chapter 3 of mep

Question 1

GSL

Answer 1

medications that are available by self selection. can be sold in spaces that can “close as to exclude the public”

Question 2

P meds

Answer 2

can be sold from a registered pharmacy premise by a registered pharmacist or a person acting under the supervision of a pharmacist. they should not be accessible for self selection. GSL and P meds are considered OTC meds

Question 3

Prescription only medicines

Answer 3

medicine that is restricted to requiring a prescription written by an appropriate practitioner. an appropriate practitioner includes :
doctors
dentists
supplementary prescribers
nurse independent prescribers
EEA and Swiss approved health professionals
community practitioner nurse prescriber
optometrist independent prescriber
paramedic independent prescriber
physio independent prescriber
therapeutic radiographer

Question 4

Pseudoephedrine and ephedrine

Answer 4

widely used decongestant however they can be used to make crystal meth. it is only legal to sell 720mg of pseudophedrine or 180mg of ephedrine without a prescription. it is unlawful to prescribe both at once (hmr 237)

Question 5

oral contraceptives

Answer 5

a pharmacist should be involved in all sales of these . they may only sale 1500 mcg of levonorgestrel or ulipristal acetate 30mg tablets.

Question 6

paracetamol and aspirin

Answer 6

available in a range of sizes , formulations and strengths. paracetamol may not be sold otc more than 100 tablets . aspirin may not be sold otc more than 100 tablets.

Question 7

codeine and dihydrocodeine

Answer 7

tight restrictions on these due to their addictive properties . cannot be sold in more than 32 doses. must put on packet - can cause addiction , only use for 3 days

Question 8

particulars needed on a general prescription

Answer 8

a signature
address of prescriber
date
particulars of prescriber
name of patient
address of patient
age of patient (if under 12)

Question 9

what schedules are repeatable

Answer 9

sch2 and 3 are not repeatable
sch4 and 5 are repeatable

Question 10

record keeping of general prescriptions

Answer 10

must be retained for 2 years.
supply date
prescription date
medicine details
prescriber details
patient details

Question 11

dental prescriptions

Answer 11

dentist can prescribe all POMS but dental council advises they stick to prescribing medications only related to dental problems

Question 12

faxed prescriptions

Answer 12

does not fall into the guidelines for a valid prescription. it is not written in ink and has not been signed by an appropriate. they are associated with risks such as :
risk of poor production
risk of it being fake
risk of it being changed by prescriber
risk that it was sent to multiple pharmacy

Question 13

checklist for fraudulent prescriptions

Answer 13

is a large excessive quantity prescribed
is the prescriber known
is “dr” before the signature
is the patient behaviour off
is the meds commonly misused

Question 14

EEA health professional script requirements

Answer 14

patient details
prescriber details
prescribed medicine details
prescriber
date of issue

Question 15

military prescriptions

Answer 15

military prescriptions are to be written on a military form called FMED296
Controlled drug prescriptions should be written on a pink FP10PC form

Question 16

legal requirements for the labelling of dispensed medicinal products

Answer 16

name and address of the supplying pharmacy
date of the dispensing
name of the medicine
directions for use
precautions relating to the use of medicine
‘keep out of the reach of children’
‘use this medicine only on your skin’

Question 17

labelling of medicine broken down from bulk containers for dispensing

Answer 17

name of the medicine
quantity of the medicine
quantitive particulars of the medicine
handling and storage requirements
expiry date
batch reference number

Question 18

Regulation 238 allows

Answer 18

adrenaline to administered by anyone for the purpose of saving a life In a emergency situation

Question 19

PSD

Answer 19

legislation does not define it , however, it is generally accepted to mean a written instruction from a doctor , dentist or non medical prescriber for a medicine to be supplied or administered to a named patient after the prescriber has assessed that patient on an individual patient basis

Question 20

exemptions to sale and supply of medicines without a prescription

Answer 20

pgd
psd
emergency supplies
optometrist or podiatrist
signed patient orders
supply of salbutamol inhalers to schools
supply of adrenaline autoinjectors to schools
supply of naloxone by individuals providing recognised drug treatment services

Question 21

pgd

Answer 21

written directions that allow the supply and or administration of a specified medicine or medicines by named authorised health professionals to a well defined patient group

Question 22

regulation 225 requires

Answer 22

a pharmacist to interview a patient looking for an emergency supply

Question 23

what is a biologic

Answer 23

it is a medicine made from a variety of natural sources that may be human animal or micro-organism in origin . examples include vaccines , blood and blood products.

