COMMONLY USED PHARMACIST ONLY MEDICINES

(Restricted Medicines)

 

October  2010

 

GENERIC

BRAND NAME

 RESTRICTIONS
Adrenaline in medicines containing 1% or less and more than 0.02% Adrenaline Inj 1 in 1,000

EpiPen Inj and EpiPen Jnr Inj

  
Aclometasone for dermal use in medicines containing 0.05% or less  

No product with consent to distribute is currently available *

 In packs containing not more than 30 grams that have received the consent of the Minister or Director-General to their distribution as restricted medicines and that are sold in the manufacturer’s original pack
Aminophylline when in liquid form for oral use in medicines containing 2% or less  
Amorolfine for dermal use containing more than 0.25% Loceryl Nail Lacquer  
Aspirin in slow release forms; and in enteric coated forms containing more than 300mg per dose form; and except when combined with caffeine, paracetamol or salicylamide Ecotrin Tablets (disc)

 

Note:  aspirin is a prescription medicine when combined with caffeine, paracetamol or salicylamide

  
Azatadine for oral use in adults & children over 2 years of age Zadine Tablets (disc)  
Azelastine in ophthalmic medicines containing 0.05% or less No product with consent to distribute is currently available *  
Brompheniramine for oral use adults & children over 2 years of age Note: Dimetapp DM Paediatric Drops

are Prescription Medicines

 Except when combined with a sympathomimetic decongestant #
Calcipotriol (Daivonex)

is NOT a pharmacist-only medicine.

 

It is included here only for information.

 Note:  Daivonex is a prescription medicine; but may be sold by a pharmacist to an adult with mild to moderate psoriasis previously diagnosed by a doctor. In medicines containing not more than 50mcg/g or ml and when sold in a pack of not more than 30 gram or ml
Chloramphenicol for ophthalmic use Chlorsig Eye Drops

Chlorsig Eye Ointment

 Supply patient with an “Eye Care and Conjunctivitis” information leaflet
Chlorpheniramine for oral use adults & children over 2 years of age Histafen Liquid

 

Note:  Demazin Infant Drops

are Prescription Medicines

 Except when combined with a sympathomimetic decongestant #
Ciclopirox for dermal use in medicines containing more than 2% Batrafen Nail Lacquer  
Cimetidine  

No product with consent to distribute is currently available *

 In medicines that have received the consent of the Minister or Director-General to their distribution as restricted medicines and that are sold in the manufacturer’s original pack containing not more than 14 days’ supply

 

 

Clobetasone for dermal use in medicines containing 0.05% or less Becoderm-C *

 In packs containing not more than 30 grams that have received the consent of the Minister or Director-General to their distribution as restricted medicines and that are sold in the manufacturer’s original pack
Clotrimazole for vaginal use Canesten Vaginal Cream

Canesten Vaginal Pessaries

Canesten Thrush Once Pessary

+ Cream

Clomazol Vaginal Cream

Clotrimaderm Vaginal Cream

  
Codeine-containing combination medicines.

Codeine in medicines for oral use as an analgesic, containing not more than 15mg of codeine base          (= 20.3mg codeine phos) per solid dosage unit or per dose of liquid with a maximum daily dose not exceeding 100mg of codeine base, when combined with one or more active ingredients, in such a way that the substance cannot be recovered by readily applicable means or in a yield which would constitute a risk to health

 Panadeine * 40 tab max

Panadeine Plus * 40 caplet max

Paracotene * 40 tab max

Panafen Plus * 30 caplet max

Nurofen Plus *  30 tab max

Mersyndol *

 

Note:  large pack sizes and repacks are prescription medicines

 In packs of not more than 5 days’ supply, approved by the Minister or the Director-General for distribution as a restricted medicine.

