MEP Flashcards
Under what age are children unable to consent to sex?
13
Can you provide contraception to a 15 year old?
Yes, if they meet the following criteria?
-sufficient maturity
-cannot be persuaded to tell there parents
-likely to continue having sex without contraception
-in their best interests
What are the four principles of medicines optimisation?
-Aim to understand the patients experience
-Evidence-based choice of medicines
-Ensure medicines use is as safe as possible
-Make medicines optimisation part of routine practice
What is the maximum combination strength of pseudoephedrine that can be sold OTC?
720mg
What is the maximum combination strength of ephedrine that can be sold OTC?
180mg
What is the licensing regarding levonorgestrel supply?
women aged over 16 within 72 hours
What is the licensing regarding ulipristal acetate supply?
women within 120 hours
What is the maximum pack size of codeine and dihydrocodeine that can be sold OTC?
32
What are the prescription requirements?
-signature of prescriber
-address and particulars of prescriber
-date
-patient name and address
-age/ DOB (age if < 12)
On a private prescription stating just the word repeat, how many times can this prescription be repeated?
repeated once (dispensed twice)
On a private prescription for oral contraception stating just the word repeat, how many times can this prescription be repeated?
repeated 5 times (dispensed 6 times)
Prescriptions for which schedule drugs are not repeatable?
Schedule 2 and 3 controlled drugs
Prescriptions for which schedule drugs are repeatable?
Schedule 4 and 5 controlled drugs
How long after a repeat prescription for a POM and schedule 5, must the first dispensing be made?
6 months
Following the first dispensing of a POM or schedule 5 on a repeat prescription, how long after must the next dispensing be made?
There is no legal limit
If the repeat prescription is for a schedule 4 CD, how long must the first dispensing be issued?
28 days
How long must a record for a private prescription be kept?
2 years
Is a faxed prescrtiption a legally valid prescription?
no
Is a faxed prescription a legally valid prescription?
no
What schedule drugs can you not provide as an emergency supply on a swiss or EEA prescription?
1,2 and 3 (including phenobarbital)
Community pharmacies need a contract with who to deal with military prescriptions?
Ministry of Defence
Military prescriptions are written on what type of form?
FMed 296
How do non-contracted pharmacies manage military prescriptions?
Charge the individual and they can claim it back
Can a schedule 2 and 3 be legally dispensed if on an FMed 296?
No
What 6 things are legal requirements to appear on a dispensing label?
-Name of patient
-Name and address of the supplying pharmacy
-Date of dispensing
-Name of medicine
-Directions for use
-Precautions relating to the use of the medicine
What 2 things are recommendations from the RPS to appear on a dispensing label?
-Keep out of the reach and sight of children
-Use the medicine only on your skin (where applicable)
If giving an emergency supply at the request of a prescriber, within how long must the prescription be recieved?
72 hours
Should a record be kept of an emergency supply?
Yes, within the POM register
What should be recorded in the POM record after an emergency supply at the request of a prescriber?
-Date supplies
-Name, quantity and form of drug
-Name and address of prescriber requesting
-Name and address of patient
-Date on prescription
-Date which prescription received
What is the maximum duration of treatment that can be given for an emergency supply for a CD 4 or 5?
5 days
What is the maximum duration of treatment that can be given for an emergency supply for a POM?
30 days
What must appear on a label for an emergency supply?
The words ‘Emergency Supply’
As per the PPP, how long is a prescription valid for?
7 days
As per the PPP, what is the maximum duration of treatment that can be given?
30 days
What 8 things must appear on a veterinary prescription to make it legally valid?
-Name, address, telephone number, qualification and signature of prescriber
-Name and address of owner
-Identification and species of animal
-Date
-Name, quantity, dose and administration instructions of required medicine
-Warnings
-‘Under cascade’
-If repeatable, how many times?
Are standardised forms required for CDs for veterinary prescriptions?
no
How long should veterinary prescriptions be retained?
5 years
What additional information must appear on a veterinary dispensed label?
-Name and address of owner
-Identification and species of animal
-‘For animal treatment only’
What is the role of an accountable officer within an organisation?
Supervising and managing the use of CDs
Give examples of schedule 2 controlled drugs?
diamorphine, methadone, oxycodone, pethidine, ketamine, morphine
Give examples of schedule 3 controlled drugs?
buprenorphine, temazepam and midazolam, phenobarbital, gabapentin, pregabalin, tramadol
Give examples of schedule 4 (part 1) controlled drugs?
Benzodiazepines (diazepam), zopiclone and sativex (cannabinoid oromucosal mouth spray)
Give examples of schedule 4 (part 2) controlled drugs?
Anabolic and androgenic steroids, clenbuterol (adrenoceptor stimulant) and growth hormones
Give examples of schedule 5 controlled drugs?
preparations of codeine, pholcodine, morphine
Which schedule controlled drugs are subject to prescription requirements?
2 & 3
How long is a prescription for a CD 5 valid for?
28 days
Are sugar-free products a greater risk for abuse?
Yes
Which CDs are subject to safe custody?
1,2 & 3
Which CD 3 drugs are exempt from safe custody?
gabapentin, pregabalin, tramadol, midazolam, phenobarbital
Which CDs must be denatured before disposal?
2,3 and 4(part 1)
Who has the power to authorise others to witness the destruction of CDs?
Accountable officer
What is the advised frequency of balance and stock checks of CDs?
every week
What is a homeopathic medicine?
Holistic complementary and alternative therapy based on using dilute or ultradilute products in the concept of treating ‘like for like’
What is a herbal medicine?
Products containing plant derived materials
What licensing requirements do herbal and homeopathic medicines require?
MHRA does not require homeopathic medicines to demonstrate efficacy, only quality and safety.
Herbal medicines must have a full marketing authorisation based on safety, quality and efficacy or a traditional herbal registration (THR)
What does the responsible pharmacist display have to contain?
-name of RP
-GPHC reg number
-Fact that the responsible pharmacist is in charge of the pharmacy at a time
What must be included within the pharmacy record?
-RP name
-RP registration number
-date and time the pharmacist became RP
-date and time the pharmacist stopped being RP
-Absences (date, time left and time returned)
How long must the pharmacy record be maintained?
5 years
How regularly should the pharmacy procedures be reviewed?
Every 2 years (or following an incident)
What are the two different types of consent?
Explicit and implied
which two types of drugs do not have to be included in a prescription register when prescribed on a private prescription?
-CD 2
-contraceptives
can you have an emergency supply of isotretinoin?
no
