when was the med act formed and what is it purpose?
What are the 3 classifications of drugs
Prescription Only med (POMs)
Pharmacy med (P)
General Sales List (GSL)
Describe POMS and give examples
Optoms supply POMs with signed order ONLY
describe P drugs and give examples
Describe GSL drugs and give examples
Over the counter
safe to public
some P meds = GSL if small size
NO EYE DROPS AND OINTMENT
eg: saline, lube, blepharitis wipes,CL solution, eye wash
Explain the dual classification of drugs
Some drugs can be in diff classes
what can entry level optometrist sell or supply?
All GSL
All P
signed order fo certain POMs
What should the signed order include
date
name and address
px name and adress
name of drug
qnty, frorm and strength of POM
sihnature
GOC #
what are the additionl qualifications
Additional Supply- write orders for few more drugs than normal optometrist
Supplentary Prescribing- manage px condition and prescribe in conj with GP or opthamologist
Independent Prescribing- full responsibilty of px, diagnosis and management and prescribing where needed
what are the 2 legislations allowing optoms to prescribe in uk
which form do IPs fill for prescriptions
NHS FP10- free meds upto £9.65
must be signed in ink
sources of drug info
British Pharmacopoeia
British National Formulary BNF
Monthly Index of Medical Specialties MIMS
drug storage and disposal rules
storage:
keep out of px reach
in locked cupboard or fridge - choramphenicol needs to be at 2'C
disposal: yellow bin
used CL
drugs
fluroscein strips
NO PACKAGING
difference btwn drops, ointment and gel
instillation of drops vs ointment
reasons for px non compliance and how to improve
2 classes of ADRs
5 ADR types
common ocular ADRs
blurred vision, reduced accom, colour change, diplopia, altered pupil size
systemic drugs causin OADRs
which ocular drug causes systemic ADRs
ADR protocol
what is pharmacovigilance
monitering drug effects and safety
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