MEP: Extra Flashcards
1
Q
Who are considered as part of the risk group patients?
A
- children
- elderly individuals
- pregnant or breastfeeding women
- certain patient groups such as those from specific ethnic backgrounds
2
Q
What does “Professional Judgment” entail in making decisions?
A
Professional Judgment involves
using accumulated knowledge and experience
to make informed decisions.
3
Q
How should one approach identifying an ethical dilemma?
A
Identify the ethical dilemma by gathering all relevant information
such as facts, knowledge, laws, standards, good practice, and advice.
4
Q
What factors should be considered during clinical checks?
A
Clinical checks should include reasoning and thinking about the patient’s
- characteristics
- medication regimen
- how the treatment will be administered
- how it will be monitored
5
Q
Where should records of patient interactions be documented?
A
- patient’s medical record
- interventions record book
- handover record book
- prescription register
6
Q
What aspects should be considered when taking medication histories?
A
adherence
non-daily medicines (e.g., reliever inhalers, weekly medications like MTX or Alendronic acid)
historical medicines
self-selected medicines (Prescription-only (P) or General Sales List (GSL)
herbal medications or complementary therapies
and recreational drugs.
7
Q
How does a “just culture” contribute to safety in healthcare?
A
A “just culture”
promotes fairer accountability and a learning culture
by learning from mistakes rather than focusing on blame.
8
Q
As part of a pharmacists CPD, what documents must they submit each year
A
Pharmacists will need to submit the following records:
four CPD entries, (at least two of which should be planned learning activities)
one reflective account
one peer discussion
9
Q
How often does the General Pharmaceutical Council (GPhC) advise pharmacists to reflect on their practice?
A
every month
10
Q
What restrictions apply to the sale of Pseudoephedrine
A
Pharmacists should not supply more than 720mg of Pseudoephedrine
or sell it at the same time as ephedrine
potential misuse in the production of meth
11
Q
What restrictions apply to the sale of Ephedrine?
A
Pharmacists should not supply more 180mg of Ephedrine
should not sell same time as pseudoephedrine
potential misuse in the production of meth
12
Q
Can counter staff counsel and see pt suitability for emergency contraception?
A
never
pharmacist ONLY
for ethical reasons
13
Q
What is the legal restriction for quantity of Aspirin to sell?
A
Not more than
100 non-effervescent tablets
to one person at any one time.
14
Q
OTC meds containing codeine and dihydrocodeine must state WHAT on their labels/ PILS
A
‘can cause addiction’
‘for three days only’
15
Q
What precautions apply to the use of certain medicines in children over 6
A
In children over 6
- antitussives
- expectorants
- nasal decongestants
- antihistamines
should not be used for longer than five days.
(i think on about cough mixtures)
< 6 these cant be given
16
Q
What is the recommendation regarding Paracetamol and Ibuprofen use in children under five?
A
In children under five,
Paracetamol and Ibuprofen should not be used together
Ibuprofen should only be used if Paracetamol has proven ineffective (in this case you would stop para, then start ibu)
17
Q
What are the essential details required on a prescription?
A
A prescription must include the
- signature
- address of the practitioner
- date (valid for 6 months, 28 days for controlled drugs)
- type of prescriber (name/qualification)
- name and address of the patient (not required for EEA Swiss)
- age if under 12 (not required for EEA Swiss).
18
Q
Are prescriptions for Schedule 2/3 medicines repeatable?
A
No
prescriptions for Schedule 2/3 medicines are not repeatable
(however, prescriptions for Schedule 4/5 medicines are repeatable)
19
Q
When should records in the Prescription Only Medicine (POM) register be made?
A
on the day of sale or supply
or the next day if impractical.
20
Q
What medications cannot be prescribed by EEA prescribers?
A
EEA prescribers cannot prescribe Schedule 1, 2, or 3 Controlled Drugs (CDs).
EEA member state (EU countries, Iceland, Liechtenstein and Norway) or Switzerland
21
Q
What is a Patient Specific Direction (PSD)?
A
A PSD is a written instruction from a doctor, dentist, or other independent prescriber
or a medicine to be supplied or administered to a named patient after assessing that patient on an individual basis.
A Patient Specific Direction (PSD) is a written order from a healthcare provider, such as a doctor or dentist, to give a specific medicine to a particular patient after evaluating them individually.
