The MEP Quiz Flashcards
What is the ONLY indication for OTC codeine & dihydrocodeine products
short term use for pain not relieved by simple analgesia
all previous indications like flu!?!, sore throats have been removed
What is the max pack size for co-codamol tabs? How many should be sold
32 Only one (RPS guidance)
MHRA has regulation on cough/cold meds for under …………..years
12
NOT SUITABLE FOR WHAT AGE
- antitussives (dextromethororphan, pholcodine)
- expectorants (guafenasin, ipacacuanha)
- nasal decongestants (-ephidrines, xylometazoline, oxymetazoline)
- antihistamines (bromopehniramine, chormepnamine, dihphenhydramine, doxylamine, promethazinde, troprolidine)
Under 6
Should not be used 1st line for 6-12 year olds
When the restricted cough and cold meds are used 2nd line what is the age and duration restrioction
6-12 year olds
for max 5 days
What should be used to treat cough and colds in children first line - for pain
paracetamol or ibuprofen
What should be used to treat cough and colds in children first line - for nasal congestion
saline nose drops
vapour rubs
decongestants
steam inhalation
What should be used to treat cough and colds in children first line - for cough
warm water with lemon
simple linctus
glycerol
Can you use codeine linctus to treat dry unproductive coughs
NOT IN UNDER 18s
risks outweigh the benifits
who can make an emergency supply at request of prescriber
pretty much anyone including independant prescribers, swiss and EEA prescribers
in what time frame must Rx for emergency supply (Rxer) be provided
72hours
what CDs cannot be given as emergency suuply
1,2,3 except phenobarbitral
can a EEA or Swiss prescriber request an emergency CD?
No - including phenobarbital
can EEA or swiss prescriber request an emergency supply for a product without marketing authorisation in the UK
no
when making POM entry, what particulars of the medicine are legally required
name and quantity
(including the strength and form where appropriate)
- therefore the dose is not legally required
What are the POM book records needed
3 dates (supply, prescription & receipt of prescription)
2 name and address (prescriber and pt)
Drug name & quantity
(strength and form if appropriate)
NB dose is not listed
Labelling requirements for emergency supply (Rxer)
same as usual
What emergency supply can you not supply things containing this for: Ammonium bromide, calcium bromide, calcium
bromidolactobionate, embutramide, fencamfamin
hydrochloride, fluanisone, hexobarbitone, hexobarbitone
sodium, hydrobromic acid, meclofenoxate hydrochloride,
methohexitone sodium, pemoline, piracetam, potassium
bromide, prolintane hydrochloride, sodium bromide, strychnine
hydrochloride, tacrine hydrochloride, thiopentone sodium
Pt request
emergency supply - when should you give the smallest pack available (4)
insulin
inhalers
ointment
creams
how much contraceptive should you give on emergency supply
full cycle
emergency supply - hoe much antibiotic to give
smallest quantity to provide full treatment course
POM book requirements for emergency supply at pt request
date
name and quantity of drug (also strength and form if appt - NB not dose)
name and address of pt
nature of emergency
labelling requirements for emergency supply at patient request
‘emergency supply’
where to refer someone if you cannot make the emergency supply
walk in center, doctor or A&E
pandemic exemptions (3)
dont need to supply from registered pharmacy or under supervision of a pharmacist
can provide emergency supply without interviewing pt
how long should a signed order from headteacher for supply of salbutamol inhalers be kept for
2 years
how long after taking isotretinoin should you not get pregnant
1 month
How long is a prescription for isotretinoin valid for
for women under the pregnancy prevention programme - 7 days
men and women with a compelling reason to not be in PPP (hysderectomy) - usual Rx
how much isotretinoin can be given on Rx?
what if the Rx is for more?
30 days
if Rx more PRESCRIBER must confirm pt is not under pregnancy prevention programme
what should you advice a patient who becomes pregnancy while on valproate
do not stop taking valproate and urgently see gp
who can prescribe cocaine, dipipanone and diamorphone for the treatment of addiction
GPs with a special home office license to supply
what is the point in the dental formulary
these are the only things dentists can prescribe on NHS - they can prescribe anything else (except cocaine, dipipanone and diamorphone for the treatment of addiction) but should really be resctrictedd to dental condictions
which independant prescriber cannot prescribe CDs (of any schedule)
optometrists
when does a vet rx need the RVCS reg number
sch 2 and 3 cds
a pharmacy does not need a wholesale dealers license if (4 rules)
- occasional basis
- small quantity
- not for profit
- not for onward wholesale or distribution
how long to keep an invoice for supply of meds to anyone
2 years
what is the difference between a use by and exp date of 7/2016
july 2016
use by final day is 30th june
exp is 31st july
when is it ok to not give a child resistant cap (2)
request- e.g. cant open it
original pack for stability issues
what Rxer details do you need on a vet Rx (6)
name address tel no qualifications signature if sch 2 or 3 CD - RCVS number
what drug details are needed on vet Rx (5)
name dose quantity admin instructions and if applicable: warnings/withdrawl period
when is the ‘prescribed under the vetinary cascade’ needed
if its a human med
when is ‘the item has been prescribed for an animal or heard under my care’ needed
CD 2 and 3
do you need to submit CD vet rxes to the relevant nhs agencies
no
what sch if CDs for humans need to be submitted to the relevant nhs agencies
2 and 3
what is the max number of days allowed on a CD for vet
for human
vet - 28 days (unless long term condition)
human - 30 days (unless Rxer justifies)
what is required for VET POM entry (6)
- name of med
- date of supply
- batch no
- quantity
- name and address of supplier or recipient
- name and address of Rxer
what Rxer details are required on the vet med label
only the name
what animal details are required on the vet med label
owner name and address
animal name and species
does vet rx need expiry date on label
yes - and if approrpaite storage instructions
does vet rx need for animal treatment oinly on label
yes
what sort of wearnings should be on the vet med label if necessary
user warnings withdrawl period exp date storage for animal treatment only keep out of reach of children
what med details are needed on the vet med label
name or description of the product or its active ingredients
content quantity
is labelling a medicines prescribed under the vet cascade a legal requirement
no
