Pharm Y2S2 - Law Exam Part 2

Strcit limitations of use for safety reasons Narrow safety window Require specialist vet knowledge Clinical assessment of animal must occur for prescription to be given Only the minimum amount necessary for treatment should be supplied

Used to reduce/prevent effects of endemic disease in herds Use implies risk to target species or user Simple advice should be given along side supply Professionals may receive adequate training for administration

For food producing animals Special precautions taken to avoid unnecessary risk May interfere with future diagnosis Include new VMPs

Wide safety margin Treatment for common ailments No specialist advice

Permits certain medicines to be placed on the market in any retailer without MA subject to conditions

Aquarium animals Cage birds Homing pigeons Terrarium animals Small rodents Ferrets Rabbits

Recipient is competent in the use of the product for authorised purpose Advise on safe administration Provide warnings Give minimum quantity necessary for treatment

Name of medicine Date of receipt/supply Batch number Quantity Name and address of Rx-er Name and address of recipient Copy of Rx if possible Retain for 5 years

6 months, unless a shorter time is indicated by the prescriber 28 days for schedule 2 and 3

Name, address, telephone and qualification of Rx-er Signature Name and address of owner Species, identification and address of animal Date Name and amount of medicine Dosage/administration instructions Warnings/withdrawal periods Number of repeats where necessary

RCVS number of prescriber | 'Item prescribed for animal/herd under the care of a veterinarian'

Must be registered with RCVS | Must have carried out a clinical assessment on the animal

'Prescribed under the cascade'

Must be in English UK authorised veterinary medicinal product stamp Name, strength, form Name/proportion of active ingredients and any excipients mentioned in MA Route of administration Batch number Expiry date 'For animal treatment only' 'To be supplied on veterinary Rx' Contents by weight, volume or dosage unites MA number and holder details Labelled space for discard date Target species 'Keep out of reach and sight of children' Distribution category Storage instructions In use shelf life Withdrawal period for food producing species (even if zero) Warnings specified in MA Disposal advice Full indications Dosage instructions Contraindications

Name, address of owner and supplier Date of supply Name, strength and quantity Dosage and directions for use 'For animal use only' 'For external use only'

1- VMP authorised in the UK for another animal species OR another condition in the same species 2- UK medicinal product for human use OR VMP authorised in another EU country for use with any animal species 3- medicine prepared extemporaneously as prescribed

Used to find an alternative where there is no suitable authorised VMP in the UK

Veterinarians and pharmacists may supply any medicine supplied under the cascade SQPs may dispense any authorised VMPs prescribed

Licensed POM

No therapeutic use, limited to research etc | License required from the home office to produce/possess/supply

For destruction or police handover

LSD Ecstasy Raw opium Cannabis

Register POM

License required for import/export Pharmacy controls over destruction, container marking, record keeping and safe custody including expired and returned meds Private prescriptions written on a standard form

Quinalbarbitone

Cocaine Methadone Morphine Ketamine Opiates

No register POM

No register or destruction requirements | Invoice must be retained for two years

Diethylpropion Temazepam Buprenorphine Flunitrazepam

Barbituates Midazolam Tramadol

Benz POM

Anab POM

No register, safe custody or destruction requirements Home office license for import/export Emergency supplies permitted No restriction on possession of part II

Part I- benzodiazepines, cannbinoids | Part II- anabolic/androgenic steroids, growth hormones

Invoice POM/P

Negligible potential to supply or for misuse Invoices retained for 2 years Exempt from other controls

Codeine Pholcodeine Morphine present at low strengths

Yes for import, manufacture, distribute and supply

Schedule 4 CD derived from whole plant extracts of cannabis | Destruction requirements apply to importers, exporters and manufacturers

Prescribed for person (or animal) Have appropriate Home Office license Person specified in regulations as acting in their capacity (constable, postal worker, customs officer)

Doctors, dentists, pharmacists, independent prescribers Senior registered nurse on a ward Person in charge of laboratory Public analyst, sampling officer Master of a ship with no doctor on board Ambulance trusts

No personal license required by the home office for less than 3 months supply Patient advised to obtain covering letter from prescriber, check with embassy and travel operators before travel

Veterinary prescriptions- retained for 5 years Hospital/care home- retain for 2 years Manufacturer/wholesale Prison pharmacy to prison wings Midwife supply order- retain for 2 years

Diamorphine Morphine Pethidine

14 days

Schedule 2 drugs Buprenorphine Diazepam

Within 28 days of date on Rx or date expressly specified

Amount per instalment Interval between instalments Dose and instalment amount must be specified separately

Dispense instalments due on pharmacy closed days on prior suitable days If a day is missed, dispense the amount due for remaining days Contact Rx-er if 3 or more consecutive days are missed

Prescribers specifically authorised by the secretary of state Cocaine, diamorphine, dipipanone

Supply to patient or representative and request of ID is at the pharmacist's discretion HCP collecting on behalf of patient must provide ID, name and address

Representative must have a letter of authorisation from the patient for each time they collect Rx-er must be contacted if this is a supervised dose

For necessary immediate treatment of a sick patient they may supply diamorphine or morphine

Schedule 5 or 4 part I Midazolam Not parenteral

Phenobarbitone or schedule 4/5 are permitted at the request of a prescriber Up to 5 days treatment with schedule 4/5 at patient request

Retail dealers Care homes Private hospitals

Should be plainly marked with the amount of drug | With preparations, with the amount per dosage unit and number of dosage units

