Week 1.01 Legal Aspects Flashcards
What are the two main things medicines include
Excipients - (inactive ingredients) such as preservatives, stabilisers, lubricants flavouring agents
Drug (active ingredient)
What is international non-proprietary name (INN)
- common name for the drug
- general not specific to a manufacturer
E.g. INN - ibuprofen
Brand name - nurofen
What does proprietary (brand) name mean
Specific product which contains the drug
Particular combination of drug +excipients
E.g. INN - ibuprofen
Brand name - nurofen
What does the GOC say about options diagnosing and managing disease/injuries
The general optical council says optometrists may now choose not to refer px with eye disease if there is no justification for doing so. Optometrists now diagnose and manage disease/injuries.
What are the three categories of meds
GSL - general sales list
P
PoMs
General sales list
- Available without medical supervision
- Can be sold by any retailer with lockable premises: pharmacy/chemist, supermarket, newsagent, convenience store
- GSL packaging does not always indicate specific GSL label
Option may sell or supply GSL meds directly to px
Pharmacy meds
• Must be under the supervision of a registered pharmacist
• Cannot buy off the shelf
• No Rx required
• Can’t be sold by retailers without a pharmacy
Options may sell or supply P meds within course of professional practice in the case of an emergency
What are some diagnostic p meds and what are they used for
Fluorescein sodium
- - Examine tear film
- Examine cornea/ conjunctiva
- Contact lenses
Phenylephrine hydrochloride (P med) (2.5% / 10%)
- Dilates pupils (mydriasis)
- More detailed assessment of vitreous and retina
*Diabetics
*High myopes
*Symptoms of vision los
What are some theraputic p meds and what are they used for
Only supply after examining px
Chloramphenicol (0.5%) eye drops
Bacterial conjunctivitis
Why can’t chloramphenicol be available as GSL?
- Risk of incorrect self diagnosis
- Need for expert opinion
- May need review appointment
POMS
- Supplied with a signed prescription
- Used to protect px safety by requiring medical supervision
- Warfarin – anticoagulant used to thin blood
Some drugs found in both P meds and PoMs
Higher dose/ concentration requires closer supervision
No prescribing rights to optometrists. Generally, no access to PoMs
What is an exempted PoMs for USE only
Topical anaesthetics
- Proxymetacaine hydrochloride
- Oxybuprocaine hydrochloride
- Tetracaine hydrochloride
- Lidocaine hydrochloride
What are examples of exempted PoMs USE AND SUPPLY
Mydriatics and cycloplegics
- tropicamide (0.5% or 1%)
- cyclopentolate (0.5% or 1%)
Antibacterial
- chloramphenicol (0.5%) eye drops
- chlorampenicol (1%) eye ointment
- fusidic acid (1%)
Chloramphenicol
Available as both P med and PoM.
P med is specifically licensed for the treatment of bacterial conjunctivitis only
Direct supply – no need for emergency
All other bacterial infections must be treated with PoMs products
Fusidic acid (1%)
Used in treatment of blepharitis
Optometrists may supply directly to px in an emergency
Provide signed order for Fusidic acid which is more common
