the licensing system Flashcards

1
Q

what is the licensing system

A

Licensing system was the main novel feature of the Medicines Act (now replaced by the HMR 2012) and remains at the centre of all control over medicines

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2
Q

what are the 3 types of licenses you can get?

A

Marketing Authorisation (MA)
•Manufacturer’s Licence (ML)
•Wholesale Dealer’s Licence (WDL)

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3
Q

what are the 2 types of certificates you can get?

A
  • Clinical Trials Certificate (CTC)

* Clinical Trials Exemption Certificate (CTX)

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4
Q

true or false- it is an offence to preform any of these without a license

A

true

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5
Q

what are the 3 key criteria in licensing a new medicine?

A

safety
quality
efficacy

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6
Q

what was the marketing authorization formally known as?

A

product license (PL)

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7
Q

what must all commercially available products have?

A

a marketing authorization -MA

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8
Q

Who is usually the MA holder?

A

the manufacture of the medicinal product

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9
Q

what does the MA allow the holder to do?

A
  • Sell, supply or export a medicinal product
  • Procure its sale, supply or exportation
  • Procure its manufacture
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10
Q

how long are MAs usually issued for?

A

5 years

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11
Q

what does the MHRA have the power to do to an MA?

A

withdraw or ammend it

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12
Q

what does the manufactures license allow?

A

Authorises the holder to manufacture or assemble a medicinal product (unless an exemption applies)

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13
Q

what does the manufactures license not allow them to do?

A

Manufacture does not include dissolving, diluting or mixing with some other substance used as a vehicle for administration

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14
Q

what is assembled defined as?

A

Assemble is defined as “enclosing a product in a container which is labelled before the product is sold or supplied, or simply re-labelling a product”

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15
Q

what does the MA describe?

A

Licence describes premises, equipment, people, records and qualifications of people involved

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16
Q

what is a wholesalers license?

A

Required by any person who sells a medicinal product by way of wholesale dealing

17
Q

what must a wholsaler have an emergency plan for?

A

the recall of medicines

18
Q

do you need a license to import?

A

No license is required to import:
•A product for administration to the importer or a member of his household (i.e. for personal use)
•A product imported by a doctor or dentist for administration to a particular patient

19
Q

in what cases do you need a license to export?

A

(except some biological products e.g. antigens, antibodies, vaccines

20
Q

do pharmacists need a license?

A

Pharmacists do not require a license for anything done by or under the supervision of a pharmacist in a registered pharmacy

21
Q

are specials licensed?

A

all specials are unlicensed

22
Q

what must the specials manufacturer have?

A
  • Hold a “specials” manufacturer’s licence
  • Not advertise or solicit orders for the product
  • Carry out the manufacture under certain conditions to ensure the quality of the product
  • Maintain written records
23
Q

what is an unlicensed medicine?

A

An unlicensed medicine has no MA and it does not have a SPC. It does not have a monograph in the BNF
•All extemporaneous medicines are unlicensed and so are ‘specials’

24
Q

when should unlicensed medicines be prescribed?

A

when there is no licensed form- patient should be infomred

25
Q

how are all ADRs to unlicensed medicines recorded?

A

on a yellow card

26
Q

what is unlicensed off-label use?

A
  • This is prescribing of a licensed medicineoutside of its license (i.e. outside of what is specified in the SPC) –don’t confuse with unlicensed medicine
  • Unlicensed use may be due to
  • Dose (high/low/different dose frequency or time)
  • Age (especially in children)
  • Route of administration
  • Indication
27
Q

who takes responsibility for off labeled use?

A

The prescriber takes the clinical and legal responsibility for the prescribing i.e. the product liability passes from the manufacturer to the prescriber

28
Q

how are herbal medicines classified?

A
  • Licensed as a medicine (i.e. MA) or

* Registered under the traditional herbal registration (THR) scheme

29
Q

what is the differneces in classification of herbal medicines?

A

•No data required on efficacy –based on ‘traditional use’