2- Legal classification Flashcards

1
Q

Which governing body regulates medicinal products in the UK

A

The Human Medicines Regulation 2023 (Statutory Instrument 2012: No.1916)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

When did the Human medicines regulation come in to force

A

14.8.2012

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the three main categories of drugs

A

General Sales List (GSL),
Pharmacy medicine (P)
Prescription Only Medicines (POM).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Why is the access to drugs controlled

A

If the drug has more chances of drug doing harm then there is more control on access it.

Its important to control who can access the drugs and under what circumstances.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What has cocaine been used for in the past

A

Differentially diagnose a pupil defect.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is an OTC medicine

A

over the counter medicine

(not a legal classsificaton but it is commonly referred to)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Who is a prescriber

A

medical doctors, dentists and certain professions which allow for the creation of Independent Prescriber (IP) status such as nursing and optometry among others.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Can orthoptists prescribe

A

Consultation has begun to see if orthoptists should also become a profession which has recognised IP status.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the law around the act of prescribing drugs

A

In law, the act of prescribing a medicinal product is a restricted one.
The majority of medicinal products are supplied by a Patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is a PSD

A

Specific Direction (PSD) which is the traditional written instruction from a certified prescriber, such as a doctor.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What to avoid and is there a difference between prescribing and supplying

A

Avoid term prescribing as it is legally protected protected

There is a difference between prescribing and supplying

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are non prescribers

A

If a group of patients can be identified that need a POM in course of diagnosis or treatment then a hospital may create a Patient Group Directive (PGD) to facilitate access to a POM.

These will name certain practitioners who are able to work within the remit of the PGD.

Finally, there is scope within legislation to define health care professionals as being exempt from the legislation restricting the supply and administration of P and POM class products.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What do PGDs allow for

A

Administration of drugs in clinic to a patient group by a named clinician

Exemptions operates outside of PGD

Anaesthetising the cornea can make installing drops easier

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Allied Health professionals (AHPs) 2009 project

A
  • In 2009, an Allied Health Professions (AHPs) Prescribing and Medicines Supply Mechanisms Scoping Project was conducted “to establish whether there was evidence of service and patient need to support extending access to medicines for AHPs” (NHS England, 2015, p15).
  • The Commission on Human Medicines agreed in principle to the proposal that orthoptists be named as certain persons exempt for the sale, supply or administration of the named POMs and P medicines (Summary of the Commission on Human Medicines Meeting, 2015)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Legalese on Statutory Instrument 2016

A

Started on On 1 April 2016, (Statutory Instrument 2016 No.186) came into force and may be cited as the Human Medicines (Amendment) Regulations 2016.

There is amendment of schedule 17 (exemption for sale, supply or administration by certain persons) which adds for the first time orthoptists to those persons exempt from legislation.

It also lists those POMs and P medicines which orthoptists may sell, supply or administer and stipulates that this should “be only in course of their professional practice” (p5).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Examples of medications

A
  • All General Sales List (GSL)
  • All Pharmacy medicines (P)- relevant to your scope of practice
  • Phenylephrine
  • Sodium cromoglycate- mast cell stabiliser
  • Fluorescein
  • Antazoline
  • Xylometazoline
17
Q

Examples of prescription only medications

A
  • The following Prescription Only Medicines (POM)
  • Atropine
  • Cyclopentolate
  • Tropicamide
  • Chloramphenicol- antibiotic more commonly used, cheaper
  • Fusidic acid- antibiotic, more expensive
18
Q

Examples of more prescription only medications

A
  • Lidocaine with fluorescein- use in Goldmanns applanation tonometry
  • Oxybuprocaine/ benoxinate
  • Proxymetacaine- commonly used in clinic before cyclo
  • Tetracaine- not widely used by orthoptists, causes significant changes in cornea