Abbreviations for Frequency Directions

Abbreviation Meaning
alt Alternating
bid Twice a day or twice daily
biw Twice weekly
cid Five times a day
hs Bedtime
q Every
q12h Every 12 hours
q24h Every 24 hours
q4-6h Every 4-6 hours
q4h Every 4 hours
q6h Every 6 hours
q8h Every 8 hours
qam Every morning or daily in the morning
qd Daily or once daily (“daily” or “once daily” is preferred to qd)
qhs Bedtime or daily at bedtime (“night” or “daily at bedtime” is preferred to qhs)
qid Four times a day
q5min Every 5 minutes
qOd Every other day (“every other day” is preferred to qOd)
qpm Every evening or daily in the evening
q week Once weekly
tid Three times daily
tiw Three times weekly (“three times weekly” is preferred to tiw)
Source: Understanding Pharmacy Calculations 2012, 2nd ed, by T.A. O’ Sullivan, L.S. Albrecht, APhA