Flashcards
HPE
Cards in this deck (15)
- 1S2 - pharmacy onlysubstantially safe, No Dx required
Symptoms easily identifiable
advice available if required
A wide Therapeutic Index
Low risk of masking a serious disease
Low risk of compromising medical management of a disease - 2S3 - pharmacist onlysubstantially safe, but require advice/counselling by a pharmacist
for minor ailments
symptoms easily identified
does not require medical Dx
e.g. Salbutamol (ventolin) - 3S4 - prescription onlyrequires medical Dx and management
may require further evaluation for safety
are new to the market
e.g. amoxicillin, SSRIs - 4S5 - cautionHave low toxicity or a low concentration
Have a low to moderate hazard
Can cause only minor adverse effects to human being in normal use
Require caution in handling, storage, or use. - 5S8 - controlled drugsubstances for therapeutic use that have high potential for dependency and abuse
Possession without authority is an offence
e.g. methadone, morphine - 6National Medicines PolicyAccess to Affordable Medicines PBS
Quality Use of Medicines (QUM)
Medicines of Appropriate Standards and Quality (TGA)
Maintaining a responsible and viable medicines industry - 7NHMRC levels of EvidenceEvidence Base
Consistency
Clinical Impact
Generalisability
Applicability - 8S8 limitationsA GP cannot initiate treatment, but can prescribe in very limited circumstances. Pts who need S8 CNS stimulant Rx should be referred to a specialist for Ax. It is illegal for anyone other than an authorised doctor to issue a prescription for a Schedule 8 CNS stimulant
- 9S3 RecordablePrescribed S3 poison means any of the following S3 poisons:
(a) dihydrocodeineincoughpreparations;
(b) doxylamine in preparations also containing codeine;
(c) promethazine in preparations also containing codeine;
(d) pseudoephedrine - 10Restriction on prescribing or supplying S2, S3 or S4 poisons containing S8 poisons; A prescriber must not prescribe or supply for use by a person who the prescriber knows or has reasonable cause to believe is dependent on drugs—(a) an S2 poison or S3 poison that contains a poison listed in S8 of the UPS; or
(b) an S4 poison that contains a poison listed in S8 of the UPS
for the purpose of maintaining or treating the person's dependencein accordance with an authority granted by the Minister. - 11Privacy1: Consideration of personal information privacy
2: Collection of personal information
3: Dealing with personal information
4: Integrity of personal information
5: Access to, and correction of, personal information - 12What is “sensitive” information? Information or an opinion about an individual’s:Racial or ethnic origin political affiliation, religion, profession/trade
membership of a trade union; or
sexual preferences or practices; or
criminal record;
that is also personal information; or
Health information about an individual is also regarded as “personal”. - 13National Competency Standards Framework for Pharmacists in Australia (PSA 2010)Element 3 – Respect & protect the consumer’s right to privacy/confidentiality
4.2: Consider appropriateness of PRx
6.1: Ax primary health care needs
Element 1 – Elicit relevant clinical info
Standard 7.1 Contribute to therapeutic decision making - 14Registered - AUST R = higher risk Must have AUST R number on label You use them to treat more serious illnesses, from a migraine all the way through to diseases like cancer.All PRx , most over-the-counter Rx (like painkillers, antihistamines
some complementary medicines e.g. high dose Calcium. TGA assesses the safety/quality of AUST R Rx.
TGA also looks at the evidence that AUST R Rx work effectively. - 15Listed - AUST L = lower risk Must have AUST L number on label Must not claim they will be useful in treatment/prevention of serious illnesses that would require the involvement of a health professional.listed medicines can be sold at most places
includes vitamins/ mineral supplements
herbal medicines; can only use pre-approved, lower risk ingredients.
The supplier must also make a statutory declaration that the information they are providing to the TGA is true.