Date of prep: December 2020
Prescribing information and
adverse events reporting
For healthcare professionals only
After a patient nearly choked when accidentally inhaling their lung medication capsule through the wrong part of their inhaler, Jazz, a concerned pharmacist, alerted the Medicines and Healthcare products Regulatory Agency (MHRA) of the potential risk.
Jazz, pharmacist and Yellow Card reporter, said:
“I reported to Yellow Card because I thought if this happened to one person, it could happen to others, and I wanted to protect patient safety.
“The MHRA did a detailed investigation and found there was potential for confusion when using the medicine and the device in combination. They then worked with the manufacturer to improve the safety information.
“Now the products come with warnings about choking and clearer instructions on how to insert the capsule correctly into the device, including pictures that make it easy to understand.
“The MHRA also alerted doctors, pharmacists and healthcare professionals across the UK about the safety risk. It really goes to show that every piece of information is important and can make such a big difference to patient safety.
Mick Foy, Manager at the MHRA’s Vigilance and Risk Management of Medicines Division, said:
“Patient safety is at the heart of everything we do, and everyone has a role to play in the safe use of medicines.
“The MHRA uses Yellow Card reports to strengthen our investigations and advice on how to use products safely to protect patients. Whether you’ve experienced a side effect, seen a faulty medical device, or observed a potential issue, your report to the Yellow Card scheme helps us take action to protect everyone.”
Reports can be made on the Yellow Card website, via the mobile app from the Google Play Store or Apple App Store, via freephone (0800 731 6789, 9am to 5pm Monday to Friday) or by reporting an issue to their healthcare team who can file a report on their behalf.
This circular is being shared under the Open Government Copyright licence.
Pharmacy in Practice is a UK pharmacy publication with its roots in Scotland.