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17 Cards in this Set

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Pure food and drug act of 1906

Protects public from adulterated or mislabeled drugs. First federal/state drug law. Coca-cola with cocaine caused this to be made.

Coca-cola

1912 Shirley amendment

Cannot lie about what drugs do.

Honesty

1938 food, drug and cosmetic act

Drug manufacturers must have complete and accurate labels

Real deal

1952 Durham-Humphrey amendment

Specified How prescription drugs could be ordered and dispensed. Meds cannot be sold where they are prescribed, must be another area for safety reasons/additional checking.

Pharmacy

1962 Kefauver-Harris amendment

Require proof of both safety and efficacy(efficiency of drug) prior to approval

Prove it!

Physicians Desk Reference

Commercially published compilation of manufacturers prescribing info on script drugs, updated annually

Pharm company info

Cochrane library

Peer-reviewed online publication, uses of drugs, independent from pharmaceutical and government influence.

No big brother

Package insert/drug label

FDA mandated form, only has FDA approved info, including drug uses, adverse effects. Consumer cannot sue due to this document, considered the communication between drug company and patient.

Contract

American Hospital Formulary Service

Not limited to just FDA approved info, non-approved doses and uses as well.

Off-label

FDA orange book

Therapeutic equivalence evaluations for generic medications. Must have AB code to be approved. Using a brand name gives more control over what can be given, since it can only be subbed by something TE.

Equivalency

Drug Price competition and patent term restoration act of 1984

Generics can submit an abbreviated NDA (New drug application) as opposed to pioneer/new drug NDA. This made all generics okay to use, so long as pharmaceutical equivalence and bioequivalence exist. This leads to therapeutic equivalence.

Therapeutic equivalence

Proven by pharmaceutical equivalence and bioequivalence. Must lie within 80-125% of pioneer drug by law, but usually within 3-5%. In Texas, there are 0 drugs that cannot have a generic version made.

Phase 1 clinical trials vs phase 2 and 3

Phase 1 does not involve those afflicted with target disease, phase 2 does, in a small amount, to measure effects and side-effects.


Phase 3 is on a larger scale than phase 2 and is very expensive.

Schedule 1 drugs vs schedule 2 and 3

Schedule 1 have no accepted medical purpose, only for research protocols.


Schedule 2 do have a medical purpose/use and can be prescribed for 30 Days with no refills.


Schedule 3 have less addictive potential, can have refills for 3 months.

Controlled substance act

Schedule 1-5 of medications, ascending #’s means more availability to it. 1 has no accepted medical use, research protocols only

Legend drug

A drug that requires a script, controlled and non-controlled.

OTC vs BTC

OTC: self-diagnose, low-risk if followed correctly.


BTC: schedule V drugs (may not require script.)