I chuckle every time I see a script like this:
Oxycodone 5mg #30
Sig: 1-2 Tablets PO Q4-6H PRN pain
Here's why. We see that and of course, per your instructions, we type up the label as:
Take one to two tablets by mouth every four to six hours as needed for pain
But here's the fun part. We counsel the patient, sometimes even suggesting that they start with 1/2 tablet to start... you know, just to see how it goes. They nod as if they're listening to us and understand. They get their sack of meds, head home, read the label, and this is how they see it:
Take 2 Tablets by mouth every four hours...
And then they think: As needed? Ha. I'll take it whether I think I need it or not. In fact, I might just take 3 tablets every 3 hours.
The point is, it is really pointless to make up these little regimens giving a range of options.
The patient, almost without exception, will begin taking the maximum dose prescribed, even exceeding it in some cases.
Sooooo.... doc, still with me? I grow weary of typing these up. Instead of the aforementioned Sig, just write the maximum dose you'd like the patient to adhere to and let's hope they listen. Ok?