Pharmacy medicines Flashcards by Jullianna Paggabao

Is there a definitive list of pharmacy medicines?

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Define P medicines

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

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Outline the schedule 15 products

Aspirin
Ibuprofen
Paracetamol

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A pack of 16 paracetamol tablets 500mg (non-soluble) is considered which type of classification?

GSL

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A pack of 32 paracetamol tablets 500mg (non-soluble) is considered which type of classification?

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A pack of more than 32 paracetamol tablets 500mg (non-soluble) is considered which type of classification?

POM

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Is it legal to sell a quantity of more than 100 paracetamol 500mg tablets over the counter?

No - it’s illegal

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How many packs of paracetamol tablets 500mg can be sold in one transaction from non-pharmacies?

2 packs of 16

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How many packs of paracetamol tablets 500mg can be sold in one transaction from pharmacies?

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What is the legal maximum of paracetamol tablets 500mg (soluble)?

no legal maximum

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Some POMS are classified as P when they are sold in..

Smaller pack sizes
Low strength
Certain indications
Certain forms

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Give an example of a POM that is classified as a P due to the strength + pharmaceutical form

Hydrocortisone 1% cream 15g

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Give an example of a POM that is classified as a P due to the indication

Naproxen 250mg

- Indication: primary dysmenorrhea in women aged 15-50

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Give examples of a POM that is classified as a P when given at a lower strength

Codeine
Dihydrocodeine
Morphine
Pholcodine

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Ranitidine is a GSL when..

Pack size max: 12

- 75mg tabs

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Ranitidine is a P when..

Pack size max 24

- 75mg tabs

Ranitidine is a POM when..

150mg + 300mgs

- Tabs, sol + effervescent tabs

What are the indications for ranitidine?

Heartburn
Dyspepsia
Hyperacidity
Prevention of symptoms when associated w/ consumption of food/drink

P medicines may not be sold by any person unless..

They are lawfully conducting a pharmacy business
Premises is registered pharmacy
A pharmacists or acting under supervision of pharmacist

What is the legal definition of supervision?

Pharmacist must be aware of sale + in position to intervene

Can a sale/supply of a medicine be described as supervised if the pharmacist is absent from the pharmacy?

Is it good practice or a legal requirement that a P medicine should not be placed on self selection shelves?

Good practice

Give two alternatives for the location of P medicines in a pharmacy

Empty box on self selection shelves so patient can read info on box
P medicine in front of medicine counter behind glass lockable doors

Ephedrine and Pseudoephedrine are both P medicines. What are they used as?

Decongestant

What are the risks of selling ephedrine and pseudoephedrine?

Potential for misuse - manufacture of crystal meth

What is the legal maximum quantity of pseudoephedrine that can be sold in one transaction?

720mg

What is the legal maximum quantity of ephedrine that can be sold in one transaction?

180mg

What are the guidelines when selling pseudoephedrine and ephedrine?

- Unlawful to sell pseudoephedrine-containing products at same time as ephedrine-containing products - RPS advice: sale made by pharmacists or trained staff under supervision - Lawful request can be refused on grounds of misuse - Suspicions reported to: local GPhC inspector, local CD liaison police officer or accountable officer

Codeine and dihydrocodeine are both P medicines. What are they used as?

Analgesics

What are the risks of selling codeine and dihydrocodeine?

- Overuse | - Addiction

What are the restrictions when selling codeine and dihydrocodeine?

- Short term acute, moderate pain not relieved by sched 15 prods - Max 32 dose units - Labels: 'can cause addiction. For 3 days use only', can cause addiction or overuse headache when used for more than 3 days continuously and warning signs of addiction - RPS recommends max 1 pack per transaction

What are the signs of possible misuse?

- Lack of symptoms - Rehearsed answers - Impatient/aggressive - Opportunistic - Specific products - Paraphernalia - buys other products that can be used to manufacture meth - Large quantities - Frequent requests

Outline what OTC stimulant laxatives contain

- Senna/sennosides - Bisacodyl - Sodium picosulfate

Outline what POM stimulant laxatives contain

- Danthramer | - Co-danthrusate

What are the changes to OTC stimulant laxatives in relation to the pack size?

- Smaller packs = GSL for short term constipation, adults only - 20 standard strength tabs/10 max strength tabs/100ml sol - Larger pack (100) = P

What are the changes to OTC stimulant laxatives in relation to the age restrictions?

- GSL: 18+ - No longer used in under 12 - 12-17 supplied under supervision of pharmacists

What are the changes to OTC stimulant laxatives in relation to warnings in patient leaflets?

- Overuse may be harmful due to risk of fluid + electrolyte disturbances + potential disruption of intestinal function - Warning: doesn't aid weight loss - Include new age recommendations