MEP Flashcards
gsl definition
MA/traditional herbal registration/certificate of registration as a GSL homeopathic product
what four things can be done with a RP in charge but not present
dispense, act can ac, sell gsl, process waste stock medicines/pt returned medicines excluding CDs
max dose of otc pseudoephedrine or ephedrine
720mg or 180mg
levonorgestrel dose and time limit
1500mcg and 72 hrs of sex
ulipristal acetate dose and time limit
30mg and 120 hrs of sex
what age should you report to social services
13
can we provide contraception to under 16s
yes
maximum quantity of paracetamol/aspirin
99 non-effervescent tablets/capsules
maximum quantity of codeine/dihydrocodeine
32
three reasons why we can’t sell cough and cold mixtures to under 6s
allergies, sleep disturbances and hallucinations
maximum duration for a 6-12 year cold when using a cough and cold mixture
5 days
what do nice say when it comes to pain relief in under 5s
not to use ibuprofen and paracetamol together
minimum age for simple linctus
1 month plus
minimum age for glycerol
1+
minimum age for codeine linctus
18+
name 3 pom to p medicines
pantoprazole, tamsulosin, tranexamic acid
6 rx legalities
pt name and address age if under 12 indelible ink signature date type of prescriber address of prescriber
can a rx be repeated if it does not state. if so how many times
once (dispensed twice)
how many times can oral contraceptive rx be repeated
5 (dispensed 6)
are schedules 1, 2 and 3 allowed to be repeated
no
a prescription expires within
6 months
schedules 1, 2, 3 and 4 expire within
28 days
how long do you have to keep private rx
2 years
where do you send schedule 2 and 3 private rx
relevant NHS agency
can you supply schedule 2 and 3 on a faxed rx
no
which 4 categories cannot be dispensed on a EEA rx
schedule 1, 2, 3 and products without MA valid in UK
which two conditions can you do an emergency supply for a EEA doctor/pt
not schedule 1, 2 and 3 and rx needed within 72 hrs
name all 28 countries EEA
Austria, Belgium, Bulgaria, Croatia, Republic of Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, Switzerland
military rx forms are called…
FMed 296
who can dispense a FMed 296
pharmacies with a dispensing contract with Ministry of Defence will invoice them directly.
how do non contracted pharmacies dispense a FMed 296
treat as private rx and charge the pt and give receipt so they can claim costs
define covert administration
administering medicines in a disguised format without pts knowledge or consent
durations of each emergency supply item
sch 4 and 5 - five days
other pom - 30 days
insulin, ointment, cream, inhaler, antibiotic - smallest pack
contraceptive - full treatment cycle
can an IP optometrist/podiatrist prescribe CD
no
two requirements for supply of salbutamol inhalers for schools
written order by head teacher and must include name of school, purpose
Nalaxone dose and instructions
Intramuscular 400mcg initially with further 400mcg given every 2-3 mins until effect or ambulance arrives.
Can trained staff supply nalaxone in absence of RP
Yes
How long do pts have to carry on PPP after stopping isotretinoin
One month
When do female pts not have to comply with PPP
Hysterectomy and not sexually active
PPP rx only valid for
7 days
Maximum days supply for a medication under PPP
30 days
What should you do if a medication under PPP has more than 30 days supply
Confirm with prescriber that pt isn’t under PPP
Is a telephone request allowed for PPP medications and if so from who and what are the conditions
From PPP specialist prescriber in an emergency with confirmation of negative pregnancy test within the last 7 days
Should you report side effects of sodium valproate and if so to who
Yes to yellow card scheme
Who can’t prescribe CDs
Optometrist IP and community practitioner nurse
POM-V
Only vet surgeon can prescribe POM
POM-VPS
Vet surgeon, pharmacist or qualified person can write/verbally prescribe POM
NFA-VPS
medicines for inedible animals can be supplied by vet surgeon, pharmacist or qualified person. Written rx not required.
AVM-GSL
Authorised vet medicine
exempt medicines under schedule 6 of the veterinary medicines regulations - exemptions for small pet animals (SAES)
unlicensed vet medicine that doesn’t require a MA
unauthorised vet medicine
does not have a MA and is not eligible for exemption through the SAES. can only be prescribed by vet surgeon.
