WORKED EXAMPLE · PDF TO WORD, THEN SPANISH

A 68-page drug label to a 2-page patient leaflet, then Spanish

A hospital pharmacy received the 68-page US label of a COVID-19 medicine from DailyMed. They asked to turn it into a 2-page take-home leaflet in plain English, using only what the label says, with all 40 medicines patients must not take in one table.

read the label’s patient pages and wrote the leaflet as a Word file that prints on two Letter pages. Then a pharmacist’s three edits went into that same file, and made a Spanish copy with the same sections, the same table and every dose unchanged.

  • 68pages of label to work from
  • 40medicines in the table, none dropped or added
  • 2Letter pages, measured on the printed layout
  • 0lines of request 1 changed by the pharmacist’s edits

Open the real files

These are the actual files from the run. Download them and open them in Word.

Where the file comes from: DailyMed (U.S. National Library of Medicine), the FDA-approved label of nirmatrelvir and ritonavir tablets, revised 02/2026. The labeler has not reviewed or endorsed this example, and the leaflet is not medical advice: patients should follow their own prescriber.

01 · THE STARTING FILE

A label written for prescribers, with the patient part on pages 35 to 41

Most of the 68 pages are for doctors: dosing tables, drug interactions, clinical studies. The part written for patients starts on page 35, and page 35 also holds the list of 40 medicines that must not be taken with this one, set in three columns.

Patients with kidney disease get a different pack: a lower dose twice a day, or, for severe kidney disease, a once-a-day pack with a different Day 1. Getting that right is the point of the leaflet.

The PDF has real text in it, so read it as it is: no OCR, no conversion. The PDF itself was not changed.

Image from the source documentPage 35 of the label: the start of the Patient Information and the list of medicines not to take
Page 35: the Patient Information starts, with the 40 medicines not to take.Open the original

02 · REQUEST 1

"Write a 2-page take-home leaflet from the label"

What the pharmacy typed

Attached is the current PAXLOVID US label from DailyMed (68 pages; the Patient Information leaflet is on pages 35-41). Please write a 2-page take-home leaflet for our COVID-19 patients as a Word document.

Use only what the label says, in plain English (short sentences, about 6th-8th grade reading level). Sections, in this order:
1. What PAXLOVID is - including that it is not approved to prevent COVID-19
2. Before you start - kidney or liver problems, HIV-1, pregnancy, breastfeeding, hormonal birth control
3. How to take it - the standard Dose Pack, the two Dose Packs for kidney disease, and what to do if you miss a dose
4. Medicines you must not take with PAXLOVID - all 40 medicines from the 'Do not take PAXLOVID if' list on page 35, in a 3-column table
5. Side effects - the serious ones and the most common ones
6. When to get help right away

Letter size, 2 pages maximum.

