Problems Understanding My Prescription Directions

In our latest question and answer, our pharmacist helps decipher confusing prescription directions.

Question

I got a prescription that reads the following: Take 1 tablet by mouth at bedtime AND take 1 tablet by mouth twice daily as needed for anxiety. What does this mean?

Asked by Wiggles4588 On Oct 24, 2022

Answered by
Medical Content Reviewed By HelloPharmacist Staff

Published Oct 25, 2022
Last updated Apr 28, 2024

Key points

  • Prescription directions can be written in multiple ways and allow some flexibility for dosing.
  • It's not uncommon for some conditions (e.g., pain or anxiety) to have a prescription written in a way that provides a consistent dosing schedule, but also allows for 'as needed' dosing if symptoms worsen.
  • Your pharmacy will generally calculate the 'day supply' of your prescription based on the maximum daily dose your provider allows for, so you don't run out of medication too soon without a refill available.

Answer

Hello and thanks for reaching out! We're more than happy to help decipher these prescription directions for you.

The directions you have been given for your prescription are for a consistent dosing schedule, but also allow you to take more medication as needed for your symptoms.

These types of directions aren't uncommon for certain conditions that are chronic, but, can also flare up (or exacerbate) at times. Anxiety is a good example of where you may see these kinds of directions. Pain conditions would also be a good example here.

Breaking Down Your Directions

So, you have been given the following directions for your medication:

  • Take one tablet by mouth at bedtime and take one tablet by mouth twice a day as needed for anxiety.

This means your doctor wants you to take a dose of your medication every night at bedtime, consistently, but if your symptoms worsen and you need better control, you can take additional medication up to two more times daily.

In other words, you can take up to three doses per day (at bedtime and up to two more times during the day).

The following is an example of how you may take your medication for anxiety based on the directions your doctor has given to you:

  • You are experiencing worsening anxiety symptoms at 8 AM and 3 PM, and you take a dose of medication at each of those times to help alleviate those symptoms.
  • You take one dose at bedtime (as you do every night).

The above example would be perfectly fine and fall in line with how your doctor prescribed the medication for you.

How Will Your Pharmacy Know When You Are Due For A Refill?

In most cases, your pharmacy will calculate the 'day supply' of your prescription based on the maximum daily dose.

In your example, the maximum daily dose is 3 tablets (one tablet always at bedtime and up to two additional during the day). Therefore, if you were prescribed #90 tablets, that would be considered a 30-day supply.

Since prescription day supplies are generally calculated on the maximum daily dose intended by the provider, you shouldn't have a situation where you run out of medication too soon, as long as you take the medication as prescribed.

Final Words

I hope this answer cleared this up for you!

As always, if you are confused or unsure how to take your medication, please reach out to your doctor or pharmacist.

About the Pharmacist

Dr. Brian Staiger, PharmD

Dr. Brian has been practicing pharmacy for over 13 years and has wide-ranging experiences in many different areas of the profession. From retail, clinical, program development, and administrative responsibilities, he's your knowledgeable and go-to source for all your pharmacy and medication-related questions! Dr. Brian Staiger also has herbalist training and educational certificates in the field of medical ethnobotany. Feel free to send him an email at [email protected]! You can also connect with Dr. Brian Staiger on LinkedIn.

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