Question 24

controlled drug prescriber restrictions

Answer 24

when prescribing schedule 2 and 3 drugs CD’s , the prescribers address must be in the uk
schedule 1 drugs can be prescribed under a home office licence

Question 25

anyone trading medicines to anyone other than a patient is required to

Answer 25

hold a wholesaler licence comply with good distribution practice standards and pass GDP inspections have a suitable experienced responsible person named on the licence to ensure that medicines are procured stored and distributed properly

Question 26

wholesaling of CD

Answer 26

the home office and the MHRA have advised that if a WDA is required this also means that if supplies include CD's in schedule 2 to 5 in the misuse of drugs regulation 2001 , then it is likely that a home office licence is also needed

Question 27

persons and organisations that can receive medicines

Answer 27

doctor dentist registered pharmacy hospital clinics and independent medical agencies midwives chiropodists optometrists paramedics owner or master of ship orthoptists first aid organisations certified first aiders working for national life boat institution occupational health schemes drug treatment services NHS trusts

Question 28

at entry in the POM register it must include

Answer 28

date the pom was supplied name quantity and where it is not apparent the formulation and strength name , address and trade business or profession of the person to whom the medicine was supplied

Question 29

prescription requirements for pom-v and pom-vps supplied under a veterinary cascade

Answer 29

name , address , telephone , qualification and signature of the prescriber where schedule 2 and 3 CD's have been prescribed , the royal college of veterinary surgeons registration number of the prescriber must also be included name and address of the owner indentification and species address of animal if it is different to owner date of the rx name , quantity and dose and admin instruction of the required medicine any necessary warnings and if relevant the withdrawal period state if the med is prescribed under the cascade how many repeats if the prescription is repeatable

Question 30

veterinary cascade

Answer 30

an exemption within the veterinary medicines regulations and specifies that where a licensed veterinary product is not available other medicines in a strict order of preference can be considered

Question 31

labelling of dispensed veterinary medicines

Answer 31

name of the prescribing veterinary surgeon name and address of the animal owner name and address of the pharmacy identification and species date of supply expiry date name or description of product or its active ingredients dosage and administration if appropriate special storage instructions any necessary warnings any applicable withdrawal periods 'for animal treatment only' 'keep out of reach of children'

Question 32

record keeping for veterinary medicines

Answer 32

name of the medicine date of receipt batch number quantity name and address of the supplier or recipient keep copy of rx if written records can be kept electronically must be kept for 5 years report adverse reactions to SADRS

Question 33

wholesaling veterinary medicines

Answer 33

only the manufacture of a veterinary medicine or a holder of a wholesale dealers authorisation may routinely supply authorised retailers with veterinary medicines

Question 34

legislation applicable to CD's and pharmacy include

Answer 34

the misuse of drugs act 1971 the misuse of drugs regulations 1973 the misuse of drugs act 2001 the health act 2006 controlled drugs regulations 2013

Question 35

health act 2006 introduced

Answer 35

the concept of an accountable officer and requires healthcare organisations and those providing health to have standard standard operating procedures in place for using and managing CD's

Question 36

responsibility of accountable officers

Answer 36

oversee the monitoring and auditing of the management and prescribing and use of CD's ensuring that systems are in place for recording concerns and incidents involving CD's and operation of these systems attendance at local intelligence network meetings submission of occurrence reports which describer the details of any concerns of the organisation regarding the management of CD's in a required time frame the appointment of authorised witnesses for destruction of CD's

