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PHA221 > Pharmacy medicines > Flashcards

Pharmacy medicines Flashcards

1
Q

Is there a definitive list of pharmacy medicines?

A

No

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2
Q

Define P medicines

A

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

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3
Q

Outline the schedule 15 products

A
  • Aspirin
  • Ibuprofen
  • Paracetamol
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4
Q

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

A

GSL

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5
Q

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

A

P

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6
Q

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

A

POM

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7
Q

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

A

No - it’s illegal

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8
Q

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

A

2 packs of 16

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9
Q

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

A

96

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10
Q

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

A

no legal maximum

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11
Q

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

A
  • Smaller pack sizes
  • Low strength
  • Certain indications
  • Certain forms
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12
Q

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

A

Hydrocortisone 1% cream 15g

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13
Q

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

A
  • Naproxen 250mg

- Indication: primary dysmenorrhea in women aged 15-50

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14
Q

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

A
  • Codeine
  • Dihydrocodeine
  • Morphine
  • Pholcodine
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15
Q

Ranitidine is a GSL when..

A
  • Pack size max: 12

- 75mg tabs

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16
Q

Ranitidine is a P when..

A
  • Pack size max 24

- 75mg tabs

17
Q

Ranitidine is a POM when..

A
  • 150mg + 300mgs

- Tabs, sol + effervescent tabs

18
Q

What are the indications for ranitidine?

A
  • Heartburn
  • Dyspepsia
  • Hyperacidity
  • Prevention of symptoms when associated w/ consumption of food/drink
19
Q

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

A
  • They are lawfully conducting a pharmacy business
  • Premises is registered pharmacy
  • A pharmacists or acting under supervision of pharmacist
20
Q

What is the legal definition of supervision?

A

Pharmacist must be aware of sale + in position to intervene

21
Q

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

A

No

22
Q

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

A

Good practice

23
Q

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

A
  • Empty box on self selection shelves so patient can read info on box
  • P medicine in front of medicine counter behind glass lockable doors
24
Q

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

A

Decongestant

25
Q

What are the risks of selling ephedrine and pseudoephedrine?

A

Potential for misuse - manufacture of crystal meth

26
Q

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

A

720mg

27
Q

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

A

180mg

28
Q

What are the guidelines when selling pseudoephedrine and ephedrine?

A
  • 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
29
Q

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

A

Analgesics

30
Q

What are the risks of selling codeine and dihydrocodeine?

A
  • Overuse

- Addiction

31
Q

What are the restrictions when selling codeine and dihydrocodeine?

A
  • 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
32
Q

What are the signs of possible misuse?

A
  • 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
33
Q

Outline what OTC stimulant laxatives contain

A
  • Senna/sennosides
  • Bisacodyl
  • Sodium picosulfate
34
Q

Outline what POM stimulant laxatives contain

A
  • Danthramer

- Co-danthrusate

35
Q

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

A
  • Smaller packs = GSL for short term constipation, adults only
  • 20 standard strength tabs/10 max strength tabs/100ml sol
  • Larger pack (100) = P
36
Q

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

A
  • GSL: 18+
  • No longer used in under 12
  • 12-17 supplied under supervision of pharmacists
37
Q

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

A
  • 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

PHA221 (22 decks)

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