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10th December 2017    
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STORAGE, PRESCRIPTION AND DISPENSING OF DRUGS

MISTAKES

Mistakes in prescribing and dispensing medicines can give rise to medico-legal problems for doctors, including claims in negligence and disciplinary proceedings before the Malaysian Medical Council. There are to be observed legal requirements, including such as are laid down by the Dangerous Drugs Act 1950 and the Poisons Act 1952 and the rules and regulations made under the those Acts. Doctors have been prosecuted in court and proceeded against before the Medical Council for failing to comply with the requirements regarding the storage, supply, prescription and dispensing of controlled drugs and the keeping of records relating to such drugs.

DISPENSING AND PHARMACISTS

The proposal to transfer the dispensing function to pharmacists would have the incidental effect of reducing to some extent the exposure of doctors to medico-legal problems. With a greater role for pharmacists would come a greater ethical and legal burden for them. For example, in a well-known case, a doctor’s poorly-written prescription of “Amoxil 250 mg” led a pharmacist to dispense, without checking with the doctor, Daonil 5 mg to a patient who was not a diabetic, thereby causing the patient to suffer severe hypoglycaemic shock and brain damage. In court, the doctor was found 25% liable and the pharmacist 75% liable for the damages.

MDM recognises that there are various business, legal, ethical, professional, economic and social concerns which would need to be addressed in regard to the proposal to transfer the dispensing function to pharmacists. Such concerns should no doubt be addressed by certain professional bodies representing the medical, dental and pharmacists professions.

ADVICE

MDM offers some general advice to its members as follows:-

  1. Be ready to justify your prescription;
  2. Write prescriptions legibly;
  3. Avoid confusing language and short forms in your prescriptions;
  4. If necessary, take a drug and other relevant history from your patient;
  5. Give in clear terms to patients the necessary advice regarding such matters as dosage, administration, adverse reactions and side effects;
  6. Give your contact details on the prescription;
  7. Explain your prescription if the pharmacist checks it with you; and
  8. Be familiar with and follow the law regarding storage, supply, prescription and dispensing of drugs and also regarding the records to be kept.




• Case Note 2007 (29th Nov 2007)
• PITFALLS IN SPINAL SURGERY (13th Feb 2007)
• PITFALLS IN BRAIN SURGERY AND SPINAL SURGERY (7th Jan 2007)
• ANNUAL REPORT 2005 (12th Feb 2006)
• HEALTH TOURISM (9th Feb 2006)
• Doctors Mangled By "Justice" (15th Jan 2004)
• PATIENTS' VIEWS (21st Oct 2003)
• Patient Safety/Clinical Risk/Medical Error (8th Oct 2003)
• NOTICE TO MEMBERS (30th Sep 2003)
• CASE STUDIES (30th Sep 2003)
• Frequently Asked Questions (FAQs) (30th Sep 2003)
• APPOINTMENT OF NEW CHAIRMAN (25th Sep 2003)
• Annual Report for MDM (27th Jan 2003)
• STORAGE, PRESCRIPTION AND DISPENSING OF DRUGS (5th Mar 2002)
• ADVICE TO MEMBERS (5th Mar 2002)
• THE DOCTOR AS RESCUER, GOOD SAMARITAN OR VOLUNTEER (20th Jan 2002)


MEDICO-LEGAL UPDATES
•  Case Notes 2016

•  Annual Report 2016

•  Case Notes 2015

•  Annual Report 2015

•  Case Notes 2014

•  Annual Report 2014

•  Case Notes 2013

•  Annual Report 2013

•  Ethics Essay Competition – 10th Anniversary of MDM Bhd

•  Case Notes 2012
(2012)

•  Annual Report 2012
(1st December 2011)

•  Governance and Conflict Management Systems Training
(28th May 2012)

•  Case Reports for 2011
(1st December 2011)

•  Annual Report 2011
(1st December 2011)

•  Medical Negligence, Mediation and Medical Records
(8th Dec 2010)

•  ANNUAL REPORT 2010
(8th Dec 2010)

•  CASE REPORTS FOR 2010
(8th Dec 2010)

•  ANNUAL REPORT 2009
(2nd Dec 2009)

•  CASE REPORTS FOR 2009
(2nd Dec 2009)

•  Healthcare Tourism Congress 12 & 13 April 2010
(18th Sep 2009)

•  Forensics Conference
(3rd Sep 2009)

•  ADR CONFERENCE ON MEDICAL NEGLIGENCE 2009
(17th May 2009)

•  Conference Notice
(6th May 2009)

•  ABF Medico Legal Seminar
(6th May 2009)

•  HOSPITAL SERVICE AGREEMENT
(9th Jan 2009)

•  CASE REPORTS FOR 2008
(15th Dec 2008)

•  INDIVIDUAL INSURANCE POLICY
(9th Dec 2008)

•  ANNUAL REPORT 2008
(9th Dec 2008)

•  ANNUAL REPORT 2007
(27th Dec 2007)

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