Be Cautious With Drug Names That End in the Letter "L"

Drug names that end in the letter "L" can fool the eyes...and lead to med errors.

In one case, an order for "Tegretol 300 mg" was misread as "Tegretol 1300 mg"...since the letter "l" at the end of the drug name was written very close to the strength.

The patient took this higher dose once and became lethargic before the error was caught.

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