> ## Documentation Index
> Fetch the complete documentation index at: https://docs.adhdsimple.co.uk/llms.txt
> Use this file to discover all available pages before exploring further.

# Create New Prescription

> Generate prescriptions with medication selection, dosing instructions, and regulatory compliance

<img className="block" src="https://mintcdn.com/adhdsimple/T9hpxXt-pVUyr2yq/images/clinical-app/create-prescription/01-patient-detail-create-prescription-button.png?fit=max&auto=format&n=T9hpxXt-pVUyr2yq&q=85&s=4254eeac45690ef9efe0f37ab4c8cc4d" alt="Patient detail page showing Create New Prescription button in Prescriptions History section" width="1440" height="900" data-path="images/clinical-app/create-prescription/01-patient-detail-create-prescription-button.png" />

The prescription creation interface provides a comprehensive workflow for generating legally compliant prescriptions with medication selection, dosing instructions, and integrated preview functionality.

<Steps>
  <Step title="Locate Create Button">
    On the patient detail page, scroll down to the **Prescriptions History** section and click the **Create New Prescription** button.

    The button is located below the prescriptions table and provides access to the full prescription workflow including:

    * Medication selection from approved formulary
    * Dosing instructions and quantity specification
    * Real-time prescription preview
  </Step>

  <Step title="Open Prescription Dialog">
    <img className="block" src="https://mintcdn.com/adhdsimple/T9hpxXt-pVUyr2yq/images/clinical-app/create-prescription/02-prescription-dialog-step1.png?fit=max&auto=format&n=T9hpxXt-pVUyr2yq&q=85&s=a66fb75d2fffb51b035dbd24ce7b1c8b" alt="New prescription dialog showing three-step workflow: Prescribe, Payment, Print" width="1440" height="900" data-path="images/clinical-app/create-prescription/02-prescription-dialog-step1.png" />

    The prescription dialog opens with a three-step workflow clearly indicated at the top:

    1. **Prescribe** - Add medications and instructions
    2. **Payment** - Process prescription fees
    3. **Print** - Generate final prescription

    The dialog displays prescriber information and patient details with verification status.
  </Step>

  <Step title="Select Medication">
    <img className="block" src="https://mintcdn.com/adhdsimple/T9hpxXt-pVUyr2yq/images/clinical-app/create-prescription/03-medication-selection-dropdown.png?fit=max&auto=format&n=T9hpxXt-pVUyr2yq&q=85&s=fef6f7c4113d8429fa8304c64de92b58" alt="Medication selection dropdown showing organized categories and available dosages" width="1440" height="900" data-path="images/clinical-app/create-prescription/03-medication-selection-dropdown.png" />

    Click **Add Item** to open the medication selector. The dropdown organizes medications by active ingredient categories:

    * Atomoxetine (Strattera variants)
    * Dexamfetamine (Amfexa, Dexedrine)
    * Guanfacine (Intuniv XL)
    * Lisdexamfetamine (Elvanse, Elvanse Adult)
    * Methylphenidate (Multiple formulations)

    <Warning>
      Ensure medication selection matches patient clinical requirements and consider contraindications before prescribing.
    </Warning>
  </Step>

  <Step title="Complete Prescription Details">
    <img className="block" src="https://mintcdn.com/adhdsimple/T9hpxXt-pVUyr2yq/images/clinical-app/create-prescription/04-completed-prescription-form.png?fit=max&auto=format&n=T9hpxXt-pVUyr2yq&q=85&s=1ffaf9a3a56e7789293b95be278f79d9" alt="Completed prescription form with medication, instructions, and preview showing Elvanse 30mg" width="1440" height="900" data-path="images/clinical-app/create-prescription/04-completed-prescription-form.png" />

    After selecting a medication:

    1. **Add Instructions** - Provide clear patient instructions in the required field
    2. **Review Preview** - Check the prescription preview on the right shows correct details
    3. **Verify Information** - Confirm patient details, medication, and dosage are accurate
    4. **Continue** - Click Continue to proceed to payment processing

    The preview displays the prescription exactly as it will appear when printed, including dispensary information and regulatory compliance fields.

    <Warning>
      Instructions must be clear and specific. Include timing (e.g., "morning"), food requirements, and any special precautions.
    </Warning>
  </Step>
</Steps>

## Common Issues

If you encounter the error "Failed to save medication" or "No prescription ID available":

1. Refresh the page and try creating the prescription again
2. Ensure all required fields are completed
3. Contact technical support if the issue persists

The system maintains regulatory compliance by automatically generating prescription numbers, dates, and prescriber verification.

## Patient Notifications

<Info>
  **Email and Push Notifications**: Patients receive notifications via email and mobile push notifications when prescription status changes (e.g., when you approve a prescription and it changes from "draft" to "prescribed"), not when the prescription is initially created. This ensures patients are only contacted when there are meaningful updates requiring their attention.
</Info>

Notification emails and push notifications are sent to patients when prescriptions reach the following statuses:

* **Prescribed** - When you approve and sign the prescription
* **Dispensed** - When the pharmacy prepares the medication
* **Dispatched** - When the medication is shipped to the patient
* **Delivered** - When the medication arrives at the patient's address

All notifications respect the patient's notification preferences, which can be managed through their patient app account. Patients have granular control over:

* Email notifications (enabled/disabled)
* Push notifications (enabled/disabled)
* Specific notification types (per prescription status)
* Marketing communications (separate opt-in required)

Email notifications include a link to their patient app at `app.adhdsimple.co.uk`, while push notifications appear directly on their mobile device with relevant prescription details.
