Introduction to Prescription Only Medicines

Session 17: Introduction to Prescription Only Medicines

Total Session Time: 120 minutes

Prerequisites

None

Learning Tasks

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

Define prescription only medicine

Mention appropriate practitioners for writing prescription only medicine

Outline the conditions regulating handling of prescription only medicine

Resources Needed:

Flip charts, marker pens, and masking tape

Black/white board and chalk/whiteboard markers

SESSION OVERVIEW

Step

Time

Activity/

Method

Content

1

5 minutes

Presentation

Introduction, Learning Tasks

2

10 minutes

Presentation Buzzing

Definition of Prescription Only Medicine

3

15 minutes

Presentation

Appropriate Practitioners for Writing Prescription Only Medicine

4

40 minutes

Presentation

Medicinal Products on Prescription Only Medicines

5

40 minutes

Presentation

Conditions Regulating Handling of Prescription Only Medicine

6

5 minutes

Presentation

Key Points

7

5 minutes

Presentation

Evaluation

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 Prescription Only Medicine (10 minutes)

Activity: Buzzing (5 minutes)

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

What is prescription only 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

A treatment that must be prescribed by a doctor and is not licensed for sale to the general public.

A prescription medication is a licensed medicine that is regulated by law to necessitate a medical prescription before it can be obtained.

The term is used to differentiate it from over-the-counter drugs which can be accessed without a prescription. Different jurisdictions have different interpretations of what constitutes a prescription drug.

STEP 3: Appropriate Practitioners for Writing Prescription Only Medicine.(15 minutes)

For the purposes of section ( ) of the Act ( )medicinal products on prescription only, doctors, dentists and veterinary surgeons shall be appropriate practitioners in relation to all prescription only medicines.

STEP 4: Medicinal Products on Prescription Only Medicines. (40 minutes)

Drugs and substances that are recognized as narcotic drugs shall be controlled medicines and shall include their isomers, derivatives, esters, ethers, salts and salts of isomers, esters, ethers and substances and intermediate opiate raw materials.

"prohibited plant" means cannabis, coca plant, papaver somniferum (opium poppy) and papaver setigerum;

"drugs" means the narcotic drugs and psychotropic substances specified in the Schedule;

"chemical precursors" means a substance frequently used in the illicit manufacture of narcotic drugs or psychotropic substances as defined in Article 12 of the UN Convention Against Illicit Drugs and Psychotropic Substances mentioned in Table I and Table II as provided for in the Second Schedule to this Act;

TABLE I – contain the following products;

Ephedrine

Ergometrine

Ergotamine

Lysergic acid Ethyl ether

1-phenyl-2-propanone

Pseudoephedrine Piperidine

TABLE II – contain the following products;

Acetic anhydride

Acetone

Anthranilic acid

Phertylacetic acid

STEP 5: Conditions Regulating Handling of Prescription Only Medicines. (40 minutes)

A prescription only medicine shall not be taken to be sold or supplied in accordance with a prescription given by a practitioner unless the conditions are specified.

These conditions are

The prescription shall be in writing and signed by the practitioner giving it with his usual signature and dated by him;

The prescription shall contain the following particulars:

The address of the practitioner giving it;

Where the practitioner giving it is a doctor or dentist, the name and address of the person for whose treatment is given;

Where the practitioner giving it is a veterinary surgeon, the name and address of the person to whom the prescription only medicine is to be delivered;

Where the practitioner giving it is a dentist or a veterinary surgeon, a declaration by the practitioner that the prescription is “For dental treatment only” or “For animal treatment only”, as the case may be; and

Indicate the total amount of the prescription only medicine to be supplied and the dose to be taken;

In the case where the prescription does not specify whether it is a repeatable prescription or not, the prescription shall not be dispensed more than once;

In the case of a repeatable prescription that does not specify the number of times it may be dispensed, it shall not be dispensed more than 3 times;

In the case of a repeatable prescription that does not specify the time period between which the next dispensing may take place, it shall not be dispensed more than once in 3 days;

At the time of dispensing, the person dispensing the prescription shall note on the face of the prescription, above the signature of the practitioner, the name and address of the person dispensing it and the date on which the prescription is dispensed; and

In the case of a repeated prescription, if the prescription is being dispensed for the last time, it shall be retained after dispensation by the person dispensing it.

The restrictions imposed by (restrictions on sale and supply) shall not apply to a sale and supply of a prescription only medicine which is not in accordance with a prescription given by an appropriate practitioner by reason only that a condition specified is not fulfilled, where the person selling or supplying the prescription only medicine, having exercised all due diligence, believes on reasonable grounds that that condition is fulfilled in relation to that sale or supply.

STEP 6: Key Points (5 minutes)

A prescription only medication is a licensed medicine that is regulated by law to necessitate a medical prescription before it can be obtained Doctors, dentists and veterinary surgeons shall be appropriate practitioners in relation to all prescription only medicines.

STEP 7: Evaluation (5 minutes)

What does prescription only medicine mean?

Who are the appropriate practitioners for prescribing prescription only medicines?

Which conditions regulate handling of prescription only medicines?

References

MSH and WHO (2012). Managing Access to Medicines and Health Technology, (3rd Edition). Kumarian Press

MoHSW (2003) Tanzania, Food, Drugs and Cosmetics Act, Government Printers Dar es Salaam

MoHSW (2011), Pharmacy Act, Government Printers Dar es Salaam

United Republic of Tanzania (1971), the drugs and prevention of illicit traffic in drugs act, Government Printers Dar es Salaam

United Republic of Tanzania (2011). Public Procurement Act, Dar es Salaam

MoHSW (2003). The National Health Policy, Government Printers Dar es Salaam

MoHSW (1991). The National Drug Policy, Government Printers Dar es Salaam

United Republic of Tanzania (1993) .Medical Stores Department Act, Government Printers Dar-es-salaam

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