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PRE-REG 2021 > MEP > Flashcards

MEP Flashcards

1
Q

Pseudoephedrine & Ephedrine

A

No more than 720mg pseudoephedrine

No more than 180mg ephedrine

Cannot supply both at same time

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2
Q

What age is considered too young to consent to sexual activity?

A

Under 13

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3
Q

Licensed age for Ulipristal Acetate?

A

Licensed for any female of childbearing age

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4
Q

Licensed age for Levonelle?

A

16 years

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5
Q

Can EHC be supplied in advance?

A

✅ YES

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6
Q

Paracetamol & Aspirin

A

No more than 100 non-effervescent tabs/caps
No legislation for effervescent

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7
Q

Codeine & Dihydrocodeine

A
  • No more than 32 dose units
  • Only indicated for short-term treatment of acute, moderate pain not relieved by other analgesics alone
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8
Q

What warning labels should be positioned on packs of codeine & dihydrocodeine?

A
  • Can cause addiction - 3 days use only
  • Both package and PIL must state indication and that it can cause addiction and overuse headache if used for longer
  • PIL must also contain WARNING SIGNS of addiction
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9
Q

If number of repeats is not stated on an RX how many times can it be repeated?
Any exceptions?

A

Can only repeat once (dispensed twice)

EXCEPT:

  • Oral contraceptives - can be repeated x5 (dispensed 6 times)
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10
Q

Can prescriptions for CD’s be repeated?

A

❌ Schedule 2 and 3

✅ Schedule 4 and 5

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11
Q

How long is a repeat prescription valid for?

A
  • 1st dispensing must take place within 6 months
  • No legal time limit for remaining repeats

CD Schedule 4:
- First dispensing must take place within 28 days

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12
Q

How long do you keep PRIVATE Rxs?

A

POM - 2 YEARS

Schedule 2 and 3 - submitted to relevant NHS agency

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13
Q

POM register requirements for private Rxs?

A

1) Date of supply
2) Date on prescription
3) Medicine details
4) Name & address of prescriber
5) Name & address of patient
- Retain for 2 YEARS
- Record on day of supply or following day

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14
Q

EXEMPT from record keeping?

A
  • Oral contraceptives
  • Schedule 2 CD’s (seperate CD register entry made)
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15
Q

Rules for dental prescriptions?

A
  • Can legally prescribe any POM
  • NHS prescriptions - restricted to dental formulary
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16
Q

Approved HCP’s?

A
  • Doctors
  • Dentists
  • Pharmacists
  • Nurses
  • Optometrists
  • Chiropodists/Podiatrists
  • Paramedics
  • Physiotherapists
  • Therapeutic radiographers
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17
Q

Approved countries?

A

Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Republic of Ireland, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, The Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, Switzerland

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18
Q

EMERGENCY SUPPLY:

How long to receive prescription?

A

Within 72 hours

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19
Q

Legal requirements for dispensing labels?

A
  • Name of the patient
  • Name and address of the supplying pharmacy
  • Date of dispensing
  • Name of the medicine
  • Directions for use
  • Precautions relating to the use of the medicine.
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20
Q

Good practice requirements for dispensing labels?

A
  • ‘Keep out of the reach and sight of children’
  • ‘Use this medicine only on your skin’ where applicable.
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21
Q

When can a pharmacist administer adrenaline?

A
  • Emergency anaphylaxis
  • Must also call 999 and state suspected case of anaphylaxis
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22
Q

EMERGENCY SUPPLY:

CD’S?

A

❌ Schedule 1, 2 and 3 (except phenobarbital for epilepsy)

23
Q

EMERGENCY SUPPLY:

Length of treatment?

A

Schedule 4 and 5 (& phenobarbitol) - max 5 DAYS

POM - max 30 DAYS

Insulin/creams/inhalers - smallest pack size

Oral contraceptive - FULL cycle

24
Q

SIGNED ORDER REQUIREMENTS:

Salbutamol inhalers & adrenaline autoinjectors to schools

A
  • Name of school
  • Product details
  • Strength (if relevant)
  • Purpose of supply
  • Total quantity
  • Signature of headteacher
25
Q

Prescription validity for Oral Retinoids

(Isotretinoin, Alitretinoin, Acitretin)

A
  • Prescription only valid for 7 DAYS
  • Max supply 30 DAYS
  • Do not accept REPEAT or FAXED RX’s
  • Telephone request: only at request of a PPP specialist prescriber + confirmation of negative pregnancy test within last 7 days
26
Q

Biologic vs Biosimilar Medicine

A

Biologic = a medicine made from a variety of natural sources that may be human, animal or microorganism in origin (vaccines, blood)

Biosimilar = a biologic medicine that is similar to an already licensed biologic medicine in terms of quality, safety and efficacy.

27
Q

PRESCRIBING CD’s:

Veterinary Surgeons

A

YES ✅

Prescriptions for Schedule 2 and 3 CDs do not need to be on the standardised forms but must include the RCVS registration number of the prescriber

28
Q

EMERGENCY SUPPLIES?

Veterinary Surgeons

A

NO ❌

29
Q

PRESCRIBING CD’s:

Nurse or Midwife

Independent Prescriber

A

YES ✅

(but not cocaine, diamorphine or dipipanone for treating addiction)

30
Q

PRESCRIBING CD’s:

Optometrist Independent Prescriber

A

NO ❌

31
Q

EMERGENCY SUPPLIES?