22
Q
What are the different ways medicines can be sold or supplied without a prescription?
A
Medicines can be sold or supplied without a prescription through
- PGDs (Patient Group Directions)
- PSDs (Patient Specific Directions)
- Emergency Supply
- Pandemic Exemptions
- Optometrist/Podiatrist Signed Orders
23
Q
What is a Patient Group Direction (PGD)?
A
A PGD is a written direction
that allows the sale, supply, or administration of a medicine
by a named authorized healthcare professional
to a well-defined group of patients based on specified criteria.
24
Q
When can an Emergency Supply be provided?
A
An Emergency Supply can be provided at the request of the patient
or at the request of the prescriber
following an immediate need assessment by the pharmacist
25
How soon must a prescription be recieved after an Emergency Supply?
within 72 hours by the prescriber after an Emergency Supply.
26
Which controlled drugs can be supplied under Emergency Supply regulations?
Only Schedule 4 and 5 Controlled Drugs (CDs) and Phenobarbital for epilepsy can be supplied under Emergency Supply regulations
excluding Schedule 1, 2, and 3 CDs unless it's Phenobarbital for epilepsy and not prescribed by an EEA/Swiss doctor.
27
What are the maximum lengths of treatment for different types of medications under Emergency Supply?
Controlled Drugs (CDs) can be supplied for up to 5 days
Prescription Only Medicines (POMs) for up to 30 days
Insulin for the smallest unit (1)
Inhalers for the smallest unit (1)
Contraceptives for a full cycle (21 days)
and antibiotics for the smallest unit (e.g., 10 tablets).
28
How should Emergency Supply records be maintained?
Emergency Supply records should be entered into the POM Register on the day of supply or the next day if impractical
(including details such as the date, name of the medication, name of the patient supplied, and information about the emergency)
29
Can optometrists/ podiatrists write prescriptions for Prescription Only Medicines (POMs)?
Optometrists/ Opdiatrists cannot authorize supplies of POMs by writing prescriptions
unless they are additionally qualified as supplementary or independent prescribers.
30
How can certain POMs be supplied to registered optometrists or podiatrists?
Certain POMs can be supplied to registered optometrists or podiatrists in accordance with a signed order.
The medication should be labeled accordingly, the Patient Information Leaflet (PIL) must be supplied, and a record should be made in the POM register.
31
What is Isotretinoin used for?
Isotretinoin is a retinoid used to treat severe acne.
32
What is the Pregnancy Protection Programme (PPP) for Isotretinoin?
The PPP protects females at risk of pregnancy while taking Isotretinoin.
It is initiated under specialist supervision.
33
How long is a prescription for Isotretinoin valid?
7 days
34
When should a patient ideally do a pregnancy test in regards to their isotretinion scripts
doctor should get them to do one before issuing the prescription
pharmacy team should make sure pt has done pregancy test b4 dispensing med
35
Can Isotretinoin prescriptions be repeated, faxed, or given as free samples?
No, Isotretinoin prescriptions cannot be repeated, faxed, or given as free samples.
36
How should expiry dates be interpreted
Expiry dates indicate the last day a product should be used.
For example, "use before 06/2011" means it should not be used after May 31, 2011.
37
How should waste medicines be managed?
Waste medicines must be kept in a secure waste container in a designated area
preferably away from medicines that are fit for use.
Patient information must be destroyed or obscured.
38
What is considered good practice in medicine labelling?
It is good practice to include statements such as
'Keep out of the reach and sight of children' or
'Use this medicine only on your skin' where applicable.
When placing medicines into smaller plain box containers, include all the above information plus the expiry date and batch number.
39
What additional requirement is needed for emergency supply labels?
In addition to standard labelling requirements, the words 'Emergency supply' need to be added to the dispensing label for emergency supplies.
40
Can private prescriptions be repeated
Private prescriptions can be repeated;
if prescriber HAS NOT specified NUMBER of repeats but has wrote 'repeat' on the script
the script can be dispensed once more within 6 months
Oral contraceptives can be repeated up to five times (total of six repeats).
Schedule 2 and 3 controlled drugs cannot be repeated, but Schedule 4 and 5 can.
41
What are the record-keeping requirements for private prescriptions?
Record-keeping for private prescriptions includes
* prescriber and patient details (name and address)
* precription date
* supply date
* medication details (name, quantity, formulation, strength)
* and a copy of the private prescription if returned to the patient
Pharmacy supply details should be written on the original private prescription.