9 legalities of vet rx
1) name, address, phone number, qualification, signature, registration number of prescriber
2) name and address of owner
3) identification and species of animal and address if different
4) date
5) name, quantity, dose and administration instructions
6) any necessary warnings
7) where appropriate, “prescribed under the cascade”
8) sch 2 and 3 - item has been prescribed for an animal/herd under the care of the vet”
9) if repeatable, number of times it can be repeated
human private rx for sch 2 and 3 must be on a ____ and submitted to ____.
standardised form and relevant NHS agency.
max supply of schedule 2, 3 and 4
30 days
human private rx for sch 2 and 3 CDs must include…
a prescriber identification number
cascade means…
medicines not licensed for animals
illegal to supply/sell a human medicine on rx unless…
it is prescribed by vet surgeon and states it is under the cascade
13 legalities on vet medicine label
- name of vet surgeon
- name and address of animal owner
- name and address of pharmacy
- identification and species of animal
- date of supply
- expiry date of product
- name or description of the product
- dose and administration
- if app, special storage instructions
- any necessary warnings
- any withdrawal period
- for animal tx only
- keep out of reach of children
schedule 1
cd lic pom - cannabis
schedule 2
cd pom - morphine and methadone
schedule 3
cd no register pom - tramadol, phenobarbital, gabapentin, pregabalin, buprenorphine, temazepam
schedule 4
cd benz pom - diazepam, zopiclone
cd anab pom - anabolic steroids
schedule 5
cd inv p and cd inv pom - codeine
10 rx requirements of cd
- dose
- formulation
- strength
- total quantity - words AND figures
- quantity - no more than 30 days
- dental wording where app
- signature of prescriber
- date
- address of prescriber
- instalment wording where app
when do you need to ring cgl
three or more consecutive days were missed
pharmacist can change what two things on a rx and what must you do if you make an amendment
spelling mistake, or if one of the figures or words have been left out.
amendment - name, date, signature, reg no.
what do you do if a healthcare professional collects cd on behalf of pt
get name and address and evidence
what do you do if someone wants to collect SUPERVISED dose on behalf of pt
verbally confirm with prescriber
which medicines need to have an authorised witness in order to be denatured
schedule 2 expired and unwanted
process for someone suffering suicidal ideation with varenicline
yellow card scheme
how is a herbal medicine licensed
30 yrs medicinally, 15 years in European community
can a child collect sch 2 on behalf of pt
yes - must ID
Group 1 drugs where low limits have been set for driving
cannabis, MDMA, ketamine, meth, cocaine, lsd, heroin
Group 2 drugs slightly higher limits than group 1 for driving
clonazepam, diazepam, lorazepam, oxazepam, temazepam, flunitrazepam, methadone, morphine, amfetamine
records that must be kept for 5 years
vet rx and documents and rp register
what can you do with no rp in charge and not present
order and receive stock except cd, date check except cd, take in rx and process, receive patient returned medicines except cd.
do elderly adverse reaction need to be reported to mhra
no
do sch 2 cd invoices need to be retained
no
vet rx are subject to NHS rx charge t/f
false
EEA rx must have prescribers phone number t/f
true
phenobarbital for epilepsy can be supplied as emergency supply at the request of EEA doctor
false - only uk doctor
if a rp takes two hours absence then you take over as rp and you want a 5 min break can you do that
no
what schedule is sativex
sch 4 part 1
private vet rx for schedule 3 does not have to be on standardised form t/f
true
schedule 5 rx are valid for 28 days
false - only 1-4
legal requirement of cd register
whether proof of identity was requested
if an adult pt is unconscious, a relative can give consent for their emergency tx
false
a parent is able to give consent for an operation on their 7 yr old
true
consent could be invalid if pt is not told about significant risks to the tx
true
6 legalities on dispensing label
- name of pt
- name and address of pharmacy
- date
- name of medicine
- directions
- precautions
what should you do if patient has dropped methadone
tell him to contact prescriber will need new rx
3 sick day rules
- diuretics
- ace, arb, nsaids
- metformin
which resource do you look for information on drug storage
SPC
max supply of cd 2, 3 and 4 on rx
30 days
