POM, P+, P only, GSL Flashcards
What information must be included in a prescription to be legal? (Top 10) Where can you find this information?
- Patient name
- Patient NRIC
- Patient Contact number
- Patient Address
- Dosing Instructions (Name, Strength, Frequency)
- Total Quantity of Medication Supply
- Doctor name
- Doctor signature
- Doctor’s clinic address
- Date of supply
Medicines (Prescription Only) Order, Regulation 5
Name 1 antiviral medication that is POM with exemption and state the limits
Acyclovir
- Max Strength: 5%
- Max Supply: 2g
- Indication: Cold sore
- Formulation: Topical
Name 1 antimalarial drug that is POM with exemption and state the limits
Atovaquone Proguanil HCl
- Max Strength: 250/100 mg tablet per day
- Max supply: Duration of travel + 1 to 2 day before travel + 7 days after leaving
- Age: 18 y.o.
- Weight ≥ 40 kg
Name the 2 cough with phlegm medications that are POM with exemption and state the limits.
Name the brands that are exceptions to this case
Ambroxol
- Max strength: 30mg/tablet OR 30mg/5mL liquid
- Indication: Chest congestion
Bromhexine
- Max strength: 8mg/tablet OR 4mg/5mL liquid
- Indication: Chest congestion
Exceptions:
- Mucosolvan (GSL)
- Mucolix Elixir (GSL)
Name the 6 GERD medications that are POM with exemption and state the limits
Provide exceptions to the case
H2RAs: 2 wk supply
- Cimetidine (Max strength: 200 mg for short-term relief of heartburn; 100 mg for prophylaxis of nocturnal heartburn)
- Famotidine (Max strength: 20 mg/day for short-term relief of heartburn)
- Ranitidine (Max strength: 300 mg/day for short term relief of heartburn)
PPIs: 14 day supply to people ≥ 18 years old, max daily dose of 20 mg
- Omeprazole
- Esomeprazole
- Pantoprazole
Exceptions:
- Zenpro (P Only)
Name 1 antifungal that is POM with exemption and state the limits
Fluconazole 150 mg tablet
- Max supply: 1 tab
- Formulation: Oral solid
- Age: 16 to 60 years
- Indication: Vaginal thrush
Name 1 NSAID that is POM with exemption and state the limits
List down all exceptions in the retail
Ibuprofen 200 mg oral solid or 100 mg / 5 mL liquid
- Max daily: 1200 mg or 30 mg/kg
- Max supply: 10 days (solid) and 3 days (liquid)
- Age > 12 years old (solid) and > 6 months (liquid)
Examples: Apo-Ibuprofen tablets and all the other Ibuprofen injectibles
Exceptions: GSL
- Nurofen
- Nuromol
- Bifen
- Brufen
- Maxigesic
Name 1 antiemetic / prokinetic that is POM with exemption and state the limits
Domperidone 10 mg solid or 1 mg / ml liquid
- Indication: Relieve postprandial nausea, bloating accompanied by heartburn
- Max daily: 30 mg
- Max supply: 14 days
- Age > 12 years old
Examples: Doridone, Motilium
Name 2 antibiotics that are POM with exemption and state the limits
Clindamycin 1% (TOP)
- Indication: Acne
- Max daily: Twice daily
- Max supply: 30 g (Gel); 30 mL (Solution/Lotion)
- Age > 12 years old
Examples: Dalacin, T3 Mycin
Erythromycin 4% (TOP)
- Indication: Acne
- Max daily: Twice daily
- Max supply: 30 g (Gel); 30 mL (Solution/Lotion)
- Age > 12 years old
Name 1 mast cell stabilizer eye drops that is POM with exemption and state the limits
Ketotifen 0.25 mg/mL
- Indication: Short term allergic conjunctivitis
- Max daily: 2 drops per affected eye
- Max supply: 10mL
- Minimum age: 3 years old
Name 1 mast cell stabilizer oral preparation that is POM with exemption and state the limits
Ketotifen 2 mg solid or 1 mg / 5 mL liquid
- Indication: Allergic rhinitis and chronic urticaria
- Max daily: 2 mg
- Max supply: 10 days or 120 mL
- Age > 3 years
Name the Antihistamine / Decongestant brand and name that is POM with exemption and state the limits
Aerius-D-12 Tablet
- Desloratadine 2.5 mg / Pseudoephedrine 120 mg
- Indication: Allergic rhinitis with blocked nose
- Max daily: 2 tabs
- Max supply: 10 tabs
- Age > 12 years
List all corticosteroids with brand name examples that are POM with exemption (State limits in general)
Provide exceptions to the case
Nasal Sprays (Generally 3 month supply for ≥ 18 years old)
- Beclomethasone
- Budesonide
- Fluticasone FUROATE
- Mometasone Furoate
- Triamcinolone
Topical (Generally 0.1%, 15g OR 30mL supply, for ≥ 18 years old)
- Betamethasone
- Mometasone furoate
- Triamcinolone
Exceptions:
- Oracort E Paste (P Only)
- Flixonase (Fluticasone PROPIONATE) (P Only)
Name 3 antihistamine eye drops that are POM with exemption
Alcaftadine, Emedastine, Olopatadine
Name 2 acne topicals that are POM with exemption
Adapalene, Azelaic Acid
Name the POM with exemption product that is used for oral candidiasis
Nystatin
Name the three 2nd generation antihistamines that are POM with exemption, stating the limits and brand exceptions
Desloratadine 5 mg (solid) or 0.5 mg/mL (liquid)
- Indication: Allergic rhinitis and urticaria
- Max supply: 2 weeks
- Age ≥ 12 years old (solid) and ≥ 2 years old (liquid)
Fexofenadine 180 mg (solid) or 6 mg/mL (liquid)
- Indication: Allergic rhinitis and urticaria
- Max supply: 10 tabs or 150 mL
- Age ≥ 12 years old (tab) or ≥ 2 years old (liquid)
Levocetirizine 5 mg (solid) or 5 mg/mL (liquid)
- Indication: Allergic rhinitis and urticaria
- Max supply: 10 tab or 1 bottle
- Age ≥ 12 years old
- Example: Xyzal
Exceptions:
- Aerius (P Only)
- Telfast 120 mg (GSL)
- Telfast-D (P Only)
In practical terms, state how it is to dispense a nasal corticosteroid that is POM with exemption
Avamys (Fluticasone Furoate)
- 3 month supply would mean either:
(1) Six boxes of 60 sprays (15 days/box)
(2) Three boxes of 120 sprays
Given that there is 27.5 mcg per actuation and the maximum daily dose is 110 mcg.