42
What is an advanced electronic signature according to the Human Medicines Regulations 2012?
An advanced electronic signature is uniquely linked to the signatory
capable of identifying the signatory, and created using means over which the signatory maintains sole control.
## Footnote
An advanced electronic signature is a digital signature that is uniquely connected to the person who signs it, can identify that person, and is made with tools that only the signer can control.
43
What costs are involved in the pricing of private prescriptions?
The full cost of the medicine, pharmacy mark-up, and doctor fee are included in the pricing of private prescriptions.
44
What are the requirements for a Patient Specific Direction (PSD) in hospital charts?
The requirements for a PSD include:
Patient Name
Address
Date of Birth (DOB)
Hospital number
Date
Signature of prescriber
Name/qualifications of prescriber
Address of practitioner
45
What additional considerations are necessary in hospital charts?
Additional considerations include allergies, weight, height, and Body Surface Area (BSA).
46
What information is required for PRN drugs in hospital charts?
For PRN drugs, the hospital chart must include the indication(s) (some drugs may have multiple indications) and the minimum dose interval.
47
What details are recorded in the Inpatient Prescribing and Administration Record Sheet?
The details recorded include:
* Drug (approved name)
* Date
* Route
* Dose
* Pharmacy
* Time
* Additional Information/Indication
* Frequency
* Route
* Dose
* Signature & Bleep
* Date Given by
48
How should Once Only and Pre Medication Drugs be recorded in hospital charts?
Once Only and Pre Medication Drugs should
* include the date
* drug (approved name)
* route
* dose
* time for administration
along with signatures of those involved in dispensing and administering.
49
What is the procedure for cancelling prescriptions in hospital charts?
To cancel prescriptions, the prescriber must sign and date the cancellation on the chart.
50
What are the requirements for Supplementary Prescription Sheets indicated in hospital charts?
Supplementary Prescription Sheets, if in use, should be indicated by ticking the appropriate boxes for categories
like Oral Anticoagulation, Sliding-Scale Insulin, Oxygen, and Syringe Driver
51
What are Approved Abbreviations used in hospital charts?
PO - By mouth
PR - Per Rectum
IV - Intravenous
INH - Inhalation
IM - Intramuscular
PV - Per Vagina
SC - Subcutaneously
TD - Transdermal
NG - Nasogastric
NJ - Nasojejunal
52
What information is required in a Signed Order for schools requesting medication?
A Signed Order for schools requesting medication should include
* the name of the school
* signature of the principal or head teacher
* product details (including spacer if relevant)
* strength (if relevant)
* purpose for which the product is required
* total quantity required
## Footnote
date not required
53
How long should records be kept for Signed Orders in schools?
Signed Orders in schools should be kept for 2 years.
54
What prescription form is required for Schedule 2 and 3 Controlled Drugs (CDs) in England when prescribed privately?
Schedule 2 and 3 Controlled Drugs (CDs) must be prescribed on the pink private prescription form FP10PCD
55
Give examples of drugs classified under Schedule 2 Controlled Drugs (CDs).
opiates (e.g., diamorphine, morphine, methadone, oxycodone, pethidine)
major stimulants (e.g., amphetamines)
quinalbarbitone
ketamine.
56
What types of drugs are classified under Schedule 3 Controlled Drugs (CDs)?
* buprenorphine
* temazepam
* tramadol
* midazolam
* phenobarbital
* gabapentin
* pregablin
Bringing Together The Mighty Powerful Group of Painkillers
## Footnote
Buprenorphine and temazepam must be stored in the CD cabinet.
57
How is Schedule 4 Controlled Drugs (CDs) categorized?
Schedule 4 CDs are split into two parts:
Part I (CD Benz POM):
* benzodiazepines (e.g., diazepam)
* non-benzodiazepine hypnotics (e.g., zopiclone)
* Sativex (a cannabinoid or mucosal mouth spray).
Part II (CD Anab POM):
* anabolic and androgenic steroids
* clenbuterol (adrenoceptor stimulant)
* growth hormone (GH)
58
What does Schedule 5 contain?
Schedule 5 contains preparations of certain Controlled Drugs (CDs) such as codeine, pholcodine, and morphine
which are exempt from full control when present in medicinal products of specifically low strengths.
