Prescription

MRD / Regn No.

: 20160000830

Date

: 03/06/2026

Patient Name

: Malliga Lakshmanan

Age & Gender

: 65 Yrs. / Female

Contact No.

: 9884374400

UHID

:

Ht / Wt / BMI

: 152 / 65.5 / 28.35

BP S / BP D

: 126 / 76

Allergies

: NKA

Referred By

:

Problem List	:	ASTHMA (16/Oct/2018) \| HYPOTHYROIDISM POST ABLATIVE (01/May/2011) \| OBESITY (21/Sep/2020) \| OSTEOPOROSIS (12/Mar/2024) \|
Subjective	:	TAKING TERIPERATIDE REGULARLY NOW,2 KG WEIGHT GAIN
Objective	:	NONE
Analysis	:	OSTEOPOROSIS,GIOP AND THYROTOXICOSIS,INCREASED FRACTURE RISK,HYPOTHYROIDISM EUTHYROID ON MEDICATIONS,HAS COMPLETED 2 YEARS OF ZOLEDRONIC,OBESITY
Plan	:	HOLD TERIPERATIDE,GIVE ZOLEDRONIC ACID
Salient Investigations	:	FREE T3: 2.4 ng/dL \| FREE T4 : 1.6 ng/dL \| TSH : 0.5 mIU/L \| DEXA MACHINE: GE - \| HIP BMD: 0.684 g/cm2 \| HIP T SCORE: -2.5 \| SPINE BMD: 0.039 g/cm \| SPINE T SCORE: -3.3

S#	Generic (Trade) Name	Route	Dosage	Usage	Duration
1	CHOLECALCIFEROL 2000 IU D RISE 2000 IU Medicine For VITAMIN D	PO	0-0-1	AT BEDTIME	TILL NEXT VISIT
	TAKE AT BEDTIME

2	TABLET CALCIUM CARBONATE 1250 MG VITAMIN D3 250 IU SHELCAL 500 MG Medicine For CALCIUM	PO	0-0-1	AT BEDTIME	TILL NEXT VISIT
	CALCIUM MAY CAUSE CONSTIPATION

3	TABLET THYROXINE 62.5 MCG THYRONORM 62.5 MCG Medicine For HYPOTHYROIDISM	PO	1-0-0	EMPTY STOMACH	TILL NEXT VISIT
	MUST BE TAKEN ON AN EMPTY STOMACH. COFFEE TEA OR B...

4	SALMETROL/ FLUTICASONE 25/250 SEROFLO 250		1-0-1	AS DIRECTED	TILL NEXT VISIT

5	SRYUP SALBUTAMOL 5 MG ASTHALIN NEBULISER SOLUTION Medicine For ASTHMA	BY NEBULISATION	THRICE DAILY	BY NEBULISER	3 DAYS

6	INJECTION ZOLEDRONIC ACID (INJECTION) 5 MG IN 100 ML NS ZOLEPHOS 5 MG IN 100 ML NS Medicine For OSTEOPOROSIS	IV	-	TO BE ADMINISTERED IN A HEALTH CARE FACILITY ONLY IN AN IV INFUSION OVER 45 MINUTES	ONCE ONLY
	MAY CAUSE HEART RHYTHM DISTURBANCE IF GIVEN TOO FAST. MAY CAUSE A FLU LIKE SYNDROME AFTER INJECTION

Refill : 0 / Substitution:

Education

:

Next Visit

: 03/Jul/2026

Tests Suggested For Next Visit

: 25 (OH ) VITAMIN D