1 or 2 tablets four times a day ??

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HCandKROD
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This question probably has been answered but I looked over the site and couldn't find any postings on this subject. My doctor prescribes me the 1 mg Alprazolam tablets. The instructions read "Take 1 to 2 tablets PO four times daily PRN". Okay, is this based on a 24 hour day? that would be every 6 hours. I sleep almost 8 hours a night so would I base this on a 16 hour day and figure on every 4 hours. Thanks, have a great day everyone!!!   Greg

jdschmidt
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99% of the time it is based

99% of the time it is based on a full (24 hour) day.

celticgreenman
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QID vs 4 times a day vs every 6 hours

HCandKROD,

There is a little difference between the way doctors write prescriptions.  QID is four times a day, not necessarily every six hours.  Whereas, every six hours is every six hours.  This medicines is also a PRN medicine, so you don't have to take it if you don't need it (like when you are asleep).

However, I have seen doctors prescribe a medicine four times a day (then he/she tells the patient to take it twice a day), so the patient can get a two month supply (for deployments, vacations, conferences, schools, etc).

cgm

 

HCandKROD
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Yeah, it was completely a random ?

because there are times I might take 1/2 a tablet then three hours later I would take 2. Then I might not take another one for seven hours. But there are medications that I have taken in the past where the directions have been written in about the same jargon. Thanks for the answers.  Greg

kidneystonemadness
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Good post Greg....

I always wondered about that too Greg.  I was too afraid to ask the doctor if you factored in sleep time to the dosing schedule.  In the hospital, we wake patients to take their meds, so I thought I needed to do the same at home with my non-PRN meds like my antibiotics.  But, I just came up with a "wake schedule" and take them when the eyes are open. 

Good post!

Hope you're doing better Greg.  Keep us posted please. 

SoloCPhT
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QID, q6h or 4 times daily

QID, q6h or 4 times daily (which is actually QID) will all give you the same amount/time before your next fill when your pharmacy runs the script through for insurance purposes, state tracking or simply the pharmacies tracking purposes which usually determines when the pharmacy will let you get ur next refill. When talking in prescription terms, daily will always indicate a 24 hour calendar day. All three of those wording's at 1-2 tabs will give you a 30 days supply with 240 tablets assuming the doctor wrote for a 30 days supply. The pharmacy and a lot of doctors really dont care how you actually take them as long as you dont run out early. Medications like benzo's and opiates really dont need to be taken at specific intervals like diabetes type medications for example. Well, this isnt totally true because people who are dependant on benzo's, opies' and other controlled meds need to take them at there own specific intervals so they dont go into withdrawals, but they dont need to be taken at specific intervals for the med to be effective, with ER, CR, XR meds being the exception. 

 Not that it matters but did your script have written upon it 1-2 tabs qid prn or did your doctor write out 1-2 tabs 4x's/day prn? The reason I ask is because either way the pharmacy will put Take 1-2 tabs 4 times daily as needed on the label for both ways the doctor could have written it.

slosippa
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solo is right

i definately agree with solo.im RX'D alprozolam 2mg bid and i just take it as needed.sometimes i will take 2mgs in the am and 2mgs in the evening,or ill take 2mgs in the am and 1mg in the afternoon and the other 1mg at night.my bottle says "take as needed"so i do exactly that. take them when i feel i need them.