Legality of Prescription Ppt

2 Legal aspects of prescribingYou will be familiar with the legislation on the release and marketing of medicines You will learn what is acceptable and what is not You will learn best practices in prescription writing Prescription drugs • Can only be sold or dispensed on prescription, i.e. on a doctor`s prescription, a dentist or registered nurse or pharmacist • In the Community • FP10 – General practitioners • FP14 – Dentists • FP10HNC – Hospitals • FP10MDA-SS – for drug addicts • Private prescriptions • Hospital patient records • No prescriptions, but administration records. Development and evaluation of a generic tool for pharmacy technicians to ensure a unified approach to patient counselling Blyth C, Menzies. Instructions for patient groups (1) • «Krone» Report – «Review of Prescribing, Dispensing and Administration of Drugs» • March 1998 «Report on the Dispensing and Administration of Drugs under the Group Protocol» (HSC 1998/051) • March 1999 «Final Report» • HSC 2000/026 (August 2000) Instructions for patient groups Allows nurses, midwives, pharmacists, optometrists, podiatrists, radiologists (and others) to dispense or administer medications. Drugs intended only for pharmacies (P) • All drugs other than GSL or POM • Must be sold under the supervision of a pharmacist. Controlled drugs • Misuse of Drugs Act, 1971: • Five lists • Schedule 1 – non-medical use • Schedule 2 – Opiates and stimulants • Schedule 3 – Barbiturates • Schedule 4.1 – Benzodiazepines • Sch. 4.2 – Anabolic steroids • Sch 5 – diluted Sch. 2`s CD-Gesetzgebung nach Shipman (2) • Audit Trail • Electronic CD Rxs and Registers (2005) • NHS Rx to capture CD and pt ID (2007) • New private CD Rx (2006) • Unique identifier for all Rxers (2007) • New ethical guidance from GMC and RPSGB (2006) • SOPs for using CD (2006) • Patient drug record card (2006) • Recovery & destruction of unwanted CD (2006). 51 Neue BANs – Beispiele Altes Amoxycilline Céphridine Frusemide DothiepinHydroxyharnstoff Mustin Stilboestrol Thyroxin-Natrium-Trimeprazin Neues Amoxicilline Cefradine Furosemid Dosulepin Hydroxycarbamide Chlorméthine Diéthylstilbestrol Lévothyroxine-Natriumalimemazin Andere verschreibende Ärzte • Unabhängige verschreibende Stellen: • Krankenschwestern • Apotheker • Zusatzverschreiber: • Krankenschwestern • Apotheker • . Inclusion of optometrists and other AHPs General Sales List (GSL) • Those that can be sold safely without the supervision of a pharmacist • «Simple» means • Food and cosmetics • Small retail packages • E.g. paracetamol x 16 tablets. Prescribe by generic/drug name Use trade names only for: • Brands of drugs with different bioavailability, e.g.

• SR-theophylline • SR-diltiazem • Multi-ingredient products that do not receive a BNF title. Classification of medicinal products • General Sales List (GSL) • Pharmacy only (P) • Prescription drugs (POM) • Seized drugs (CD) Shipman CD legislation (3) • Patient information • Media handling and disposal (2005) • Information brochure – generic (2006) • CD-specific information brochures (2006) • Education and training • Curricula for undergraduate and postgraduate students (2006) • Training (2006) • Evaluation and Revalidation CD (2006) Unauthorised Drugs • «Special» •. •Import•. imported to meet special needs. • Extemporaneous preparations •. Drug prepared in pharmacy . • In general, the responsibility for the use of an unapproved drug or an approved drug for an unapproved indication rests with the prescribing physician of the ELA1 preclinical introduction in the administration of the drug. CD recipes • Cannot prescribe Schedule 1 • No specific requirements for those in Schedules 4 and 5 • Schedules 2 and 3 have specific requirements Must specify: • Form, e.g. tablets • Strength (if applicable) • Total amount in words and figures POM administration • Can self-administer • To anyone except injections • A practitioner or according to a practitioner`s instructions • Life-saving injections • Midwives, Podiatrists, Opticians and Paramedics PowerShow.com is a leading presentation sharing website. It has already downloaded and made available millions of presentations, with another 1,000 uploaded daily by its users. Whatever your area of interest, you can find and view and possibly download presentations that you will love.

And best of all, it`s completely free and easy to use. Summary of product characteristics (data sheet / compendium of medicinal products) • Name • Presentation • Use • Dosage and administration • Contraindications, warnings, etc. • Inc Precautions, interactions, side effects, overdose • Pharmaceutical precautions • Legal category • Packaging quantities • More information • PL numbers. «Blacklist» • Since 1985, some medicines are no longer available on the NHS. Include: • Remedies for indigestion • Analgesics • Hypnotics and anxiolytics. Shipman CD Legislation (1) • Monitoring and inspection • Responsible officer (2006) • Legal obligation to cooperate between notified bodies (2006) • Restrictions for prescribing physicians • New GMC Ethics Guidelines (2006) • Guidelines on prescribed quantities (2006) • Rx validity reduced to 31 days (2006) Legal aspects of prescription Steve Brown Director of Pharmacy, UBHT Provision of intrathecal chemotherapy Kowloon Central Cluster 10Jan08. Unlicensed or off-label? • Non-label use (or administration) – use (or administration) outside the approved product indication • For example, in paediatric medical services • Licensed 54% • Not licensed 7% • Not labeled 39% • 67% of patients received unapproved or off-label drugs • Conroy et al. BMJ 2000; 320:79-82.

52 BNF and BNF for ChildrenBNF – Prescribing Guidelines Page 1 – General Prescribing Guidelines Page 4 – Writing prescriptions Page 7 – Controlled Drugs Page 10 – Drug Side Effects Page 11 of – Prescription . for children, in palliative care, for the elderly. Drug addicts • Cocaine, diamorphine and dipipanone (Diconal) may be prescribed for the treatment of drug addiction only by doctors specially authorized and licensed by the Ministry of the Interior.