Mep Flashcards
(27 cards)
How long does the prescriber need to provide a prescription after requesting emergency supply
Within 72 hrs
What can’t be prescribed emergency supply, max days of supply for exception
cd schedule 2,3, except phenobarbital (cd3) for max 5 days
How long are prescriptions valid for?
Schedule 1,2,3,4 valid for 28 days
Schedule 5 and Normal prescriptions valid for 6 months
Are repeatable
Prescriptions private prescriptions
Yes
If a prescription has repeat 2 times, how many times can it be dispensed
3 times (dispense prescription then repeat as normal)
What to do if number not stated on repeatable Prescription
Repeat once (so dispense twice) unless prescription is oral contraceptive so repeated 5 (FIVE) times (dispensed 6 times in total) n.b period 5 days long- contraceptive repeated 5 times
What prescriptions are repeatable, which ones aren’t
Schedule 2 and 3 not repeatable, schedule 4 and 5 are repeatable
When to dispense repeats
First dispensing done in 6 months then no legal time limit for rest. For schedule 4 cd, first dispensing in 28 days then no time limit for others
What cds can be given via emergency supply and what’s the max days
Phenobarbital is the only schedule 3 given as emergency supply
CD schedule 4 and 5 can be given as emergency supply, max 5 days treatment
What are the 2 benzodiazepines that are schedule 3
Midazolam
And
Temazepam
What is the term PO used for
Sometimes used by manufacturers for aaGSL
Which prescribers can’t prescribe CDs
EEA/Swiss doctors/dentists
Optometrist independent prescribers (not for parenteral
As well)
Legal limit on aspirin and paracetamol
No more than 100 non-effervescent
No limit on effervescent tablets
Legal limit on codeine/ dihydrocodeine
No more than 32 dose units (incl. effervescent ones)
Warning ‘can cause addiction, for 3 days use only’ must be present
Co-dydramol OTC- Dinydrocodeine 7.46mg
Which emergency hormonal contraceptive can be given to under 16
Only Ulipristal
Levornogestrel only licensed for 16 and over
Which emergency hormonal contraceptive can be given to under 16
Only Ulipristal
Levornogestrel only licensed for 16 and over
Is sex under 16 an offence
Yes, but may be consensual. Sex under 16 of similar age will not be prosecuted by law
At what age is sex illegal and therefore needs to be reported
Children under 13 are too young to consent to sexual activity, must report to social services unless exceptional circumstances documented
Can you supply EHC to a representative
Yes, if satisfied a genuine request + treatment is clinically appropriate
If rep can’t supply enough info to determine appropriateness/genuinity… call patient to determine
What 2 prescriptions are valid for 6 months
Normal POM prescriptions
Schedule 5 CDs
What 3 prescriptions are valid for 28 days
Schedule 2, 3, 4 CDs
Which 2 meds are under the PGD (patient group direction)
Morphine and diamorphine
What’s a PGD
Patient group direction allows for supply + administration of morphine and diamorphine under PGD for immediate necessary treatment of sick/ injured person
Who can you not give emergency supply to
Animals can not have emergency supply