 

From 1 May 2011 to labelled with the warning statements:

– codeine is an addictive substance

–  do not use for more than three days at a time

 
Cyclizine for oral use Nausicalm Tablets

Marzine Tablets (disc)

  
Cyproheptadine for oral use Periactin Tablets  
Dexchlorpheniramine for oral use in adults & children over 2 years of age Polaramine Tables

Polaramine Repetabs

Polaramine Syrup

 Except when combined with a sympathomimetic decongestant #
Diclofenac in solid dose form when containing 25mg or less but more than 12.5mg per dose form Voltaren Rapid 25mg Tablets

Cataflam Tablets (disc)

Apo-Diclo EC Tablets

 In pack containing not more than 30 tablets or capsules
Dimenhydrinate for oral use in adults & children over 2 years of age   Except when in a sealed container of not more than 10 tablets or capsules for prevention or treatment of motion sickness in adults or children over 2 years of age or when sold at a transport terminal, ship or plane
Diphenhydramine for oral use in adults & children over 2 years of age Unisom SleepGels

Calm-U Tablets (disc)

Panadol Night Caplets

Benadryl Nightime Syrup

Benadryl Original Syrup (disc)

 Except when combined with a sympathomimetic decongestant #.

Except when in a sealed container of not more than 10 tablets or capsules of theoclate salt for prevention or treatment of motion sickness in adults or children over 2 years of age or when sold at a transport terminal, ship or plane
Diphenylpyraline for oral use in adults & children over 2 years of age   Except when combined with a sympathomimetic decongestant #
Dithranol Micanol Cream  
Doxylamine for oral use in adults & children over 2 years of age Dozile Capsules

Mersyndol Tablets

 Except when combined with a sympathomimetic decongestant #
Econazole for vaginal use Pevaryl Ovules (disc)  
Famciclovir in tablets containing 500mg or less  

No product with consent to distribute is currently available *

 When sold in a pack approved by the Minister or Director-General for distribution as a restricted medicine

 

 

Fluconazole for treatment of vaginal candidiasis Diflucan One Capsule *

Flucazole Capsule *

Canesten Oral Capsule *

Canesten Duo Capsule & Cream*

 In medicines that have received the consent of the Minister or Director-General to their distribution as restricted medicines and that are sold in the manufacturer’s original pack containing not more than 150 milligrams as a single dose for the treatment of vaginal candidiasis
Fluorides for external use in liquid form in medicines containing 5.5gram or less and more than 1gram/l or /kg and when sold in packs approved by the Minister or Director-General for distribution as restricted medicines;

 

For external use in non-liquid form in medicines containing 5.5gram or less and more than 1gram/l or /kg, except in medicines containing 1.5gram or less and more than 1gram/l or /kg and when sold in packs approved by the Minister or Director-General for distribution as general sale medicines;

 

Except when supplied to a dental professional recognised by the Dental Council of NZ

 NeutraFluor 5000 Plus

Toothpaste

  
Glucagon GlucaGen Hypokit Except in medicines containing 100 mcg or less per litre or kg
Glyceryl trinitrate for oral, sublingual or rectal use Lycinate Tablets

Anginine Tablets (disc)

Nitrolingual Pump Spray

Glytrin Spray (disc)

Rectogesic Rectal Ointment

  
Guaiphenesin for oral use in modified release form with a maximum recommended daily dose of not more than 2.4 gram  

No product with consent to distribute is currently available *

 When sold in a pack containing more than 5 days’ supply but not more than 30 days’ supply, that has been approved by the Minister or Director-General for distribution as a restricted medicine
Haemophilus influenzae vaccine in oral vaccines for the prophylaxis of bacterial complications of colds Buccaline  
Hydrocortisone and Hydrocortisone acetate

for dermal use in medicines containing 1% or less and more than 0.5% by weight of hydrocortisone base with no other active ingredient except an antifungal

 Daktacort Cream

DermAid 1% Cream

DermAid 1% Soft Cream

Hydrocortisone 1% Cream

– various generic manufacturers

Micreme H Cream

Resolve Plus 1% Cream

Skincalm 1% Cream

DP-HC Lotion

Lemnis Fatty Cream HC

 Maximum of 30ml or 30g per container

 

 

Note container limits. May need repacking and be labelled specifically for the needs of a named individual.

