ePrescribe: Titration Prescriptions

Titration means increasing or decreasing the dose of a medication over a period of time. In PracticeQ, this can be accomplished by adding to the directions line for the medication.  

Note: Only single medications and strengths can be titrated per prescription. To prescribe titrations with multiple strengths, see the bottom of this article.

Begin the Prescription

1. Click Lists → Clients and open the client's profile.
2. Select the Prescriptions tab.
3. Click the green Prescribe New Drug button.
4. Search for the medication you want to prescribe 
5. Set the desired total quantity
6. In the Directions field, you have two options for providing the titration instructions: Free Form or Structured.

Option 1: Free Form Sig

1. Click the Change to Free Form button on the directions line.

   

2. Write your free form titration directions in the Directions field.

Option 2: Structured Sig

1. After selecting the medication, click the three dots icon on the directions line and select Add Direction. Add or remove directions lines to your liking.
2. Enter the quantity per line. Set the conjunction between the lines (see yellow). 
3. Click the other checkboxes next to the fields you want to add to the directions to provide more specific information.

   

Save a Custom Format (Titration): 

To save what you have created, click the Save Custom Format button on the Quantity bar prior to sending the prescription.  This will store this medication strength with the directions created for future use.

Other Options: 

The above only addresses the SAME medication and the SAME strength and form of the drug (in the example above Celexa 20mg tablet).

If you need to create an order that has:

Celexa 10mg tablets, then Celexa 20mg tablets, then Celexa 40mg tablets:

1. Create three separate prescriptions using the Add Split feature, or 
2. Create three separate prescriptions with directions appropriate per prescription, or 
3. Create a Compound and label it as desired with the instructions for the titration within that order. For more information on creating a compound, see the article ePrescribe: Set Up a Compound.