59
What is required for a pharmacy to import or export Schedule 1, 2, 3, and 4 Controlled Drugs (CDs)?
A pharmacy needs a licence to import or export Schedule 1, 2, 3, and 4 Controlled Drugs (CDs).
60
What type of licence is required by prescribers to prescribe cocaine, diamorphine, or dipipanone for treating addiction?
A Home Office Licence is required by prescribers to prescribe cocaine, diamorphine, or dipipanone specifically for treating addiction.
BUT if prescriber is NOT treating addiction, but treating an organic disease, they DONT need a license
61
Can Pharmacist/Nurse Independent Prescribers prescribe cocaine, diamorphine, or dipipanone for addiction treatment?
No, Pharmacist/Nurse Independent Prescribers cannot prescribe these medicines for addiction treatment
but can prescribe them for treating organic disease.
62
What are the responsibilities of an Accountable Officer regarding Controlled Drugs (CDs)?
* oversight of monitoring and auditing CD management
* prescribing, and use
* ensuring systems are in place for recording concerns and incidents involving CDs
* attending Local Intelligence Network Meetings
* submitting occurrence reports on CD concerns within a required timeframe
* appointing authorised witnesses for CD destruction
63
How long is a prescription for a Controlled Drug (CD) valid from the date it was signed?
A prescription for a CD is valid for 28 days from the date it was signed, unless a different date is indicated.
(e.g. forward dated prescription)
64
A CD drug only has one formulation. Does the script still have to specify the formulation for it to be legal?
YES
65
What is the maximum quantity of a Controlled Drug (CD) that should be prescribed for a single prescription?
The maximum quantity prescribed should not exceed 30 days' supply, although this is good practice and not a legal requirement.
66
What to do if a patient has no address and doctor needs to give a script?
specify "No Fixed Abode" (NFA)
## Footnote
PO Box addresses are NOT acceptable
67
What additional requirement applies to prescriptions for dental treatments involving Controlled Drugs (CDs)?
Dental prescriptions must include the statement "for dental treatment only."
68
What must be marked on a prescription when a Controlled Drug (CD) is supplied?
The date of supply must be marked on the prescription at the time of supply.
69
What must private CDs have
must include a prescriber identification number
70
Why should medicines that are not Controlled Drugs (CDs) not be prescribed on the same form as Schedule 2 or 3 CDs?
Separate forms are needed because the Controlled Drug (CD) prescription form must be stored by the pharmacist for two years.
This rule can't be followed if other prescriptions are included on the same form.
71
What are some signs of misuse of medications?
Signs of misuse include
* lack of symptoms
* rehearsed answers
* impatience or aggression
* opportunistic behavior
* specific products: like lithium batteries and acetone for methylamphetamine
* want large quantities
* frequent requests
72
What quantity of dihydrocodeine requires a prescription only medicine (POM)?
Any dihydrocodeine pack greater than 32 is classified as a POM
due to its potential for addiction
its recommended use for only three days
73
Who can suspicions of medication misuse be reported to?
Suspicions can be reported to your
* local GPhC inspector
* local Controlled Drugs liaison police officer
* the accountable officer
74
What medications can be prescribed on an FP10MDA (blue) prescription form?
Medications that can be prescribed on an FP10MDA (blue) form include
* all Schedule 2 CDs
* buprenorphine (including buprenorphine/naloxone combination)
* and diazepam (for managing adverse effects of addiction treatment)
Instalment prescriptions must specify the amount of medicine per instalment and the interval between each supply.
The supply must not exceed 14 days.
The prescription must include the date it was signed (within 28 days) or the indicated start date (up to 13 weeks), and each supply date must be specified.
75
How should the collection of medication be documented on an instalment prescription (blue script)
The patient must sign the specified CD box on the back of the FP10MDA once.
The supply collected should be recorded on the right-hand side of the prescription by the pharmacist
If the dose is supervised, verbal confirmation from the prescriber is sufficient.
76
What should be recorded on the instalment prescription if the supply is not collected?
If the supply is not collected
it should be recorded on the right-hand side of the prescription by the pharmacist as ‘not collected’.
77
What is required for Schedule 2 drugs in terms of record-keeping?
The CD Register for Schedule 2 drugs must be completed.
Methadone usually has a separate CD register.
78
What information must be included regarding the prescriber on a veterinary prescription?
