Medicines Regulation

1. Medicines Regulation

2. This Lecture • Medicines • What is a medicine? • Classification of Medicines • Where do you find a list of Medicines and their classifications? • Manufacture of Medicines • Who can manufacture Medicines? • Can pharmacists dilute a medicine?

3. What is a medicine? Section 3 Medicines Act 1981 medicine means any substance or article, other than a medical device, that is manufactured, imported, sold, or supplied wholly or principally— • (a) For administering to one or more human beings for a therapeutic purpose; or • (b) For use as an ingredient in the preparation of any substance or article that is to be administered to one or more human beings for a therapeutic purpose, where it is so used— • (i) In a pharmacy or a hospital; or • [(ii) By a practitioner, or registered midwife, or designated prescriber, or in accordance with a standing order; or] • (iii) In the course of any business that consists of or includes the retail sale, or the supply in circumstances corresponding to retail sale, of herbal remedies; or • (c) For use as a pregnancy test.

4. Meaning of “therapeutic purpose” • Section 4 Medicines Act 1981 In this Act, unless the context otherwise requires, the term therapeutic purpose means— • (a)Treating or preventing disease; or • (b)Diagnosing disease or ascertaining the existence, degree, or extent of a physiological condition; or • (c)Effecting contraception; or • (d)Inducing anaesthesia; or • (e)Altering the shape, structure, size, or weight of the human body; or • (f)Otherwise preventing or interfering with the normal operation of a physiological function, whether permanently or temporarily, and whether by way of terminating or reducing or postponing, or increasing or accelerating, the operation of that function, or in any other way; or • (g)Cleaning, soaking, or lubricating contact lenses

5. Classification of Medicines

6. Classification of Medicines Medicines are classified according to their active ingredients. • The First Schedule to the Medicines Regulations 1984 is a list of active ingredients grouped under their respective classifications. • Classification changes occur approximately every six months.

7. Classification of Medicines • Consumer convenience • Potency • Current availability • Therapeutic index • Toxicity • Abuse potential • Inappropriate use • Precautions • Communal harm

8. Classification of Medicines • Pharmacy Only Medicines • Prescription Medicines • Restricted Medicines • General Sale Medicines??

9. Section 3 Medicines Act 1981 pharmacy-only medicine means a medicine that is declared by regulations made under this Act or by a notice given under section 106 to be one that, except as may be permitted by the regulations, may be— • (a) sold by retail only— • (i) in a pharmacy or hospital; or • (ii) in any shop described in section 51(2) and in accordance with a licence issued under Part 3; or • (b) supplied in circumstances corresponding to retail sale only— • (i) in a pharmacy or hospital; or • (ii) in any shop described in section 51(2) and in accordance with a licence issued under Part 3; or • (iii) in accordance with a standing order]

10. Section 3 Medicines Act 1981 Prescription medicine means a medicine that is declared by regulations made under this Act or by a notice given under section 106 to be one that, except as may be permitted by regulations made under this Act, may be— • (a) Sold by retail only under a prescription given by a practitioner, registered midwife, veterinarian, or a designated prescriber; and • (b) Supplied in circumstances corresponding to retail sale only— • (i) Under a prescription given by a practitioner, registered midwife, veterinarian, or a designated prescriber; or • (ii) In accordance with a standing order; and • (c) Administered only in accordance with— • (i) A prescription given by a practitioner, registered midwife, veterinarian, or a designated prescriber; or • (ii) A standing order:]

11. Section 3 Medicines Act 1981 • Restricted medicine means a medicine that is declared by regulations made under this Act or by a notice given under section 106 to be one that, except as may be permitted by the regulations, may be— • (a) sold by retail only by a pharmacist in a pharmacy or hospital; or • (b) supplied in circumstances corresponding to retail sale only— • (i) by a pharmacist in a pharmacy or hospital; or • (ii) in accordance with a standing order.]

12. Where do you find a list of Medicines and their classifications? • Medicines Regulations 1984 • Regulation 3Classification of medicines • (1) All medicines and classes of medicines specified in Part 1 of Schedule 1 to these regulations are hereby declared to be prescription medicines. • (2) All medicines and classes of medicines specified in Part 2 of Schedule 1 to these regulations are hereby declared to be restricted medicines. • (3) Subject to subclause (4) of this regulation, all medicines and classes of medicines specified in Part 3 of Schedule 1 to these regulations are hereby declared to be pharmacy-only medicines. • (4) Nothing in subclause (3) of this regulation shall apply to a remedy that is, and is described as, homoeopathic

13. List of Classifications

14. Manufacture of Medicines

15. Section 26 Medicines Act 1981 (1) Notwithstanding section 17 of this Act, but subject to subsections (2) and (3) of this section and to the other provisions of this Act and to any regulations made under this Act, a pharmacist may manufacture, pack, label, sell, and supply any medicine. (2) The authority conferred by subsection (1) of this section shall extend only to the manufacture, packing, labelling, selling, or supplying of medicines,— • (a) In the case of a pharmacist employed in a hospital, in the course of that pharmacist's employment as a pharmacist in that hospital: • (b) In any other case, by a pharmacist in a pharmacy. • (3) Subsection (1) of this section shall not authorise— • (a) The sale or supply of any medicine, except— • (i) Pursuant to an order given or a request made by the person to whom the medicine is sold or supplied; or • (ii) In the ordinary course of business with reference to the needs expressed by that person; or • (b) The sale or supply of a prescription medicine otherwise than pursuant to a prescription. • (4) Subject to subsection (2) of this section, nothing in section 20 or section 24 of this Act shall apply in respect of the sale or supply by a pharmacist of a medicine compounded by that pharmacist to suit the needs of a particular person

