Ethics and Standard of Dispensing

Question 1

What are the sources of homeopathic remedies?

Answer 1

1. plants
2. minerals: chemicals, elements, compounds, natural minerals, mineral springs
3. animals: venoms, milks, feathers, diseased tissues or pathological microbial culture (nosodes), healthy tissue (Sarcodes)

Question 2

what are two other uncommon sources

Answer 2

Synthetics: Chemical compounds, allopathic medicines, etc

Imponderables: immaterial dynamic energies such as Sol, X-ray, Magnetis polus, etc

Question 3

REMEDY CARRIERS USED IN PREPARATION

Answer 3

Solid vehicles

Liquid vehicles

Semi solid vehicles

Question 4

what are examples of solid vehicles?

Answer 4

Saccharum lactis (milk sugar) or cane sugar/dextrose, sucrose…
Forms: Globules or pellets, tablets

Question 5

what are examples of liquid vehicles?

Answer 5

Distilled water, alcohol, glycerin, saline (eye drops), ether, olive oil, almond oil,
sesame oil coconut oil, sandalwood oil, lavender oil, rosemary oil.

Question 6

what are examples of semi-solid vehicles?

Answer 6

Paraffin, beeswax, lanoline, any topical cream

Question 7

Remedy =

Answer 7

Homeopathic medicine

Question 8

Potency:

Answer 8

the number of serial dilutions and succussions in preparation of the remedy

Question 9

The process by which the dynamic power of the substance is released by serial dilutions and successions.

Answer 9

Potentization/Dynamization:

Question 10

vigorous taping of the container which used
for potentization of liquid potencies

Answer 10

Succussion
ex. a palm, on a table, or book

Question 11

The process of diluting a non-soluble
substance by grinding it to a fine powder and mixing it with lactose powder. This method is used for solid substances up to 3rd centesimal potency and then will continue potentization in liquid form.

Answer 11

Trituration:

Question 12

(1/10) first potency contains the one-tenth part of the original medicine. (1x or 1D)

Answer 12

Decimal:

Question 13

(1/100) the first potency contains the one-hundredth part of the original medicine. (1 C; 1M= 1000, 10M=10 000, CM: 100 000)

Answer 13

Centesimal:

Question 14

(1/50 000) The last discovery of
Hahnemann for a rapid, gentle and permanent cure (Q1 or LM1)

Answer 14

Fifty Millesimal-LM or Q potency:

Question 15

what are the advantages of homeopathic remedies?

Answer 15

• Ethical trials
• Sustainable (using very minimum of original substance)
• Cost effective
• Easy to use (especially for children)
• The manufacturing industry causes less harm to nature or humans

Question 16

what does H refer to

Answer 16

hahnemannian method which will use different vials in the process of serial dilutions

Question 17

what does k refer to. What is the method specific for?

Answer 17

a method of manufacturing known as the Korsakovian method. the only difference in this method is that we reuse the same bottle in the processes of dynamization, so it costs less than CH potencies specifically for higher potencies

Question 18

means to provide medicines or devices for specific treatments. This includes the packaging, labelling and security necessary to safeguard the substances or devices provided. Includes both technical and cognitive components performed by Registrants.

Answer 18

Dispensing

Question 19

Since homeopathic medicines are ____________ available in all pharmacies, many homeopaths or naturopaths in Canada prefer to dispense the homeopathic medicines at their office.

Answer 19

not easily

Question 20

Dispensing at the office not only allows practitioners to have control on the _____ and _______ of the dispensed medicine, but also provides more ____________ for patients and increases the __________ rate.

Answer 20

Dispensing at the office not only allows practitioners to have control on the quality and efficacy of the dispensed medicine, but also provides more convenience for patients and increases the compliance rate.

Question 21

*Despite all these great benefits, there are still some ______________ around office-based dispensing by practitioners.

Therefore, homeopaths/Naturopaths need to adopt a right and ethically appropriate method of dispensing to develop a trustful relationship with their patients

Answer 21

ethical concerns

Question 22

compounding standard: Cleaning procedures for the area, tools and receptacles where
substances are compounded into medicines

Question 23

compounding standard: Proper ________ handling of materials

Answer 23

sanitary

Question 24

Utilizing readily disinfected, ________ containers for storage.

