MEP Flashcards
Define a GSL Product
When can they be sold?
A medicine that can be sold in both registered Pharmacies and other retail outlets, given that they can ‘close as to exclude the public’
They can be sold without the supervision of a Pharmacist, however the RP must be signed in (when sold within a Pharmacy)
Define a P Product
A medicine that can be sold from a registered Pharmacy premises by a Pharmacist or a person acting under their supervision
These products must not be accessible to the public for self selection
How much Pseudoephedrine and Ephedrine can be sold in one transaction OTC?
Pseudo = 720mg
Ephedrine = 180mg
Cannot supply both types at the same time
When could Levonorgestrel be used as EHC?
Women aged over 16
Up to 72 hours after unprotected sex
When could Ulipristal acetate be used as EHC?
Women aged over 16 (although licence does allow for women that are younger)
Up to 120 hours (5 days) after unprotected sex
Under what age is it legally deemed that you cannot give consent to sex? And therefore the case is likely referred to social services?
13 years
Whilst sex under 16 is an offence, it can be consensual, and the law does not aim to prosecute 2 consulting parties
OTC, how much Aspirin/Paracetamol can be sold?
Not more than 100 non effervescent tablets, or capsules
In practice this means no more than 96 (due to standard box sizes)
There is no restriction on effervescent tablets, however professional judgement should be used
How many tabs of Codeine/Dihydrocodeine can be sold as a P product, and at what point would the product become a POM?
P = <32
POM = >32
This includes effervescent formulations
What are the 7 legal prescription requirements for a standard FP10?
Signature of Rx’er
Address of the Rx’er
Date
Particulars of the Rx’er (Doesn’t need their name! Mr Locum is fine!)
Name of the Pt
Address of the Pt
Age of the Pt (if under 12 yrs)
True or False: An Rx for Temazepam written by an Rx’er in Guernsey is valid in England
False
Sch 2 and 3 CDs must be Rx’d in the UK (of which the crown dependencies do not count)
For repeatable prescriptions, if no number of repeats is indicated…how many can be dispensed?
1 repeat of the prescription
Unless it is for an oral contraceptive, in which case 5 repeats are valid
Can CDs be Rx’d as repeatable?
Yes - But only Sch 4/5
Sch 2/3 are not valid
What is the date expiry for repeatable prescriptions?
6 months for the first dispensing for POMs and Sch 5 - Then no legal time limit for the rest
28 days for Sch 4 CDs - Then no legal time limit for the rest
How long should Private Prescription records be kept for?
2 years after the day of supply (or last day of supply of a repeatable Rx)
What type of items are exempt from record keeping?
Oral contraceptives
Sch 2 CDs where a separate CD register record has been made
What are the key differences between legality in prescriptions from the UK and EEA?
EEA - Need direct contact details of the Rx’er (eg, email address and phone number)
Cannot supply CD Sch 1/2/3
What is the main difference between an EEA and UK emergency supply at the request of an Rx’er?
EEA - CANNOT ask for Phenobarbital even if for the treatment of epilepsy
What are the legal requirements of a label?
Name of the Pt
Name and address of the supplying Pharmac
Date of dispensing
Name of the medicine
Directions for use
Precautions relating to the use of the medicine (when appropriate)
‘Use this medicine only on your skin’ as necessary
NOTE THAT ‘KEEP OUT OF REACH AND SIGHT OF CHILDREN’ IS NOT A LEGAL REQUIREMENT
How many dates need to be recorded for a Emergency Supply at the request of the patient, and how many at the request of the Rx’er?
Patient - 1 date (supply date)
Rx’er - 3 dates (supply date, date on Rx, date the Rx is received)
What is the maximum quantity of different drugs that can be given by emergency supply?
CD (Phenobarbital) or Sch 4/5 - 5 days
POM - 30 days
Insulin/Cream/Ointment/Inhaler - Smallest OP
Oral Contraceptive - Full treatment cycle
What records should be kept for supply of salbutamol inhalers/epipens to schools?
Date of supply
Name, quantity, formulation and strength of the POM
Name and address, trade, business or profession of the person to whom the medicine was supplied
The purpose for which is was sold or supplied
When under the PPP, what quantity of oral retinoids can be given?
30 days
More can be given if the pt isn’t under the PPP
For veterinary prescribed medications, what should be included when prescribing CD Sch 2/3?
The Rx’ers Royal College of Veterinary Surgeons registration number
What is the difference between POM-V, POM-VPS, NFA-VPS and AVM-GSL?
POM-V = POM meds that can only be Rx’d by a veterinary surgeon and supplied with a written Rx
POM-VPS = POM meds that can be Rx’d and supplied by a veterinary surgeon, Pharmacist or suitably qualified person. A written Rx is only needed is the supplier is not the Rx’er
NFA-VPS = Meds for non-food animals. A written Rx is not needed
AVM-GSL = An authorised vet med that is available on general sale
What are the prescription requirements for a vet Rx?
Name, address, phone number, qualification and signature of Rx’er (Registration number needed if CD 2/3)
Name and address of the owner
Identification and species of the animal and its address
Date
Name, quantity, dose and administration instructions of the required medicine (ASD not acceptable)
Any warnings
‘Prescribed under the Cascade’
If CD - Note that states the animal/herd is under the care of a veterinarian
Repeat numbers
How long should vet Rx’s be kept in the Pharmacy?
5 years
What are the additional label requirements for veterinary prescriptions?
Expiry date of the product
Special storage instructions (if applicable)
Any applicable withdrawal period (eg, time between drug given and when the animal can be used for food)
What are the legal requirements for a CD requisition?
Signature of the recipient
Name of the recipient
Address of the recipient
Profession or occupation
Total quantity of drug
Purpose of the requisition
What is the approved requisition form for CD’s?
And what can midwifes order?
FP10CDF
Diamorphine, Morphine, Pethidine
What legally needs to be added to a CD Sch 2/3 Rx when prescribed by dentists?
‘For dental treatment only’
What amendments can Pharmacists make to CD scripts if illegal?
If it is in words but no figures (or visa versa) then it can be added by a Pharmacist
What type of CDs that are to be destroyed need a authorised witness?
Those that are OOD
Patient returns do not need to be authorised
What are the 3 things that must be present on an RP notice?
Name of the RP
The GPhC number
The fact that the RP is in charge of the Pharmacy at the time
