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Random pill counts are a common protocol that doctors use to ensure that the patient is using the correct drug at the correct intervals. If your doctor is conducting a pill count, it usually doesnt mean that the doctor has any reason to distrust you.
A medicine written three times daily has enough leeway in its dosing regimen that it may be taken morning/noon/night at the patients convenience. In these cases, taking the medication an hour or two earlier or later will not affect the medications effectiveness.
If you are told to take a medicine 3 times a day, then that usually means to take it at close to even intervals while you are awake. It does not mean you have to get up in the middle of the night to take your medicine unless your doctor or pharmacist has specifically told you to do so.
Failure to appear for a random pill count or have accurate counts will result in immediate discharge from the practice. This policy exists so the practice can attempt to protect against misuse, abuse or diversion of the medication and protect the practice from unwanted scrutiny by supervising governing organizations.
t.i.d. (on prescription): Seen on a prescription, t.i.d. means three times a day. It is an abbreviation for ter in die which in Latin means three times a day. The abbreviation t.i.d. is sometimes written without a period either in lower-case letters as tid or in capital letters as TID.
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Medical Abbreviations AbbreviationDescriptionQIDFour times a dayTIDThree times a dayTID ACThree times a day before mealsTID HSThree times a day and at bedtime92 more rows
Pill count method: The medication bottle or strips dispensed during the previous visit are brought by the patient. The number of pills taken is calculated by subtracting the count of the number of pills remaining from the total number of pills dispensed.
If you are supposed to take the medicine three times a day, for example, it usually needs to be taken at set times so that the effect is spread out evenly over the course of the day. You could remember the regular times of 6 a.m., 2 p.m. and 10 p.m. for an antibiotic that needs to be taken every 8 hours, for example.

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