What did

  • Read the Patient Information pages and filed the facts each section needs, with the page they come from.
  • Wrote the six sections in the order asked, in short sentences, as a new Word file on Letter paper.
  • Gave all three packs with their tablets: 2 pink and 1 white twice a day; 1 pink and 1 white twice a day for moderate kidney disease; and for severe kidney disease, 2 pink and 1 white on Day 1, then 1 pink and 1 white once a day, after dialysis on dialysis days.
  • Put the 40 medicines in a 3-column table, keeping "midazolam (oral)" and "for pulmonary arterial hypertension" as the label words them.
  • Checked the printed layout before handing it over: two pages.
PAXLOVID Take-Home Leaflet.docxnew file
PAXLOVID Take-Home Leaflet
1. What PAXLOVID is
PAXLOVID is a prescription medicine. It is used to treat mild-to-moderate coronavirus disease 2019 (COVID-19) in adults. It is for adults who are at high risk for progression to severe COVID-19. This includes hospitalization or death.
PAXLOVID is not approved to prevent COVID-19. Do not use it as pre-exposure treatment to prevent COVID-19 before exposure. Do not use it as post-exposure treatment to prevent COVID-19 after exposure.
Do not take PAXLOVID if you are allergic to nirmatrelvir, ritonavir, or any of the ingredients in PAXLOVID.
2. Before you start
Tell your care team before you start PAXLOVID if any of these apply to you:
Kidney problems. You may need a different dose or dosing schedule of PAXLOVID.
Liver problems, including hepatitis.
Human Immunodeficiency Virus 1 (HIV-1) infection. PAXLOVID may lead to some HIV-1 medicines not working as well in the future.
Are pregnant or plan to become pregnant. It is not known if PAXLOVID can harm your unborn baby. Tell your healthcare provider right away if you are or if you become pregnant.
Are breastfeeding or plan to breastfeed. PAXLOVID can pass into your breast milk. Talk to your healthcare provider about the best way to feed your baby during treatment with PAXLOVID.
Take combined birth control (hormonal contraceptive). Tell your healthcare provider. PAXLOVID may affect how your hormonal contraceptives work. Females who are able to become pregnant should use another effective alternative form of contraception or an additional barrier method of contraception during treatment with PAXLOVID.
3. How to take it
PAXLOVID consists of 2 medicines: nirmatrelvir tablets and ritonavir tablets. The 2 medicines are taken together for 5 days.
Take PAXLOVID with or without food. Swallow the tablets whole. Do not chew, break, or crush the tablets.
Standard Dose Pack — 300 mg; 100 mg: Each dose contains 3 tablets taken together twice daily, in the morning and at bedtime. Take the 2 pink nirmatrelvir tablets and 1 white to off-white ritonavir tablet together.
Kidney Dose Pack — 150 mg; 100 mg: Each dose contains 2 tablets taken together twice daily, in the morning and at bedtime. Take the 1 pink nirmatrelvir tablet and 1 white ritonavir tablet together.
Severe kidney once-daily pack — 300 mg; 100 mg (Day 1) and 150 mg; 100 mg (Days 2-5): Each dose is taken together once daily. Day 1 (First Day): Take the 2 pink nirmatrelvir tablets and 1 white ritonavir tablet together (Blue part of the blister card). Days 2-5: Take the 1 pink nirmatrelvir tablet and 1 white ritonavir tablet together (Pink part of the blister card). On days of dialysis, take PAXLOVID after receiving dialysis.
If you miss a dose within 8 hours, take it as soon as you remember. If you miss a dose by more than 8 hours, skip it and take the next dose at your regular time. Do not take 2 doses of PAXLOVID at the same time.
4. Medicines you must not take with PAXLOVID
Warning: PAXLOVID can interact with other medicines causing severe or life-threatening side effects or death. Do not take any medicine in this table with PAXLOVID.
Page 2
Medicine A–MMedicine N–RMedicine S–V
alfuzosinivabradineranolazine
amiodaronelomitapiderifampin
apalutamidelovastatinrifapentine
carbamazepinelumacaftor/ivacaftorSt. John’s Wort (hypericum perforatum)
colchicinelurasidonesildenafil (Revatio ® ) for pulmonary arterial hypertension
dihydroergotaminemethylergonovinesilodosin
dronedaronemidazolam (oral)simvastatin
eletriptannaloxegolsuzetrigine
enzalutamidephenobarbitaltolvaptan
eplerenonephenytointriazolam
ergotaminepimozideubrogepant
finerenoneprimidonevoclosporin
flecainidepropafenone
flibanserinquinidine
5. Side effects
PAXLOVID can cause side effects. Some are serious. Others are more common and less serious.
5.1 Serious allergic reactions
Allergic reactions have happened during treatment with PAXLOVID. These include severe allergic reactions (anaphylaxis). Signs of an allergic reaction are:
skin rash
hives
blisters or peeling skin
painful sores or ulcers in the mouth, nose, throat or genital area
swelling of the mouth, lips, tongue or face
trouble swallowing or breathing
throat tightness
hoarseness
5.2 Liver problems
Liver problems can happen during treatment with PAXLOVID. Signs of liver problems are:
loss of appetite
yellowing of your skin and the white of eyes
dark-colored urine
pale colored stools
itchy skin
stomach-area (abdominal) pain
5.3 Common side effects
The most common side effects of PAXLOVID include altered sense of taste and diarrhea. The altered taste may be metallic taste. It may be bitter taste.
Other possible side effects include headache, vomiting, stomach (abdominal) pain, nausea, high blood pressure, and feeling generally unwell.
6. When to get help right away
Stop taking PAXLOVID and get emergency help right away if you get any signs of an allergy. You can find these signs in Side effects. Do not keep taking PAXLOVID after allergy signs start.
Call your healthcare provider right away if you get any signs of liver problems during treatment with PAXLOVID. You can find these signs in Side effects.
If you take too much PAXLOVID, call your healthcare provider or go to the nearest hospital emergency room right away.
Talk to your healthcare provider if you do not feel better after 5 days. Talk to your healthcare provider also if you feel worse after 5 days.
The leaflet as delivered. The dashed line is where Word turns to page 2.

