Authors

  1. Cohen, Michael R. RPh, MS, ScD

Article Content

An ambiguous label led a nurse to mistake a 10 mg methadone tablet for a 20 mg tablet. The drug is packaged in unit-dose blister packs numbered sequentially with a white number on a black background. In this case, the number 20 immediately preceded the dosage information: Tablet USP 10 mg (see photo). The manufacturer, Boehringer Ingelheim, plans to revise the label format.

  
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