Answer 24

non-porous

Question 25

Minimum requirements of health and hygienic behavior

Question 26

All substances are stored in a ___________ area and in such a way as to avoid contamination

Answer 26

controlled-access

Question 27

No contaminated, disintegrated or decomposed substances may be
used.

Question 28

The Registrant shall be able to ________ materials that require specialized handling and storage as well as ___________ safe handling techniques.

Answer 28

distinguish, demonstrate

Question 29

The Registrant shall ensure the quality of the ingredients by using products with a standard designation or equivalent ___________________

Answer 29

pharmacopoeia standard

Question 30

Apart from dispensing method, the type of container and labeling that practitioners use have an important impact on patient’s image of homeopathy as well as their faith in homeopathic medicine

Question 31

Containers without any label may give the indication of an _________ system or _______ medicine. Besides, patient’s compliance with treatment may be affected by inappropriate
methods of dispensing

Answer 31

unreliable system or ineffective medicine

Question 32

In the past, some of Canadian homeopaths or naturopaths who dispense medicines at their offices, _______ _________ the prescription or sufficiently informative labelling

Answer 32

avoid writing

Question 33

Sometimes the _____________ of not informing patients with the name of medicines seems to lead practitioners to avoid labelling
medicines.

Answer 33

perceived benefit

Question 34

some of the perceived negative effects:

Answer 34

*Patients may dislike the substance
*Self-prescription by patients and possibility of overdosing.
*Patient might not agree with the homeopath’s opinion or selection of the medicine, especially if they have some knowledge of homeopathy
*Patient’s bias with the homeopathic remedy

Question 35

Some Positive effect of transparent communication with patients:

Answer 35

*Building up a trustful relationship
*Giving more confidence to patients and empower them to have an active role in their treatment
* Educating patients about the treatment process and medicines would result in better treatment outcomes

Question 36

LABELING REQUIREMENT(BY CHO) Information on the container must include:

Answer 36

• The Registrant’s name and telephone number
• Patient’s name
• Name of the medicine
• Date the medicine was compounded
• Potency
• Directions for the proper use of the substance; and Any cautionary information about the substance.

This information may be included in a label affixed to the product, or where
space is limited, information may be provided on an accompanying sheet

Question 37

Part II (Controlled Acts) of the General Regulation requires that a prescription contains the following:

Answer 37

• the name and address of the patient for whom the drug is prescribed;
• the name, strength (where applicable) and quantity of the prescribed drug;
• directions for use of the drug, including dose, frequency, route of administration
  and any special instructions;
• the name, signature, address, telephone number and College registration number
  of the Registrant issuing the instruction.

Question 38

ANY OTHER INFORMATION REQUIRED BY LAW FOR PRESCRIPTION

Answer 38

the date the prescription was issued

the number of refills that the Registrant has authorized

Question 39

Registrants must maintain a patient record for individuals prescribed a
a drug that includes:

Answer 39

• details of the reason for prescribing the drug;
• a copy of the prescription given to the patient;
• a record of the results of any laboratory or other tests that the Registrant considered in deciding to prescribe the drug; and
• the names and addresses of the patient’s other health care providers who were notified, and how the notification was given.

Question 40

SOME HOMEOPATHIC MANUFACTURERS

Answer 40

• Boiron
• Reckeweg
• Helios (UK) for rare remedies
• Unda (Seroyal)

Question 41

HANDLING PRECAUTION

Answer 41

• Keep all homeopathic remedies out of directsun-light and do not store them beside substances or medicines with strong odours, such as essential oils or perfumes.
• Also, do not store them near electromagnetic devices such as cell-phones, computers, TV, etc.
• Do not take any other homeopathic medicine or any other herbal/ natural supplement without consulting with your homeopath during the treatment period. (this does not include your prescription medicine by your primary physician)
• Avoid touching the pellets or tablets with your hands. Put the desired number of tablets/pellets into the lid of the vial and place pellets directly under your tongue.
• Do not brush your teeth, eat (including chewing gum), or drink anything for at least 10 minutes before and after taking the remedy. Your mouth should be clean without any taste.