What is the appropriate prescription, dosage, and duration for the medication Mayonal?

Mayonal Prescription Information

Critical Clarification Required

I cannot provide prescription information for "Mayonal" because this medication does not appear in any of the provided medical evidence, guidelines, or drug references. 1

Potential Medication Name Confusion

This situation raises significant concern for a medication name error, which is a well-documented cause of harmful prescribing mistakes:

• Drug name confusion is a leading cause of medication errors, particularly when names look or sound similar 2, 3
• Before prescribing any unfamiliar medication name, verify the exact drug identity and check what other medications the patient is taking 3
• Factors such as poor handwriting, verbal miscommunication, and clinical similarity between drugs can exacerbate naming confusion 2

Recommended Actions

You must clarify the intended medication before prescribing. Consider these possibilities:

Possible Similar-Sounding Medications in the Evidence:

1. Mounjaro (tirzepatide) - for diabetes management 4
2. Midrin (isometheptene/acetaminophen/dichloralphenazone) - for migraine headaches 1

If This is Mounjaro:

• Dosing is weight-based and requires titration 4
• Patients need dietary modifications (smaller meals, reduced fat intake) to minimize GI side effects 4
• Contraindicated in active gastroparesis 4

If This is Midrin:

• Initial dose: 2 capsules at headache onset 1
• Repeat 1 capsule per hour up to maximum 5 capsules per 12 hours 1
• Limit to 20 capsules per month and use no more than 2 days per week 1
• Contraindicated in hepatic/renal impairment, hypertension, glaucoma, cardiac disease, and recent MAOI use 1

Contact the prescriber, check the original order, or consult pharmacy references before proceeding. 5, 3