DPP: MEP Flashcards
What are the classifcations of medicines?
- GSL (General Sales List):
- can be sold in retialers and pharmacies.
- Responsible pharmacist can be abscent for a period of time and sales still made
- PO: GSL medicines with restricted sales
- Pharmacy only: Can only be sold in a pharmacy by a pharmacist of person under the supervision of a pharmacist
- POM: prescription only: Requires a prescription by an appropriate practioner
Who are examples of approproate practioners?
- Doctors
- Dentist
- Independent pharmacist/ nurse presriber
- Optimitrist/ Podiatrist indepent prescriber
- Physiotherapist
- Radioologist independ prescriber
- supplemenatary prescriber
- VET
- EEA Swiss Doctor, dentist, N/P independent prescribe
- Community nurse
What are the legal issues regarding pseudoephedrine and ephedrine?
- Decongestent meds
- Can be used to make crystal meth
- Can’t be sold together without a prescription
- Can’t sell more than 720mg Pseudoephedrine or 180mg ephedrine without a prescription
- Must be sold by a pharmacist of pharmacy trained staff
What are emergency oral contraceptives licenced for use?
- Leveonogestetel 1500ug - Over 16s for 72hours after intercourse
- Ulipristal aceatate 30mg - not contraindicated in U16s. Use 120hr after intercourse
- Can supply advanced supplies
- Pharmacists should be involved in assessing suitability and sales
What are the legal issues surrounding aspirin and paracetomal
- Toxic in overdose
- Maximum OTC is 96 non-effervescent tablets
- No limit for effervescent
What are the legal issues surrounding codeine and dihydrocodeine
- Only used for short term treatment of acute-moderate pain that isn’t treated by paracetomal, aspirin or ibuprofen
- Max OTC pack is 32, above is POM (including effervescents). It is reccomened that not more than one OTC should be given as would defy smaller pack size
- Must be labeled “use for 3 days only - may cause addiction”
What are general prescription requirements?
- Signiture of prescriber
- Address of prescriber
- particulars of prescriber
- Name of patient
- Address of patient
- Date of prescription
- Age if U12
- Can be written in different languages
- Needs to be written in iledgible ink or computer generated
- What are repeatable prescriptions?
- How many times can they be repeated?
- What are exceptions to repeats?
- Private prescriptinos which can be dispensed more than once
- If no repeat stated repeat once (i.e. dispense X2) unless oral contraceptive - repeat 5 times (dispense 6)
- Can’t have repeat prescriptions for SC1,2 CD
- When must repeatable prescriptions be dispensed?
- POM - first dispesning must be done in 6months and the rest have no time frame
- CD 2,3,4 the first dispensing must be done in 28days -the rest have no time frame
What happens to a repeatable prescription once it has been dispensed?
- The prescription must be marked with the date of supply and name and address of the pharmacy
What records are required for private prescriptions
- A record must also be made into the POM register on the day or supply or if not the following day and kept for 2 years from the last date
- SC 2&3 CDs must also be submitted to the relevnt NHS agency
- Prescriptions also need to be retaine dfor 2 years from the date of supply or last date of supply
What record details for Private prescriptions need to be recorded in the POM reg?
What are the exemptions to the register?
- Name patient
- Address patient
- Name, quantity, strength, form medicine
- Name prescriber
- Address prescriber
- Date of supply
- Date of prescription
- Emergency oral contraceptives
- SC2 CD as entery made into CD reg
- What is an installment prescription?
- What is an incomplete prescription?
- Used to dispense CD is installments
- Some essential detials missing e.g. name, strength, quantity of med even though not legal requirement are essential
What is the falsified medicines directive?
They aim to ensure the safety of medicines for sale in the UK and reduce the risk of fake medicines
Are faxed prescriptions valid?
No - not signed in ink or written in iledgible ink
What are dental able to legally prescribe?
- Private: any POM within there areas of competance
- NHS: restricted to the dental formulary - no brands
In the event of a forged prescription what should you look out for and what actions should you take?
Consider:
- Behaviour of patient?
- Is the patient known?
- Is the prescriber known?
- Dr inserted in front of signiture?
- Excessive quanity?
- Medicine known to be abused?
Actions:
- Scrutinize signiture carefully
- Check with prescriber
- Don’t use patient as a source to obtain contact details of prescriber
Are prescriptions from EEA/ Swiss legal? What are they allowed to do?
- Prescriptions and repeatable prescriptions valid
- Emergency supplies allowed
- Can’t supply SC 2 or 3 CD including phenobarbtal
What are EEA/ Swiss prescription requirments?
- Patients full name and DOB
- Prescribers full name, work address, professional qualification, direct contact details (including email and telephone or fax no.)
- Name, quantity, strength, form, dosage details
- Signiture
- Date
- What is the appropriate date for EEA/Swiss prescriptions?
- What are the restrictions of what they can supply?
- The date on the prescriptions
- Cant prescribe SC1,2,3 CD or unlicenced medicines
What are the labelling requirements of a medicinal product?
- Name of patient
- Name and address of pharmacy
- Date of supply
- Name of medicine
- Directions for use
- Warnings/ precautions
- ‘Keep out reach/ site of children’
- ‘Apply to skin only’ IR
What is optimisation of labelling?
- Although not legal requirment, good practice to label bottle, inhaler as opposed to outer container
- If directions, name, precautions not approproate it is possible to subsite with words to the similar effect without contacting the prescriber
What are the labelling requirements of a pack broken down from bulk?
- Name of med
- quantity
- Expiry date
- ingredients or particulars
- Batch no.
- Special storage/ handling requirement
- normal labeling requirements
What does PSD stand for? What is it?
- Patient specific directions
- Can’t be specifically defined but generally accepted to be written instuctions from a doctor, dentists ot suitable medical professional to supply or administered specified medicine to a specified named person.
- Any competent and trained health profession is capable of supplying or administering
- PSDs apply to specific named patients but normal prescription requirements don;t apply
- HMR provides a rangeof exemptions on sale, supply and adminsitration, a number of which are under PSD