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Flashcards in The MEP Quiz Deck (53):
1

What is the ONLY indication for OTC codeine & dihydrocodeine products

short term use for pain not relieved by simple analgesia

(all previous indications like flu!?!, sore throats have been removed)

2

What is the max pack size for co-codamol tabs? How many should be sold

32
Only one (RPS guidance)

3

MHRA has regulation on cough/cold meds for under ..............years

12

4

NOT SUITABLE FOR WHAT AGE

-antitussives (dextromethororphan, pholcodine)
-expectorants (guafenasin, ipacacuanha)
-nasal decongestants (-ephidrines, xylometazoline, oxymetazoline)
-antihistamines (bromopehniramine, chormepnamine, dihphenhydramine, doxylamine, promethazinde, troprolidine)

Under 6
Should not be used 1st line for 6-12 year olds

5

When the restricted cough and cold meds are used 2nd line what is the age and duration restrioction

6-12 year olds
for max 5 days

6

What should be used to treat cough and colds in children first line - for pain

paracetamol or ibuprofen

7

What should be used to treat cough and colds in children first line - for nasal congestion

saline nose drops
vapour rubs
decongestants
steam inhalation

8

What should be used to treat cough and colds in children first line - for cough

warm water with lemon
simple linctus
glycerol

9

Can you use codeine linctus to treat dry unproductive coughs

NOT IN UNDER 18s
risks outweigh the benifits

10

who can make an emergency supply at request of prescriber

pretty much anyone including independant prescribers, swiss and EEA prescribers

11

in what time frame must Rx for emergency supply (Rxer) be provided

72hours

12

what CDs cannot be given as emergency suuply

1,2,3 except phenobarbitral

13

can a EEA or Swiss prescriber request an emergency CD?

No - including phenobarbital

14

can EEA or swiss prescriber request an emergency supply for a product without marketing authorisation in the UK

no

15

when making POM entry, what particulars of the medicine are legally required

name and quantity
(including the strength and form where appropriate)

- therefore the dose is not legally required

16

What are the POM book records needed

3 dates (supply, prescription & receipt of prescription)

2 name and address (prescriber and pt)

Drug name & quantity
(strength and form if appropriate)

NB dose is not listed

17

Labelling requirements for emergency supply (Rxer)

same as usual

18

What emergency supply can you not supply things containing this for: Ammonium bromide, calcium bromide, calcium
bromidolactobionate, embutramide, fencamfamin
hydrochloride, fluanisone, hexobarbitone, hexobarbitone
sodium, hydrobromic acid, meclofenoxate hydrochloride,
methohexitone sodium, pemoline, piracetam, potassium
bromide, prolintane hydrochloride, sodium bromide, strychnine
hydrochloride, tacrine hydrochloride, thiopentone sodium

Pt request

19

emergency supply - when should you give the smallest pack available (4)

insulin
inhalers
ointment
creams

20

how much contraceptive should you give on emergency supply

full cycle

21

emergency supply - hoe much antibiotic to give

smallest quantity to provide full treatment course

22

POM book requirements for emergency supply at pt request

date
name and quantity of drug (also strength and form if appt - NB not dose)
name and address of pt
nature of emergency

23

labelling requirements for emergency supply at patient request

'emergency supply'

24

where to refer someone if you cannot make the emergency supply

walk in center, doctor or A&E

25

pandemic exemptions (3)

dont need to supply from registered pharmacy or under supervision of a pharmacist

can provide emergency supply without interviewing pt

26

how long should a signed order from headteacher for supply of salbutamol inhalers be kept for

2 years

27

how long after taking isotretinoin should you not get pregnant

1 month

28

How long is a prescription for isotretinoin valid for

for women under the pregnancy prevention programme - 7 days

men and women with a compelling reason to not be in PPP (hysderectomy) - usual Rx

29

how much isotretinoin can be given on Rx?

what if the Rx is for more?

30 days

if Rx more PRESCRIBER must confirm pt is not under pregnancy prevention programme

30

what should you advice a patient who becomes pregnancy while on valproate

do not stop taking valproate and urgently see gp

31

who can prescribe cocaine, dipipanone and diamorphone for the treatment of addiction

GPs with a special home office license to supply

32

what is the point in the dental formulary

these are the only things dentists can prescribe on NHS - they can prescribe anything else (except cocaine, dipipanone and diamorphone for the treatment of addiction) but should really be resctrictedd to dental condictions

33

which independant prescriber cannot prescribe CDs (of any schedule)

optometrists

34

when does a vet rx need the RVCS reg number

sch 2 and 3 cds

35

a pharmacy does not need a wholesale dealers license if (4 rules)

-occasional basis
-small quantity
-not for profit
-not for onward wholesale or distribution

36

how long to keep an invoice for supply of meds to anyone

2 years

37

what is the difference between a use by and exp date of 7/2016

july 2016
use by final day is 30th june
exp is 31st july

38

when is it ok to not give a child resistant cap (2)

request- e.g. cant open it
original pack for stability issues

39

what Rxer details do you need on a vet Rx (6)

name
address
tel no
qualifications
signature
if sch 2 or 3 CD - RCVS number

40

what drug details are needed on vet Rx (5)

name
dose
quantity
admin instructions
and if applicable: warnings/withdrawl period

41

when is the 'prescribed under the vetinary cascade' needed

if its a human med

42

when is 'the item has been prescribed for an animal or heard under my care' needed

CD 2 and 3

43

do you need to submit CD vet rxes to the relevant nhs agencies

no

44

what sch if CDs for humans need to be submitted to the relevant nhs agencies

2 and 3

45

what is the max number of days allowed on a CD for vet
for human

vet - 28 days (unless long term condition)
human - 30 days (unless Rxer justifies)

46

what is required for VET POM entry (6)

-name of med
-date of supply
-batch no
-quantity
-name and address of supplier or recipient
-name and address of Rxer

47

what Rxer details are required on the vet med label

only the name

48

what animal details are required on the vet med label

owner name and address
animal name and species

49

does vet rx need expiry date on label

yes - and if approrpaite storage instructions

50

does vet rx need for animal treatment oinly on label

yes

51

what sort of wearnings should be on the vet med label if necessary

user warnings
withdrawl period
exp date
storage
for animal treatment only
keep out of reach of children

52

what med details are needed on the vet med label

name or description of the product or its active ingredients
content quantity

53

is labelling a medicines prescribed under the vet cascade a legal requirement

no