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Flashcards in Use of Medicine Deck (25)
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1

What does the MHRA or EMA do

Regulate and license all U.K medicine
Not influenced by cost
Safety standards and trials of evidence
Yellow card scheme reports

2

What does the SMC do

Provide advice to NHS Scotland regarding all licensed medicines
Cost effectiveness / QALT
Medicine has to be approved by SMC before it can be prescribed in the NHS

3

What are categories of medicine

Licensed
Off-label
Unlicensed
Specials

4

What is off-label

Prescribed outwit terms of marketing license
Liability increased if prescribed

5

What is unlicensed

No marketing license but can be brought in from another country

6

What is specials

Special formulation of an existing product
Unlicensed

7

How can medicine be classified

Prescription only
Over the counter general sale
Over the counter pharmacy

8

What is the yellow card scheme

Centre for reporting adverse drug reactions in Scotland
Run by the MHRA

9

What is the EMA

Same as MHRA but for Europe

10

What is ADTC

Develop regional formularies and implement SMC advice for regional areas

11

Look at good prescribing practice

OK

12

How do you report ADR

Yellow card scheme

13

What can SMC decide for drug

Approval
Approve for restricted use
Not recommended - individual patient treatment request can be made (IPTR)

14

What should be reported on yellow card scheme

Al suspected ADR for new medicines (black triangle)
All suspected ADR in children even if off-label
All suspected serious ADR for any medication

15

What do you write all prescription in

Black capital letter

16

What are only acceptable abbreviation

Mg
Ml
mmol

17

If as required medication what must you write

Minimum dose interval

18

What is the start date

Date drug was first prescribe

19

If discontinuing what do you do

Cross it
Sign it
Date it

20

If dose is altered

Rewrite with new start date

21

If you have a solution how do you prescribe

Drug and concentration in drug box
e.g. oromorph 5mg/5ml
mLs in dose box
e.g. 5ml

22

If you have inhaler how do you prescribe

Inhaler and puff content in drug box
e.g. Salbutamol 100microrgam
Number of puffs in dose box
e.g. 2 puffs

23

If you have combination drug how do you prescribe

Combination specific in drug box
e.g. co-codomal 8/500
How many tablets in dose
e.g. 2 tablets

24

Do you prescribe O2

YES

25

If prescribing penicillin what do you write

Full naem
Phenoxymethylpenacillin