The veterinary prescription must include the
prescriber's name, address, telephone number, qualification, signature
and, if Schedule 2 or 3 CDs are prescribed, their Royal College of Veterinary Surgeons (RCVS) registration number.
79
What details about the owner of the animal must be included on a veterinary prescription?
The veterinary prescription must include the name and address of the owner of the animal.
80
What information regarding the animal must be included on a veterinary prescription?
The veterinary prescription must include the
* identification and species of the animal
* animals address (if different from the owner’s address)
81
How long is a veterinary prescription valid for, and what is the validity period for Schedule 2, 3, and 4 CDs?
A veterinary prescription is valid for 6 months OR shorter if indicated by the prescriber.
Schedule 2, 3, and 4 CDs are valid for 28 days.
82
What specific details about the medicine must be included on a veterinary prescription?
The veterinary prescription must include the:
* name
* quantity
* dose
* administration ("As directed" is not an acceptable administration instruction according to the Veterinary Medicines Directorate (VMD))
83
What information must be specified on a repeatable veterinary prescription?
If the veterinary prescription is repeatable, it must specify the number of times it can be repeated.
84
What declaration must be included for Schedule 2 and 3 CDs on a veterinary prescription?
For Schedule 2 and 3 CDs
the prescription must include a declaration that ‘the item has been prescribed for
"an animal or herd under the care of the veterinarian'
85
What are the different types of veterinary prescriptions?
The types of veterinary prescriptions include
* POM-V (Prescription Only Medicine – Veterinary)
* POM-VPS (Prescription Only Medicine – Veterinary, Pharmacist, and Suitably Qualified Persons
* NFA-VPS (Non-Food Animal – Veterinary, Pharmacist, and Suitably Qualified Persons)
* AVM-GSL (Animal Veterinary Medicine – General Sales List)
* Exempt under Schedule 6
* Unauthorised (unlicensed or human medicines for animal use must be ‘under the cascade’).
86
What is the purpose of drug alerts and recalls published by the MHRA?
Drug alerts and recalls
inform healthcare professionals (HCPs) of safety issues
associated with medications
87
What information is included in MHRA alerts regarding affected medications?
MHRA alerts include details of
* the affected product
* batch numbers
* expiry dates
88
How are medication recalls classified based on urgency?
Medication recalls are classified into four classes based on urgency:
Class 1: Requires action within hours due to life-threatening or serious health risks.
Class 2: Requires action within 48 hours due to potential mistreatment or harm, but not life-threatening.
Class 3: Requires action within 5 days; unlikely to cause harm but recalled due to non-compliance or other reasons.
Class 4: Requires caution in use; no immediate threat, typically for minor defects in packaging.
89
What defines a Class 1 medication recall?
A Class 1 medication recall involves defects that present a life-threatening or serious risk to health, requiring action within hours.
90
What defines a Class 2 medication recall?
A Class 2 medication recall may cause mistreatment or harm to the patient, though not life-threatening, requiring action within 48 hours.
91
What defines a Class 3 medication recall?
A Class 3 medication recall is unlikely to cause harm but is initiated due to non-compliance or other reasons, requiring action within 5 days.
92
What type of issues prompt a Class 4 medication recall?
Class 4 medication recalls are issued for minor defects in packaging that do not pose an immediate threat to patients, advising caution in use.
93
What does "BB" mean on a prescription endorsement?
Broken Bulk
## Footnote
Broken Bulk (BB) is a term that is applied to a prescription endorsement that entitles the pharmacy to reimbursement for the whole pack of a product when they have only dispensed part of the pack.
94
What does "ED" indicate on a prescription endorsement?
Extemporaneously Dispensed
95
What does "MF" signify on a prescription endorsement?
Measured and Fitted.
96
What is indicated by "ND" with a score through the prescribed item on a prescription?
"ND" means Not Dispensed.
97
What do "OOP" or "XP" signify on a prescription endorsement?
"OOP" or "XP" means Out of Pocket Expenses.
98
What does "PD" refer to on a prescription endorsement?
"PD" stands for Packaged Doses, specifically used for oral liquid methadone.
99
What does "PC" indicate on a prescription endorsement?
"PC" means Prescriber Contacted
100
What does "PNC" signify on a prescription endorsement?
"PNC" means Prescriber Not Contacted.
101
What does "SSP" refer to on a prescription endorsement?
"SSP" stands for Serious Shortage Protocols, which may involve Single Dispensed Product or Multiple Dispensed Product SSP.