Question 37

classification of drugs into schedules

Answer 37

schedule 1 - CD's with no true medical use schedule 2 - CD's which are fully controlled schedule 3 - CD's no register POM schedule 4- CD's Benzodiazipines pom / anabolic steroids schedule 5 - CD's inv p and CD's inv POM

Question 38

schedule one

Answer 38

no medical use licence required LSD , MDMA

Question 39

schedule two

Answer 39

have a general authorisation to prescriber , posses , supply and procure these medicines diamorphine , morphine , ketamine , quinalbarbitone

Question 40

schedule three

Answer 40

minor stimulants and other drugs less likely to be misused temazepam and tramadol

Question 41

schedule four

Answer 41

split into two parts p1 - benzodiazipines p2- anabolic steroids

Question 42

schedule 5

Answer 42

low risk drugs make from schedule 2 drugs codeine , morphine low strength

Question 43

possession and supply of CD's

Answer 43

home office licence needed legislation - class of person legislation - class of drug patients

Question 44

administration of controlled drugs

Answer 44

schedule 1 drugs may only be administered or prescriber under a home office licence. schedule 2,3,4 may be administered by : a doctor , dentist , independent prescriber or nurse independent prescriber

Question 45

import , export and travellers with CD's

Answer 45

a licence is needed for a pharmacy to import or export schedule 1,2,3 and 4 p1 CD's . a licence is needed for 4 p2 unless the substance is imported or exported by a person for self administration. no restrictions on import or export of schedule 5 medicines

Question 46

requisition requirements for schedule 1,2,3 controlled drugs

Answer 46

signature of the recipient name of the recipient address of the recipient profession or occupation total quantity purpose of the requisition

Question 47

mandatory requisition forms

Answer 47

GB- FP10CDF SCOT-CDRF/GP10A WALES-WP10CDF

Question 48

midwifes can obtain the following for supply

Answer 48

diamorphine morphine pethidine

Question 48

midwifes can obtain the following for supply

Answer 48

diamorphine morphine pethidine

Question 49

order for the supply from a midwife must contain the following

Answer 49

name of the midwife occupation of the midwife name of the person to whom the CD is to be administered or supplied purpose for which the CD is required total quantity of the drug to be obtained

Question 50

prescription requirements for schedule 2 and 3 drugs

Answer 50

signature date prescribers address name of controlled drug form strength dose total quantity quantity prescriber name of patient address of patient dental rx - for dental treatment only

Question 51

safe custody of CD's

Answer 51

keep schedule 2 and 3 CD's in a locked safe cabinet or room in which is constructed as to prevent unauthorised access to the drugs

Question 52

CD's that must be kept under safe custody

Answer 52

schedule 1 drugs schedule 2 drugs except some liquid preparations schedule 3 drugs unless exempted under misuse of drugs regulation 1973: gabapentin mazindol meprobamate midazolam pentazocine phenobarbital prcegablin tramadol common schedule 3 drugs who need safe custody are temazepam and brunenorphine

Question 53

destruction of CD's

Answer 53

schedule 2,3 and 4 drugs must be denatured before disposal schedule 2 needs a witness of destruction in prisons schedule 3 should also be witnessed

Question 54

what must be record in a CD register when the pharmacy have received drugs

Answer 54

date and supply received name and address from whom received quantity received

Question 55

for controlled drugs supplied the following must be recorded in the CD register

Answer 55

date supplied name and address of recipient details of authority to posses- prescriber or licence holders details quantity supplied details of person collecting whether proof of identity was provided whether proof of identity was requested off the person collecting

Question 56

all CD register entries should be

Answer 56

entered chronologically entered promptly - the day of or the day after in ink or to be indelible unaltered

Question 57

the following should be adhered when maintaining CD's

Answer 57

location duration form inspection

Question 58

CBMP

Answer 58

contains cannabis , cannabis resin , cannabinol or a cabbinol derivative produced for medicinal use in humans a product that is regulated as a medicinal product or an ingredient of a medicinal product