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PHAR20200 > P meds > Flashcards

P meds Flashcards

1
Q

What are the legal classifications of drugs given by HMR 2012

A

POM
P
GSL

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2
Q

What is a p medicine?

A

A medicinal product that is not a GSL not a POM- only available from a pharmacy

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3
Q

Any examples of a P medicine?

A

Night nurse, chloramphenicol eye drops, co-codamol- 8/500

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4
Q

Where are P medicines kept in the pharmacy?

A

Behind the counter- out of reach of customers

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5
Q

Under what conditions can a supply of P med be made?

A
  • In a GPhC registered pharmacy
  • Responsible pharmacist taking responsibility
  • Person selling = pharmacist/ supervised by pharmacist
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6
Q

Which medicines are only available from a pharmacy?

A
  • Anthelmintics- treat worms
  • Parenterals- injections
  • Enemas
  • wound, bladder, rectum irrigation
  • Aloxiprin
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7
Q

Can a POM be a P med?

A
  • Yes, the same POM drug can be a P medicine- in lower strengths or lower quantities
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8
Q

Can P meds be the same as GSL drugs?

A

P drugs may be GSL drug in a higher strength or higher quantity

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9
Q

Give a few examples of drugs which are exempt from POM status?

A

budesonide, econazole, chloroquine, codeine, morphine …

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10
Q

Under which conditions can Budesonide be supplied a s aP medicine?

A
  • For nasal administration
  • Max dose- 200mcg/ nostril
  • Treatment/ prophylaxis of allergic rhinitis
  • Adults and children 12 +
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11
Q

Under which conditions can Econazole ( nitrate) be given as a P med?

A
  • External

- Vaginal candidiasis

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12
Q

Under which conditions can Chloroquine Ph be given as a P med?

A
  • Prophylaxis of malaria
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13
Q

which CD can be exempt from POM status and be a P med under ‘POM order 1997’?

A

Codeine, Dihydrocodeine, Ethylmorphine, Morphine, Pholcodine- & their salts and medicinal opium

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14
Q

Which conditions must be met to supply CD as a P med?

A
  • must contain only one of listed substances
  • Specify the max strength
  • Sold in pharmaceutical form specified in Order
  • In containers or packages labelled to not exceed max dose
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15
Q

What is a counter prescribe med?

A

A medicine requested by a patient to make a product extemporaneously for a condition
- pharmacist uses own judgement as to the treatment required

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16
Q

Does the patient need to be present in the pharmacy for the counter med?

A

YES

17
Q

Can pseudoephedrine salts/ ephedrine salts or base be supplied as P med? What are they used as?

A

Yes

- used as a decongestant

18
Q

Why the Restrictions for pseudoephedrine as P med?

A

Potential misuse in production of crystal meth

19
Q

What are the restrictions for supplying pseudoephedrine?

A
  • Cant supply product containing more than 72omg of pseudo OR 180mg of ephedrine without Rx at one time
  • Cant supply product with pseudo & ephedrine at the same time without a Rx
  • sale should be made by the pharmacist OR staff who are competent
  • Even if lawful request made- can reject if suspect misuse
20
Q

Can EHC be given as a P med?

A

Levonorgestrel 1500mcg & ulipristal acetate- 30mg can be given

21
Q

What is the age restriction for Levonorgestrel? and when should it be given?

A
  • Women aged 16 or over

- within 72 hrs of unprotected sex

22
Q

When should ulipristal acetate be given?

A

within 120 hrs of unprotected sex

23
Q

Can an advance supply of EHC be made at the request of a patient?

A

YES

24
Q

What are the tighter controls & warnings on P meds containing codeine or dihydrocodeine? (5)

A

1- indications- only short term acute mod pain that is not relieved by paracetamol, ibuprofen, aspirin
(not given for cold flu anymore)
2- Pack sizes- if more than 32 units–> POM
3- labels –> warning- ‘can cause addiction’ & ‘for three days use only’ - prominently
4- PIL- also state can cause addiction and headache if used for 3+ days + signs of addiction
5- Sell only one pack containing codeine or dihydrocodeine

25
Q

What are the restrictions on non- effervescent paracetamol as a P medicine?

A
  • Dont supply more than 100- as only available in packs of 16 & 32- MAX is 96 tablets
26
Q

Are there any restriction on how many effervescent tablets/ powders/ granules/ liquids paracetamol can be suppled as P meds?

A

No- but use professional judgement

27
Q

Are there any restrictions to how many aspirin non effervescent tablets/ capsules can be sold?

A

Not more than 100- but as pack sizes are 16 & 32- 96 is MAX

28
Q

Is there a limit on OTC aspirin effervescent tablets / powders?

A

NO- but use professional judgement

29
Q

Can P meds be prescribed?

A

YES

30
Q

Are the requirements same for P Rx as for POM Rx?

A

requirements for POM Rx only apply to POM

PHAR20200 (6 decks)

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