s2 w2 Flashcards

Herbal and Homeopathics Poisons

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1
Q

what is defintion of herbal medicinal product?

A

A medicinal product whose only active ingredients are herbal substances or herbal preparations (or both).

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2
Q

what is defintion of herbal substance?

A

A plant or part of a plant, algae, fungi or lichen, or an unprocessed exudate of plant, defined by the plant part used and botanical name of the plant, either fresh or dried, but otherwise unprocessed.

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3
Q

what is defintion of herbal preparation?

A

A preparation obtained by subjecting herbal substances to processes such as extraction, distillation, expression, fractionation, purification, concentration or fermentation, and includes comminuted or powdered herbal substances, a tincture, an extract, an essential oil, an expressed juice or processed exudate.

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4
Q

what is defintion of traditional herbal medicinal product?

A

a herbal medicinal product to which regulation 125 applies

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5
Q

what are the types of herbal remedies?

A

1.) Licensed herbal
• Need marketing authorisation (MA-PL), legal classification
2.) Registered traditional herbal medicines
• Hold traditional herbal registration (THR)
3.) Unlicensed herbal products
• Not industrially produced
• Supplied to individual patients
i. Following a face-to-face consultation
4.) Not medicines  not require MA or THR
• Food supplements or cosmetics

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6
Q

Medicinal products can be sold without MA?

A

FALSE

- this is illegal and they either need a MA or a THR

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7
Q

what do herbal practitioners do?

A
  • Use specialist knowledge to prescribe or persons seeking treatment and accept legal liability
  • May practise from consulting rooms or may operate from a shop where they also act as a dealer
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8
Q

when do HMR restrictions NOT apply?

A

a. Herbal medicinal product is manufactured or assembled by a herbalist practitioner
• On premises they occupy
• Which can exclude public
b. Herbal medicinal product is for administration to a person
• After being requested by or on behalf of that person and
• In that persons presence

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9
Q

MHRA may ban the sale or supply of herbal remedies if suspected adverse effects results from use

A

TRUE

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10
Q

what is medicines 2001 order

A

not permissable to manufacture import or sell any unlicensed medicine in the UK which contains named herbal ingredients

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11
Q

what is medicines for human use 2002 order?

A

prohibits sale, supply and importation of unlicensed medicines containing Kava-kava, except external use

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12
Q

what are THMS registration conditions?

A

A. Use without need for medical practitioner to diagnose, prescribe or monitor product’s use
B. Product intended to be administered at particular strength/ dosage
C. Product intended to be administered externally, orally or by inhalation
D. Product has been in medicinal use for
– continuous period of at least 30 years, and
– in EU for continuous period of at least 15 years
E. Sufficient information about “traditional use,” so that:

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13
Q

what is the THMR?

A
  • manufactured, finished, OTC traditional herbal medicines are covered by a registration scheme
  • This is known as the Traditional Herbal Medicines Registration Scheme (THMRS)
  • All registered products are given a registration number (THR) similar to a MA number
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14
Q

how do THMP need to be labelled?

A
  1. ) Statement that product is a traditional herbal medicinal product
    - For use for specific purposes by reason of long standing use
  2. ) Statement that user should consult
    - Doctor or health care practitioner if symptoms persist or
    - If adverse effects not mentioned on the package or package leaflet occur
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15
Q

THMP require this statemtn onf adverts “raditional herbal medicinal products for use in [specify one or more indications for the product consistent with the terms of the registration] exclusively based upon long standing use as a traditional remedy”

A

TRUE

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16
Q

what is product licence of right?

A

o For products on the market before Medicine Act

o These products may have indication for minor conditions suitable for self treatment

17
Q

what is simplified registration scheme?

A

o For new products since Medicines Act 1968
o Assessed for safety and quality
o No therapeutic indication allowed- cannot make medical claims
o Restricted to oral and external

18
Q

what are the catergories of danger?

A

• Physiochemical properties
– explosive, oxidising, extremely flammable, highly flammable and flammable
• Health effects
– very toxic, toxic, harmful, corrosive, irritant, sensitising, carcinogenic, mutagenic, toxic for reproduction
• Environmental effects

19
Q

CLP reg does NOT apply to chemicals which are in finished state intenteded for user

A

TRUE

20
Q

if supplying dangerous chemical it must be labelled accordingly?

A

TRUE

21
Q

what does a CLP label need?

A

a) Name, address and telephone number of supplier (in EEA), incl. pharmacist
b) Name of substance & nominal quantity
c) Product identifiers
d) Where applicable:
-Hazard pictograms
-Signal words
-Danger
-Warning statements
nature of hazard
- describes recommended measure(s) to minimise or prevent adverse effects resulting from exposure to a hazardous substance or mixture due to its use or disposal
- Supplemental information (e.g. other legislation

22
Q

the packaging must not react with chemical and stop the chemical from leaking

A

TRUE

23
Q

Podiatrist can use liquid phenol, pyrogallol, salicylic acid and monochloroacetic acid in practice

A

TRUE

24
Q

what is a medicinal product?

A

any substance of combo of substances that have properties to treat or prevent disease
or
by restore or modify phsyiological function

25
Q

what do pharmacy teams need to do for regulated substances>

A

duty to check
duty to use warning label
duty to report suspicious activity

26
Q

acquistion, possession and use of regulated substances by general public is restricted

A

TRUE

27
Q

What does poisions register need?

A
  1. Date of sale
  2. Name and address of purchaser
  3. Name and quantity of poison supplied
  4. purpose of use
  5. Signature of purchaser
28
Q

how can you decide if a circumstance is suspicious

A

– Somebody coming into pharmacy using somebody else’s licence, or presenting with tampered licence
– Somebody asking for substances without knowing what they are for, how to handle them or how to use them
– Somebody paying in cash
USE PROFESSIONAL JUDGEMENT

29
Q

regulated or reportable poisons should be storaged in a special cupbard or somewhere off access to patients

A

TRUE