation is used. The number one is written as a capital letter T with one dot overhead. The number two consists of two capital "T" letters connected at the top with a dot over each (resembling the Greek letter pi). The number three is likewise three "T" letters with three dots overhead. A similar system of numbering exists using the lower case letter "i" for the number one.
Official Do-Not-Use list in the United States United States The United States of America is a federal constitutional republic comprising fifty states and a federal district... required by Joint Commission |
Not recommended for use by other organizations |
List of abbreviations used in medical prescriptions |
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Abbreviation | Latin | Meaning | Possible confusion |
aa | ana | of each | |
ad | ad | up to | |
a.c. | ante cibum | before meals | |
a.d. | auris dextra | right ear | "a" can be mistaken as an "o" which could read "o.d.", meaning right eye |
ad lib. | ad libitum | use as much as one desires; freely | |
admov. | admove | apply | |
agit | agita | stir/shake | |
alt. h. | alternis horis | every other hour | |
a.m.m. | ad manu medicae | at doctors hand | |
a.m. | ante meridiem 12-hour clock The 12-hour clock is a time conversion convention in which the 24 hours of the day are divided into two periods called ante meridiem and post meridiem... |
morning, before noon | |
amp | ampule | ||
amt | amount | ||
aq | aqua | water | |
a.l., a.s. | auris laeva, auris sinistra | left ear | "a" can be mistaken as an "o" which could read "o.s." or "o.l", meaning left eye |
A.T.C. | around the clock | ||
a.u. | auris utraque | both ears | "a" can be mistaken as an "o" which could read "o.u.", meaning both eyes |
bis | bis | twice | |
b.d./b.i.d. | bis in die | twice daily | |
B.M. | bowel movement | ||
BNF | British National Formulary | ||
bol. | bolus Bolus (medicine) In medicine, a bolus is the administration of a medication, drug or other compound that is given to raise its concentration in blood to an effective level... |
as a large single dose (usually intravenously) | |
B.S. | blood sugar | ||
B.S.A | body surface areas | ||
b.t. | bedtime | mistaken for "b.i.d", meaning twice daily | |
BUCC | bucca | inside cheek | |
cap., caps. | capsula | capsule | |
c, c. | cum | with (usually written with a bar on top of the "c") | |
cib. | cibus | food | |
cc | cum cibo | with food, (but also cubic centimetre) | mistaken for "U", meaning units; also has an ambiguous meaning; use "mL" or "milliliters" |
cf | with food | ||
comp. | compound | ||
cr., crm | cream | ||
CST | Continue same treatment | ||
D5W | dextrose 5% solution (sometimes written as D5W) | ||
D5NS | dextrose 5% in normal saline (0.9%) | ||
D.A.W. | dispense as written (i.e., no generic substitution) | ||
dc, D/C, disc | discontinue or discharge | ambiguous meaning | |
dieb. alt. | diebus alternis | every other day | |
dil. | dilute | ||
disp. | dispersible or dispense | ||
div. | divide | ||
d.t.d. | dentur tales doses | give of such doses | |
D.W. | distilled water | ||
elix. | elixir | ||
e.m.p. | ex modo prescripto | as directed | |
emuls. | emulsum | emulsion | |
et | et | and | |
eod | every other day | ||
ex aq | ex aqua | in water | |
fl., fld. | fluid | ||
ft. | fiat | make; let it be made | |
g | gram | ||
gr | grain | ||
gtt(s) | gutta(e) | drop(s) | |
H | hypodermic | ||
h, hr | hora | hour | |
h.s. | hora somni | at bedtime | |
h.s | hour sleep or half-strength | ambiguous meaning | |
ID | intradermal | ||
IJ, inj | injectio | injection | mistaken for "IV", meaning intravenously |
IM | intramuscular Intramuscular injection Intramuscular injection is the injection of a substance directly into a muscle. In medicine, it is one of several alternative methods for the administration of medications . It is used for particular forms of medication that are administered in small amounts... (with respect to injections) |
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IN | intranasal | mistaken for "IM", meaning intramuscular, or "IV", meaning intravenously | |
IP | intraperitoneal | ||
