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The Prescription Only Medicines (Human Use) Order 1997

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Article 11(2)

PART IIIEXEMPTIONS FROM RESTRICTION ON ADMINISTRATION Column 1

Column 1Column 2Column 3
Persons exemptedPrescription only medicines to which the exemption appliesConditions
[F11. Registered chiropodists against whose names are recorded in the relevant register annotations signifying that they are qualified to use the medicines specified in column 2..]
1.

Prescription only medicines for parenteral administration that contain,as the sole active ingredient, not more than one of the following substances–

  • [F2Adrenaline]

  • [F3Bupivacaine hydrochloride

  • Bupivacaine hydrochloride with adrenaline where the maximum strength of the adrenaline does not exceed 1 mg in 200 ml of bupivacaine hydrochloride

  • [F2Levobupivacaine hydrochloride]

  • Lignocaine hydrochloride

  • Lignocaine hydrochloride with adrenaline where the maximum strength of the adrenaline does not exceed 1 mg in 200 ml of lignocaine hydrochloride

  • [F4Mepivacaine hydrochloride]

  • [F2Methylprednisolone]

  • Prilocaine hydrochloride.]

  • [F2Ropivacaine hydrochloride]

1. The administration shall be only in the course of their professional practice.
2. Registered midwives.
2.

Prescription only medicines for parenteral administration containing any of the following substances but no other substance specified in column 1 of Schedule 1 to this Order–

  • [F5Diamorphine]

  • Ergometrine maleate

  • Lignocaine

  • Lignocaine hydrochloride

  • [F5Morphine]

  • Naloxone hydrochloride

  • Oxytocins, natural and synthetic

  • Pentazocine lactate

  • Pethidine hydrochloride

  • Phytomenadione

  • Promazine hydrochloride.

2. The administration shall be only in the course of their professional practice and in the case of Promazine hydrochloride, Lignocaine and Lignocaine hydrochloride shall be only while attending on a woman in childbirth.
3. Persons who are authorized as members of a group by a group authority granted under regulations 8(3) or 9(3) of the Misuse of Drugs Regulations to supply a controlled drug by way of administration only.3. Prescription only medicines that are specified in the group authority.3. The administration shall be subject to such conditions and in such circumstances and to such extent as may be specified in the group authority.
4. The owner or master of a ship which does not carry a doctor on board as part of her complement.4. All prescription only medicines that are for parenteral administration.4. The administration shall be only so far as is necessary for the treatment of persons on the ship.
5. Persons operating an occupational health scheme.5. Prescription only medicines for parenteral administration sold or supplied to the person operating an occupational health scheme in response to an order in writing signed by a doctor or a registered nurse.
5.

—

(1)

The administration shall be in the course of an occupational health scheme.

(2)

The individual administering the prescription only medicine, if neither a doctor nor acting in accordance with the directions of a doctor, shall be a registered nurse acting in accordance with the written instructions of a doctor as to the circumstances in which prescription only medicines of the description in question are to be used in the course of the occupational health scheme.

6. The operator or commander of an aircraft.6. Prescription only medicines for parenteral administration which have been sold or supplied to the operator or commander of the aircraft in response to an order in writing signed by a doctor.6. The administration shall be only so far as is necessary for the immediate treatment of sick or injured persons on the aircraft and shall be in accordance with the written instructions of a doctor as to the circumstances in which prescription only medicines of the description in question are to be used on the aircraft.
7. Persons who are, and at 11th February 1982 were, persons customarily administering medicinal products to human beings by parenteral administration in the course of a business in the field of osteopathy, naturopathy, acupuncture or other similar field except chiropody.7. Medicinal products that are prescription only medicines by reason only that they fall within the class specified in article 3(c) (products for parenteral administration).7. The person administering the prescription only medicine shall have been requested by or on behalf of the person to whom it is administered and in that person’s presence to use his own judgement as to the treatment required.
8. Persons employed as qualified first-aid personnel on offshore installations.8. All prescription only medicines that are for parenteral administration.8. The administration shall be only so far as is necessary for the treatment of persons on the installation.
9. Persons who hold a certificate of proficiency in ambulance paramedic skills issued by, or with the approval of, the Secretary of State [F6or persons who are [F7registered] paramedics].
9.

The following prescription only medicines for parenteral administration–

(a)

Diazepam 5 mg per ml emulsion for injection;

(b)

Succinylated Modified Fluid Gelatin 4 per cent intravenous infusion;

(bb)

[F8medicines containing the substances Ergometrine Maleate 500mcg per ml with Oxytocin 5 iu per ml, but no other active ingredient]

(d)

prescription only medicines containing one or more of the following substances, but no active ingredient–

  • Adrenaline Acid Tartrate

  • [F9Amiodarone]

  • Anhydrous Glucose

  • [F10Benzylpenicillin]

  • [F11Bretylium Tosylate]

  • Compound Sodium Lactate Intravenous Infusion (Hartmann’s Solution)

  • Ergometrine Maleate

  • [F10Frusemide]

  • Glucose

  • Heparin Sodium

  • Lignocaine Hydrochloride

  • [F10Metoclopramide]

  • [F10Morphine Sulphate]

  • Nalbuphine Hydrochloride

  • Naloxone Hydrochloride

  • Polygeline

  • [F12Reteplase ]

  • Sodium Bicarbonate

  • Sodium Chloride

  • [F10Streptokinase]

  • [F12Tenecteplase.]

9. The administration shall be only for the immediate, necessary treatment of sick or injured persons and in the case of a prescription only medicine containing Heparin Sodium shall be only for the purpose of cannula flushing.
[F1310 . Persons (“P”) who are members of Her Majesty’s armed forces. 10. All prescription only medicines.

10. The administration shall be—

(a)

in the course of P undertaking any function as a member of Her Majesty’s armed forces; and

(b)

where P is satisfied that it is not practicable for another person who is legally entitled to administer a prescription only medicine to do so; and

(c)

only in so far as is necessary—

(i)

for the treatment of a sick or injured person in a medical emergency, or

(ii)

to prevent ill-health where there is a risk that a person would suffer ill-health if the prescription only medicine is not administered.]

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