102
What does "SP" mean on a prescription endorsement?
Unlicensed Specials and Imports.
103
What does "CC" or "OC" indicate on a prescription endorsement?
"CC" or "OC" means Oral Contraceptive, with no charge to the patient.
104
What does "ACBS" signify on a prescription endorsement?
"ACBS" indicates Advisory Committee on Borderline Substances, with no impact on dispensing.
## Footnote
In certain conditions, some foods and toilet preparations have characteristics of drugs. The Advisory Committee on Borderline Substances (ACBS) advises as to the circumstances in which such substances may be regarded as drugs.
105
What does "SLS" refer to on a prescription endorsement?
"SLS" stands for Selected List Scheme, which requires endorsement by the prescriber if necessary.
## Footnote
Some drugs can only be prescribed in specific situations under the NHS. There's a list of these drugs in Part XVIIIA of the Drug Tariff. If a doctor prescribes one of these drugs, they must write 'SLS' on the prescription if their patient fits that criteria
If a prescription doesn't follow these rules, the drug can't be provided through the NHS.
106
What does "FS" enable prescribers to do on a prescription endorsement?
prescribers endorse scripts with STIs
to indicate to the pharmacy that the pt should not charged
(as meds are to treat STI!)
107
What information is critical for a yellow card report?
* suspect drugs
* suspect reactions
* patient details
* reporter details
## Footnote
the timing of the last administered dose is not critical information
108
If the RP has not signed in, you CANNOT do the following
* firstly you cant open the pharmacy
* cant stock shop floor
* nothing to do with CDs including pt returns and deliveries
109
If the RP HAS signed in, but is not present, you CAN do:
* Labelling
* Picking stock but NOT dispensing
* GSL sales
* deliveries
* accuracy checking (ACT)
110
You recieve an isotretinoin script on the 1st. When would be the last day for the pt to collect this script?
On the 7th
## Footnote
different to CDs- first day counts
111
You recieve a script for Sch 2,3,4 CD on the 1st, when would be the last day for patient to collect this script
29th
112
Is One PRN acceptable for CD scripts
YES
113
Where should your own pharmacies EXPIRED CD stock be entered in? What would we need when destroying these CDs
in your actual CD register
and whoever is denaturing the CD, needs an AUTHORISED WITNESS
114
Where should PATIENT CD returns be recorded? Is a witness needed when denaturing these?
not in your actual CD register
you should have another register for PATIENT CD RETURNS
NO witness needed
115
Where is Sativex kept and what Schedule is it
In the fridge
schedule 4
116
How is Sativex denatured
spray into water
117
What drugs CANT you drive with
COLDFeeT
Clonazepam
Oxazepam
Lorazepam
Diazepam
Flunitrazepam
Temezapam
| as u can see they are all benzodiazepines
118
Which prescribed drugs can still cause problems if patients drive with high concentrations of them in their system?
amphetamine
opiods: such as morphine
| as u can see, Sch 2s
119
POM- VPS: do we always need a written Rx
ONLY if its being given by a DIFFERENT prescriber or dispenser
120
is 'as directed' allowed on vet scripts
NO
121
what is legal paracetamol, aspirin, codeine TABS u can sell
P- 100
A- 100
C- 32
122
what is legal amount of effervescent tabs u can sell
no limit
depends on clinical judgement
123
what does expiry date 12/24 mean
31/12/24
124
what does expiry use by 11/2024 mean
31/10/2024
ie before november
125
what does use before 12/24 mean
same as use by
so 30/11/2024
126
What type of reactions should we report to Yellow Card Scheme
All reactions for black triangle drugs
All severe reactions
## Footnote
A black triangle symbol is used to identify drugs or vaccines that are being monitored more closely than other medicines
severe reations include: clozapine constipation counts as severe reaction, DKA etc
127
Give example of SCH 1 drugs
cannabis
cocaine
heroine
LST
MDMA
128
POM- V: do we always need a written RX
vet only
ALWAYS need written RX
129
What additional information must be provided on a veterinary prescription if relevant?
If relevant, the veterinary prescription must include necessary warnings and the withdrawal period
which is the time that must elapse between when an animal receives a medicine and when it can be used for food.
130
What is the maximum supply of Isotretinoin allowed?
Isotretinoin can be supplied for a maximum of 30 days
