Guidance on prescribing

Question 1

What is a never event?

Answer 1

Serious and avoidable medical errors for which should be preventative measures.

Question 2

What is a biological medicine?

Answer 2

Medications made using biological source.
Must be prescribed via brand name and substitution is not appropriate.

Question 3

What is a biosimilar medication?

Answer 3

Biologic medication that is similar and clinically equivalent to an existing biological medicine authorised in EU. API is similar but not identical.

Question 4

What is classified as sugar free?

Answer 4

Not containing fructose, glucose or sucrose.
Meds containing mannitol, sorbitol, xylitol.

Question 5

What side effect has benzyl alcohol been linked to?

Answer 5

fatal toxic syndrome in preterm neonates.

Question 6

What side effect has polyoxyl castor oils been linked to?

Answer 6

anaphylactoid reactions

Question 7

What can propylene glycol cause if elimination impaired?

Answer 7

Side effects

Question 8

Can prescribers from EEA/ swiss prescribe in uk?

Answer 8

Yes- except sch 1,2,3 or drugs without MA.

Question 9

What is PGD?

Answer 9

Patient group direction -supply licensed meds to a group of people using written direction.

Question 10

What are 4 legal RX requirements?

Answer 10

1.Patient details- age, address, name, DOB.
2.Date of rx,
3.Prescriber signature
4.Medication - name, strength, quantity, instructions.

Question 11

What 3 rules for emergency supply at request of patient for it to be dispensed?

Answer 11

Pharmacist should interview patient is is satisfied that there is an immediate need for the medication.
POM has been prescribed previously.
Dose should be appropriate for person to take.

Question 12

What is the max quantity of phenobarbital prescribed for emergency supply at request of a patient?

Answer 12

5 days worth treatment

Question 13

What is the max quantity phenobarbital prescribed for emergency supply at request of a patient?

Answer 13

30 days worth

Question 14

How much oral contraceptive given when emergency supply by patient?

Answer 14

Full cycle

Question 15

How much insulin, cream or asthma prep given during emergency supply patient?

Answer 15

Smallest pack size

Question 16

What record keeping is needed for emergency supply by patient?

Answer 16

POM register- date of supply, name/qty of drug, patient details, name and address of pharmacy, words- emergency supply, keep out of reach of children.

Question 17

When does the prescription need to be handed in by the prescriber for emergency supply?

Answer 17

within 72 hrs.

Question 18

4 requirements for emergency supply at request of prescriber?

Answer 18

1-Pharmacist satisfied that prescriber can’t give prescription.
2-Prescriber should give RX within 72 hrs.
3- Not CD 1/2/3 except phenobarbital.
4-Entry made in register