POMs 2 - PGDs

Question 1

What is a PGD?

Answer 1

“a written instruction for the sale, supply +- administration of named medicines in an identified clinical situation. It applies to groups of patients who may not be individually identified before presenting for treatment’’

Question 2

Who can supply/admin a PGD?

Answer 2

certain qualified professionals

only as named individuals

Question 3

What medicines can be included on a PGD?

Answer 3

• all POMs, Ps, GSLs
• only certain CDs
• Sch 2: only diamorphine, morphine and ketamine (**only by certain people)
• Sch 3: only midazolam
• any Sch 4 part 1
• any Sch 5
• can exceptionally include unlicenced (off label) if justified

Question 4

When is best to use PGDs?

Answer 4

for single Tx episodes:

• ntrofurantoin UTI
• EHC
• Topical antimicrobials for impetigo, conjunctivitis
• acute analgesia
• immunisation programmes
• intiviral medicines for influenza

Question 5

LT conditions and PGDs

Answer 5

not suitable for LT conditions
- diabetes, hypertension, epilepsy, angina, HF
or
ones that require complex or frequent monitoring
- warfarin, insulin

Question 6

labelling of POMs for PGD

Answer 6

labelled same way if supplied against Rx

Question 7

requirements for PSDs

Answer 7

• doesn’t specify what needs to be on PSD
• don’t need to comply with Rx requirements
• good practice to be checked by pharmacist