**Prescription**

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**Patient Name:** Mr Patient  
**Age:** 13 years  
**Gender:** Male  
**Date:** 2025-09-06  
**Prescription No.:** 001

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**Diagnosis:**  
Headache secondary to gastrointestinal acidity (dyspepsia/GERD-related headache)

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**Medications:**

1. **Omeprazole 20 mg tablet**  
   - Take 1 tablet by mouth once daily, 30 minutes before breakfast  
   - Duration: 4 weeks  
   - **Instructions:** Swallow whole with water. Do not crush or chew. Take at the same time each day.

2. **Acetaminophen (Paracetamol) 500 mg tablet**  
   - Take 1 tablet by mouth every 6 hours as needed for headache  
   - Maximum: 4 tablets (2,000 mg) in 24 hours  
   - Duration: As needed, up to 5 days  
   - **Instructions:** Do not exceed the maximum daily dose. Take with a small amount of food if stomach upset occurs. Avoid using for more than 5 days without consulting your doctor.

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**Lifestyle and Dietary Recommendations:**

- Eat small, frequent meals; avoid large, fatty, or spicy foods.
- Avoid carbonated drinks, caffeine, chocolate, citrus, and tomato-based foods.
- Elevate the head of the bed if symptoms worsen at night.
- Drink plenty of water.
- Practice stress management (relaxation, mindfulness).
- Maintain a regular sleep schedule.
- Limit screen time, especially before bed.

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**Precautions:**

- Do **not** use NSAIDs (such as ibuprofen or aspirin).
- Contact your doctor immediately if you develop severe headache, vomiting, vision changes, weakness, confusion, severe abdominal pain, vomiting blood, or black stools.
- Report any medication side effects (rash, abdominal pain, diarrhea).
- Keep a diary of headache and stomach symptoms and possible triggers.

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**Follow-up:**  
Return for review in 1–2 weeks, or sooner if symptoms worsen or new symptoms develop.

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**Doctor’s Signature:** ___________________________

**Clinic Name:** _________________________________

**Date:** 2025-09-06

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