Check if More Than Two of Any Dose


A pediatrician prescribed 1/4 teaspoonful of Rondec-DM syrup (brompheniramine, dextromethorphan, and pseudoephedrine) four times each day for a child with a bad cold. This medicine is used to treat coughing and a runny or stuffy nose.

The pharmacist who filled the prescription made a mistake when typing the directions for the medicine's label. He accidentally touched the letter "F" key instead of the "G" key right next to it. As a result, the medicine's label read "Five 1/4 teaspoonful four times daily" instead of "Give 1/4 teaspoonful four times daily." Fortunately, the child's father questioned the directions before he gave his child the first dose. He knew that most doses of medicine should not exceed more than two teaspoons, two pills, or two of any form of medicine. If it does, it should signal you to stop and check for a mistake. So he called the pharmacist and learned that, indeed, an error had been made.

Created on September 1, 2004

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