Gabapentin/Pregablin prescribing changes
Following advice from the Advisory Council on the Misuse of Drugs (ACMD). Pregabalin and Gabapentin will, from April 2019, be classified as Class C of the 1971 Act and placed under schedule 3 to the 2011 regulations, applying the provisions of the 1973 Regulations.
This means the drugs cannot be supplied via repeat dispensing and prescriptions will only be valid for 28 days from the appropriate prescription date. In addition they will not be available to supply via the Electronic Prescription Service (EPS) and they will require full prescription writing requirements in line with other Schedule 2 and 3 controlled drugs.
These changes are due to come into force in April 2019 and are being implemented by surgeries as early as February 2019.
To see the Advisory Council on the Misuse of Drugs (ACMD) advice and addendum posted on the Gov.Uk website, click here.
Or if you have any queries please ask to speak our Medicines Manager or our clinic Pharmacist.
Self Limiting Conditions
In the year prior to June 2017, the NHS spent approximately £569 million on prescriptions for medicines which can be purchased over the counter from a pharmacy and other outlets such as supermarkets.
These prescriptions include items for a condition:
That is considered to be self-limiting and so does not need treatment as it will heal of its own accord;
Which lends itself to self-care, i.e. that the person suffering does not normally need to seek medical care but may decide to seek help with symptom relief from a local pharmacy and use an over the counter medicine.
Vitamins/minerals and probiotics have also been included in the consultation proposals as items of low clinical effectiveness which are of high cost to the NHS.
NHS England has partnered with NHS Clinical Commissioners to carry out the consultation after CCGs asked for a nationally co-ordinated approach to the development of commissioning guidance in this area to ensure consistency and address unwarranted variation.
Please click here for our local CCGs policy and to see which medications our GP's are no longer able to prescribe.
Previously parents have been advised by schools that their child's over-the-counter medicine cannot be given without authorisation of Dr, this however is not true, please click here for our local CCG guidance for early years providers and school.
Other prescribiing limitations
Our surgery follows strict prescribing guidelines as supported by our CCG, in our guidelines other items we can not prescribe are:
- Hayfever medication (only in exceptional circumstances)
- Sunscreen (only in exception circumstances)
- Gluten Free Products
- Over the counter medications requested for short term acute illnesses, such as Paracetamol, Ibuprofen.