Exercise 4 Flashcards

1
Q

what is the Raid information system or Rapid Alert System?

A

it is a national or international information system for reporting or quality-related risk to recalls or other actions

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2
Q

what are some examples of the recall or other actions of the RAS?

A

recalls: quality defects, counterfeiting, tempered products

other actions: caution in use statements, follow-up messages

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3
Q

why is the RAS implemented?

A

to transmit urgent and serious cases to protect human an animal health

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4
Q

what are the criterial for a rapid alert?

A

concern requiring a change of the MA
direct concern about a medicinal product or an API such as reports or studies about unexpected and erious adverse drug reactions (change of the benefit-risk assessment

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5
Q

what is the procedure of the rapid aleart system?

A

Coordinated by the EMA:

1. Email containing the most important details on the defects sent to a list of concerned parties

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6
Q

e-mail can be sent to?

A

human and veterinary authorities of the EEA, EC EDQM, WHO and countries that signed the Mutal recognition Agrrement

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7
Q

who coordinated the RAS in Germany?

A

Federal Institute for Drugs and Medical Devices (BfArM)

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8
Q

Which role does the WHO play?

A

on an international level, they are responsible for issuing medical product alerts for essential medicines and health products

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9
Q

is the report on the international level a rapid alert?

A

No, because, the risk will be identified and the defect validated through visual inspection or laboratory testing, fore sendimg out comment to the manufacturer

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10
Q

Clasification of rapid alerts is based on?

A

on the extent of the defect, the potential risk of harming a patient and on how the product was distributed

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11
Q

Class I is?

A

potentially life-threatening defect including

  • wrong drug product i package
  • different strength
  • microbial contamination of sterile injectable
  • chemical contamination
  • -> Raid (global) alert notiication
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12
Q

Class II is?

A

Defect could casue illness or mistreament,
- insecure or seriouly defected container closure
-Missing or incorrect leaflet or insert
Rapid alert notification to affected contacts

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13
Q

Class III is?

A

defect causes no significant health hazard
- Faulty packaging or imprints
Faulty closure

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14
Q

examples giving in the presention for the RAS

A

have you looked at it?

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15
Q

what are the legal basis of the drug discount contracts?

A

Non-prescription drugs are not regulated by laws.

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16
Q

which law regulated the drug discount contract ?

A

Price ordinance, the contribution protection lw, the drug Economic law, the drug ordinance for Marketing

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17
Q

which drugs are part of the drug price ordinance

A

these are prescription only drugs, must be offered for the same price in all pharmacies in germany

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18
Q

what is the advantage of the uniform pricing?

A

that customer does not have to worry or compare prices of the drug and prevents competition within pharmacies

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19
Q

what does the rebate agreement between insurance companies and pharmceutical manufacturers

A

to ensures that insurance provides receive affordable prices for pharmaceutical

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20
Q

what is aim the drug economic efficienty law

A

to reduce the expenditure of pharmaceutical drugs which consequentlylead to changes in the social code of germany

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21
Q

what is the benefit of the 10 % discount on genric products?

A

the companies can make a contratc with the health insurance, patient is obliged to purchade the drug product

22
Q

what about pharmacuetical drugs with no additional benefits?

A

usually follow a fixed price which is set by the federal committee

23
Q

for which products are discount made?

A

for ready-to-use drug products

24
Q

what about discounts on vaccinations?

A

no discounts are given for vaccinations

25
waht are some impacts of the DDCs on patient and physicians?
extra work for physicians/ pharmacists
26
on what is the extra workload of the physicians and pharamcists based on?
due to the different packgae, shape, or colour--> negative impact on the confidence of the patient substitutional product may very in the composition of excipeints and the physicians
27
what are some positvey sides of the DDCs?
proper counselling of the patients--> better physician/pharmaceist-patient relationship costs of the health insurance companies are hold lower with the DDCs
28
purpose of the pharmacovigilance?
identify new information or hazrads associated with a mdeciation, here a drg susbtitution
29
what is the results of the drug substituation by patient?
resulting in lower patient compliance and nocebo-effects
30
what is the difficulties of the PV with the DDCs?
lack of transparency, physicians do not know, if and to what a drug is substitued no evalution of chnages dur to substituation, nor monitoring of its impact reagrding safety issues
31
why was an additional monitoring of the biologic came into forced?
due to the lurking risks which have not yet been identified druing CT
32
why are biologics and biosimilar strickly regulated?
Due to the differences in their starting materials and manufacturere resulting in different characteristics
33
What is the responsibility of the MAH when their product is listed on the additional monitoring list?
They have to include on the secondary package an inverted black triangle. "this medicinal product is subject to additional mointoring steatment in the package leaflet annd in the SmPC
34
what is the key for imporvement?
Post-authorisation safety studies
35
aim of the PASS?
to identif, inspect the benefit risk profile of medicines and supports decisions of regulatory authorities
36
key activites of the Eudravigilance database
a data processing managemnet system use for collection of Adverse effects data ADRs are reported from MAH and member states
37
What does FMD stands for and what is their aim?
Falsified Medicine directive | aim is to minimizing risk of counterfeit medicines entering the drug supply chain across EU
38
What does SCOPE stands for and what is their aim?
Strengthening collaboration for operating pharmacovigilance in EU aim: help member state develop best practice in reporting ADRs, managing signals, communicating riks, and creating a form for interaction amoung European national competent authorities
39
what is a Referrals?
this are pharmacovigilance processes used to reolve saftey and other risk related issues linked to a medicine or group of medicine in the EU
40
what is referral triggered by?
either by safety related issues or non-saftey related issues such as efficacy, quality and disagreements issues
41
who are the actors involved in a referrla process?
EC, MS and MAH: capable of triggering a referral PRAC, CHMP, CMDh: preforming the assessments EC: final decision marker Patient, Healthcare professionals, Academia: collaborating in the assessment
42
in which parts can a referrals be divied?
Safteyl related or others | to the type of marketing procedure and other factors such as pediatric reason
43
who is the triggering person in a safety issues reason
EC or MAH
44
what are possible outcome?
Maintenance, Variation, Suspension and Revocation
45
safety referral procedure
1. Safety issues : EC or MS EC--> centralized products (article 20) MS and EC--> centralized antional (article 107i, Artcile 31) 2. Assessment done by PRAC--> send out their recommendation to CHMP (centralized) or CmDh (national) both committee submit to EC and EC to the MS8s
46
what are non-saftey issues regarding the referrals?
Type II variation, Efficacy, Qauality and Peadiatric issues, Harmonization issues, Efficacy Quality issues
47
procedure in the non-safety issues?
60 days Assessment dependen on the type of issues and respective triggering person, the assessemnt is send to the CHMP, it gives its opinion to the EC
48
what is the purpose of the direct healthcare professionla communication (DHPC)
to support safe and effective use of medicines by informing healthcare professionals (Suspsenion, withdrawal or revocation, a medicine supple shortage quality problems with a medicine
49
when is the information letter and the red hand letter sent out?
information letter: when the aim is to inform healthcare professionals Red hand letters: sent when the healthcare professional is required to take action
50
where should both letter be submitted for review?
to BfArm or PEI
51
who sent out the red hand letter?
Pharmaceutical entrpreneur in consultation with the federal hiigher authorty competent for the MP
52
where does the name red hand letter comes from?
from the distinctive picture of a red hand which is place at the top right or left hand corner of the letter