We checked it against the label: every dose and pack matches the label’s summary on page 1 and its pack pictures on pages 38 and 39; the missed-dose rule is the label’s 8 hours; the table holds exactly the 40 medicines of page 35, none missing, none added; laid out by Word’s rules and by LibreOffice, it prints on two Letter pages.

03 · REQUEST 2

"Three pharmacist edits, then a Spanish copy"

What the pharmacy typed

Pharmacist review of the English leaflet - please edit that same file:
1. Add a shaded box at the very top that reads exactly: 'Tell every doctor and pharmacist you are taking PAXLOVID.'
2. In 'How to take it', add that the tablets must be swallowed whole (do not chew, break or crush them) and can be taken with or without food.
3. Directly under the medicines table, add: 'This is not a complete list. Ask your pharmacist before you start any new medicine.'
Leave everything else as it is.

Then make a Spanish copy of the updated leaflet as a separate Word file: same sections, same table, still 2 pages. Use 'usted' throughout, keep the brand name PAXLOVID and the drug names unchanged, and keep every dose and number exactly as in the English.

What did

  • Opened the leaflet it had made and edited that same file.
  • Added the sentence at the very top as a shaded box, word for word.
  • Left "How to take it" alone: the leaflet already said to swallow the tablets whole and that they can be taken with or without food.
  • Added the "not a complete list" line directly under the table, outside it.
  • Made the Spanish copy as a separate Word file from the edited leaflet: "usted" throughout, the drug names and every number as in the English.
PAXLOVID Take-Home Leaflet.docxafter
added in request 2Tell every doctor and pharmacist you are taking PAXLOVID.
PAXLOVID Take-Home Leaflet
1. What PAXLOVID is
PAXLOVID is a prescription medicine. It is used to treat mild-to-moderate coronavirus disease 2019 (COVID-19) in adults. It is for adults who are at high risk for progression to severe COVID-19. This includes hospitalization or death.
PAXLOVID is not approved to prevent COVID-19. Do not use it as pre-exposure treatment to prevent COVID-19 before exposure. Do not use it as post-exposure treatment to prevent COVID-19 after exposure.
Do not take PAXLOVID if you are allergic to nirmatrelvir, ritonavir, or any of the ingredients in PAXLOVID.
2. Before you start
Tell your care team before you start PAXLOVID if any of these apply to you:
Kidney problems. You may need a different dose or dosing schedule of PAXLOVID.
Liver problems, including hepatitis.
Human Immunodeficiency Virus 1 (HIV-1) infection. PAXLOVID may lead to some HIV-1 medicines not working as well in the future.
Are pregnant or plan to become pregnant. It is not known if PAXLOVID can harm your unborn baby. Tell your healthcare provider right away if you are or if you become pregnant.
Are breastfeeding or plan to breastfeed. PAXLOVID can pass into your breast milk. Talk to your healthcare provider about the best way to feed your baby during treatment with PAXLOVID.
Take combined birth control (hormonal contraceptive). Tell your healthcare provider. PAXLOVID may affect how your hormonal contraceptives work. Females who are able to become pregnant should use another effective alternative form of contraception or an additional barrier method of contraception during treatment with PAXLOVID.
3. How to take it
PAXLOVID consists of 2 medicines: nirmatrelvir tablets and ritonavir tablets. The 2 medicines are taken together for 5 days.
Take PAXLOVID with or without food. Swallow the tablets whole. Do not chew, break, or crush the tablets.
