MEP / LAW Flashcards
what is a GSL?
General sale list
these are medicines that are made available as ‘self-selection’ items for sale in registered pharmacies. They can also be sold in
other retail outlets that can ‘close so as to exclude
the public’.
when can GSL be sold?
GSL medicines can only be sold when a pharmacist has assumed the role ofresponsible pharmacist; however, the pharmacist
may be physically absent for a limited period of
time while remaining responsible, thus permitting
sales of general sale medicines during this absenc
What is a P medicine?
Pharmacy Medication
A pharmacy medicine is a medicinal product that can be sold from a registered pharmacy premises by a pharmacist or a person acting under the supervision of a pharmacist
what are OTC medications?
P and GSL medications are OTC medications.
how much psuedoepherine and ephedrine is UNLAWFUl to sell?
supply a product or combination of products that contain more than 720mg of pseudoephedrine OR 180mg of ephedrine at any one time, without a prescription
can you sell pseudoepherdine at the same time as an edpherdine product?
NO
what are signs of possible misuse?
- Lack of symptoms
- Rehearsed answers
- Impatient or aggressive
- Opportunistic
- Specific products
- Paraphernalia
- Quantities
- Frequency
what are the three methods of emergency contraception?
copper intrauterine device (Cu-IUD)
• oral ulipristal acetate
• oral levonorgestrel.
who is levonoesgtrel licensed for?
Levonorgestrel is licensed for women aged
16 years or over for emergency contraception
within 72 hours of unprotected sexual intercourse or
failure of a contraceptive method.
who is Ulipristal acetate licensed for?
licensed for emergency contraception within 120
hours (five days) of unprotected sexual intercourse
or failure of a contraceptive method
whats the maximum amount of paracetamol that can be purchased?
Not more than 100 non effervescent* tablets
or capsules can be sold to a person at any
one time.
-OTC pack sizes are for 16or 32 dose units, this means that, in practice, 96 is the maximum number that can be sold.
how many efferescevent paracetamol tablets can be bought
There are no legal limits on the quantity of over-the-counter effervescent* tablets, powders, granules or liquids that can be sold to a person at any one time.
Use professional judgement to decide the appropriate
quantity to supply and what limits to impose.
how many aspirin can be sold at any one time?
Not more than 100 non-effervescent* tablets or capsules can be sold to a person at any one time. Since most OTC pack sizes are for 16 or 32 dose units, this means that, in practice, 96 is the maximum number that can be sold.
what needs to be on the packaging of products containing codeine or dihydrocodeine?
- indication
- pack size
- patient information leaflet and labels
what indications is OTC codeine and dihydrocodeine NO longer used for?
including cold, flu, cough, sore throats and minor pain have been removed due to misuse issues
what labels MUST be on codeine and dihydrocodeine containing OTC products?
Can cause addiction. For three days use only’ must be positioned in a prominent clear position on the front of the pack.
In addition, both the PIL and packaging must state the indication and that the medicine can cause addiction or headache if used
continuously for more than three days
what are the LEGAL requirements for a prescription? (SEVEN)
- Signature
- Address of Rxer
- Date
- Particulars
- Name of the patient
- Address of the patient
- Age of the patient (if under 12 years)
how long is a prescription valid for?
A prescription is valid for up to six months from the appropriate date.
what is an appropriate date?
For an NHS prescription, the appropriate date is the later of either the date on which the prescription was signed or a date indicated by the appropriate practitioner as the date before which it should not be dispensed.
For private prescriptions, the appropriate date will always be the date on which it was signed
what is an advanced electronic signature?
An advanced electronic signature is a signature
that is linked uniquely to the signatory, capable of
identifying the signatory and created using means
over which the signatory can maintain sole control
what are repeatable prescriptions?
Repeatable prescriptions are private prescriptions
which contain a direction that they can be
dispensed more than once e.g. “repeat x 5”.
how many times can a repeatable script be issued?
If a number is not stated, they can only be repeated once (dispensed twice) unless the prescription is for an oral contraceptive in which case it can be repeated five times (dispensed six times in total
how many times can a repeatable script be issued?
If a number is not stated, they can only be repeated once (dispensed twice) unless the prescription is for an oral contraceptive in which case it can be repeated five times (dispensed six times in total
can CDs be issued on repeatable prescriptions?
Prescriptions for Schedule 2 and 3 CDs are not
repeatable; however, those for Schedule 4 and 5
are repeatable
when does the first issue of a repeatable prescription have to take place?
