Med Regs 3

Question 1

When should child resistant containers be used?

Answer 1

• If item isn’t dispensed in manufacture’s original packaging

• for supplying all solid, all oral abd external liquid dose preparations unless other reason eg:
- specific request (poor manual dexterity)
- original pack (desiccant in lid like silica gel)

• ‘Keep medicines out of sight and reach of children’

Question 2

What are the HMRs Requirements relating to child safety?

Answer 2

As part of HMRs, ‘regulated medicinal products’ must only be supplied in containers which are:
- Opaque or dark tinted and
- child- resistant

Question 3

What is a ‘regulated medicinal product’?

Answer 3

A medicinal product containing aspirin, paracetamol or >24mg of elemental iron

(has exceptions)

Question 4

What are the exemptions for child resistant containers?

Answer 4

Regulations font apply where supply carried out:

• by or under supervision of pharmacist and in a registered pharmacy, and either:
- where it is not reasonably practical
- at the request of patient (>16yrs) eg due to poor manual dexterity
• By doctor or dentist directly to a patient (or patients carer)
• by doctor or dentist to an appropriate practitioner for administration to patient
• in hospital or health centre

Question 5

For cough and cold remedies, what are the following used for:
1) Antitussives
2) Expectorants
3) Nasal decongestants
4) Antihistamines

Answer 5

1) dry cough
2) chesty cough
3) blocked nose
4) sneezing

Question 6

Cough and cold medicines are second line to ‘best practice’ what is this?

Answer 6

best practice is first line treatment/advice

Question 7

What are the considerations for collection of medicine by children?

Answer 7

• decide to supply on a case by case basis
- knowledge of child
- maturity of child
- nature of medicines supplied
- prior arrangement
- reason for collection
- counselling
- local policies
- proof of identity

Question 8

What are medicine owings?

Answer 8

Sometimes full quantity of medicine required on prescription not in stock- ‘owe’ medicines

Question 9

What are the validity of owings on NHS and private prescriptions ?

Answer 9

• POMs and sched 5 CDs: 6 months from appropriate date
• P and GSL: 6 months from appropriate date
• Sched 2, 3, 4 CDs: 28 days after appropriate date

Question 10

The description pharmacy may legally only be used by:

Answer 10

a) a registered pharmacy or
b) the pharmaceutical department of a hospital or health care