 
Hydrocortisone and Hydrocortisone acetate

in rectal medicines containing 1% or less but more than 0.5% by weight of hydrocortisone base and in combination with a local anaesthetic

  

Note: Rectal 0.5% preparations are now Pharmacy Medicines (eg Proctosedyl)

 Maximum 35gram or 12 suppositories per container or pack

 

 

Hyoscine Butyl Bromide

for oral use in medicines containing not more than 10mg per dose form

 Buscopan Tablets

Gastrosoothe Tablets

 

 In packs containing not more than 20 tablets or capsules
Ibuprofen for oral use in tablets or capsules containing more than 200mg and up to 400mg per dose form  

No product with consent to distribute is currently available *

 In packs containing not more than 50 dose units that have received the consent of the Minister or Director-General to their distribution as restricted medicines and that are sold in the manufacturer’s original pack labelled for use by adults and children over 12 years of age
Isoconazole and its salts for vaginal use    
Ketoprofen in solid dose form containing 25mg or less per dose form   In packs of not more than 30 capsules or tablets
Lansoprazole in tablets or capsules containing 15mg or less  

No product with consent to distribute is currently available *

 When sold in a pack approved by the Minister or Director-General for distribution as a restricted medicine
Levonorgestrel

for use as emergency post coital contraception in packs containing not more than 1.5mg

 Levonelle-1 Tablets

Postinor-1 Tablets

Note: The Pharmacy Council requires pharmacists to have completed an education programme and be ECP accredited in order to sell the ECP without prescription
Macrogols (polyethyleneglycols) in oral preparations for bowel cleansing prior to diagnostic, medical or surgical procedures Klean-Prep powder Sachet

Glycoprep powder Sachet

Glycoprep-C powder Sachet

  
Mepyramine for oral use in adults & children over 2 years of age  
Metoclopramide

only when compounded with paracetamol for the treatment of nausea associated with migraine

 Paramax Tablets In packs of not more than 10 tablets or capsules for the treatment of nausea associated with migraine
Miconazole for buccal use in the treatment of oral candidiasis Daktarin Oral Gel  
Miconazole for vaginal use Micreme Vaginal Cream

Resolve Thrush Vaginal Cream

  
Nicotinic acid except nicotinamide; in medicines containing 250mg or less, but more than 100mg per dose form Apo-Nicotinic Acid Tablets  
Nicotinyl alcohol in medicines containing more than 100mg per dose form  
Nystatin for buccal use in the treatment of oral candidiasis Nilstat Oral Drops  
Nystatin for vaginal use Nilstat Vaginal Cream  
Omeprazole in tablets or capsules containing 20mg or less Losec MUPS Tablets (10mg) * When sold in a pack approved by the Minister or Director-General for distribution as a restricted medicine
Orlistat in medicines for weight control containing 120mg or less per dose form Xenical Capsules Sales must be in accordance with the Pharmacy Council protocol for the Sale and Supply of Pharmacist Only Medicines for Chronic Conditions.

 

 

Oseltamivir (Tamiflu)

is NOT a pharmacist-only

medicine.

 

It is included only for information.

 Note:  Tamiflu is a prescription medicine; but may be sold in a pharmacy between the months of April to November inclusive by a registered pharmacist who is satisfied that the medicine is for the treatment of a consumer who is resident in New Zealand, is 12 years of age or more, and currently has the symptoms of influenza.  
Pantoprazole in tablets or capsules containing 20mg or less  

No product with consent to distribute is currently available *

 When sold in a pack approved by the Minister or Director-General for distribution as a restricted medicine
Pneumococcal vaccine in oral vaccines for the prophylaxis of bacterial complications of colds Buccaline  
Podophyllum (emodi & peltatum) in preparations containing 20% or less and more than 10% of podophyllin for treatment of warts other than anogenital Posalfilin Ointment  
Podophyllotoxin in preparations containing 1% or less and more than 0.5% for treatment of warts other than anogenital  
Prochlorperazine for treatment of nausea associated with migraine

