New rules for dispensing medications: stop panicking
Therefore, a number of pharmacies ignore the rules.
However, the emergence of new dispensing rules means close attention to their implementation, and therefore, pharmacies have now become more sensitive to prescription dispensing.
Whether the drug is prescription or not is stated in the instructions for use.
In addition, such information is always indicated on the packaging. Of all drugs registered in Russia, approximately 70% are prescription drugs. In an ideal world, the doctor knows by heart which drugs require a prescription and which do not. But in harsh reality, very often such information has to be verified independently. Therefore, when a doctor advises you on any medications, you can check them online right at your appointment and immediately ask for a prescription. Prescriptions are written only on special forms. The most common is form No. 107-1/у.
New rules for issuing a prescription. What has changed in 2021? (form No. 107-1/у)
Hello friends! Well, now I’m ready to tell you how eventful and ambiguous Romkin’s first month at home after the hospital was.
Somehow you won’t be able to say “everything is bad” or “everything is good.” The main teacher at the school has changed. For me, it’s more strict. This is good, because wonderful metamorphoses occur with Romina’s character.
The child, who in principle never argued, was completely docile and calm, suddenly had his own opinion, which he was ready to defend to the point of hysteria. I don't know whether to be happy or sad. I'm still perplexed. For example, he wants to write. The lesson is already over, we need to switch to another lesson. And he needs to write.
Insistently close the offered book, move the teacher’s hand away, glare angrily from under his forehead, occasionally even pinch if he’s really fed up! At home, he recently threw an ugly tantrum with a fight because they didn’t let him into the room where they were changing the wiring. There is dirt, wires, flux, a switched-on soldering iron, a mountain of tools, and Roma needs to look.
Once they kicked me out, 2 times they kicked me out, they explained, exhorted, suggested other activities, even raised their voice. As a result, dad took his armpit and carried him out of the room. And Roma was offended. And he just started throwing fists. Then he left to cry. I calmed down after 20 minutes.
What was that?! It seems to me that this is an imprint of the hospital, where for 2 months someone periodically took away his food, and due to an oversight, it also arrived regularly. Okay, we’ve voiced the problem to the psychologist, we’ll straighten it out. But we are, of course, shocked about this.
Roma is interested in everything. He is interested in trying something that he has never really eaten, playing on the console, touching all his dad’s instruments and stripping all the insulation from the copper wires lying in the corner, pouring the flux out of the syringe and pouring water into it. Right now I’m writing, and he giggles and presses caps, happy that the letters are becoming large) I have to rewrite.
And a week ago I took a bite out of a sizable piece of jalopeno pepper, which was drying for seeds on the windowsill)) and then drank almost a liter of milk) I never drank milk... and I generally looked at vegetables with contempt. Roma wants to help. Hold the baseboard, take away the screwdriver, and climb behind the box almost to the ceiling. Previously, you could simply say: “Sit here.”
That's all! He was sitting! Now this doesn’t work.
Roma is very drawn to people. He began to approach the children himself. He can play with his brother for hours, began to treat Vlad’s friends calmly, and stopped pretending to be a pebble on the playground. Sometimes it seems to me that he is trying to speak, but cannot.
Not only me) he approaches, looks into the eyes, frowns, moves his lips, but in the end he takes your hand and pulls where he needs it, if he himself cannot get what he needs. He often seems to ask permission. He went to the refrigerator and looked questioningly, went to the toys and the same thing happened with the computer. But despite all this, he often stopped listening.
In some places his behavior began to resemble Vlad. And he has a rather independent and nasty character, with whom we have been fighting all his life
Now there is a terrible fly in the ointment. Did you know that a medicine included in the essential register may simply not be available? It can only be purchased at a state pharmacy. But their suppliers don’t have it. I'm talking about triftazine. We have already gone to the regional center to pick him up twice. There are supplies there. And you can’t interrupt the reception.
Great, right? And there are no analogues. Totally cool. No, for a lame mare 250 km once a month is not a detour, but damn, how can that be?! And if it ends there, what should we do? Back to the hospital?! We have two acquaintances who are owners of pharmacy chains, they said that this may be due to sanctions. The medicine is produced in Ukraine. Such a game...
I will take prescriptions 2 weeks before the pills run out so that I have time to find and buy them. I won’t say anything about how much it cost me to get it when Romka was just discharged... The discharge was on Friday, but the hospital gave me pills until Sunday evening.
Until we arrived, until I visited all the city pharmacies, until they at least told me about the help desk! I had to drive to Ekb again. Some kind of hell.
It's getting long, damn... I'll just write down the rest with facts. We started learning sign language. While we are learning the alphabet.
2 weeks after the hospital, Roma believed that no one would take away the food, did not hide the bread under the pillow and stopped eating as if he was not himself. The immune system is completely destroyed. I've had snot and cough for a month now with varying degrees of success.
