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Vol 273 No 7323 p634
30 October 2004

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Water for injections restrictions to be eased

Needle exchange scheme workers, including pharmacists acting outside a patient group direction, will soon be able to supply ampoules of water for injections to drug addicts.

The Medicines and Healthcare products Regulatory Agency has started consulting on a proposal to change the law so that people who work for needle exchange schemes and other legitimate drug treatment services can supply the product without breaking the law.

Currently, the Medicines Act 1968 restricts all medicines intended for parenteral use to prescription control. As such, water for injections can only be supplied from pharmacies by, or under the supervision of, a pharmacist after prescription by a practitioner, or by pharmacists and other health professionals acting under a patient group direction.

Until last year, the supply of items associated with drug abuse — described as paraphernalia — was an offence under the Misuse of Drugs Act 1971 (PJ, 12 July 2003, p37). Last year, the supply of paraphernalia was decriminalised under the Misuse of Drugs Act, but water for injections remains controlled under the Medicines Act.

It is now proposed that this situation be rectified by amending the Prescription Only Medicines (Human Use) Order 1997 and related orders.

The plan is that supplies will be restricted to packs of 10 ampoules of no more than 2ml each. Consultation closes on 11 January 2005.

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