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PHAM01 > P&GSL - P meds > Flashcards

P&GSL - P meds Flashcards

1
Q

T/F: When a pharmacist is in the stock room upstairs the sale of P medicines can still legally take place?

A

FALSE

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2
Q

T/F: A pharmacist may delegate the supervision of P medicines when he is away from the premises to the trainee pharmacist?

A

FALSE

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3
Q

T/F: A pharmacist can exercise supervision when away from the pharmacy so long as he is contactable on a mobile phone?

A

FALSE

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4
Q

T/F: A pharmacist may decide to sell recently switched POM to P medicines personally?

A

TRUE

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5
Q

T/F: It is a legal requirement that P medicines should not be available for patients to pick up themselves?

A

FALSE

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6
Q

T/F: A suitably trained member of staff may legally sell the ‘morning after pill’?

A

TRUE

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7
Q

T/F: It is a legal requirement that pharmacies have protocols in place for selling P medicines?

A

TRUE

thereshould be SOPs in place for selling P meds

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8
Q

T/F: It is a legal requirement to record the dispensing of a P medicine on a private prescription?

A

FALSE

only if Rx is for POM, but it’s good practice

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9
Q

T/F: It is legally permitted to sell two boxes of co-codamol 8/500 in one transaction?

A

TRUE

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10
Q

T/F: Only a responsible pharmacist can supervise the sale of P medicines?

A

FALSE

any pharmacist can, doesn’t have to be the responsible paharmacist

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11
Q

definition of P meds

A

medicinal products which are not POM or GSL or which are classified by manufacturers as P in their marketing authorisation

medicines made in a pharmacy for retail sale under the exemptions from licensing are all P medicines, even if all the ingredients used are classified as GSL

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12
Q

P vs PO

A

PO are legally classified as GSL

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13
Q

examples of POMs that can be P when sold in smaller pack sizes, strengths, certain indications, certain forms

A
  • hydrocortisone – 1% cream 15g (P) (strength and form)
  • Naproxen 250mg – primary dysmenorrhea in women aged between 15 and 50 years (P) (indication)
  • codeine, DHC, morphine and pholcodine are exempt from POM when in preps with only 1 of the CDs below a stated strength (CDs)
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14
Q

What are Schedule 15 products?

A

aspirin

ibuprofen

paracetamol

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15
Q

paracetamol 500mg non-soluble tabs licencing

A

16 = GSL
32 = P
100 = POM

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16
Q

max amount of paracetamol tabs that can be sold

A

multiple packs can be sold to same patient up to the POM limit (100)

(3x 32 = 96 or 6x 16 = 96)

BUT at the professional discretion of pharmacist who should authorise sale

17
Q

Max of paracetamol solube/liquid/powder/granules that can be sold?

A

no legal max sale

professional discretion

18
Q

Who can sell P meds?

A

MUST BE:
- lawfully conducting a pharmacy business
- premises is a registered pharmacy
- they’re a pharmacist or, acting under the supervision of a pharmacist

** doesn’t apply in event or anticipation of pandemic disease

19
Q

legal definition of supervision

A

The pharmacist must be aware of the sale and be in a position to intervene where necessary

20
Q

location of P meds in pharmacy

A
  • law doen’t state where in the pharmacy P meds should be
  • good practice requirement that P medicines should not be placed on self selection shelves
  • behind the counter traditionally
  • can be on self selection if ‘key safeguards’ in place (not defined)
  • can put empty boxes on self selection shelves
  • put behind glass lockable doors
21
Q

What classification are decongestants with ephedrine/pseudoephedrine?

A

P medicines

22
Q

Legal max quantity of ephedrine/pseudoephedrine that can be sold in any transaction?

A

720mg pseudoephedrine

180mg ephedrine

23
Q

Can you sell pseudoephedrine product with ephedrine product together?

A

NO

unlawful

23
Q

Who to report suspicions about misuse of pseudoephedrine/ephedrine to?

A

local CD liaison police officer or accountable officer

24
Q

Classification of low strength codeine/DHC?

A

P

25
Q

Risks of LT use with codeine/DHC?

A

overuse

addiction

26
Q

indication of codeine/DHC?

A

ST Tx of acute, moderate pain that is not relieved by paracetamol, ibuprofen or aspirin alone

not recommended for cold, flu, cough, sore throats and minor pain

27
Q

max pack size of codeine/DHC that can be sold

A

max pack size of 32 dose units (all formulations incl effervescent)

> 32 = POM

28
Q

What must appear on the front of the pack/PIL of codeine/DHC?

A

pack: ‘can cause addiction. For 3 days use only’

PACK & PIL: can cause addiction or overuse headache if used continuously for more than 3 days

PIL: must also contain info about warning signs of addiction

29
Q

Max no. of packs of codeine/DHC that can be sold?

A

max of 1 pack only per transaction

30
Q

free gift promotions of meds

A

deemed unacceptably by MHRA

31
Q

price promotions

A

could lead to stock piling of medicines by patients and use for too long/use beyond expiry date

pts think of them as commodity for sale, not the case

PHAM01 (22 decks)

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