MEP Quizlet

Question 1

What is the maximum dose of pseudoephedrine and ephedrine that can be sold OTC?

Answer 1

Legal restrictions on the maximum quantity of pseudoephedrine (720mg) and ephedrine (180mg) that can be sold, and the restriction against selling the two medicines together in a single transaction (Regulation 237 of Human Medicines Regulations 2012). Can refuse sale if suspect misuse.

Question 2

What are the 4 principles of medicines optimisation?

Answer 2

1. Aim to understand patient’s experience
2. Evidence-based choice of medicines
3. Ensure medicines use is as safe as possible
4. Make medicines optimisation part of routine practice

Question 3

What are the revalidation requirements for pharmacy professionals?

Answer 3

Submit 6 records a year - 4 CPD (at least 2 planned), a peer discussion and a reflective account.

Question 4

What are the GPhC Pharmacy Professional Standards?

Answer 4

1. Provide person-centred care
2. Work in partnership with others
   3 Communicate effectively
3. Maintain, develop and use their professional knowledge and skills
4. Use professional judgement
5. Behave in a professional manner
6. Respect and maintain the person’s confidentiality and privacy
7. Speak up when they have concerns or when things go wrong
8. Demonstrate leadership

Question 5

What are the 3 classes of medication along with their requirements?

Answer 5

General Sale List (GSL) - can be sold in retail outlets and pharmacies (that can close as to exclude the public). Have an EU or UK MA. PO term is sometimes used for GSL meds which manufacturer wishes tor restrict sales through pharmacies only e.g. 30 Fybogel sachets. Can sell GSL medicines when RP absent.

Pharmacy (P) medicines - can be sold in a pharmacy. Additional legal and professional considerations e.g. PPIs, tamsulosin, sildenafil. Not for self selection (behind a counter).

GSL + P medicines = OTC medicines

Prescription only medicine (POM) = requires a prescription required by an appropriate practitioner.

Question 6

What is the dose of levonorgestrel and what is it licensed for as EHC?

Answer 6

Levonrgestrel 1500 microgram tablet.
Licensed for women aged 16 years or over for EC within 72 hours.

Question 7

What is the dose of ulipristal and what is it licensed for as EHC?

Answer 7

Ulipristal acetate 30mg (Ella One) -
Licensed for EC within 120 hours (5 days) of unprotected sex.

Question 8

Can you provide an advance supply of EHC?

Answer 8

Yes - pharmacists can supply if clinically appropriate and patient is competent.

Question 9

Which EHC would be used in under 16s?

Answer 9

Ulipristal acetate. Supply to under 16s is not contraindicated by manufacturer. However, should NOT be given to under 13s as too young to consent (report to social services). Can supply to 13-16 year old providing no suspicion of abuse.

Question 10

What is the most effective emergency contraceptive method?

Answer 10

An intrauterine device (IUD) is considered the most effective emergency contraceptive method. A copper IUD is the type used for emergency contraception. However, in a situation where you need to act quickly, fitting an IUD takes time and involves an invasive and sometimes uncomfortable procedure.

A copper IUD can be fitted up to 120 hours (five days) after unprotected sex, however its use is restricted by its availability and the need for it to be inserted by a skilled healthcare professional.

Question 11

Which EHC methods are effected by CYP3A4 inducers?

Answer 11

Copper IUD is only EHC not affected by CYP3A4 inducers.

With EHC pills - this may result in reduced efficacy.

Can take double the dose of levonorgestrel

Question 12

What are the legal restrictions for paracetamol and aspirin?

Answer 12

Paracetamol - not more than 100 non effervescent tablets or capsules to a person at any one time (usually max 96 sold OTC).

Aspirin - same as paracetamol.

Question 13

What are the legal restrictions for codeine and dihydrocodeine and why is this the case?

Answer 13

Potential for misuse so now restricted to short-term use only for acute, moderate pain that is not relieved by paracetamol, ibuprofen or aspirin alone (Can cause addiction. For 3 days use only on box). NOT for cold, cough, flu, sore throat or minor pain.

Any pack size containing more than 32 tablets is a POM.

Can only sell one pack OTC.

Question 14

What drugs can be dispensed on MDA forms?

Answer 14

• ALL Schedule 2 CDs;
• Buprenorphine (including buprenorphine/naloxone
  combination drug); and
• Diazepam.

Question 15

What are the CD prescription requirements?

Answer 15

All MDA forms for Schedule 2 and 3 CDs must include:
* Patient name and address;
* Drug name;
* Dose (‘as directed’ not permitted);
* Formulation;
* Strength (where appropriate);
* Total quantity/dosage units of the preparation in both words
and figures (for liquids, total volume in ml);
* Prescriber signature and address; and
* Date of issue.