NTA Level 4 • Semester 1 • PST04101

Medicines Label

Dispensing • Source Session/Topic 10

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Session 10: Medicines Label

Total Session Time: 120 minutes

Prerequisites

• None

Learning Tasks

By the end of this session students are expected to be able to:

• Define a label of a Dispensed Medicine

• List Essential Features of a Label

• Explain the Importance/ Purpose of a Label of Dispensed Medicine

• Design and prepare appropriate label

Resources Needed:

• Flip charts, marker pens, and masking tape

• Black/white board, chalk and whiteboard markers

• Handout 10.1: General Labeling Requirements for Dispensed Medicines

• Worksheet 10.1: Label for Medicine to be Dispensed

SESSION OVERVIEW

SESSION CONTENTS

STEP 1: Presentation of Session Title and Learning Tasks (5 minutes)

READ or ASK students to read the learning tasks and clarify

ASK students if they have any questions before continuing.

STEP 2: Definition of a Label of Medicine to be Dispensed (15 minutes)

|Activity: Buzzing (5 minutes) |

| |

|ASK students to pair up and buzz on the following question for 2 |

|minutes |

| |

|What is a label of a dispensed medicine? |

| |

|ALLOW few pairs to respond and let other pairs to add on points not |

|mentioned |

| |

|WRITE their response on the flip chart/board |

| |

|CLARIFY and SUMMARIZE by using the content below |

• Label: Any material which is printed or affixed to a packing material

which provides the necessary information about medicine, and includes an

insert

• The main functions of a label on a dispensed medicine are to uniquely

identify the contents of the container and to ensure that patients have

clear and concise information about the use of the medicine

• Each dispensed medicine must be appropriately labeled to comply with

legal and professional requirements

• All medicines to be dispensed should be labeled and the labels should be

unambiguous, clear, legible and indelible

▪ If possible lettering should be printed

STEP 3: Essential Features of a Label (30 minutes)

|Activity: Brainstorming (5 minutes) |

| |

|Ask students to brainstorm on the following question: |

| |

|What are the essential features of a label of medicine to be |

|dispensed? |

| |

|ALLOW few students to respond |

| |

|WRITE their responses on the flip chart/ board |

| |

|CLARIFY and SUMMARISE by using the content below |

• The information on the labels of dispensed medicines should be:

▪ Clear, accurate, and concise

▪ To avoid misunderstanding and obtain greatest benefits from

therapy

▪ Abbreviations and unfamiliar expressions should not be used,

especially for indications for use and dosage instructions

▪ Legible

▪ Easily readable, the print should not fade when exposed to water

or sunlight

▪ Manufacturers’ labels fulfill established criteria for good

readability

▪ Adequate and relevant

▪ Care should be taken to avoid confusion

▪ Too much information on the label may mean that none of it is

noted

▪ Intelligible

▪ The information should be completely unambiguous and arranged to

avoid confusion

▪ The terms used should be readily understandable by the

lay/unprofessional person

▪ Graphic symbols for patient instruction should not be used alone

but should always be combined with written instructions

• Label information should include the following:

▪ Patient name

▪ Generic name, strength and dosage form of the medicine

▪ Dose, Frequency and Duration of use of the medicines

▪ Quantity of the medicine dispensed

▪ How to take or administer the medicine and cautionary statements, if

applicable

▪ Storage condition

▪ The name and address of the dispenser

[pic]

Figure 9.1: Sample Label of Medicine

STEP 4: Purpose/ Importance of a Label of Dispensed Medicine (10 minutes)

• The purpose of a label for medicine to be dispensed is:

▪ To describe and identify a prescribed medicine

▪ To contribute to optimal therapeutic outcome and to avoid medication

errors

▪ To achieve appropriate handling and storage

▪ To allow the product to be traced if there are problems with either

the manufacturing, prescribing or dispensing process

• The importance of label for medicine to be dispensed:

▪ Label information for prescribed medicines should be considered to

supplement and reinforce oral communication between the patient and

healthcare provider

▪ Label should provide the patient with all the information necessary

so that the medicine may be taken or used appropriately

▪ The presentation of label elements is important for patient

understanding

▪ Written instructions on the use of medicines are very important

rather than verbal information

STEP 5: Design and Prepare Appropriate Label (40 minutes)

|Activity: Exercise (20 minutes) |

| |

|DIVIDE students into small manageable groups. |

| |

|[pic]REFER students to Worksheet 10.1: Label for Medicine to be |

|Dispensed |

| |

|READ or ASK one student to read the scenario in the worksheet and |

|CLARIFY |

| |

|ASK all groups to answer the question in the worksheet for 15 minutes.|

| |

|ALLOW few groups to present and the rest to add points not mentioned |

| |

|CLARIFY and SUMMARIZE by using the content below |

The label on the medicine packaging usually includes:

• The name of Patient

o the generic name for the active ingredient in your medicine

(scientific name)

• the name and address of the pharmacy that dispensed medicine

• the date medicine dispensed

• the name of the medicine and the strength

• the dose should be taken, how to take it and how often and how long

• the amount of medicine in the container

• if necessary, any cautions or warning messages that apply to your

medicine

▪ Some examples are:

▪ shake the bottle

▪ store in a cool place

▪ discard 28 days after opening

▪ do not use after a certain date

STEP 6: Key Points (10 minutes)

• Medicine to be dispensed needs a label which is appropriately written to

provide a good communication to a patient. It is to identify the medicine

through its name and strength, provides information of how to take the

medicines, the quantity and frequency of a dose and duration of that dose

▪ It is also providing other information like storage condition and

action to be taken before use of medicines

• The essential features of a label of medicines to be dispensed includes;-

clear, accurate and concise written, the label written should be legible,

the label should be adequately written and easy to interpret the

information provided to a patient

STEP 7: Evaluation (10 minutes)

• What is a label for medicine to be dispensed?

• What informations are appropriate to be included in a label of medicine

to be dispensed?

• What are the essential features of a label of medicine to be dispensed?

References

Cooper, J. W., Gunn, C., & Carter, S. J. (2008). Cooper and Gunn's

dispensing for pharmaceutical students (12th ed.). New Delhi, India:

CBS.

FMHACA of Ethiopia (2012). Manual for Medicine Good Dispensing practices.

(2nd ed.). Ethiopia

WHO (2002). Technical Report Series No. 902. (Annex 9). Geneva

|[pic] |Handout 10.1: General Labeling Requirements for Dispensed |

| |Medicines |

[pic]

|[pic] |Worksheet 10.1: Label for Medicine to be Dispensed |

|Scenario: |

|You are a dispenser at Themi Pharmacy P.O Box 3011, Arusha today. A |

|Mother with a child called Aisha Hassan gives you a prescription |

|written as follows;- |

|Amoxicillin Syp 250mg tds 5/7 |

|Paracetamol Syp 240mg tds tds 5/7 |

| |

|At Themi Pharmacy you have in stock bottles Amoxicillin Dry Suspension |

|100ml with strength of 125mg/5ml and Paracetamol syrup 100ml with |

|strength of 120mg/5ml. |

| |

|Design and prepare an appropriate label for the two medicines |

|prescribed. |

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