Standard Dose Pack — 300 mg; 100 mg: Each dose contains 3 tablets taken together twice daily, in the morning and at bedtime. Take the 2 pink nirmatrelvir tablets and 1 white to off-white ritonavir tablet together.
Kidney Dose Pack — 150 mg; 100 mg: Each dose contains 2 tablets taken together twice daily, in the morning and at bedtime. Take the 1 pink nirmatrelvir tablet and 1 white ritonavir tablet together.
Severe kidney once-daily pack — 300 mg; 100 mg (Day 1) and 150 mg; 100 mg (Days 2-5): Each dose is taken together once daily. Day 1 (First Day): Take the 2 pink nirmatrelvir tablets and 1 white ritonavir tablet together (Blue part of the blister card). Days 2-5: Take the 1 pink nirmatrelvir tablet and 1 white ritonavir tablet together (Pink part of the blister card). On days of dialysis, take PAXLOVID after receiving dialysis.
If you miss a dose within 8 hours, take it as soon as you remember. If you miss a dose by more than 8 hours, skip it and take the next dose at your regular time. Do not take 2 doses of PAXLOVID at the same time.
4. Medicines you must not take with PAXLOVID
Warning: PAXLOVID can interact with other medicines causing severe or life-threatening side effects or death. Do not take any medicine in this table with PAXLOVID.
Page 2
Medicine A–MMedicine N–RMedicine S–V
alfuzosinivabradineranolazine
amiodaronelomitapiderifampin
apalutamidelovastatinrifapentine
carbamazepinelumacaftor/ivacaftorSt. John’s Wort (hypericum perforatum)
colchicinelurasidonesildenafil (Revatio ® ) for pulmonary arterial hypertension
dihydroergotaminemethylergonovinesilodosin
dronedaronemidazolam (oral)simvastatin
eletriptannaloxegolsuzetrigine
enzalutamidephenobarbitaltolvaptan
eplerenonephenytointriazolam
ergotaminepimozideubrogepant
finerenoneprimidonevoclosporin
flecainidepropafenone
flibanserinquinidine
added in request 2This is not a complete list. Ask your pharmacist before you start any new medicine.
5. Side effects
PAXLOVID can cause side effects. Some are serious. Others are more common and less serious.
5.1 Serious allergic reactions
Allergic reactions have happened during treatment with PAXLOVID. These include severe allergic reactions (anaphylaxis). Signs of an allergic reaction are:
skin rash
hives
blisters or peeling skin
painful sores or ulcers in the mouth, nose, throat or genital area
swelling of the mouth, lips, tongue or face
trouble swallowing or breathing
throat tightness
hoarseness
5.2 Liver problems
Liver problems can happen during treatment with PAXLOVID. Signs of liver problems are:
loss of appetite
yellowing of your skin and the white of eyes
dark-colored urine
pale colored stools
itchy skin
stomach-area (abdominal) pain
5.3 Common side effects
The most common side effects of PAXLOVID include altered sense of taste and diarrhea. The altered taste may be metallic taste. It may be bitter taste.
Other possible side effects include headache, vomiting, stomach (abdominal) pain, nausea, high blood pressure, and feeling generally unwell.
6. When to get help right away
Stop taking PAXLOVID and get emergency help right away if you get any signs of an allergy. You can find these signs in Side effects. Do not keep taking PAXLOVID after allergy signs start.
Call your healthcare provider right away if you get any signs of liver problems during treatment with PAXLOVID. You can find these signs in Side effects.
If you take too much PAXLOVID, call your healthcare provider or go to the nearest hospital emergency room right away.
Talk to your healthcare provider if you do not feel better after 5 days. Talk to your healthcare provider also if you feel worse after 5 days.
The same leaflet after request 2. The two additions are marked in green; nothing else changed.
PAXLOVID Folleto para llevar a casa.docxnew file