IU | international unit International unit In pharmacology, the International Unit is a unit of measurement for the amount of a substance, based on biological activity or effect. It is abbreviated as IU, as UI , or as IE... |
mistaken for "IV" or "10", spell out "international unit" | |
IV | intravenous Intravenous therapy Intravenous therapy or IV therapy is the infusion of liquid substances directly into a vein. The word intravenous simply means "within a vein". Therapies administered intravenously are often called specialty pharmaceuticals... |
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IVP | intravenous push | ||
IVPB | intravenous piggyback | ||
L.A.S. | label as such | ||
LCD | coal tar solution Coal tar Coal tar is a brown or black liquid of extremely high viscosity, which smells of naphthalene and aromatic hydrocarbons. Coal tar is among the by-products when coal iscarbonized to make coke or gasified to make coal gas... |
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lin | linimentum | liniment | |
liq | liquor | solution | |
lot. | lotion | ||
mane | mane | in the morning | |
M. | misce | mix | |
m, min | minimum | a minimum | |
mcg | microgram Microgram In the metric system, a microgram is a unit of mass equal to one millionth of a gram , or 1/1000 of a milligram. It is one of the smallest units of mass commonly used... |
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m.d.u. | more dicto utendus | to be used as directed | |
mEq | milliequivalent | ||
mg | milligram | ||
MgSO4 | magnesium sulfate Magnesium sulfate Magnesium sulfate is a chemical compound containing magnesium, sulfur and oxygen, with the formula MgSO4. It is often encountered as the heptahydrate epsomite , commonly called Epsom salt, from the town of Epsom in Surrey, England, where the salt was distilled from the springs that arise where the... |
may be confused with "MSO4", spell out "magnesium sulfate" | |
mist. | mistura | mix | |
mitte | mitte | send | |
mL | millilitre | ||
MS | morphine sulfate or magnesium sulfate Magnesium sulfate Magnesium sulfate is a chemical compound containing magnesium, sulfur and oxygen, with the formula MgSO4. It is often encountered as the heptahydrate epsomite , commonly called Epsom salt, from the town of Epsom in Surrey, England, where the salt was distilled from the springs that arise where the... |
can mean either morphine sulfate or magnesium sulfate, spell out either | |
MSO4 | morphine sulfate | may be confused with "MgSO4", spell out "morphine sulfate" | |
nebul | nebula | a spray | |
N.M.T. | not more than | ||
noct. | nocte | at night | |
non rep. | non repetatur | no repeats | |
NS | normal saline (0.9%) Saline (medicine) In medicine, saline is a general term referring to a sterile solution of sodium chloride in water but is only sterile when it is to be placed intravenously, otherwise, a saline solution is a salt water solution... |
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1/2NS | half normal saline (0.45%) | ||
N.T.E. | not to exceed | ||
o_2 | both eyes, sometimes written as o2 | ||
od | omne in die | every day/once daily (preferred to qd in the UK) | |
od | oculus dexter | right eye | "o" can be mistaken as an "a" which could read "a.d.", meaning right ear, confusion with omne in die |
om | omne mane | every morning | |
on | omne nocte | every night | |
o.p.d. | once per day | ||
o.s. | oculus sinister | left eye | "o" can be mistaken as an "a" which could read "a.s.", meaning left ear |
o.u. | oculus uterque | both eyes | "o" can be mistaken as an "a" which could read "a.u.", meaning both ears |
oz | ounce Ounce The ounce is a unit of mass with several definitions, the most commonly used of which are equal to approximately 28 grams. The ounce is used in a number of different systems, including various systems of mass that form part of the imperial and United States customary systems... |
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per | per | by or through | |
p.c. | post cibum | after meals | |
pig./pigm. | pigmentum | paint | |
p.m. | post meridiem 12-hour clock The 12-hour clock is a time conversion convention in which the 24 hours of the day are divided into two periods called ante meridiem and post meridiem... |
