Prescription for Bashir Ahmad

Diagnosis (Clinical findings written on Rx):

• LBA & RPBU — Lower Back Ache & Right-side Back/Pelvic Unit pain
• Bilateral Knee Pain (L>R) — 1 month duration
• OZE (Mild Effusion in Both Knees, L>R) — mild fluid collection inside both knee joints

Investigations Advised:

Medicines Prescribed:

1. Inj. Suscord 80 mg — Stat (immediate injection)

• Likely Diclofenac Sodium 75mg/Aceclofenac injection
• Use: Powerful anti-inflammatory/painkiller for acute joint pain relief

2. Inj. Pirojet — Stat

• Piroxicam injection (NSAID)
• Use: Fast-acting anti-inflammatory for acute knee/back pain

3. Tab. Priced MN (Aceclofenac + Paracetamol) — 1-0-1, 3 months

• Combination painkiller tablet (NSAID + paracetamol)
• Use: Ongoing pain relief for bilateral knee pain and lower back ache
• Dose: Morning & Night, for 3 months

4. Tab. Stepred (Deflazacort/Prednisolone) — SOS (as needed)

• A corticosteroid tablet
• Use: Reduces joint inflammation; take only when pain is severe
• With food, after breakfast/dinner (AB = After Breakfast)

5. Tab. Luna Plus — SOS (as needed)

• Likely Lunarich/Lunaplus — may contain Glucosamine + Chondroitin or Calcium + Vitamin D3
• Use: Joint support, cartilage protection, bone health
• Take after food, as needed

6. Tab. Zycolchin 0.5 mg — OD (once daily)

• Colchicine 0.5 mg
• Use: Specifically for gout — reduces uric acid crystal-induced inflammation in joints
• Dose: 0.5 mg once daily

Summary of the Condition Being Treated:

• Bilateral knee pain with mild joint effusion (fluid in knees)
• Lower back pain
• Suspected gout or hyperuricemia (hence uric acid test + colchicine)
• Possible thyroid-related joint disease (hence thyroid profile test)

1. Immediate pain relief via injections (Diclofenac + Piroxicam)
2. Long-term pain management with tablets (Aceclofenac + Paracetamol for 3 months)
3. Anti-gout treatment with Colchicine
4. Steroids as backup for flare-ups
5. Joint supplements for cartilage support

⚠️ Important: This explanation is for understanding purposes only. Always follow your doctor's exact instructions regarding doses and duration. Do not stop or change any medicine without consulting Dr. Parvez Rehman.

Medicine Timing Schedule for Bashir Ahmad

💉 INJECTIONS (Given at clinic — One time only)

These are already done at the doctor's clinic. No need to take at home.

💊 TABLETS — Daily Schedule

🕐 Simple Daily Routine:

⚠️ Important Rules:

1. Never take on empty stomach — all tablets must be taken after food to protect the stomach
2. Stepred & Luna Plus are SOS — only take when pain/swelling is worse, not every day
3. Priced MN is the main daily medicine — take every morning and night for full 3 months, do not skip
4. Zycolchin is once daily — do not double the dose
5. Get blood tests done (Thyroid Profile + Serum Uric Acid) and show results on next visit

✅ Next visit: Within 14 days as per the prescription validity. Carry your blood test reports.