MEP Flashcards

1
Q

Prescriptions for which schedules of CDs require the prescribers address to be in the UK?

A

Schedule 2
Schedule 3

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2
Q

How long are prescriptions for CDs valid for after the date they are written?

A

Schedule 2 - 28 days
Schedule 3 - 28 days
Schedule 4 - 28 days
Schedule 5 - 6 months

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3
Q

Can you make an emergency supply of schedule 2 CDs?

A

No

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4
Q

Can you make an emergency supply of schedule 3 CDs?

A

No, with the exception of phenobarbital for the treatment of epilepsy by a UK-registered prescriber

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5
Q

Can you make an emergency supply of Schedule 4 CDs?

A

Yes

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6
Q

Can you make an emergency supply of Schedule 5 CDs?

A

Yes

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7
Q

Which schedules of CD can EU and Swiss healthcare professionals legally prescribe?

A

Schedule 4
Schedule 5

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8
Q

What is legally required to be on a prescription for a schedule 2 or 3 controlled drug?

A
  1. Prescribers signature
  2. Date of signature
  3. Prescriber’s address
  4. Name, form, strength of CD
  5. Dosage
  6. Quantity (words and figures)
  7. Name of patient
  8. Address of patient

When supplied, the Rx must be clearly marked with the date and time the supply was made

No more than 30 days supply should be made for Sch 2 and 3 CDs

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9
Q

How long should veterinary prescriptions be retained for?

A

5 years

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10
Q

What is the maximum amount of pseudoephedrine that can be supplied at once?

A

720mg

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11
Q

What is the maximum amount of ephedrine that can be supplied at once?

A

180mg

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12
Q

How long are prescriptions made under the pregnancy prevention program valid for?

A

7 days
No more than 30 days supply

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13
Q

Which schedules of CDs are available on repeat prescriptions?

A

Schedule 4
Schedule 5

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14
Q

What pregnancy prevention measures need to be taken for male patients taking mycophenolate?

A

They or their female partner must use effective contraception during treatment and for 90 days after discontinuation

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15
Q

What pregnancy prevention measures need to be taken for female patients taking mycophenolate?

A

They need to use 2 effective types of contraception during treatment for 6 weeks after discontinuation

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16
Q

Do methadone scripts (non-instalment) have to be dispensed 28 days from the date signed or the “to be dispensed on” date?

A

They have to be dispensed within 28 days of the date to be dispensed

17
Q

How many days supply of a CD can be legally supplied?

A

There is no legal limit to the number of days supply of a CD can be supplied. However the home office recommends no more than 30 days so make sure to check with the prescriber if more than 30 days is requested.

18
Q

Which facilities are exempt from using the approved form for CD requisitions?

A

Hospices and prisons

19
Q

What are the legal requirements for a controlled drug requisition?

A
  1. Signature of the recipient
  2. Name of the recipient
  3. Address of the recipient
  4. Profession or occupation
  5. Total quantity of the drug
  6. Purpose of the requisition
20
Q

When does a requisition for CDs to a hospital pharmacy have to be on an approved form?

A

When the request is on behalf of a ward or department outside the same legal entitiy

21
Q

When an emergency supply of a CD is requested by a doctor or dentist, a requisition form must be supplied within how long of the request?

A

24 hours

22
Q

How long must a pharmacy retain an authorisation for CDs to be received by a messenger on behalf of the purchaser?

A

2 years

23
Q

How long should a CD requistion form for Sch 1, 2, or 3 CDs be retained for?

A

2 years

24
Q

How long should a veterinary CD requisition form for Sch 1, 2, or 3 CDs be retained for?

A

5 years

25
Q

How should CD requisition forms be processed in the community?

A
  • Marked with the suppliers name and address (of the pharmacy) or stamped
  • Send the original requisition form to the relevant NHS agency
  • Retain a copy of the requisition for 2 years
26
Q

How long are veterinary prescriptions for PoMs valid for?

A

6 months

27
Q

How long are veterinary prescriptions for Sch 2, 3, and 4 CDs valid for?

A

28 days

28
Q

What phrase needs to be on a veterinary prescription for Sch 2 and 3 CDs?

A

“the item has been prescribed for an animal or herd under the care of the veterinarian”

29
Q

How do veterinary prescriptions vary from human prescriptions?

A
  • Veterinary Rxs require no standard form provided they meet legal requirements, even if they are for Sch 2 and 3 CDs / Human private Rxs require a standardised form for Sch 2 and 3 CDs
  • Veterinary Rxs should be retained for 5 years and do not need to be sent to a NHS agency / Human Rxs for Sch 2 and 3 CDs must be sent to relevant NHS agency
  • It is good practice to supply 28 days for all veterinary Rxs unless long-term treatment is required / Sch 2, 3, and 4 CD supplies should not exceed 30 days for human Rxs unless justified on the script by the prescriber
  • Sch 2 and 3 CDs require the Royal college of Veterinarian Surgeons reg number / Human private Rxs for Sch 2 and 3 CDs require prescriber identification number
30
Q

Briefly outline the veterinary cascade

A
  1. UK marketing authorisation for use in species and condition
  2. NI marketing authorisation
  3. UK or NI marketing authorisation for use in different species or condition
  4. (a) UK or NI human medicine / (b) Veterinary medicine authorised outside of UK
  5. Extemporaneous preparation
31
Q

Do veterinary medicines not prescribed under the cascade legally need to be labelled when dispensed?

A

No, as long as they are in their original packaging

32
Q

What is the maximum quantity of a Sch 4 or 5 CD that can be supplied as an emergency supply at the request of a patient?

A

5 days

33
Q

What is the maximum quantity any non-controlled drug that can be supplied as an emergency supply at the request of a patient?

A

30 days

Unless it is insulin or oral contraceptive, in which case a full cycle should be supplied