What controls a medical prescription?
A social organization such as the CPAM controls it.
Who dispenses a medical prescription?
The pharmacist dispenses it.
Who carries out a medical prescription?
The patient or another healthcare professional carries it out.
What can a medical prescription concern?
It can concern medicines, orthoses, prostheses, and other medical devices.
What implications does a medical prescription have?
It has social, medical, and legal implications.
When can physicians prescribe according to CNOM registration?
Physicians may prescribe when registered with the CNOM.
When can prevention, occupational health, PMI, and public-health physicians prescribe?
They may prescribe only exceptionally in an emergency.
Under whose responsibility can hospital interns prescribe?
Hospital interns prescribe under the head of department's responsibility.
Under whose responsibility can residents in clinical placements prescribe?
Residents prescribe under their supervisor's responsibility.
Who prescribes only within their fields of competence among healthcare professionals?
Dentists, midwives, nurses, and laboratory or radiology directors prescribe only within their fields.
Can nurses generally prescribe medicines?
Nurses generally cannot prescribe medicines.
Who may prescribe medicines in collaboration with a referring physician?
Advanced practice nurses may prescribe medicines in collaboration with the referring physician.
Since when can advanced practice nurses prescribe for stable chronic conditions?
Since 2018, advanced practice nurses may prescribe for stable chronic conditions.
What must a clinician determine before prescribing treatment?
Whether treatment is essential, alternatives exist, and treatment suits the patient.
What factors must be considered in prescription assessment?
Galenic form, interactions, monitoring, patient understanding, and feasibility.
Who is exempt from examining the patient before prescribing?
The SAMU regulating physician with supervised telephone prescriptions.
What is therapeutic education?
Explaining treatment purpose, administration, interactions, monitoring, and adverse effects.
Which medicines require specialist-only initial prescriptions?
Clonazepam, methylphenidate, and oxybate require specialist-only initial prescriptions.
Which medicine requires an initial hospital prescription?
Methylphenidate requires an initial hospital prescription.
Which medicines are very powerful analgesics?
Fentanyl and morphine are very powerful analgesics.
What is methadone used for?
Methadone is used to support withdrawal from opioid dependence.
What is prohibited regarding treatment with narcotics and related medicines?
Treatment overlap is prohibited for narcotics and related medicines.
Within how many days must a narcotic prescription reach the pharmacist?
The prescription must reach the pharmacist within three days.
When does dispensing of narcotics begin?
Dispensing begins on the day the pharmacist first reads the prescription.
How long does the pharmacist keep a copy of a narcotic prescription?
The pharmacist keeps a copy for three years.
What are some categories of restricted prescription medicines?
They include hospital use, hospital prescription, initial hospital prescription, special monitoring, or initial prescription by specified specialists.
Who initially prescribes erythropoietin for kidney disease?
A nephrologist.
Which specialists initially prescribe erythropoietin for blood diseases?
An oncologist or hematologist.
What five elements does a simple prescription contain?
Date, patient info, prescriber info, prescription, prescriber’s signature.
How is an ALD prescription divided?
Into two zones: upper for ALD medicines at 100% reimbursement, lower for others at usual rate.
What must a secure prescription for narcotics include beyond simple prescription rules?
Prescription and doses in words, number of specialties lower-right, prescription number lower-left.
What are the presentation time limits for prescriptions?
First presentation within three months, except secure prescriptions within three days.
What must all prescriptions be regarding doses and instructions?
Legible and precise about doses, timing, meals, and other treatments.
What types of care and services can prescriptions cover?
Nursing care, physiotherapy, speech therapy, diagnostics, transport, equipment, certificates, hospitalization.
What does a recommendation for temporary use concern?
An available medicine with existing marketing authorization for an uncovered therapeutic need.
What is the maximum duration of a recommendation for temporary use?
It cannot exceed three years.
What conditions justify an authorization for temporary use?
Exceptional temporary use for a rare or serious disease without a therapeutic alternative.
What forms can an authorization for temporary use take?
It may be nominative for one patient or cohort-based for a group.
What defines a generic medicine compared to the originator?
It is a copy with the same composition, bioequivalence, prescribing conditions, and lower cost.
Which parameters are used to compare bioequivalence between generic and originator?
AUC, Cmax, and Tmax are used for comparison.
What is the required range for the generic-to-originator ratio in bioequivalence?
Each ratio must be between 0.8 and 1.25.
Under what conditions may a pharmacist substitute an originator with a generic since 1999?
When medicines share the same group and galenic form, the patient agrees, and the prescriber has not opposed.
What happens if the prescriber writes “non-substitutable” on a prescription?
The patient loses third-party payment and must pay before reimbursement.
What are the main roles of a pharmacist in patient care?
Checking prescriptions, dispensing medicines and equipment, substituting generics, and participating in primary care activities.
What is self-medication?
Purchasing non-prescription medicines for minor symptoms without reimbursement and with pharmacist advice.
What risks can self-medication cause?
Delayed diagnosis, incorrect use, adverse effects, medication errors, drug interactions, and expired medicine accumulation.
What percentage of medicines sold online are counterfeit according to WHO?
40% of medicines found on the internet are counterfeit.
When is off-label prescribing permitted?
Only when supported by documented scientific data, safe for the patient, and respects their care rights.
What percentage of prescriptions are off-label?
15–20% of prescriptions are off-label.
In which medical fields are off-label prescriptions especially frequent?
Pediatrics, geriatrics, oncology, and rare diseases.
What reimbursement status applies to off-label medicines?
They are not reimbursed.
What must be written on an off-label prescription?
The mention “NR” for non-reimbursed.
Test your knowledge with 25 questions on Safe and Appropriate Medication Use.
1. Regarding the nature and implications of a medical prescription, which statement(s) is/are correct?
2. Medical prescriptions may involve which of the following elements?
Review the complete course in the revision sheet for Safe and Appropriate Medication Use.
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