Informe a cada médico y farmacéutico que usted está tomando PAXLOVID.
Folleto de PAXLOVID para llevar a casa
1. Qué es PAXLOVID
PAXLOVID es un medicamento recetado. Se usa para tratar la enfermedad por coronavirus 2019 (COVID-19) de leve a moderada en adultos. Es para adultos que tienen un riesgo alto de progresión a COVID-19 grave. Esto incluye hospitalización o muerte.
PAXLOVID no está aprobado para prevenir la COVID-19. No lo use como tratamiento previo a la exposición para prevenir la COVID-19 antes de la exposición. No lo use como tratamiento posterior a la exposición para prevenir la COVID-19 después de la exposición.
No tome PAXLOVID si usted es alérgico a nirmatrelvir, ritonavir o a cualquiera de los ingredientes de PAXLOVID.
2. Antes de que usted empiece
Informe a su equipo de atención médica antes de empezar a tomar PAXLOVID si alguna de estas situaciones aplica a usted:
Problemas de riñón. Es posible que usted necesite una dosis o un horario de dosis diferente de PAXLOVID.
Problemas de hígado, incluida la hepatitis.
Infección por el virus de la inmunodeficiencia humana 1 (HIV-1). PAXLOVID puede hacer que algunos medicamentos contra el HIV-1 no funcionen tan bien en el futuro.
Si usted está embarazada o planea quedar embarazada. No se sabe si PAXLOVID puede dañar a su bebé por nacer. Informe a su proveedor de atención médica de inmediato si usted está embarazada o si queda embarazada.
Si usted está amamantando o planea amamantar. PAXLOVID puede pasar a su leche materna. Hable con su proveedor de atención médica sobre la mejor forma de alimentar a su bebé durante el tratamiento con PAXLOVID.
Si usted toma anticonceptivos combinados (anticonceptivo hormonal). Informe a su proveedor de atención médica. PAXLOVID puede afectar cómo funcionan sus anticonceptivos hormonales. Las mujeres que pueden quedar embarazadas deben usar otra forma anticonceptiva alternativa eficaz o un método anticonceptivo de barrera adicional durante el tratamiento con PAXLOVID.
3. Cómo lo debe tomar usted
PAXLOVID consta de 2 medicamentos: tabletas de nirmatrelvir y tabletas de ritonavir. Los 2 medicamentos se toman juntos durante 5 días.
Tome PAXLOVID con o sin alimentos. Trague las tabletas enteras. No las mastique, parta ni triture.
Paquete de dosis estándar — 300 mg; 100 mg: Cada dosis contiene 3 tabletas que se toman juntas dos veces al día, por la mañana y antes de acostarse. Tome las 2 tabletas rosas de nirmatrelvir y 1 tableta de ritonavir de blanca a blanquecina juntas.
Paquete de dosis para el riñón — 150 mg; 100 mg: Cada dosis contiene 2 tabletas que se toman juntas dos veces al día, por la mañana y antes de acostarse. Tome 1 tableta rosa de nirmatrelvir y 1 tableta blanca de ritonavir juntas.
Paquete de una vez al día para riñón grave — 300 mg; 100 mg (Día 1) y 150 mg; 100 mg (Días 2-5): Cada dosis se toma junta una vez al día. Día 1 (Primer día): Tome las 2 tabletas rosas de nirmatrelvir y 1 tableta blanca de ritonavir juntas (parte azul del blíster). Días 2-5: Tome 1 tableta rosa de nirmatrelvir y 1 tableta blanca de ritonavir juntas (parte rosa del blíster). En los días de diálisis, tome PAXLOVID después de recibir la diálisis.
Si olvida una dosis y han pasado menos de 8 horas, tómela tan pronto como lo recuerde. Si han pasado más de 8 horas, omita esa dosis y tome la siguiente dosis a su hora habitual. No tome 2 dosis de PAXLOVID al mismo tiempo.
4. Medicamentos que usted no debe tomar con PAXLOVID
Advertencia: PAXLOVID puede interactuar con otros medicamentos y causar efectos secundarios graves o potencialmente mortales, o la muerte. No tome ningún medicamento de esta tabla con PAXLOVID.
Page 2
Medicamentos A–MMedicamentos N–RMedicamentos S–V
