Pharmacists only medication

Question 1

Chloramphenicol

When would you supply this?

What are the symptoms of bacterial conjuntivitis?

What is the management?

Answer 1

BACTERIAL CONJUNCTIVITIS
Generally, affects only one eye but can easily spread to the other eye.
Signs and Symptoms: include acute redness, eye discomfort described as a gritty irritation or burning, but not painful. The discharge which
occurs is sticky and purulent (whitish-yellow or pus-like) and often causes the eyelids to stick together when waking in the morning. Vision is
not usually affected, except the discharge may cause some blurring which clears with blinking.
Management: Usually resolves spontaneously within 7-10 days, however antibacterial eye-drops or ointment can hasten resolution time.
Chloramphenicol eye-drops: 1-2 drops in each eye q2h while awake for the first 48 hours, followed by 1 drop q4h for a further 3 days.
Alternatively, apply a short (1.5cm) strip of chloramphenicol eye ointment along the inside of each eyelid q3h. Drops could be used
during the day and ointment at night. As bacterial conjunctivitis is contagious, advise patient to avoid touching their eyes or sharing
towels and facecloths.

Question 2

Clotrimazole

What use?

Answer 2

For vaginal use

Question 3

Cyclizine

Answer 3

For oral use for nausea & vomiting. Manufacturers original pack containing not more than 6 tablets

For oral use for insomnia. Manufacturers original pack containing not more than 10 tablets

Question 4

Diclofenac

Answer 4

In solid dose form when containing 25mg or less but more than 12.5 mg per dose form. Pack containing not more than 30 tablets or capsules

Question 5

Famciclovir

Answer 5

For the treatment of recurrent herpes labialis forms for oral use containing 500mg or less

Manufacturers original pack up to 3 dosage units

Question 6

Fluconazole

Answer 6

For treatment of vaginal candidiasis in medicines that have recieved the consent of the Minister or Director-General to their distribution as restricted medicines and that are sold in the manufacturers original pack containing not more than 150mg as a single dose

Question 7

Hydrocortisone and hydrocortisone acetate

Answer 7

For dermal use in medicines containing 1% or less but more than 0.5% by weight of hydrocortisone base with no other active ingredient except an antifungal and in a quantity of 30 grams or less or 30 millilitres or less per container

For dermal use in medicines containing 1% or less but more than 0.5% by weight of hydrocortisone base with no other active ingredient except 5% or less by weight of aciclovir and in a quantity of 2 grams or less or 2 millilitres or less per container in adults and children 12 years of age and older

In rectal medicines containing 1% or less but more than 0.5% by weight of hydrocortisone base and in combination with a local anaesthetic and in a quantity of 35 grams or less per container or up to 12 suppositories per pack

Question 8

Hyoscine butylbromide

Answer 8

For oral use in medicines containing not more than 10mg per dose form and in packs containing not more than 20 tablets or capsules

For oral use in medicines containing not more than 20mg per dose form and in packs containing not more than 10 tablets or capsules for the relief of muscle spasm of the gastrointestinal tract

Question 9

Miconazole

Answer 9

For the treatment of oral candidiasis

for vaginal use

*Pharmacy only for external use (tinea)

Question 10

Nystatin

Answer 10

For buccal use in the treatment of oral candidiasis

For vaginal use

Question 11

Paracetamol

Answer 11

In modified-release forms containing 665 milligrams or less

Question 12

Prochlorperazine

Answer 12

For treatment of nausea associated with migrain in packs containing not more than 10 tablets or capsules

Question 13

Promethazine

Answer 13

For oral use in adults & children over 2 years of age other than in medicines used for the treatment of insomia

For oral use for the treatment of insomnia when sold in the manufacturers original pack containing not more than 10 dosage units

For oral use in medicines for adults and children over 6 years of age when combined in the same container with 1 or more other therapeutically active ingredients either when in the bedtime dose of a day/night pack containing promethazine or when at least 1 of the other active ingredients is a sympathomimetic decongestant

For oral use in the manufacturers original pack of not more than 10 tablets or capsules for the prevention or treatment of motion sickness in adults and children over 2 years of age

Question 14

Pseudoephedrine

Answer 14

In solid-dose cough or decongestant medicines containing not more than 60 mg per recommended dose and not more than 240 mg per recommended daily dose, in a pack size of 720mg or less

Question 15

Sumatriptan

Answer 15

For the acute relief of migraine attacks with or without aura in patients who have a stable, well established pattern of symptoms

When sold in manufactturers original pack and containing not more than 2 tablets (of 50mg or less per tablet) that has recieved the consent of the minister of director general