Prescription-only medicines Flashcards
information needed for a prescription to be legal?
1) signature of prescriber
2) address of prescriber
3) date - valid up to 6 months
4) particular of prescriber
5) name of patient
6) address of patient
7) age of patient IF under 12
how many times can a Rx be repeated?
- number of repeats stated
- if not stated, can only be repeated once unless an oral contraceptive which can be 5x
can CDs be repeatable?
only schedule 4 and 5 CDs are repeatable
time limit for first dispensing of repeat? (POM and sch 5)
within 6 months of appropriate date
following repeats no legal time limit
time frame of owings for POM, P, GSL and CDs schedule 5?
6 months from date
where can a repeat be retained?
at pharmacy or by patient
note name and address where supply was made
time frame for owings for schedule 2, 3 and 4 CDS?
28 days after date
how long should private prescriptions record keeping be kept for?
retained for 2 years
for repeats - from date of last supply
where do you submit prescriptions for schedule 2 and 3 CDs?
relevant NHS agency
where are records made and what must they include?
POM register
1) supply date
2) prescription date
3) medicine details (name quantity formulation strength)
4) prescriber details
5) patient details
what prescriptions are exempt from record keeping?
oral contraceptives and schedule 2 CDs where an appropriate CD register is made
are details of the medicine a legal requirement on a prescription?
no but are important to identify product needed and for pricing
restrictions to dental prescriptions?
can legally prescribe any POM
restrict to areas of competency
for NHS dental prescriptions - medicines listed in dental prescribers formulary
prescriptions from EEA or Switzerland?
issued by an approved HCP in an approved country - emergency supplies also permitted
is it legal if in a foreign language?
yes, but need enough info for safe supply
medicines not available for EEA and Switzerland Rxs?
schedule 1,2 and 3 CDs and products without authorisation valid in UK.
legal requirements for labelling?
1) name of patient
2) name and address of supplying pharmacy
3) date of dispensing
4) name of medicine
5) directions for use
6) precautions for use
RPS recommendations for labels?
‘keep out of reach and sight of children’
‘use only on skin’ - where applicable
labelling the outer carton?
lawful but could be discarded so actual container (inhaler, tube of cream etc) should be labelled
labelling requirements for broken down supply?
quantity
particulars/ingredients
handling and storage
expiry date
batch reference number
conditions of administration?
- Professionals who administer are accountable for actions
- Must have understanding of medicine or seek advice if necessary
- Prescribing, supply and administration by separate people where possible
what is Pregnancy prevention programme?
- Certain medicines with high risk of foetal malformations or risk of spontaneous abortion
- Ensure not dispensed for people who might be or are considering being pregnant
-PPV- protect by minimising risk of pregnancy - Different PPV for oral retinoids, valproate
what are biosimilars?
Biologic medicines (from natural sources) similar to already licensed biological medicine
how are biosimilars precribed?
have own unique brand name
MHRA recommends prescribed by brand to avoid automatic subsitution
