Psychiatry Flashcards
Who can prescribe clozapine?
MA23
- Psychiatrist
- Medical practitioner or nurse practitioner prescriber under supervision of a psychiatrist
- Medical practitioner prescribing clozapine for patient whose illness is well-controlled by clozapine AND prescribing decision is taken in collaboration with a Community Mental Health Team
What are THREE other restrictions for clozapine prescribing?
- Prescriber must comply with appropriate local treatment guidelines
- Medicine must be dispensed in accordance with appropriate local dispensing guidelines
- Sale/marketing may only occur if there is appropriate blood monitoring & patient recording
What classification is melatonin?
Prescription-only
Except when supplied in medicines for oral use containing 3mg or less per immediate release dose unit, or 2mg or less per modified-release dose unit, when sold in the manufacturer’s original pack that has received consent from the Minister of Health or the Director-General for the treatment of PRIMARY INSOMNIA for adults aged 55 YEARS OR OLDER for up to 13 weeks by a registered pharmacist.
SR3
Sale of needles & syringes by pharmacists & pharmacy employees
SR3 - Sale of needles & syringes by pharmacists & pharmacy employees
WHO can needles/syringes be sold to?
- 16yo+
- Under 16yo with a prescription from a medical practitioner
SR3 - Sale of needles & syringes by pharmacists & pharmacy employees
WHO can sell needles/syringes?
Pharmacy employee from a registered pharmacy given there is a registered pharmacist there WHO IS ENTITLED TO SELL NEEDLES/SYRINGES
SR7
Further provisions relating to sale of needles & syringes
SR7 - Further provisions relating to sale of needles & syringes
WHEN can needles/syringes be sold?
- If it is approved by the Director-General
- Contained in a container & labelled in a manner approved by the Director-General
LTA18 - Doctors & optometrists to give Agency medical reports of persons unfit to drive
In relation to psychiatry…?
Licence holder is only permitted to drive subject to limitations as may be warranted by the MENTAL OR PHYSICAL CONDITION of the licence holder
MDR29
General requirements in relation to prescriptions
MDR29 - General requirements in relation to prescriptions
Prescription for CDs must be:
- On paper form, completed in handwriting of CD prescriber
- On paper form electronically generated by CD prescriber from approved system
METHADONE
- QUADRUPLICATE forms supplied by MoH/clinic prescriptions where Director-General has approved transfer to triplicate forms
- Also need to record methadone mixture details, & record dispensing sheets
MDA24
Offence to prescribe, administer, or supply controlled drug in certain cases
MDA24 - Offence to prescribe, administer, or supply controlled drug in certain cases
THREE criteria that prescribers must meet to prescribe for patients clearly dependent on CDs
- Gazetted practitioner
- Working in gazetted agency
- Has authority to prescribe for a particular patient
ie. not every practitioner can prescribe for patients dependent on CDs
MDA24A - Medical practitioners, nurse practitioners, designated prescriber nurses, and designated prescriber pharmacists may prescribe controlled drugs to people dependent on controlled drugs
- Only those meeting MDA24 can prescribe for patients dependent on controlled drugs
What does “Restricted person” mean?
Restricted to certain prescribers or drugs –> only certain prescribers can prescribe certain drugs for patients
This is gazetted/published with names of all parties