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Safeguarding public health
Regulatory tools for managing the risk of medication errors – labelling & patient information
Jan MacDonald Medicines and Healthcare products Regulatory Agency
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• Legal provisions and regulatory objectives
• MHRA Guidance on packaging for safety
• Key findings
• Examples
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Regulatory objectives - labelling
• Medicines legislation is set out in Council Directive
2001/83/EC [as amended] • Information should provide a high degree of consumer
protection – [Recital 40]
• Labelling should be clear, legible and unambiguous [Article 56]
• Provide detailed information for the safe use of the product
[Article 54] • Medicines can be selected and used safely
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CSM Labelling Group – Key findings
No substitute for reading the label Certain information critical for safe use Presentation of information is important Similarity in packaging can confuse Look alike/sound alike names cause problems Medicines labelling can be improved
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Critical Information
•Name of medicinal product – followed by common name •Strength •Route of Administration •Posology •Warnings
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Principles to be applied
• Critical information located together on the pack in the same field of view
• Large font • Name on three non-opposing faces of the pack • Common name should be given due prominence • Innovative pack design and judicious use of colour
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Similarity in packaging (1)
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Similarity in Packaging (2)
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Similarity in Packaging (3)
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Similarity in Packaging (4)
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Look Alike Sound Alike Common Names
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Factors to consider in redesigning packaging • How will the medicine be stored
• Will medicines be co-prescribed • Differentiation is required both between products
and between strengths • Product name should appear above the space
allocated for the dispensing label
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Pack Design
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Pack Design
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Pack Design
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Pack design
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Pack design
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Pack Design
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Case Example
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• Change in legislation to require child-resistant packaging
• International standards: · BS EN ISO 8317 · BS EN 14375
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Case Example
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• Removal of “negative” statements
• Positive statements only
• All in same field of view
• Clinical guidance published
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Case Example
• Tallman lettering
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Case example
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Case Example
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Case Example
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Supporting others
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Summary
• Issues are global – not local • Primary purpose of labelling is the clear and unambiguous identification
of the medicine and the conditions for safe use
• Certain items of information are vital for the safe use of the product
• All information must be presented in a legible and easily understood manner by all users
• Innovative pack design and the judicious use of colour can improve patient safety and reduce likelihood of error