Pharmacy Law Flashcards
Deregulations
Fexofenadine 120 mg tablets
Budenoside 64 mcg Nasal spray Mometasone Nasal Spray Pirinase Allergy 0.05% Otrivine Extra Dual relief Sildenafil 50mg tablets
Proton Pump Inhibitors Omeprazole 20mg gr tablet Pantoprazole
Voltarol Gel Piroxicam 0.5% Deep Relief Anti-Inflammatory (Ibuprofen 1% and Levomenthol 3%) Amorolfine 5% (curanail) Chloramphenicol
Anti-malarials Azithromycin
Orlistat
Sumatriptan
Tamsulosin
Tranexamic acid Ibuprofen Twelve Plus Pain Relief
Lidocaine oral- in teething products for children.
Recent Laxatives Changes
- All GSL / P stimulant laxatives
- Senna/ sennosides, bisacodyl and sodium picosulfate GSL
- Max 20 standard strength, 10 max strength, 100mls solution/ syrup.
- 18yrs
- P
- up to 100 tablets for >12 years
Cannabidiol Update
- Cannabidiol, recommended 70mg max daily dose
- Feb 2020, FSA issued guidance that those who are pregnant , breastfeeding or taking any medication should not consume CBD products.
- Guidance, based on findings from the government’s Committee on Toxicity, also advised healthy adult to think carefully before taking CBD.
Cannabis (THC and CBD)
- Licensed for spasticity in MS
- NICE- do not offer Sativix (CD4), not a cost effective treatment. - Store in fridge until opened and in use.
- Epidyolex (CD5) is a cannabis- based products for medicinal use in humans by clinicians on GMC’s Specialist register. Used for rare forms of epilepsy, THC is present in epidyolex only as an impurity, low risk of abuse and dependency.
Drug Safety Updates
- MHRA: modafinil in pregnancy is suspected to cause congenital malformations.
- Provigil used to treat excessive sleepiness associated with narcolepsy and C/I in pregnancy.
- Females of childbearing potential should be advised on the use of contraception during treatment and for 2 month after last treatment and informed of the risks.
Steroid Emergency Cards
- Community and hospital pharmacies should ensure they can source and supply Steroid Emergency Cards, to replace those lost by patients or which become damaged.
Medicines impairing driving ability
It is illegal in the UK to drive with legal drugs in your body if it impairs your driving.
1st group: Cannabis (tetrahydrocannabinol, THC), MDMA(ecstacy), Cocaine, Ketamine, Methylamfetamine, LSD , Heroin
2nd group: Clonazepam, Diazepam, Lorazepam, Oxazepam, Temazepam, Flunitrazepam, Methadone, Morphine, Amfetamine
Paracetamol and Aspirin
Max 100 non effervescent tablets/powders/granules/liquids
Paracetamol max dose = 4g per day
Aspirin max dose = 2.4g w/o Dr advise
Codeine and Dihydrocodeine
- Short-term treatment of acute, moderate pain that has not been relieved by paracetamol, ibuprofen or aspirin alone
- > 32 dose units (including effervescent formulations) are classed as a POM
- ‘Can cause addiction. For three days use only’
Pseudoephedrine and Ephedrine
Max of any product or combination of products containing more than 720mg of pseudoephedrine / 180mg of ephedrine at one time without prescription
Oral emergency contraceptives
- Levonorgestrel 1500 microgram –Levonelle = 16 years within 72 hours (3 days)
- Ulipristal acetate 30mg – EllaOne = within 120 hours (5 days)
Advance Supply can be made –competent, intend to use the medicine appropriately and the medicine is clinically suitable
Requisitions
- Entry made to satisfy legal requirement to record supply
- Signature, name and address of recipient, profession, total quantity, purpose of requisition.
- CD2/3 - standardised form /pharmacy stamp/ good practice to photocopy and keep for 2 yrs.
Signed orders from Schools- 5 checks
AAI and Salbutamol inhalers 1. Signed by the headteacher 2. Name of the school requiring medication 3. Purpose of the medication is required 4. Total quantity required. 5. Keep for 2 years (MEP 3.31
Prescriptions -7 checks
- Signature - Prescriptions must be signed in ink by an appropriate practitioner
- Address - Prescriptions must include the address of the appropriate practitioner
- Date - A prescription is valid for up to 6 months from the appropriate date
- Particulars - Prescriptions require particulars that indicate the type of appropriate practitioner
- Name of the patient
- Address of the patient
- Age of the patient - If under 12 years of age
Private Prescriptions 5 check Record Keeping
The record must include:
1. Supply date
2. Prescription date
3. Medicine details -name, quantity, formulation and strength of medicine supplied 4. Prescriber details- name and address of the practitioner
5. Patient details name and address of the patient.
The record should be made on the day the sale or supply takes place or if that is not practical, on the next day following.
• Prescriptions for oral contraceptives are exempt from record keeping
