Created by Amelia Claire
over 8 years ago
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Question | Answer |
S2 - pharmacy only | substantially 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 |
S3 - pharmacist only | substantially safe, but require advice/counselling by a pharmacist for minor ailments symptoms easily identified does not require medical Dx e.g. Salbutamol (ventolin) |
S4 - prescription only | requires medical Dx and management may require further evaluation for safety are new to the market e.g. amoxicillin, SSRIs |
S5 - caution | Have 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. |
S8 - controlled drug | substances for therapeutic use that have high potential for dependency and abuse Possession without authority is an offence e.g. methadone, morphine |
National Medicines Policy | Access to Affordable Medicines PBS Quality Use of Medicines (QUM) Medicines of Appropriate Standards and Quality (TGA) Maintaining a responsible and viable medicines industry |
NHMRC levels of Evidence | Evidence Base Consistency Clinical Impact Generalisability Applicability |
S8 limitations | A 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 |
S3 Recordable | Prescribed 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 |
Restriction 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. |
Privacy | 1: 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 |
What 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”. |
National 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 |
Registered - 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. |
Listed - 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. |
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