I think I’ll just give up and go to the pool, you’ll see it straightens out. They sent us in 2 music rooms, they didn’t take Roma. I'm looking for a private teacher, Romka is very drawn to the synthesizer.
Let's have enough for now, I guess. I know I haven’t mentioned everything, write in the comments what you want to tell me, I’ll highlight it in the next part. There's just a lot of information. According to the tradition of Romych, in your feed) always yours, AlexSandrine
Source: https://pikabu.ru/story/novyie_pravila_vyipiski_retsepta_chto_izmenilos_2019_godu_formyi__1071u_6736111
Not all sibutramine was included in the subject-quantitative accounting of drugs
On August 16, “On approval of the list of medicines for medical use subject to subject-quantitative registration” came into force. In particular, drugs containing the active substance sibutramine were included in the registration. “There are two types of drugs with sibutramine on the market, which have a rather symbolic difference.
One of them is registered as a single-component drug, the second - as a combined drug: sibutramine + microcrystalline cellulose. The activity of the second substance is questionable.
However, the order states that only one-component sibutramine, which is our Russian-made drug Goldline, is subject to subject-quantitative accounting.
We immediately received a refund worth more than 50 million rubles.” - said Orest Ibragimov, General Director of Izvarino Pharma LLC, at a joint meeting of the Expert Council under the FAS of Russia on the development of competition in the social sphere and healthcare and the Expert Council under the FAS of Russia on the development of competition in the field of circulation of medical products on August 20.O.
Ibragimov clarified that his company now has more than 100 requests from pharmacies demanding that they pick up the drug produced by Izvarino Pharma.
He is also outraged by the fact that the Russian representative office of the American company, according to Orest Ibragimov’s own information, sends out letters in which he warns pharmacy workers that the drug “Reduxin” (sibutramine + microcrystalline cellulose) produced by Promomed LLC is still not subject to PCU and is dispensed using the same prescription forms as before - No. 107-1/u.
In connection with what happened, Orest Ibragimov plans to write an appeal to the Federal Antimonopoly Service of Russia, and also proposes to introduce a regulatory impact assessment as a mandatory stage in the approval of all documents of the Ministry of Health related to the circulation of medicines.
“I believe it is necessary to oblige the Ministry of Health to discuss every order that has a high and medium degree of regulatory impact with specialists from the FAS, the Ministry of Industry and Trade, the Association of Russian Manufacturers, the Association of Foreign Manufacturers and other interested market participants”
.
Timofey Nizhegorodtsev, head of the FAS Department for Control of the Social Sphere and Trade, noted that the antimonopoly service will consider the current situation upon receipt of the relevant application. He also said that the procedure for assessing regulatory impact is now provided for departmental orders.
Why it did not produce results this time remains to be determined by the FAS.
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Let us recall that earlier from the distribution of the drug “Reduxin” produced by “Promomed” “Pharmstandard”.
The company explained that they fear that combination drugs with sibutramine will soon be subject to PCU.
special instructions
You can take 10 mg or 15 mg Reduxin capsules only if all other methods aimed at weight loss are ineffective, that is, if over the course of 3 months the weight has decreased by less than 5 kg.
Any drugs for weight loss, including Reduxin, should be taken in combination with other measures aimed at reducing body weight. In this case, the supervision of an experienced doctor is important.
As evidenced by the official website of the drug, complex therapy includes changing the principles of nutrition and lifestyle, as well as increased physical activity. It is important to realize the need to change habits in order to maintain the results achieved. Those who do not follow these rules may subsequently wonder why any drug does not help lose weight.
The doctor should advise the patient not only on how to properly lose weight with the drug Reduxin, but also tell him about the need to regularly measure pulse and blood pressure. These indicators must be monitored every two weeks at first. Blood pressure control should be especially careful in people with arterial hypertension. It is important to suspend treatment if, during monitoring, pressure exceeding 145/90 mm Hg was observed two times in a row. st
Particular caution should be exercised when concomitantly taking medications that increase the QT interval. These are drugs against arrhythmia, increasing the QT interval, as well as histamine H1 receptor blockers, stimulants of gastrointestinal motility.
To date, there is no precise data on the relationship between treatment with this drug and the manifestation of primary pulmonary hypertension in the patient. But during the treatment process, it is important to pay special attention to the manifestation of chest pain, swelling in the legs and progressive dyspnea.
It is important to consider that when taking medication, a person’s ability to drive and operate other machinery may be limited.
If the patient is prone to constipation, it is important to monitor the evacuation function of the intestines. In case of constipation, you should stop therapy and take laxatives.
You cannot start treatment based on the advice contained in the weight loss forum. Photos before and after patients take the product should not serve as a guide to action either. It should be understood that such a remedy should only be prescribed by a doctor.
