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2DRx SOP - LloydsPharmacy

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Associated Risks<br />

Pay particular attention when assessing drugs with a narrow therapeutic index and those<br />

with potential to cause the greatest harm e.g. Methotrexate and Lithium<br />

In addition:<br />

• New or unfamiliar drugs<br />

• New or unfamiliar customers<br />

• Critically ill customers<br />

• Drugs with similar names or packaging<br />

• Drugs the subject of an NPSA alert<br />

Handy Hints<br />

Do not rely on your computer system for interaction checks.<br />

The CoMPaSS system can be used to check if the patient has had the medication before or if<br />

there are any changes to the patient’s medication.<br />

Legal guidance can be found in Medicines Ethics and Practice, A Guide for Pharmacists and<br />

Pharmacy Technicians.<br />

Remember that most computer systems do not alert you to dosage errors.<br />

Always check unusual doses in the BNF or other reference material.<br />

The pharmacist should check if the patient is taking any other medications, such as OTC<br />

products.<br />

Keep abreast of developments in therapeutics-CPD.<br />

<strong>2DRx</strong> Standard Operation Procedure July 2011 Page 12

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