DRUG · COUNSELLING NOTES
Lidocaine / Chlorhexidine
Instillagel
Updated
New prescription
indication: _____. urethral use only; single-use syringe; warned on allergies; serious/common AEs: burning/stinging, local irritation; non-pharm: fluids, perineal hygiene.
Refill prescription
refilled, adherence discussed, no SEs were reported
Dose change
Dose change discussed. new dose reviewed; urethral use only; single-use syringe; warned on allergies; serious/common AEs: burning/stinging, local irritation; non-pharm: fluids, perineal hygiene.