FAQ
Only a doctor can decide on the need for drug therapy as part of weight loss, one of the options is the use of the drug Reduxin®.
During infertility treatment, many women neglect careful contraception because they believe that they are unable to have children. But while taking the drug Reduxin, their weight begins to decrease significantly, which leads to the rapid restoration of reproductive function and the onset of pregnancy. Based on this, the PROMOMED company asks patients taking Reduxin as part of infertility therapy to be extremely careful and cautious about the issue of contraception.
The PROMOMED company makes every effort to monitor the occurrence of pregnancies during the period of use of the drug Reduxin, pregnancy outcomes and the subsequent health status of children.
To date, no negative effects have been registered
Rules for dispensing reduxin from pharmacies
An increase in the content of neurotransmitters in synapses increases the activity of central 5HT-serotonin and adrenergic receptors, which increases the feeling of satiety and reduces the need for food, as well as an increase in thermal production.
By indirectly activating beta3-adrenergic receptors, sibutramine acts on brown adipose tissue. A decrease in body weight is accompanied by an increase in the concentration of HDL in the blood serum and a decrease in the amount of triglycerides, total cholesterol, LDL and uric acid. Sibutramine and its metabolites do not affect the release of monoamines and do not inhibit MAO; do not have affinity for a large number of neurotransmitter receptors, including serotonin (5-HT1, 5-HT1A, 5-HT1B, 5-HT2A, 5-HT2C), adrenergic (beta1, beta2, beta3, alpha1, alpha2), dopamine (Dl, D2), muscarinic, histamine (H1), benzodiazepine and NMDA receptors.
Pharmacokinetics. After oral administration, it is quickly absorbed from the gastrointestinal tract by at least 77%.
Latin name and composition
Reduxin is an effective remedy for combating obesity. It is prescribed in case of failure of treatment results when using other methods.
Therapy must be comprehensive, including not only taking Reduxin, but also following a diet, as well as physical activity. Since taking the drug has an effect on the central nervous system, it cannot be combined with other drugs of a similar principle of action.
When a prescription for Reduxin is written in Latin, the name of the drug is also written in Latin. This product contains the active substance sibutramine. And Reduxin itself is written in Latin as Reduxin.
Sibutramine is a substance that reduces the body's need for food, enhances thermoregulation and actively affects adipose tissue. Reduxin also contains cellulose, which acts as a sorbent and removes pathological microorganisms, toxic substances, etc.
The medicine is available in capsule form in two dosages:
For your information! Reduxin is available only with a prescription.
Instead of Reduxin, the patient may be prescribed analogue drugs.
These include:
- Meridia;
- Goldline;
- Lindax;
- Sibutramine and others/
All anti-obesity drugs have a large list of contraindications, there are features in use, and nuances regarding compatibility with other medications. Depending on the individual characteristics of the patient, the attending physician selects the most appropriate medicine.
Procedure for dispensing reduxin from a pharmacy in 2021
By virtue of clause 4 of Rules No. 378n, accounting journals filled out on paper are bound, numbered and sealed with the signature of the head of the legal entity (individual entrepreneur) and the seal of the legal entity (individual entrepreneur) before they begin to be maintained. Accounting logs are prepared for the calendar year.
Please explain what level of specialist can fill this position in a wholesale warehouse, what orders regulate his work and what exactly is included in his functions?
Is it mandatory to take courses, and should there be a corresponding certificate for this type of activity? Indeed, the position of quality commissioner for a pharmacy organization was introduced into the practice of pharmaceutical activities by clause 9.9. Industry standard “Rules for the dispensing (sale) of medicines in pharmacies.
Basic provisions” OST 91500.05.0007-2003, approved by Order of the Ministry of Health of the Russian Federation dated 04.03.2003 N 80 (as amended.
dated April 18, 2007)
Your lawyer
The drugs Reduxin and Goldline plus are not included as a separate item in the PKU List, therefore, this drug is not subject to subject-quantitative accounting. Thus, the drugs Reduxin and Goldline Plus are currently not included in any restrictive list or list.
read more Complete answers to this and more than 5 thousand other questions posted on our website, as well as the opportunity to ask your own question and receive a prompt answer to it, you can subscribe for a year or six months. To do this, you need to register and pay the bill.
www.unico94.ru Attention! When using articles, consultations and comments, we ask you to pay attention to the date the material was written. Question: What is the correct way to dispense sibutramine (Goldline, Reduxin) now?