2 years from its last entry

Must have an authorised witness present, not necessary for patient returns

Some appointed by a designated body who does not routinely supply/handle CDs

Constable GPhC inspector Senior staff Suitably trained employees Controlled drug liaison officer

Hazardous Waste Regulations 2005

Available in registered pharmacies without prescription under the supervision of a pharmacist Listed in HMR 2012 Schedule 1 part 2

Anthelmintics Parenterals Enemas and irrigation Aspirin in under 16s POM under certain conditions of marketing authorisation GSL above certain quantities Covered by exemptions from licensing from pharmacists

Parenterals CDs Cyanogenics Those that emit radiation Restrictions of aloxiprin, aspirin, paracetamol, pseudoephedrine salts

Those containing one of the following substances in a specified form and at a max strength Dihydrocodeine Ethylmorphine Pholcodeine Codeine Morphine Any of their salts

Can be made up by a pharmacist if deemed appropriate consisting of either GSL or P medicines

Unlawful to sell these products together where they contain more than 720mg of pseudoephedrine salt or 180mg of ephedrine

Emergency oral contraception Codeine/dihydrocodeine should not be used for more than 3 days, max supply of 32 Cough medicines unsuitable for children contains pholcodine, dextromethorpran, guaifenesin, ephedrine OTC codeine liquid not for use in under 18s

Not classified as P or POM but have marketing authorisation. May be sold with reasonable safety without supervision of a pharmacist

Quinine P with a max daily dose of 300mg GSL in its base form with a max daily dose of 35mg

Where they can be closed to exclude the public The product was made elsewhere and remains in its original packaging Follow schedule 15 requirements

Doctor/dentist to a patient under their care Registered midwife in the course of their practice Hospitals/healthcare centres

Paracetamol and aspirin up to 500mg in packs of 16 Aspirin, aloxiprin and paracetamol effervescent up to 30 EC aspirin 75mg in packs of 28 Ibuprofen in packs of 16 or 12 granules/powder sachets

No longer presents danger to health Not frequently used incorrectly Activity/side effects require no further investigation Not usually prescribed by doctor as a parenteral

Not a legal classification in HMR 2012 | GSL products whose sale is restricted to pharmacies, RP does not need to be present

Prescriber is appropriate There is a genuine emergency Rx to be provided within 72 hours Supply made in accordance with instructions CD 4 and phenobarbital are permitted from UK prescriber Record may on the day or day following

Medicine supplied, all details including quantity Name/address of Rxer Name/address of patient Date on which POM is sold Date on Rx Date Rx received by pharmacy Reason for supply Reference number

Immediate need Treatment has previously been received on Rx Dose appropriated Patient has been interviewed Treatment does not exceed 30 days (5 days for phenobarbital and Sch 4/5)

Bromide salts Hexobarbitone Methohexitone Strychnine Thiopentone

Inhalers Creams Insulin Where smallest pack size exceeds 30 days

Adrenaline 1mg/ml Atropine sulphate Chlorphenamine Dicobalt edetate Glucagon Glucose 50% Hydrocortisone Naloxone Pralidoxime Antiserum (venom) Sodium nitrite

Doctor/dentists signature Pharmacist signature Name of business that owns it Description of medicines Start/end dates Health professionals able to administer Signature by appropriate organisation Clinical situation where it applies Details of dosage, form, quantity and regimen Warnings Follow up actions Records

Antimicrobials to be used with caution Black triangle drugs included in exceptional circumstances Unlicensed drugs not permitted No anabolic steroids No midazolam from schedule 3 Schedule 2 morphine and diamorphine excluded for addiction

Supply to HCPs to hold for local provision or to other pharmacies to meet the needs of individuals where this happens only on occasion and in small quantities on a non-profit basis where the medicines are not for onward wholesale distribution

Listed in HMR 2012, schedules 17 and 22

GSL and P medicines | POM medicines containing diclofenac, hydrocortisone, miconazole, nystatin or phytomenadione

Adrenaline, anti-D immunoglobulin, cyclizine, diamorphine, ergometrine, hep B vaccine, lignocaine, naloxone, oxytocin, pethidine, prochlorperazine, NaCl

Chloramphenicol eye drops <0.5% Chloramphenicol eye ointment <1% Cyclopentate Fusidic acid Tropicamide

Amethocaine Lignocaine Oxybuprocaine

Diclofenac | Polymixin B

Potassium permanganate crystals Ibuprofen Heparinoid ointments Clotrimazole 1% Crobamiton 10% Griseofulvin 1% Miconazole 2% Salicylic acid 70% Terbinafine 1%

Amoxicillin Erythromycin Flucloxacillin Co-codamol Co-dydramol Codeine Amorolfine Hydrocortisone 1%

Adrenaline Lignocaine Prilocaine Methylprednisolone

Diazepam 5mg/ml Succinylated gelatin 4% infusion Adrenaline Amiodarone Anhydrous glucose Ergometrine Furosemide Heparin (cannula flushing) <20mg morphine Metoclopramide Naloxone Streptokinase NaCl

Relationship between an individual and the state, regulating human behaviour

Relationship between individuals relating to the conduct of human relations Compensation may be awarded to the victim

Conditions of bodies of rules with potential for severe punishment, actions considered harmful to society as a whole

An act of parliament laying down general principles

An act delegates power to other bodies by making detailed rules