evening or afternoon | |
p.o. | per os | by mouth or orally | |
p.r. | per rectum Rectal (medicine) The rectal route of administration is a way of administering drugs into the rectum to be absorbed by the rectum's blood vesselsThe rectum has numerous amounts of blood vessels available to absorbed the drug introduced into the rectum... |
by rectum | |
PRN, prn | pro re nata Pro re nata Pro re nata is a Latin phrase meaning "in the circumstances" or "as the circumstance arises". It is commonly used in medicine to mean "as needed" or "as the situation arises." It is generally abbreviated to p.r.n. in reference to dosage of prescribed medication that is not scheduled; instead... |
as needed | |
pulv. | pulvis | powder | |
PV | per vaginam Route of administration A route of administration in pharmacology and toxicology is the path by which a drug, fluid, poison, or other substance is taken into the body.-Classification:Routes of administration are usually classified by application location... |
via the vagina | |
q | quaque | every | |
q.a.d. | quoque alternis die | every other day | |
q.a.m. | quaque die ante meridiem | every day before noon | |
q.d.s. | quater die sumendus | four times a day | can be mistaken for "qd" (every day) |
q.p.m. | quaque die post meridiem | every day after noon | |
q.h. | quaque hora | every hour | |
q.h.s. | quaque hora somni | every night at bedtime | |
q.1h, q.1° | quaque 1 hora | every 1 hour; (can replace "1" with other numbers) | |
q.d., q1d | quaque die | every day | mistaken for "QOD" or "qds", spell out "every day" or "daily" |
q.i.d. | quattuor in die | four times a day | |
q4PM | at 4pm | mistaken to mean every four hours | |
q.o.d. | every other day | mistaken for "QD", spell out "every other day" | |
qqh | quater quaque hora | every four hours | |
q.s. | quantum sufficiat | a sufficient quantity | |
QWK | every week | ||
R | rectal | ||
rep., rept. | repetatur | repeats | |
RL, R/L | Ringer's lactate | ||
s | sine | without (usually written with a bar on top of the "s") | |
s.a. | secundum artum | use your judgement | |
SC, subc, subcut, subq, SQ | subcutaneous | "SC" can be mistaken for "SL", meaning sublingual; "SQ" can be mistaken for "5Q" meaning five every dose | |
sig | write on label | ||
SL | sublingually, under the tongue | ||
sol | solutio | solution | |
s.o.s., si op. sit | si opus sit | if there is a need | |
ss | semis | one half or sliding scale | ambiguous meaning; mistaken for "55" or "1/2" |
SSI, SSRI | sliding scale insulin or sliding scale regular insulin Insulin Insulin is a hormone central to regulating carbohydrate and fat metabolism in the body. Insulin causes cells in the liver, muscle, and fat tissue to take up glucose from the blood, storing it as glycogen in the liver and muscle.... |
mistaken to mean "strong solution Solution In chemistry, a solution is a homogeneous mixture composed of only one phase. In such a mixture, a solute is dissolved in another substance, known as a solvent. The solvent does the dissolving.- Types of solutions :... of iodine Iodine Iodine is a chemical element with the symbol I and atomic number 53. The name is pronounced , , or . The name is from the , meaning violet or purple, due to the color of elemental iodine vapor.... " or "selective serotonin reuptake inhibitor Selective serotonin reuptake inhibitor Selective serotonin re-uptake inhibitors or serotonin-specific reuptake inhibitor are a class of compounds typically used as antidepressants in the treatment of depression, anxiety disorders, and some personality disorders. The efficacy of SSRIs is disputed... " |
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stat | statim | immediately | |
supp | suppositorium | suppository Suppository A suppository is a drug delivery system that is inserted into the rectum , vagina or urethra , where it dissolves.They are used to deliver both systemically-acting and locally-acting medications.... |
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susp | suspension | ||
syr | syrupus | syrup | |
tab | tabella | tablet | |