The substance Sibutramine is included in the approved Decree of the Government of the Russian Federation dated December 29, 2007
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advokat-martov.ru
Thus, the drug “Potassium permanganate powder 3 g, 5 g, 15 g”, as before, is dispensed without a doctor’s prescription, although it is subject to PCU as a precursor to narcotic drugs and psychotropic substances. Section II includes pharmaceutical substances and single medicinal products that, in accordance with national legislation, are potent and toxic substances (their salts, isomers, ethers and esters, mixtures and solutions, regardless of concentration), as well as one combined medicinal product containing a potent substance tramadol and other pharmacological active substance paracetamol. We also note that “microcrystalline cellulose” is included in the State Register of Medicines as an independent pharmaceutical substance.
Thus, the above note to the Lists of potent substances has nothing to do with Reduxin, i.e.
Brief description of the drug Reduxin
Reduxin consists of sibutramine and micronized cellulose.
This weight loss product is sold only by prescription, since one of the active ingredients has a direct effect on the central nervous system and triggers a psychostimulating effect. This refers to the first component – sibutramine. This substance accelerates the metabolism of serotonin and norepinephrine, brain neurotransmitters, which in increased quantities help to quickly become satisfied with the diet consumed. Sibutramine also accelerates metabolic processes by accelerating the activity of the adrenergic system. The drug has a mild psychostimulating effect and can improve mood, so any diet with reduxin is much easier to tolerate. The second component is not as active in the body in terms of its effect on body systems, but is also important when observing the diet. Micronized cellulose helps cleanse the intestines and get rid of congestion, since due to poor nutrition, the intestines can often become clogged with feces, which manifests itself as chronic constipation. This is a kind of natural enterosorbent, with which you can lose a couple of extra pounds, as it will improve the functional activity of the intestines. The medication is available in tablet form.
?ANALYSIS OF ORDER 149n
Now all combination drugs containing at least one drug from section I are subject to registration.
Let's say in this section we see everyone's favorite Phenobarbital.
The question follows:
“Are Andipal, Corvalol and others now subject to accounting?”
. Answer: “No!” And that's why. There are two points that make our life easier: First, everyone probably knows and remembers (those who don’t know will now be savvy) Order of the Ministry of Health of the Russian Federation No. 562n “On approval of the Procedure for the dispensing to individuals of drugs for medical use, containing, in addition to small quantities of narcotic drugs, psychotropic substances and their precursors and other pharmacological active substances" How will it help us? Paragraph 5 of the Order reads: “Combined medicinal products containing: • phenobarbital in amounts up to 15 mg inclusive in combination with codeine (or its salts) are subject to dispensing according to prescription forms N 148-1/u-88, regardless of quantity (per 1 dose of solid dosage form);
Recipe in Latin
Reduxin in Latin in the recipe looks like this:
- Rp: Reduxin 0.015
- td N 30 in cap.
- 1 caps. 1 per day.
Name and dosage in the recipe
“Rp” is written at the beginning of each prescription that a doctor writes. This is an abbreviation of the Latin word "Recipe", which translates as "take." After “Rp” the name of the medicine itself is written in the prescription. In this case it is "Reduxin". After this, the required dosage of the product in grams is indicated. In the example given, this is 15 mg of the active substance.
Since Reduxin is produced in two dosages, 10 and 15 mg, this is displayed in recipes as follows:
Quantity
The second line in the prescription indicates the required amount of the medicine that should be purchased at the pharmacy: “Da tales doses numero.” In abbreviated form, the instruction to the pharmacist “dispense quantity” is written as: “D. td N".
Procedure for dispensing medications in pharmacies
Let me remind you that all pharmacy organizations (pharmacies and kiosks) and individual entrepreneurs with a license to carry out pharmaceutical activities can dispense without a prescription.
Prescription drugs still cannot be sold by pharmacy kiosks and individual entrepreneurs with a pharmaceutical license. As for the dispensing of narcotic and psychotropic drugs, they can be dispensed by pharmacies and pharmacy points that have a license to operate in the circulation of such drugs. The order presented an unpleasant surprise regarding the dispensing of immunobiological drugs.
According to the new order, pharmacies and pharmacy points can dispense them, while individual entrepreneurs are denied the right to dispense immunobiological drugs.
In the clarification of the Russian Ministry of Health on this issue, a reference is made to Federal Law No. 157-FZ (which states that only pharmacy organizations can dispense immunobiological drugs to individuals).
Reduxin rules for dispensing from pharmacies 2021
Today we tried to answer the most important questions about the new order that an ordinary pharmacy visitor may have. No. The new dispensing rules only slightly change how some prescription drugs are sold.
It does not place any restrictions on common over-the-counter medications.
In fact, selling prescription drugs without a prescription has always been prohibited. These documents must be certified by the signature and seal of the manufacturer (supplier, seller) indicating his address and telephone number.
Due to the fact that instead of a certificate or declaration of conformity for dietary supplements, a certificate of quality and safety is provided, it seems to us that the approach to documenting the quality of dietary supplements should be similar to that set out in paragraph.
