MEP QUIZ 2 Flashcards
What does PO classification of medicine mean
Gsl but where the manufacturer wishes to restrict the sale or supplies to in registered pharmacies only
What independent prescriber cannot prescribe cd or parenteral medicines
Optometrist
What are the rules around supplying pseudo / ephedrine?
Can’t by both drugs at the same time
Can’t get more than 720mg of pseudo or 180mg of ephidrine without Rx
What age can levonestrel be bought OTC
16
Ella one is for anyone of childbearing age but I can’t find what age you can sell it OTC
Can you sell the morning after pill in advance?
Yes- if you think they will use it right
At what age are you too young to be able to give consent to sexual acitivty
13
What ages can tamsulosin be supplied OTC
45-75
How long must symptoms of BPH be present for tamsulosin OTC
three months
How much tamsulosin can be supplied OTC
2 weeks initially, then a further 4 weeks if there is an improvment in symptoms.
After this the patient needs to confirm a doctor has advised it is apprpriate
What are contraindications/cautions for tamsulosin OTC
glacoma/cataract
Interacting drugs (CYP2a4 inhibitors)
enhanced hypotensive effects with antihypertensives
At what age can you get chloramphenicol OTC
2 years
Signs and symptoms of acute bacterial conjunctivitis
red or watery eye, discharge with eyelids stuck together in
the morning, mild to moderate itching, burning or grittiness, lid
swelling
non pharma measures for conjunctivities
Bathing the eyelids with tepid water to remove any discharge
• When cleaning the eye, wiping the eye from the bridge of the
nose to the outer corner of the eye with a fresh piece of cotton
wool or gauze
• As eye infections are easily passed to other people, it is advisable
for those with eye infections to avoid sharing towels, facecloths,
etc
• It may be useful to discuss with the patient the possible causes
of acute bacterial conjunctivitis and advise on the condition’s
self-limiting nature (most cases will clear within 1-2 weeks, and
often within 2-5 days without any treatment)
• Use of over the counter lubricant eye drops can also help
reduce any discomfort in the eye(s)
when should you refer conjuctivits
- already using other eyedrops/interacting drugs
- something in the eye
- dry eye dyndrome
- preg/bf
- viral
- visual disturbance
- contacts
- acute glaucoma where the patient is suffering from nausea
- eye surgery in the last 6 months
Refer after chloramphenicol has been used for …….. without improvement
48 hours
What are the dircetions for choramphen eye drops
and for ointment
for how long
eye drops- every 2 houts for 48 houts and then four hourly
ointment - 3-4 times daily
5 days
the age of the patient is needed if they are under…
12
what are the requirements of an Rx
- pt age (under 12)
- pt name
- pt address
- date
- prescriber signature
- prescriber particulars
- prescriber address
what Sch CDs are repeatable
4 and 5
if no of repeats is not stated it just says repeat how many times?
once (i.e. dispense twice in total)
except oral contraceptive which can repeated five times (i.e. issue 6 total) within 6 months
for CDs when must any repeats be filled in?
sch 5 - first repeat in 6 months
sch 4 - first repeat in 28 days
after which there is no limit
can a repeat prescription be given in different pharmacies
yes- endorse with name and address of pharmacy and date
POM records are retained for
2 years - the record and Rx is kept
POM register must have
Supply date Prescription date Med deets - name, quantity, formulation, strength (where not apparent from name) Prescriber deets - name and address Pt deets - name and address
What is exempt from the POM register
Sch 2
OC
are details of the medicinal product legal requirements on a prescription
no
the provision of sch ………………… CDs without an Rx is a criminal offence
2 and 3
what sch cannot be prescribed by EEA or Swiss doctor
1,2,3
what is a FMed 296
who pays?
military presctiprion
treat as a private prescription and charge the pt
Legal requirements for on a label
Pt Name & address of pharmacy Name of med Directions for use Precautions
RPS recommends
Keep out of reach of children
Use this medicine only on your skin
Prison number