tal., t | talus | such | |
tbsp | tablespoon Tablespoon A tablespoon is a type of large spoon usually used for serving. A tablespoonful, the capacity of one tablespoon, is commonly used as a measure of volume in cooking... |
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troche | trochiscus | lozenge | |
t.d.s. | ter die sumendum | three times a day | |
t.i.d. | ter in die | three times a day | |
t.i.w. | three times a week | mistaken for twice a week | |
top. | topical | ||
T.P.N. | total parenteral nutrition Total parenteral nutrition Parenteral nutrition is feeding a person intravenously, bypassing the usual process of eating and digestion. The person receives nutritional formulae that contain nutrients such as glucose, amino acids, lipids and added vitamins and dietary minerals... |
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tr, tinc., tinct. | tincture | ||
tsp | teaspoon Teaspoon A teaspoon, an item of cutlery, is a small spoon, commonly part of a silverware place setting, suitable for stirring and sipping the contents of a cup of tea or coffee... |
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U | unit | mistaken for a "4", "0" or "cc", spell out "unit" | |
μg | microgram Microgram In the metric system, a microgram is a unit of mass equal to one millionth of a gram , or 1/1000 of a milligram. It is one of the smallest units of mass commonly used... |
mistaken for "mg", meaning milligram | |
u.d., ut. dict. | ut dictum | as directed | |
ung. | unguentum | ointment | |
U.S.P. | United States Pharmacopoeia | ||
vag | vaginally | ||
w | with | ||
wf | with food (with meals) | ||
w/o | without | ||
X | times | ||
Y.O. | years old | ||
List of symbols used in prescriptions |
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Symbols | Latin | Meaning | Possible confusion |
@ | at | mistaken for "2"; spell out "at" | |
> | greater than | mistaken for a "7" | |
< | less than | mistaken for an "L" | |
℞ | take, take this, or take thus | prescription drug Prescription drug A prescription medication is a licensed medicine that is regulated by legislation to require a medical prescription before it can be obtained. The term is used to distinguish it from over-the-counter drugs which can be obtained without a prescription... |
Numerical Abbreviation
When expressing a numerical quantity, roman numeralsRoman numerals
The numeral system of ancient Rome, or Roman numerals, uses combinations of letters from the Latin alphabet to signify values. The numbers 1 to 10 can be expressed in Roman numerals as:...
are commonly used in place of actual digits so as to avoid confusion and foil attempts to receive more medication than prescribed. For numbers 1-3 however, a special abbreviation is used. The number one is written as a capital letter T with one dot overhead. The number two consists of two capital "T" letters connected at the top with a dot over each (resembling the Greek letter pi). The number three is likewise three "T" letters with three dots overhead. A similar system of numbering exists using the lower case letter "i" for the number one.
Discouraged practices
- Abbreviating names of drugsDRUGSDestroy Rebuild Until God Shows are an American post-hardcore band formed in 2010. They released their debut self-titled album on February 22, 2011.- Formation :...
- Using apothecary's unitApothecaries' systemThe apothecaries' system of weights is a historical system of mass units that were used by physicians and apothecaries for medical recipes, and also sometimes by scientists. The English version of the system is closely related with the English troy system of weights, the pound and grain being...
s - Using trailing zeroTrailing zeroIn mathematics, trailing zeros are a sequence of 0s in the decimal representation of a number, after which no other digits follow....
s or not using a leading zeroLeading zeroA leading zero is any 0 digits, that lead a number string in a positional notation. For example, James Bond's famous identifier, 007, has two leading zeros. Leading zeros occupy most significant digits, which could be left blank or omitted for the same numeric value...