 

 Antinaus Tablets

Buccastem Buccal Tablets

Note:  Prochlorperazine is not a prescription medicine (or a pharmacist-only medicine) when sold, for the treatment of nausea associated with emergency contraception, by pharmacists or nurses accredited to sell levonorgestrel for emergency contraception

 In packs containing not more than 10 tablets or capsules for the treatment of nausea associated with migraine
Promethazine for oral use adults & children over 2 years of age Allersoothe Tablets

Phenergan Tablets

Phenergan Elixir

Tixylix Linctus

 Except when combined with a sympathomimetic decongestant #.

Except when in a sealed container of not more than 10 tablets or capsules for prevention or treatment of motion sickness in adults or children over 2 years of age or when sold at a transport terminal, ship or plane
Rizatriptan for oral use in medicines for the acute relief of migraine attacks with or without aura in patients who have a stable, well established pattern of symptoms, when in wafers containing 5mg or less per wafer  

No product with consent to distribute is currently available *

 When sold in a pack containing not more than 2 wafers approved by the Minister or the Director-General for distribution as a restricted medicine
Salicylic acid Except in medicines for dermal use containing 40% or less
Sodium phosphate in oral preparations for bowel cleansing prior to diagnostic, medical or surgical procedures Fleet Phospho-Soda buffered oral mixture Is a prescription medicine when used as a laxative
Sodium picosulfate in oral preparations for bowel cleansing prior to diagnostic, medical or surgical procedures Picoprep Powder

for reconstitution

 Is a pharmacy medicine when used as a laxative
Staphylococcus aureus vaccine in oral vaccines for the prophylaxis of bacterial complications of colds Buccaline  
Streptococcus beta-haemolyticus vaccine in oral vaccines for the prophylaxis of bacterial complications of colds Buccaline  
Sulphacetamide (sulfacetamide) for ophthalmic use in medicines containing 10% or less Acetopt Eye Drops (disc)

Bleph-10 Eye Drops

  
Sumatriptan for oral use in medicines for the acute relief of migraine attacks with or without aura in patients who have a stable, well established pattern of symptoms when in tablets containing 50mg or less per tablet Sumagran Active Tablets *

Mygran Tablets *  (disc)

 When sold in a pack containing not more than 2 tablets that has received the consent of the Minister or Director-General to its sale as a restricted medicine
Theophylline when in liquid form for oral use in medicines containing 2% or less Nuelin Liquid

Brondecon Expectorant (disc)

  
Triamcinolone for buccal use in medicines containing 0.1% or less triamcinolone acetonide Kenalog in Orabase

Oracort

 In packs containing no more than 5 gram.
Trimeprazine for oral use in adults & children over 2 years of age when in solid dose or liquid form containing 10mg or less per 5ml Note: Vallergan Forte (30mg/5ml)

is a Prescription Medicine

 Except when combined with a sympathomimetic decongestant #
Triprolidine for oral use in adults & children over 2 years of age   Except when combined with a sympathomimetic decongestant #
Zolmitriptan in a pre-filled nasal spray device delivering not more than 5mg of zolmitriptan for the acute relief of migraine attacks with or without aura in patients who have a stable, well-established pattern of symptoms Zomig Nasal Spray * When sold in a pack of not more than 2 devices approved by the Minister or Director-General for distribution as a restricted medicine

 

 

* These products must only be sold in the manufacturer’s original pack

 

# The full restriction is:  for oral use in medicines for adults and children over 2 years of age when combined in the same container with one or more other therapeutically active substances either, when in the bedtime dose of a day-night pack containing [name of medicine] or, when at least one of the other therapeutically active substances is a sympathomimetic decongestant.

(disc) Product is discontinued from the New Zealand market.  Other products may be also.