alfuzosinivabradineranolazine
amiodaronelomitapiderifampin
apalutamidelovastatinrifapentine
carbamazepinelumacaftor/ivacaftorSt. John’s Wort (hypericum perforatum)
colchicinelurasidonesildenafil (Revatio ® ) para la hipertensión arterial pulmonar
dihydroergotaminemethylergonovinesilodosin
dronedaronemidazolam (oral)simvastatin
eletriptannaloxegolsuzetrigine
enzalutamidephenobarbitaltolvaptan
eplerenonephenytointriazolam
ergotaminepimozideubrogepant
finerenoneprimidonevoclosporin
flecainidepropafenone
flibanserinquinidine
Esta no es una lista completa. Pregunte a su farmacéutico antes de empezar a tomar cualquier medicamento nuevo.
5. Efectos secundarios
PAXLOVID puede causar efectos secundarios. Algunos son graves. Otros son más comunes y menos graves.
5.1 Reacciones alérgicas graves
Se han producido reacciones alérgicas durante el tratamiento con PAXLOVID. Estas incluyen reacciones alérgicas graves (anafilaxia). Los signos de una reacción alérgica son:
erupción en la piel
ronchas
ampollas o descamación de la piel
llagas o úlceras dolorosas en la boca, la nariz, la garganta o la zona genital
hinchazón de la boca, los labios, la lengua o la cara
dificultad para tragar o respirar
opresión en la garganta
ronquera
5.2 Problemas del hígado
Pueden presentarse problemas del hígado durante el tratamiento con PAXLOVID. Los signos de problemas del hígado son:
pérdida del apetito
color amarillento en su piel y en la parte blanca de sus ojos
orina de color oscuro
heces de color pálido
picazón en la piel
dolor en el área del estómago (abdominal)
5.3 Efectos secundarios comunes
Los efectos secundarios más comunes de PAXLOVID incluyen alteración del sentido del gusto y diarrea. La alteración del gusto puede ser un sabor metálico. Puede ser un sabor amargo.
Otros posibles efectos secundarios incluyen dolor de cabeza, vómitos, dolor de estómago (abdominal), náuseas, presión arterial alta y sensación general de malestar.
6. Cuándo debe usted buscar ayuda de inmediato
Deje de tomar PAXLOVID y busque ayuda de emergencia de inmediato si usted presenta algún signo de alergia. Usted puede encontrar estos signos en Efectos secundarios. No siga tomando PAXLOVID después de que comiencen los signos de alergia.
Page 3 · over the 2-page limit
Llame a su proveedor de atención médica de inmediato si usted presenta algún signo de problemas del hígado durante el tratamiento con PAXLOVID. Usted puede encontrar estos signos en Efectos secundarios.
Si usted toma demasiado PAXLOVID, llame a su proveedor de atención médica o vaya a la sala de emergencias del hospital más cercano de inmediato.
Hable con su proveedor de atención médica si usted no se siente mejor después de 5 días. Hable con su proveedor de atención médica también si usted se siente peor después de 5 días.
The Spanish copy, a separate file. The dashed lines are where Word turns the page.

We checked it: the only differences from request 1 are the box and the line under the table; the English still prints on two pages; the Spanish copy has the same 40 medicines, the same doses (150 mg, 100 mg, 5 días, 8 horas) and no "tú" forms.

Worth knowing: Spanish runs longer than English. Laid out by Word’s rules, the Spanish copy spills six lines onto a third page (LibreOffice fits it on two). ’s reply said so instead of claiming two pages; trimming one sentence or the margins in Word brings it back.

From a long label to a leaflet patients can read

Most AI tools write a summary in a chat. writes the leaflet as a real Word file, checks how many pages it prints on, takes the pharmacist’s edits in that same file, and gives you a translated copy with every dose intact.

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