pre market controls & retail control Flashcards

1
Q

what makes a product unique

A

product name
formulation or design ingreidnets, strength m dosage form
indications
manufacturer

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2
Q

which acts have no product controls

A

sale of drugs
poisons
medicines advert act

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3
Q

medicines act product control

A
  • must have product license , assessed on safety, efficacy and quality , assigned a SIN number ( not as relevant anymore )
  • mainly CPM exempted from requiring license but must be submitted to licensing authority for assessment of safety and quality

herbal remedies also exempted

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4
Q

who can deal cpm products

A

licensed cpm dealers can only deal listed cpm products

  • manufacture listed products
    import listed products and
    wholesale dealers can only sell listed products
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5
Q

HPA product controls

A
  • registration needed

hsa maintains list of registered products
hsa may attach conditiosn to products registration

not for cosmetic ! ( TP, MD and CTGT need )

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6
Q

therapeutic products product registration requirement s

A
  • benefits outwieght risks
  • product suitable for intended purpose, risk minimised
  • those compounded r exempted
  • products for named patients
  • imported for personal use
  • intended for ships or aircradt
  • solely for export or import solely for re-export
  • non clinical purpose
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7
Q

MD product registration

A
MD assigned to diff classes based on risk level
class A lowest CLass D highest 
according to critera in 3rd scheudle 
- invasive or non 
activepowered vs non-powered 

and registration is needed for b,c,d A is exempted from
registration

exeptions

  • made in hosptials for patients
  • lab-developed tests manufactuered by clinical lsbs
  • custom made med devices
  • for specifc patients
  • for export or import solely for re-export
  • non clinical purposes
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8
Q

CTGT product registration

A

2 classes of ctgt , ctgt are class 2 by default

class 1 - minimally manipulated, homolgous use , not used w therapeutic product or MD

class 2 can be registered if hsa satisified 
- if overall benefit outweighs the risk 
product suitable for intended purpose 
class 2 requires registration 

class 1 exempted but must give hsa notice and receive hsa’s acceptance of notification

exemptions

  • named patients
  • for r&d
  • for export solely or re-export solely
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9
Q

cosmetic products product registration

A

“notification requirement “

  • party responsible for placing it in the market but
  • notify hsa before starting to supply the product
  • further notify hsa annually for as long as it continues to supply the product

this is in line w cosmetic-products asian cosmetic directive regulations r4
in line w sg obligation under ASEAN cosmetic directive
- not the same as registration/licensing system - regulatory approval not required.

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10
Q

retail access applicable to

A

therapeutic and CTGT

no restrictions on cpm, trad, quasi , cosmetic

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11
Q

which acts have no controls for retail level access

A

sale of drugs

meds ( adv and sales ) act

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12
Q

retail level control under poisons act

A

sold or supplied only by licensed person or hcp

less relevant after 1 nov 2016

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13
Q

retail level control for medicines act

A

non GSL products can be sold or supplied only in retail pharmacies
( less relevatn after 1 nov 2016)

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14
Q

retail level control under hPA

and gsl

A
  • each product registered under 3 classes, gsl, p, pom

gsl - eg aspirin, paracetemol, antacids
can be used without hcp
can be supplied by retail freely without restriction
suuplied thru vending machine subject to requirements
like storage conditions in machine, packaging and labelling must be suitable

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15
Q

p items control

A

more potent
under supervision of hcp

can be supplied in retail pharmacies ,subject to requirements
- by “ in store pharmaceutical officer”
- licensed healthcare institutions to their own patients in accordance w written instructions of practitioner in instituition
by practitioners to their own patients

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16
Q

pom items control

A

only used under supervision of practitioner
eg ab, psychiatric drugs
can be supplied at licensed retail pharmacies, subject to certain requirements -r11 (a)
by in store pharmaceutical officer
in accordance w valid prescription
r11a-d

exeptions -w/o prescription
- hsa’s list of pom exempted for limited sale or supply eg limited qty of cimetidine for short term relief of heartburn but not for chronic treatment of peptic ulcers
- owner or master of ship w/o doctor in crew
navy corpsman on board naval vesssel
person required to comply w written laws on medical treatment of employees

pom can be supplied by way of administriation
r 12

17
Q

CTGT retail control

A

registered as prescription only medicines 9 POM )

18
Q

med devices retail control

A

some may be registered as professional use only

  • to be used on indiv patients solely by or under supervision of qualified practitioner
  • r2
  • not suitable for supply direct to consumers

=> onlyce licensed wholsalers can supply these to other wholesalers or qualified practitioners
- only qualifief practitioners or persons udner their supervision can supply by administering or applying ot other persons

/ also some registered as ‘ trained user only “

  • r13b
  • supplier must provide training on safe and efficacious use of the device , and ensure every user ( operator ) has been trained