Hi Brittany,

4 goes into 24 hours (1 day) six times. This means that "every 4 hours" translates to 6 times a day.

However, "as needed" means that you don't necessarily have to abide by that regimen if you don't feel the need to take it as often.

Here's an example of how you could space it out evenly over a waking day, assuming you are awake from 6am to 10pm:

6 am (right after waking up)
10 am (mid-morning)
2 pm (early afternoon)
6 pm (evening/dinner time)
10 pm (shortly before going to bed)

If you have any other questions concerning an appropriate dosing protocol, it may be best to discuss this with your prescribing doctor just to be on the same page.

I hope this helps and wish you good health!