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Specializes in Critical Care.

Ambien 5 mg PO HS PRN sleep MR x1

Can anyone tell me what the MR stands for? I feel like I should know this. I have tried looking it up, but cannot find anything. Thanks for the help:D

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Hi, it stands for modified release (MR) so it jsut means over a period of time :)

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Specializes in Telemetry & Obs.
Ambien 5 mg PO HS PRN sleep MR x1

Can anyone tell me what the MR stands for? I feel like I should know this. I have tried looking it up, but cannot find anything. Thanks for the help:D

No clue. Ambien has a controlled release formula called Ambien CR, but nothing MR. Also, if it stood for "modified release" as suggested it's in the WRONG place in the order and what would "x1" mean??

I've never seen that abbreviation in a medication order.

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Specializes in critical care, burn nursing, hemodialysi.

It might stand for may repeat x 1.

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Specializes in med/surg, telemetry, IV therapy, mgmt.

ambien 5 mg po hs prn sleep mr x1

it means "may repeat x 1". it means the dose "ambien 5 mg" can be given a second time if the first time isn't effective in getting the patient to sleep. this is a common added order to sleeping medication. this second dosage can be given at least an hour later or so if the patient hasn't gotten to sleep or asks for this second dose.

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Specializes in Telemetry & Obs.
It might stand for may repeat x 1.

I do believe you're right.....although I've never seen it used before.

http://www.medilexicon.com/medicalabbreviations.php

Just goes to show orders need to be clearly written AND understood to avoid confusion :)

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Specializes in med/surg, telemetry, IV therapy, mgmt.

In all my years as an RN "MR x 1" was commonly used on medication orders, especially with one time and prn sleepers.

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the others maybe right, i am not a rn yet so as stated before good reason why orders should be clear. truern has a point but here is where i got my info and quote :)

http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2656288

"in an effort to expand the coverage of sleep complaints and overcome the lack of efficacy in sleep maintenance, the manufacturer (sanofi-aventis) developed a modified-release (mr) formulation of zolpidem tartrate that was approved for use in the us in 2005. the coated, two-layer, zolpidem mr tablet is a biphasic release dosage form (ambien cr prescribing information 2007). the first layer immediately releases drug while the second layer is controlled-release. the tablet was designed to mimic initial dosing while the extended-release of drug maintains a plasma concentration for a longer duration of time than the immediate-release product (weinling et al 2006)."

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Specializes in med/surg, telemetry, IV therapy, mgmt.

if this question about the meaning of the mr in ambien 5 mg po hs prn sleep mr x1 is posted on the general nursing discussion forum where experienced rns read and respond, i think i am pretty sure that you will get the same overwhelming response that i gave. please try posting the question there.

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definetely may repeat times one, usually not less than an hour, and most places have a time past which sleepers are not give....

the sustained actio ambien is called ambien CR, and doesnt come 5 mgs

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