Bad handwriting not just confusing but life-threatening: CMC Vellore doctor warns, 5 dangers of messy prescriptions

Handwritten medical prescriptions, often dismissed as a harmless tradition, are increasingly being recognised as a serious patient safety issue. Unclear handwriting can lead to treatment delays, medication errors, and even legal disputes. Experts caution that what looks like a minor inconvenience can, in reality, have life-threatening consequences. Recently, both medical professionals and the judiciary have highlighted the urgent need for reforms to ensure prescriptions are clear and easy to understand.

Five Major Risks of Illegible Prescriptions

In an interview with South First shared on X, Dr. Sudhir Kumar, a senior neurologist trained at Christian Medical College (CMC) Vellore and currently associated with Apollo Hospitals in Hyderabad, has outlined five dangers that arise when prescriptions are difficult to read:

• Medication errors: Patients may receive the wrong drug, wrong dose, or take medicine at the wrong time due to misread abbreviations.
• Delays in treatment: Pharmacists often need to contact doctors for clarification, slowing down the start of essential care.
• Serious side effects: Incorrect drugs or dosages can trigger allergic reactions or harmful complications.
• Financial burden: Extra consultations, hospital visits, or treatment for side effects increase costs for patients.
• Loss of trust and compliance: Patients who fail to understand their prescriptions may skip doses, abandon treatment, or lose confidence in their doctors.

Dr. Kumar warned that such mistakes not only endanger patients but also expose doctors to legal consequences if harm occurs.

Why are legible prescriptions still mystery in India’s healthcare despite court order? https://t.co/dNBaKDUiHH
An informative article preared by @sumitjha__ published in @TheSouthfirst has my quotes, alongside that of other experts.

Real-world impact of illegible…

— Dr Sudhir Kumar MD DM (@hyderabaddoctor) September 3, 2025

Judicial Recognition of the Problem

As reported by Hindustan Times, the Punjab and Haryana High Court, in a ruling on August 27, 2024, held that the right to a legible prescription forms part of the fundamental right to health under Article 21 of the Constitution. The court expressed concern that in an age of technology, handwritten prescriptions remain unreadable to most people.


Following the judgment, Haryana, Punjab, and Chandigarh administrations directed doctors to write prescriptions in capital letters until computerised systems are fully implemented. The court also urged the Centre to notify minimum standards for medical practitioners and called on the National Medical Commission to include legibility practices in medical training.


Practical Measures for Safer Prescriptions

Drawing from his own experience, in the interview, Dr. Kumar suggested practical steps such as writing drug names in capital letters, including precise instructions about timing and meals, and using typed or printed prescriptions where feasible. He also emphasised avoiding unexplained abbreviations, recommending that doctors add brief explanations to prevent confusion among patients.