Mixing medicines backed for nurse prescribers

Nurse prescribers are to be allowed to mix medicines and direct others to do so.

Professor Matt Griffiths
Professor Matt Griffiths

The decision will mean nurses mixing medicines in syringe drivers or nebulisers will no longer be breaching the law.

Last year, the Medicines and Healthcare Products Regulatory Agency (MHRA) set up a working group to review the practice and legal basis of medicines mixing. The Commission on Human Medicine has accepted its advice.

The group said doctors, dentists and non-medical prescribers should be able to mix medicines direct others to do so.

It was a logical step for nurse and pharmacist independent prescribers to able to prescribe unlicensed medicines on the same basis as doctors and independent prescribers, it said.

Independent nurse consultant on prescribing and medicines management, Professor Matt Griffiths, a former RCN prescribing adviser, said the decision was ‘extremely helpful'.

‘It will reassure nurse prescribers that where care is within best practice and established guidelines they are not going to fall foul of the law for mixing medicines,' he said.

The MHRA will now set up a meeting with the Home Office to discuss arrangements for making legislative changes, a spokeswoman said. They will also discuss changes to the Misuse of Drugs Act.


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