Pharmacy Practice

Question 1

Controlled Drugs Legislation:
Who is responsible?

Answer 1

1. Misuse of Drugs Act 1971
2. Misuse of Drugs (Safe Custody) Regulations 1973
3. Misuse of Drugs Regulations 2001

Home Office

Question 2

Veterinary Medicinal Products

Answer 2

a. having properties for treating/ preventing disease in animals

b. used in/ admin to animals w a view to restore, correct, modify physiological functions

c. purpose for euthanasia

Question 3

Summary of Product Characteristics

Answer 3

• Target species
• indications
• contraindications
• routes/amounts to admin

Question 4

Cascade - What

Answer 4

Risk based decision tree
Justify use of unauthorised meds
Make clients aware
Obtain consent in writing

Question 5

Cascade Steps - GB

Answer 5

1. Vet product in GB/UK wide for indicated species/condition
2. Vet product in NI for indicated species/ condition
3. Vet product in GB, NI/ UK for different species/ condition
4. Human product from GB, NI, UK OR vet product from outside UK
5. Extemporaneous preparation - UK made
   Exemption - Human - outside UK

Question 6

Egg Withdrawal Period - Unauthorised VMPs

Answer 6

Longest WP in the SPC x 1.5
OR
14 days

Question 7

Milk Withdrawal Period - Unauthorised VMPs

Answer 7

Longest WP in the SPC x 1.5
or
7 days
or
1 day if zero-hour WP.

Question 8

Meat and Offal (Mammals/Birds) Withdrawal Period - Unauthorised VMPs

Answer 8

Longest WP in the SPC x 1.5
or
28 days
or
1 day if zero-day WP.

Question 9

Meat (aquatic species) Withdrawal Period - Unauthorised VMPs

Answer 9

Longest WP for aquatic species in the SPC x 1.5
or
for terrestrial species x 50 or 25 degree days if WP for any species is 0.

Question 10

Authorisation Categories
4 points

Answer 10

1. Prescription Only Medicine - Vet (POM-V)
2. Prescription Only Medicine - Vet, Pharmacist, Suitably Qualified Person (POM-VPS)
3. Non-Food Animal – Vet, Pharmacist, Suitably Qualified Person (NFA-VPS)
4. Authorised Veterinary Medicine–General Sales List (AVM-GSL)

Question 11

Retail Supply Requirements

Answer 11

• Be satisfied that the person who will use product is competent to use it safely and intends to use it for authorised use
• Advise on the safe admin
• Advise necessary warnings or contra-indications
• Not prescribe/supply more than the
  minimum required

Question 12

Controlled Drugs Regulations:

Answer 12

• Misuse of Drugs Act 1971
  = Class A, Class B and Class C
• Misuse of Drugs (Safe Custody)
  Regulations 1973
  = Strict storage and record keeping
• Misuse of Drugs Regulations 2001
  Classifies CDs into 5 Schedules and
  defines form of prescriptions,
  supply, administration, record
  keeping

Question 13

Controlled Drugs - Requirements

Answer 13

Schedule 2 (diamorphine, fentanyl, ketamine) and 3 (buprenorphine, tramadol) = kept in safe custody (locked)

Question 14

Medicines Waste Disposal
Yellow
Orange
Purple
Blue
Black and Yellow Stripes
Black

Answer 14

Yellow = Hazardous waste for incineration
Orange = hazardous waste for tx prior to disposal
Purple = hazardous waste - cytotoxic/ cytostatic medicines
Blue = Non-hazardous = medicines
Black and yellow stripes = non-hazardous offensive waste - blood, body fluid, excrement contaminated waste
Black = domestic waste