Medicines Classification Committee 61st agenda

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21/9/2018. We supported the objection to the proposed recommendation that modified release paracetamol be reclassified from a pharmacy-only medicine to a restricted medicine. We would support the pharmacy-only classification with a dedicated training programme to train pharmacy staff to provide the appropriate education to the public.

We supported the proposed reclassification of Melatonin prolonged release 2mg tablets from prescription medicine to prescription except when classification. We support the prescription-only except when model as an appropriate mechanism for melatonin to be provided to patients by an accredited pharmacist. We felt that the screening tool addressed all previous concerns of the MCC around the ability to correctly diagnose primary insomnia and to have a suitable mechanism to refer secondary insomnia.

We supported the proposal to reclassify dextromethorphan, opium tincture and squill oxymel to a restricted medicine. We felt there was a sufficient level of concern regarding the misuse of these medicines to justify a classification change. We have significant concerns about the unsupervised sale of any general sale medicine that has the potential for misuse.

We did not support the reclassification of pholcodine to a restricted medicine. We felt there was insufficient evidence of misuse to change the classification. However, we did caution the potential for significant IgE sensitisation to neuromuscular blocking agents. We requested that Medsafe conducts further study into the significance of this concern and to determine a more suitable course of action.

21/9/2018. We supported the objection to the proposed recommendation that modified release paracetamol be reclassified from a pharmacy-only medicine to a restricted medicine. We would support the pharmacy-only classification with a dedicated training programme to train pharmacy staff to provide the appropriate education to the public.

We supported the proposed reclassification of Melatonin prolonged release 2mg tablets from prescription medicine to prescription except when classification. We support the prescription-only except when model as an appropriate mechanism for melatonin to be provided to patients by an accredited pharmacist. We felt that the screening tool addressed all previous concerns of the MCC around the ability to correctly diagnose primary insomnia and to have a suitable mechanism to refer secondary insomnia.

We supported the proposal to reclassify dextromethorphan, opium tincture and squill oxymel to a restricted medicine. We felt there was a sufficient level of concern regarding the misuse of these medicines to justify a classification change. We have significant concerns about the unsupervised sale of any general sale medicine that has the potential for misuse.

We did not support the reclassification of pholcodine to a restricted medicine. We felt there was insufficient evidence of misuse to change the classification. However, we did caution the potential for significant IgE sensitisation to neuromuscular blocking agents. We requested that Medsafe conducts further study into the significance of this concern and to determine a more suitable course of action.

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