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Revision for GPhC Exam > MEP - legal issues with Rx > Flashcards

MEP - legal issues with Rx Flashcards

1
Q

From what age is levonorgestrel licensed as a P med?

A

16 years

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2
Q

Can levonorgestrel be given to a child aged 14 for UPSI which occurred 24h ago?

A

Yes - must be given under PDG.

CANNOT be sold as a P meds - 16 and over only.

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3
Q

Max number of non-effervescent paracetamol/aspirin than can be sold at one time?

A

100 max

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4
Q

What are the 7 general Rx requirements?

A
  1. Pt name.
  2. Pt address.
  3. Date.
  4. Prescriber signature.
  5. Prescriber particulars.
  6. Prescriber address.
  7. Age - if <12.
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5
Q

What is the “appropriate date” - difference between nhs and private rx?

A

NHS - date indicated for rx to start by prescriber or date it was signed.

Private - Date rx was signed.

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6
Q

How many times can private Rx be repeated if not indicated?

A

repeated once - ie dispensed twice.

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7
Q

How many times can private Rx for oral contraceptive be repeated if not indicated?

A

repeated 5 times - ie dispensed 6 times.

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8
Q

Are Rx for sch 2/3 drugs repeatable?

A

NO

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9
Q

When must first dispensing for Sch 4 Rx be made to allow for future repeats?

A

First dispensed must be within 28 days of date - then no time limit on other repeats.

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10
Q

Can the patient take away a repeatable Rx?

A

YES - they can get repeats in different pharmacies if they wish - mark name+address of pharmacy and date.

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11
Q

How long must private x for POM be kept?

A

2 years - from date of issue (or last repeat issue).

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12
Q

How long must POM register for private Rx be kept?

A

2 years from date of last entry.

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13
Q

What must the POM record for private Rx include?

A
  1. Date.
  2. Rx date.
  3. Medicine details - name, qty, form, strength.
  4. Px details
  5. Pt details.
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14
Q

Is a POM register entry required for contraceptives or Sch 2 CDs?

A

No, Sch 2 entry in CD register is enough.

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15
Q

When does an owing expire for POM and Sch 2/3/4 CDs?

A

POM - 6 months

Sch 2/3/4 - 28 days.

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16
Q

Can you legally supply against a faxed Rx?

A

No - not written in indelible ink AND not signed by practitioner.

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17
Q

Can dentists prescribe anything?

A

YES - they can write Rx for ANY POM.

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18
Q

Can dentists prescribe anything on GP14?

A

No - can only prescribe from dental formulary.

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19
Q

Can you complete an emergency supply for patient of a EEA or Swiss prescriber?

A

Yes - legally allowed.

20
Q

What 5 things are required on EEA or Swiss Rx?

A
  1. Pt details (inc DOB).
  2. Px details
  3. Medicine details
  4. Px signature
  5. Date
21
Q

How long does Px have to get Rx to you if they request emergency supply?

A

72h.

22
Q

What are the 6 legal requirements for a label for a dispensed product?

A
  1. Pt name
  2. Name + address of pharmacy
  3. Date of dispensing.
  4. Name of medicine
  5. Directions for use.
  6. Precautions for medicine use.
23
Q

For an emergency supply - how many days Tx can be supplied for phenobarb or Sch 4/5 CD?

A

Max 5 days Tx.

24
Q

Can salbutamol inhalers be supplied to schools?

A

Yes - by written order signed by Principal/head teacher.

25
Q

How long must signed order for salbutamol inhalers for schools must be kept?

A

2 years from date of supply.

26
Q

Can schools obtain adrenaline auto-injectors?

A

Yes - again with written order and for purchase.

27
Q

What other drugs (besides valproate) is included in a pregnancy prevention programme?

A

Oral retinoids - isotretinoin.

28
Q

What are the 2 dispensing controls for females at risk of pregnancy?

A
  1. Rx validity - only valid for 7 days under PPP.

2. Quantity - max 30days supply.

29
Q

What is an example of a biosimilar for Lantus (insulin glargine)?

A

Abasaglar.

30
Q

What are the 4 types of vet medicines?

A

POM-V
POM-VPS
NFA-VPS
AVM-GSL

31
Q

What is a POM-V?

A

POM which can only be Px by Vet surgeon
and
supplied by vet surgeon OR pharmacist on written Rx.

32
Q

What is a POM-VPS?

A

POM that can be Px and dispensed by
Vet surgeon
Pharmacist
Suitably qualified person.

33
Q

Is a written Rx required for all POM-VPS supplies?

A

No - only if supplier is not prescriber.

34
Q

What is a NFA-VPS?

A

Medicine for Non-Food Animals (eg hamster) that can be supplied by
Vet surgeon
Pharmacist
Suitably qualified person.

35
Q

What is an AVM-GSL?

A

Authorised Vet Medicine

General Sale List

36
Q

What are Rx requirements for vet Rx?

A
  1. Name, address, telephone number, qualification and signature of Px.
  2. Name + address of owner.
  3. Name, species + address of animal.
  4. Date.
  5. Name, qty, dose and admin directions.
  6. Warnings, withdrawal period.
  7. If required, Px under cascade.
  8. Sch 2/3 CD - “Item Px for animal in my care”
  9. Number of repeats if necessary.
37
Q

Is “as directed” acceptable on vet Rx?

A

NO - not acceptable.

38
Q

How long should Vet Rx be retained in pharmacy?

A

5 years

39
Q

Are standardised forms required for vet Rx for Sch 2/3 CDs?

A

No

40
Q

What statement is required on vet Rx for Sch 2/3 CDs?

A

“For animal in my care”

41
Q

What is the max quantity of Sch 2/3 CD’s that can be Px for humans vs vet (good practice)?

A

Human - 30 days

Vet - 28 days.

42
Q

What must vet rx include to be able to ID Px?

A

RCVS number

43
Q

How long are vet Rx for Sch 2/3 CDs valid for?

A

28 days.

44
Q

What are the 4 steps of the vet cascade?

A

Supply licensed vet med.

Supply vet med licensed for another species/condition.

Supply licensed human med or EU-licensed vet med.

Exptemp or special can be considered.

45
Q

What must appear on the dispensing label for a vet med given under the cascade?

A
  1. Name of vet surgeon.
  2. Name + address of animal owner.
  3. Name + address of pharmacy
  4. ID and species or animal.
  5. Date
  6. Expiry date of product.
  7. Name of product.
  8. Dosage and admin directions.
  9. Storage and warnings.
  10. Withdrawal period.
  11. For animal Tx only.
  12. Keep out of sight/reach children.
46
Q

What info must be kept in the POM register for vet Rx?

A
  1. Name medicine
  2. Date of receipt/supply.
  3. Batch number
  4. Qty
  5. Name and address of supplier
  6. Name + address of Px

Revision for GPhC Exam (11 decks)

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