The first dispensing must be made within six
months of the appropriate date, following which
there is no legal time limit for the remaining
repeats
UNLESS CD 4
the first dispensing must be made within 28 days of the
appropriate date
how long is a POM and CD 5 owing valid for?
6 months from appropriate date
how long is P and GSL owings valid for?
6 months from appropriate date
how long are CD 2,3 and 4 owings valid for?
28 days from the appropriate date
what needs to be included in a private RX register entry?
- Supply date • Prescription date • Medicine details The name, quantity, formulation and strength of medicine supplied (where not apparent from the name) • Prescriber details • Patient details
(also good practice to add how much was paid)
when should a record be added to register?
ideally day of supply but if not within 24 hours
what does NOT need to be entered into private register?
CDs (go in CDR) and oral contraceptives
what are dentists legally allowed to prescribe?
Dentists can legally write prescriptions for any POM. The General Dental Council advises that dentists should restrict their prescribing to areas in which they are competent and generally only prescribe medicines that have uses in dentistry.
(DENTAL FORMULARY)
are fax prescriptions legal?
NO
what are the approved countries where prescriptions would be allowed to be accepted from?
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.
what is required on a prescription from an approved country?
Patient details
Patient’s full first name(s), surname and date of
birth
• Prescriber details
Prescriber’s full first name(s), surname,
professional qualifications, direct contact
details including email address and telephone
or fax number (with international prefix), work
address (including the country they work in)
• Prescribed medicine details
Name of the medicine (brand name where
appropriate), pharmaceutical form, quantity,
strength and dosage details
• Prescriber signature
• Date of issue
Prescriptions are valid for up to six months from
the appropriate date (prescriptions for Schedule
4 CDs 28 days). For prescriptions from these
countries the appropriate date is the date on
which the prescription was signed.
what is an emergency supply?
Emergency supplies at the request of a patient, or
at the request of an approved health professional,
are legally possible
which medications can NOT be given via emergency supply?
Schedule 1, 2 and 3 CDs (including phenobarbital)
or unlicensed products cannot be supplied in
an emergency to a patient of an approved
health professional.
what legally needs to be on a label of a dispensed product?
• 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.
The RPS recommends the following also appears
on the dispensing label:
• ‘Keep out of the reach and sight of children’
• ‘Use this medicine only on your skin’
where applicable
what is ‘covert’ administration
‘Covert administration’ is the term used when
medicines are administered in a disguised format
without the knowledge or consent of the person
receiving them
can pharmacist give adrenaline?
pharmacists using their professional
and clinical judgement can administer adrenaline
in an emergency to persons presenting with
symptoms of anaphylaxis.
what is a PGD?
A PGD is a written direction that allows the supply
and/or administration of a specified medicine
or medicines, by named authorised health
professionals, to a well-defined group of patients
requiring treatment for a specific condition.
can PGD be ued for controlled drugs?
Pharmacists can supply, offer to supply and
administer diamorphine or morphine under a PGD
for the immediate, necessary treatment of sick
or injured persons.
if emergency supply is at the prescriber request when do you need need rx?
within 72 hours
can CDS be given with an emergency supply?
Schedule 1, 2 or 3 CDs cannot be supplied in an emergency whether requested by UK, EEA or Swiss health professionals. Phenobarbital
(also known as phenobarbitone or phenobarbitone sodium) is the exception and can be authorised by UK doctor, dentist, nurse or pharmacist independent prescriber or supplementary prescriber in an emergency for the treatment of epilepsy.
what records need to be kept for an emergency supply?
An entry must be made into the POM register on the day of the supply (or, if impractical, on the following day). The entry needs to include:
• The date the POM was supplied
• The name (including strength and form where appropriate) and quantity of medicine supplied
• The name and address of the prescriber requesting the emergency supply
• The name and address of the patient for whom the POM was required
• The date on the prescription (this can be added to the entry when the prescription is received by the pharmacy)
• The date on which the prescription is received (this should be added to the entry when the prescription is received in the pharmacy
what does a pharmacist need to consider with regards to emergency supply request?
- interview patient
- establish a need for medication
-previous use of medication - dose
- ## length of treatment
what is the maximum length of treatment for CD (i.e.
phenobarbital or Schedule 4 or 5 CD)?
FIVE DAYS
what is maximum length of treatment for POMS emergency supply/
For any other POM, no more than 30
days can be supplied except in the following
circumstances:
• If the POM is insulin, an ointment, a cream, or an inhaler for asthma (i.e. the packs cannot be broken), the smallest pack available in the pharmacy should be supplied
• If the POM is an oral contraceptive, a full treatment cycle should be supplied
what needs to be on the label of an emergency supply?
‘emergency supply’