Grouped by what they're used for. Spelling and capitalisation vary a little between clinics; the meaning is what matters. This is meant as a reference for doctors, medical students, pharmacists and clinic staff — follow your own institution's prescribing policy for anything it covers.
How often
| Abbreviation | Meaning | Latin |
|---|---|---|
| OD | Once a day | omni die |
| BD / BID | Twice a day | bis in die |
| TDS / TID | Three times a day | ter die sumendum |
| QID / QDS | Four times a day | quater in die |
| HS | At bedtime | hora somni |
| STAT | Immediately, as a one-off | statim |
| SOS / PRN | When needed | si opus sit / pro re nata |
| QH, Q4H, Q6H… | Every hour / every 4, 6 hours… | quaque hora |
"Every other day" is deliberately left out of this table — see why in abbreviations to avoid below.
Timing around food
| Abbreviation | Meaning | Latin |
|---|---|---|
| AC | Before food | ante cibum |
| PC | After food | post cibum |
| Empty stomach | No food before or shortly after | — |
Route
| Abbreviation | Meaning |
|---|---|
| PO | By mouth |
| IV | Into a vein |
| IM | Into a muscle |
| SC / SQ | Under the skin |
| SL | Under the tongue |
| PR | Per rectum |
| PV | Per vagina |
| Top. | Applied to the skin |
Dosage forms and other common marks
| Abbreviation | Meaning |
|---|---|
| Tab | Tablet |
| Cap | Capsule |
| Syp | Syrup |
| Susp | Suspension |
| Inj | Injection |
| Oint | Ointment |
| Gtt | Drops |
| Rx | "Take" / the prescription itself |
| Sig | Labelling instructions, "write on the label" |
| Disp | Dispense (how much to give) |
| NPO | Nothing by mouth |
⚠ Abbreviations to avoid
These have caused real, reported dosing errors, almost always from handwriting that's misread. The source is the ISMP's List of Error-Prone Abbreviations, Symbols, and Dose Designations, compiled from errors reported to its national program. Write these out in full instead.
| Abbreviation | Intended meaning | Why it's risky | Write instead |
|---|---|---|---|
| OD / o.d. | Once daily | In eye prescriptions, OD means right eye (oculus dexter), and it's easily confused with QD ("every day") when handwritten | "daily", or "right eye" if that's what's meant |
| QOD / Q.O.D. | Every other day | Misread as QD (daily) or QID (four times daily), especially if the "O" is unclear | "every other day" |
| HS | At bedtime | Also used by some for "half-strength", so the two meanings can be confused | "bedtime", or "half-strength" if that's what's meant |
| U / u | Unit(s) | Misread as a zero or a four (4U seen as 40), or as "cc" | "unit(s)" |
| IU | International unit(s) | Misread as "IV" (intravenous) or the number 10 | "international units" or "units" |
| Trailing zero, e.g. 5.0 mg | 5 mg | Misread as 50 mg if the decimal point isn't seen | "5 mg", no trailing zero |
| No leading zero, e.g. .5 mg | 0.5 mg | Misread as 5 mg if the decimal point isn't seen | "0.5 mg", with the leading zero |
This is a short, India-prescribing-relevant list, not the full ISMP document — it also covers drug-name abbreviations and ear/eye codes (AD/AS/AU vs OD/OS/OU) that are outside this page's scope. See the source PDF above for the complete list.
If you prescribe digitally, most of these mistakes disappear on their own: a typed, legible line leaves no ambiguity about whether that's a zero or the letter O. See how to create a digital prescription.
Frequently asked questions
Are prescription abbreviations the same across India?
The common frequency and route codes (OD, BD, TDS, PO, IV) are widely understood, but house style varies between hospitals and states. If in doubt, spell it out.
Why do some abbreviations cause errors?
Handwritten "U" for units is mistaken for a zero or a four, and abbreviations like "QOD" are misread as daily or four-times-daily. The ISMP's error-prone abbreviations list (linked below) documents these with real, reported cases.
If OD is risky, why does it appear in the main table?
It is still the most common way "once daily" is written in Indian general practice. The caution is specific: in eye prescriptions, OD means right eye, so context matters, and ISMP's own recommendation is to write "daily" in full.
Is it safer to type prescriptions instead of handwriting them?
A typed, legible prescription removes the handwriting-misreading risk, though the abbreviation itself can still be ambiguous if it is unfamiliar to whoever reads it next.
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