Wk 13: P + GSL medication

Question 1

Which products are not GSL?

Answer 1

• Greater than max dose of vit A + D
• Eye ointment
• Use as anthelmintic
• Parenteral
• Enema
• Irrigation of wounds, bladder, vagina or rectum
• Prep of aloxiprin/aspirin for children
• Decongestants

Question 2

Where can GSL meds be sold?

Answer 2

Registered pharmacy, vending machine, aircraft + train:

• Premises can be closed to exclude public
• Prod made for sale in container elsewhere + not opened since
• By operator/commander from aircraft/train
• If from pharmacy, responsible pharmacists signed in + assumed role

Question 3

What are the exceptions to a sale of GSL medicines?

Answer 3

Supply in event/anticipation of pandemic disease

Question 4

Which OTC stimulant laxative is GSL + which is a P?

Answer 4

• GSL: short term - 20 standard strength tabs, 10 max strength tab or 100ml/ solution (>18 yrs old)
• P - larger packs: upto 100 tabs (12-17 under pharmacist supervision)

Question 5

What are schedule 15 products?

Answer 5

• Aspirin
• Ibuprofen
• Paracetamol

Question 6

Which paracetamol is GSL + which is P?

Answer 6

• GSL: pack size 16
• P: pack size 32
• In pharmacy illegal to sell >100 tabs OTC, GSL not illegal but not advised

Question 7

What are the conditions of P medicines?

Answer 7

Not sold unless:

• Premises = registered pharmacy
• Pharmacist or acting under supervision of pharmacist

Question 8

Define supervision

Answer 8

Pharmacist aware of sale + in position to intervene where necessary

Question 9

Which conditions are needed in order for a P sale to occur without the pharmacists attention?

Answer 9

• Assistant = certificated, prereg or certified dispensary technician AND
• Pharmacist in pharmacy area AND
• Written protocol in place specifying where referral to pharmacist is essential

Question 10

Is it a legal requirement for P medicines to be behind the counter?

Answer 10

No - good practice

• Place empty boxes in self selection shelves
• Place behind glass

Question 11

What is legal maximum quantity of decongestants that can be sold?

Answer 11

• Pseudoephedrine - 720mg
• Ephedrine - 180mg

Question 12

What are the rules regarding ephedrine/pseudoephedrine?

Answer 12

• Unlawful to sell pseudoephedrine containing prods at same time as ephedrine containing prods
• Sale made by pharmacist or trained member
• Requests can be refused on grounds for misuse

Question 13

Who would you report to for misuse of decongestants?

Answer 13

• Local GPhC inspector
• Local CD liaison police officer
• Accountable officer

Question 14

Is codeine/dihydrocodeine P or GSL?

Answer 14

P

Question 15

What are the recommended indications of codeine/dihydrocodeine?

Answer 15

ST acute mod pain not relieved by paracetamol, ibuprofen or aspirin

Question 16

What are the requirements of codeine/dihydrocodeine?

Answer 16

• Max pack 32 (> 32 POM)
• Recommends max 1 pack per transaction

Question 17

What are the rules regarding promotion of meds?

Answer 17

• Preventing/restricting competition on price = unlawful
• Promotions w/ free gift = unacceptable
• Promotions aiming to sell high quantities of med = unprofessional

Question 18

What are the consequences of price promotions?

Answer 18

Encourage stock piling, long term use or beyond expiry date