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Dispensing snippets - April 2004
 

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23 April, 2004
Extension to nurse formulary

The Medicines and Healthcare products Regulatory Agency is planning to extend the range of conditions that can be treated and the Prescription Only Medicines that can be prescribed by extended formulary nurse prescribers.

Consultation document MLX 303 proposes to add 11 conditions, including those of the eye and the skin, acute alcohol withdrawal, poisoning, oral and other infections, and conditions associated with the central nervous system, circulatory, gastrointestinal, musculoskeletal and respiratory systems, to nurse prescribers’ extended formulary.

It also proposes to allow off-label prescribing in palliative care where it is in the best interests of the patient, and the prescribing of certain Controlled Drugs, subject to Home Office approval, new POMs and antimicrobials, as well as new routes of administration for existing POMs and antimicrobials

Tariff to use dm+d names

From next month the drugs
listed in the Drug Tariff Part VIII will reflect the naming convention used in the NHS Dictionary of Medicines and Devices (dm+d).

Products will be displayed as: name, strength, modification (when present), presentation and ‘freeness’ (eg sugar-free, gluten-free). Salt form will only be displayed if more than one clinically significant salt exists in that presentation. Reimbursement will not be affected if products are prescribed using a different naming convention.


10 April 2004
Are you ready for the DDA?

Pharmacies need to review their disability access, signage and labelling, or face hefty fines under the Disability Discrimination Act 1995 (DDA), according to printer manufacturer Brother UK.

The act, which comes into force on October 1 this year, states any business which provides a service to the public will have to make ‘reasonable adjustments’ to ensure the disabled are catered for properly, or incur fines of up to £50,000.

The DDA protects the rights of the 8.5 million disabled people in the UK. This includes people who use wheelchairs, blind and partially sighted people, deaf people, people with arthritis, people with long-term illnesses and people with learning disabilities.

To ensure compliance with the Disability Discrimination Act, Brother recommends pharmacies review their premises and whether services are accessible to disabled people. It also advises ensuring staff training includes a policy towards disabled people and their legal rights, and disability awareness and disability etiquette training.

For a free guide to labelling and the DDA, call Brother on 0800 731 0669.

Dispensing doctors take note!

Drug interaction concern
A potentially dangerous interaction between an antidepressant and a muscle relaxant has been identified by researchers in Finland .

Faverin (fluvoxamine) dramatically increases the blood concentration of Zanaflex (tizanidine) by on average 33 times. This can result in a severe and prolonged fall in blood pressure and enhanced CNS effects, the Helsinki University researchers found


Pharmacy control of entry - latest

The Government has pledged to increase the choice of where, when and how patients get medicines - including freeing some restrictions on pharmacy openings.

“We propose to make it easier for new pharmacies to locate in areas where consumers already go, for example in large shopping developments, and to make it easier for pharmacies to open if they intend to be open for more than 100 hours a week,” says the Department of Health in its response to the Building on the best - choice, responsiveness and equity consultation.

Pharmacy contractors adversely affected by Government plans to increase competition in the sector may not back the new pharmacy contract, NPA chief executive John D’Arcy has warned.

Contractors’ commitment to accepting funding under the new pharmacy contract is directly linked to what happens with control of entry, Mr D’Arcy said, adding that if changes were unreasonable it would “be reflected quite naturally in contractors’ attitude to the new contract”.