16. Can pharmacists dilute a medicine? Regulation 5Medicines Regulations 1984 Pharmacist may dilute medicine in particular case • Where any liquid medicine in respect of which a standard is prescribed by any of the provisions of these regulations is to be supplied by a pharmacist pursuant to a prescription issued for a particular patient, the pharmacist may add a compatible diluent to the medicine if he is satisfied that— • (a) Such dilution is necessary to adjust the dose to a quantity easily measurable by the patient or by any other person on behalf of the patient; and • (b) The addition of that diluent will not affect injuriously the composition of the medicine.

18. 47Storage and delivery of medicines • Section 47 Medicines Act 1981 • (1) No person who is in possession or charge of any prescription medicine or restricted medicine shall put it— • (a) In any cupboard, box, shelf, or other place of storage in which articles of food or drink are stored or kept for ready use; or • (b) In any place to which young children or unauthorised persons have ready access. • (2) No person shall pack any medicine, or prepare it for use, in any room, or on any table or bench, that is used for the purpose of packing, preparing, or consuming any food or drink. • (3) Except as otherwise provided in any regulations made under this Act, no person who is in possession, for the purposes of any business, of a prescription medicine or a restricted medicine that is kept for the time being within any building or vehicle shall leave that building or vehicle unattended, unless he has taken all reasonable steps to secure that building or vehicle, or the part of it in which the medicine is kept, against unlawful entry. • (4) No person shall deliver on retail sale, or in circumstances corresponding to retail sale, any medicine otherwise than through the post or by handing it or causing it to be handed to the person, or another person reasonably believed to be acting on that person's behalf, to whom it is addressed or for whose use it is intended. • (5) Every person commits an offence against this Act who, without reasonable excuse, contravenes any of the provisions of this section.

19. 32Storage of medicines • (1) Every person in possession or control of any medicine, related product, or cosmetic for sale, or of any container or appliance used for or in connection with the sale of any medicine, related product, or cosmetic, or the manufacture, storage, or packing of any medicine, related product, or cosmetic for sale, shall at all times— • (a) Keep the medicine, related product, cosmetic, container, or appliance clean and free from contamination by moisture, foul odours, or dust; and • (b) Protect the medicine, related product, cosmetic, container, or appliance from access by creatures likely to contaminate it. • (2) Every person in possession of any medicine, related product, or cosmetic for sale shall at all times store and keep it packed in such manner as to minimise its deterioration, and shall comply with all requirements for storage stated on the label or contained in a specified publication in respect of that medicine, related product, or cosmetic.

20. 36Storage to be separate • No person shall store or keep for ready use any medicine, related product, or cosmetic in such manner that a food or drink may be contaminated by the escape or leakage of the medicine, related product, or cosmetic, or by the release of vapours from the medicine, related product, or cosmetic.

21. 34Exposure to toxic substances prohibited • Except as otherwise provided in these regulations, no person shall, in the course of the manufacture, storage, packing, or supply of any medicine, related product, or cosmetic for sale, keep, carry, spread, or use, or permit to be kept, carried, spread, or used, any toxic or noxious substance so as to expose the medicine, related product, or cosmetic to the risk of contamination by that substance at any time.

22. Places of Manufacture

23. 29 Places of manufacture, storage, and sale • No person shall use any place or permit any place to be used for or in connection with the sale of any medicine, related product, or cosmetic, or the manufacture, storage, or packing of any medicine, related product, or cosmetic for sale, unless the place complies with the following requirements: • (a) The place shall be kept adequately lighted by daylight or artificial light, as the circumstances require, at all times when any work is being carried out there: • (b) The place shall be kept appropriately ventilated at all times while any medicine, related product, or cosmetic, or any container or material for the packing of any medicine, related product, or cosmetic, is present there: • (c) If a waste liquid is produced there, the place shall be provided with a means of drainage that is sufficient for the removal of the waste liquid, and that is kept in good, clean, working order and condition: • (d) The place shall be kept, so far as is practicable, clean and free from foul odours and free from dust and creatures likely to contaminate the medicine, related product, or cosmetic: • (e) The walls, floors, ceilings, and roofs shall be properly constructed and kept in good repair, and shall be easy to clean:

24. 29 Places of manufacture, storage, and sale • (f) The place shall not be used for any purpose (other than the sale of any medicine, related product, or cosmetic, or the manufacture, storage, or packing of any medicine, related product, or cosmetic for sale) that might affect the quality of the medicine, related product, or cosmetic: • (g) The place shall be provided with sinks and other sanitary fittings reasonably necessary for cleansing appliances used there, and all such sinks and other sanitary fittings shall be maintained in good, clean working order and condition: • (h) The place shall be provided with an adequate supply of hot and cold water, and soap or other detergent: • (i) The place shall be provided adequately with wash basins and toilets for the use of persons engaged or employed in or about the premises, and all such wash basins and toilets shall be maintained in good, clean working order and condition, and shall be provided with an adequate supply of hot and cold water, soap or other detergent, nail brushes, and towels or other drying equipment.