Classifucation Of Medicine - Codeine,dihydrocodeine,decongestants And EHC

Question 1

How many classes of meds are there?

Answer 1

3!!!

Question 2

What are they?

Answer 2

GSL- Sold at registered pharmacies and retain outlets. EU/UK marketing authorisation

P- sold by pharmacist or acting under pharmacist supervision
POM - requires RX
Refuse to supply or sell if contrary to clinical judgment

Question 3

Why is paracetamol and aspirin available as GSL,P AND POM

Answer 3

Pack sizes!!! 16 - GSL
96- P
160-POM

Question 4

Codeine and dihydrocodiene OTC

Answer 4

-Short term treatment
-Acute moderate pain
-If not relieved by paracetamol,ibuprofen or aspirin alone
-Previous indication which is now removed was for coughs and colds
-Max 32 tablets otherwise - Pom = including effervescent
-For three day use only
-Can sell if over 12 but not recommended
-Don’t give code in OTC if less than 18,risk outweighs benefits

Question 5

Why are there legal restrictions on decongestants?

Answer 5

People make meth

Question 6

Signs of misuse

Answer 6

Lack of symptoms
Inpatient/aggressive
Specific product request
Quantities
Paraphernalia
Frequency
Opportunistic
Rehearsed answers

Question 7

Pseudo ephedrine and ephedrine

Answer 7

720, 180 - not sold together!!! (Find a list)

Question 8

Emergency Oral contraception - just the legal side

Answer 8

Advance supply can be made if patient is assessed and medicine is clinically appropriate

Question 9

Religion, personal beliefs and values

Answer 9

• may influence their decision
• be open with employer
• make sure the patient is signposted
• think about time and when the patient is realistically going to be seen and receive their supply