MEP Flashcards
The dose of the medicine on a Rx issued by a doctor in norway a legal requirement - True/False
True - for EEA prescriber: Pt details Prescriber details Prescribed medicine details (name, form, quantity, strength + dosage) signature date issue
EEA countries from which Rx are accepted in UK
Europe Liechtenstein Norway Netherlands Denmark Finland Iceland Sweden
Phenobarbital is legal emergency supply at request of EEA prescriber - TRUE/FALSE
FALSE - cannot supply CD1, 2 ,3 - including phenobarbital
CD4/5 are okay to supply
Definition off-label
Licensed drugs being used for unlicensed conditions
Think is the medication licensed for this?
drugs that podiatrist independent prescriber CD drug prescribing
Diazepam
Dihydrocodeine tartrate
lorazepam
temazepam
validity of CD FP10 or prescriptions
28 days from signature
Methadone bottles CD destruction
liquid not to be put in the bin
bottle rinsed and the waste put in denaturing kit
rinsed bottle can be binned normally
Schedule 4 part 1 drugs
most benzo’s
Schedule 4 part 2 drugs
anabolic steroids and growth hormones
maximum period of treatment allowed on a FP10MDA
14 days treatment max
5 stages of an audit
- set standards
- measure current practice
- compare results to standards
- reflect, plan, implement changes
- re-audit
Rx requirements for vet Rx
- name address, tel, qualification and signature of prescriber. FOR CD: RCVS REG NUMBER
- name and address of owner
- identification and species of animal
- date. normal Rx valid for 6 mths. CD RX VALID FOR 28 DAYS.
- name, quantity, dose and admin instructions - AS DIRECTED NOT OKAY
- warnings and withdrawal period if necessary
- If human med is prescribed and not licensed for use in animals: “PRESCRIBED UNDER THE VETERINARY CASCADE”
- FOR CD2,3: THE ITEM HAS BEEN PRESCRIBED FOR AN ANIMAL OR HERD UNDER THE CARE OF THE VETERINARIAN
- if Rx is repeatable (not a CD) the number of repeats required.
VETERINARY CD RX NEED TO BE RETAINED FOR 5 YEARS AND NOT SENT TO NHS AGENCY.
Activity allowed during the absence of the responsible pharmacist
ALL EXCLUDE CDs
- ordering stock
- receive stock
- putting stock away (on shelves)
- date checking
- stocking pharmacy with consumables
- cleaning
- responding to queries about meds issues
- accessing PMR
- receiving Rx directly from EPS or collecting from a surgery
- processing Rx that have been dispensed
- delivering person conveying medicine to patient
- receiving patient returned meds
Rx charges for 28x warfarin 1 mg tabs and 56x warfarin 5 mg tabs
1 charge - this is the same drug with the same formulation but different strength
would be 2 charges if they were different formulations
what details must be recorded for unlicensed medicines
source (manufacturer name, brand, company etc)
certificate of conformity
certificate of analysis
batch number
expiry date
quantity used and details of person measuring and person double checking
TSE guidance followed
description of the container/closure used
veterinary POM book entry
name of the med
date of the receipt and supply
batch number
quantity
name and address of supplier and recipient
name and address of prescriber (if written rx)
pharmacist can either keep a copy of document or record in private POM book, can be done electronically, must be kept for 5 years, must be aduited annually.
aim of medicine optimisation MEP
improve their outcome take their medicine correctly improve their adherence avoid taking unnecessary meds reduce wastage of meds improve meds and patient safety
definition biosimilar
Biologic medicine that is similar to an already licensed biologic medicine in terms of quality, safety and efficacy.
Must be created after patent run out on the original biological
cannot be reproduced identically to original due to X factor so not a generic medicine
when switching from OG biological to biosimilar - check that the pt knows what med they expecting and how to take/store
all biosimilar/biologic will be prescribed by brand name
good practice to record the batch nb and brand name of any biologic (inc biosimilar) to pt.
CD 1 drugs
hallucinogenic (LSD) ecstasy type substances raw opium cannabis MUST HAVE A LICENSE FOR PRODUCTION, POSSESSION AND SUPPLY.
Driving offence First group drugs
WILL ALWAYS END UP IN PROSECUTION Cannabis MDMA Ketamine Methylamphetamine Cocaine Lysergic acid diethylamide Heroin/diamorphine metabolite
Driving offence Second group drugs
If driving impaired with drug even if taken in accordance to prescriber instruction - OFFENCE If driving not impaired and taken in accordance to instruction - STATUTORY MEDICAL DEFENCE CAN BE RAISED Clonazepam Diazepam Lorazepam Oxazepam Temazepam Flunitrazepam Methadone Moprhine amfetamine
Motivational interviewing and consultation skills
R.U.L.E Resist the righting reflex Understand the patient motivation Listen to the patient Empower the patient