Paramedics

Therapeutic Radiographers

A

YES ✅

(but not CD Schedules 1, 2 or 3 incl phenobarbatol)

32
Q

PRESCRIBING CD’s:

Pharmacists

Nurse / Midwife

Supplementary Prescribers

A

YES ✅

(but not cocaine, diamorphine or dipipanone for treating addiction)

33
Q

EMERGENCY SUPPLIES?

Pharmacists

Supplementary Prescribers

A

YES ✅

Including phenobarbital for epilepsy ✅

34
Q

PRESCRIBING CD’s:

Physiotherapists

A

Can only prescribe the following:

Oral - diazepam, dihydrocodeine, lorazepam, morphine, oxycodone, temazepam

Injection - morphine

Transdermal - fentanyl

35
Q

EMERGENCY SUPPLIES?

Physiotherapists

A

YES ✅

(but not CD Schedule 1, 2 and 3 incl. phenobarbital)

36
Q

PRESCRIBING CD’s:

Podiatrists / Chiropadists

A

Only the following:

Oral - diazepam, lorazepam, temazepam, dihydrocodeine

37
Q

PRESCRIBING CD’s:

EEA & Swiss

A

Schedule 4 and 5 ONLY

38
Q

POM register entry for a SIGNED ORDER?

A
  • DATE of supply
  • Name, quantity, formulation and strength (where not apparent)
  • Name and address, trade, business or profession to whom the supply was made
  • Purpose of supply
  • (Register made in POM register OR signed order/invoice kept for 2 years)*
  • (Good practice to do both)*
39
Q

VETERINARY RX REQUIREMENTS

(POM-V, POM-VPS & Meds under Cascade)

A
  1. Name, address, telephone number, qualification & signature of prescriber (+ RCVS number if CD 2 or 3)
  2. Name and address of owner
  3. Identity and species of animal
  4. Address of animal (if different from owner)
  5. Date
  6. Name, quantity, dose and administration instructions (AS DIRECTED not acceptable)
  7. Warnings
  8. Number of repeats
  9. Prescribed under the Cascade

NB: “the item has been prescribed for an animal or herd under the care of the veterinarian” for Schedule 2 and 3

40
Q

Differences between VET and HUMAN Rx’s for CD’s?

A

VET:

  • Standardised forms not required for Schedule 2 and 3
  • Retain for 5 YEARS
  • 28 DAY supply (good practice)
  • Must include RCVS number

HUMAN:

  • Require standardised forms for Schedule 2 and 3
  • Subimitted to relevant NHS agency
  • 30 DAY supply (good practice)
  • Prescriber indentification number
41
Q

The Veterinary Cascade is an exemption that specifies where a licensed veterinary product is not available, other medicines may be considered.

What is the order of the Cascade?

A
  1. Medicine with a GB/UK-wide marketing authorisation for the species and condition indicated

⬇️

  1. Medicine with a Northern Ireland (NI) marketing authorisation for species and condition indicated

⬇️

  1. GB, NI or UK-wide medicines licensed for another species or different condition

⬇️

  1. GB, NI or UK-wide licensed human medicine

OR

Veterinary medicine authorised outside the UK

⬇️

  1. Extemporaneous or special
42
Q

Labelling requirements of dispensed veterinary medicines

A
  • Name of prescribing veterinary surgeon
  • Name & address of owner
  • Name & address of pharmacy

- Identification and species of animal

  • Date of supply

- Expiry Date

  • Description of product / active ingredients
  • Dosage and administration instructions
  • Storage instructions (if appropriate)
  • Warnings

- “For animal treatment only”

- “Keep out of reach of children”

43
Q

FOUR classes of Veterinary Medicine?

A

POM-V:

  • Prescribed by a vet and supplied by vet or pharmacist with a written prescription
  • Need Rx

POM-VPS:

  • Prescribed AND supplied by a vet, pharmacist or suitably qualified person - Oral or written Rx (written only required when supplier is not the prescriber)

NFA-VPS:

  • Medicine for non-food animal supplied by vet, pharmacist or suitably qualified person
  • No Rx

AVM-GSL:

GSL vet medicine

44
Q

When can Schedule 1 CD’s be prescribed / administered?

A

Under a Home Office License

45
Q

Cocaine, diamorphine and dipipanone for treating addiction?

A
  • Only medicial prescribers who hold special license from the Home Secretary
  • Not required for treating organic disease or injury
46
Q

CD Requisition Requirements?

A

1) Name & address of recipient
2) Signed by recipient
3) Profession / occupation
4) Quantity
5) Purpose of requisition

47
Q

Can you supply Schedule 2 and 3 CD’s without a obtaining a requisition first?

A
  • Only in an emergency to doctors or dentists
  • Requisition must be supplied within 24 hours
48
Q

Midwife Supply Orders

A

Can use to obtain the following:

- Diamorphine

- Morphine

- Pethidine

49
Q

CD’s EXEMPT from Safe Custody?

A

Schedule 2:

Quinalbarbitone (secobarbital)

Schedule 3:

Midazolam

Gabapentin / Pregab / Tramadol

Phenobarbital

Pentazocine

Meprobamate

50
Q

Denaturing and destruction of CD’s

A
  • All CD Schedule 2, 3 and 4 (part 1) should be denatured before disposal
51
Q

Patient-returned CD’s

A
  • No authorised witness required for denturing
  • Record Schedule 2 destruction in seperate register (not CD register)
52
Q

Expired CD’s

A
  • Schedule 2 - require authorised witness for destruction
  • Schedule 3 - another staff member to witness (good practice)
  • CD register entry required for Schedule 2
53
Q
A
54
Q
A

PRE-REG 2021 (8 decks)

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