P&GSL - P meds Flashcards
(32 cards)
T/F: When a pharmacist is in the stock room upstairs the sale of P medicines can still legally take place?
FALSE
T/F: A pharmacist may delegate the supervision of P medicines when he is away from the premises to the trainee pharmacist?
FALSE
T/F: A pharmacist can exercise supervision when away from the pharmacy so long as he is contactable on a mobile phone?
FALSE
T/F: A pharmacist may decide to sell recently switched POM to P medicines personally?
TRUE
T/F: It is a legal requirement that P medicines should not be available for patients to pick up themselves?
FALSE
T/F: A suitably trained member of staff may legally sell the ‘morning after pill’?
TRUE
T/F: It is a legal requirement that pharmacies have protocols in place for selling P medicines?
TRUE
thereshould be SOPs in place for selling P meds
T/F: It is a legal requirement to record the dispensing of a P medicine on a private prescription?
FALSE
only if Rx is for POM, but it’s good practice
T/F: It is legally permitted to sell two boxes of co-codamol 8/500 in one transaction?
TRUE
T/F: Only a responsible pharmacist can supervise the sale of P medicines?
FALSE
any pharmacist can, doesn’t have to be the responsible paharmacist
definition of P meds
medicinal products which are not POM or GSL or which are classified by manufacturers as P in their marketing authorisation
medicines made in a pharmacy for retail sale under the exemptions from licensing are all P medicines, even if all the ingredients used are classified as GSL
P vs PO
PO are legally classified as GSL
examples of POMs that can be P when sold in smaller pack sizes, strengths, certain indications, certain forms
- hydrocortisone – 1% cream 15g (P) (strength and form)
- Naproxen 250mg – primary dysmenorrhea in women aged between 15 and 50 years (P) (indication)
- codeine, DHC, morphine and pholcodine are exempt from POM when in preps with only 1 of the CDs below a stated strength (CDs)
What are Schedule 15 products?
aspirin
ibuprofen
paracetamol
paracetamol 500mg non-soluble tabs licencing
16 = GSL
32 = P
100 = POM
max amount of paracetamol tabs that can be sold
multiple packs can be sold to same patient up to the POM limit (100)
(3x 32 = 96 or 6x 16 = 96)
BUT at the professional discretion of pharmacist who should authorise sale
Max of paracetamol solube/liquid/powder/granules that can be sold?
no legal max sale
professional discretion
Who can sell P meds?
MUST BE:
- lawfully conducting a pharmacy business
- premises is a registered pharmacy
- they’re a pharmacist or, acting under the supervision of a pharmacist
** doesn’t apply in event or anticipation of pandemic disease
legal definition of supervision
The pharmacist must be aware of the sale and be in a position to intervene where necessary
location of P meds in pharmacy
- law doen’t state where in the pharmacy P meds should be
- good practice requirement that P medicines should not be placed on self selection shelves
- behind the counter traditionally
- can be on self selection if ‘key safeguards’ in place (not defined)
- can put empty boxes on self selection shelves
- put behind glass lockable doors
What classification are decongestants with ephedrine/pseudoephedrine?
P medicines
Legal max quantity of ephedrine/pseudoephedrine that can be sold in any transaction?
720mg pseudoephedrine
180mg ephedrine
Can you sell pseudoephedrine product with ephedrine product together?
NO
unlawful
Who to report suspicions about misuse of pseudoephedrine/ephedrine to?
local CD liaison police officer or accountable officer
