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Watchdog allows medicine mixing

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The Medicines and Healthcare products Regulatory Agency will turn a blind eye to unauthorised prescribing or administering
of licensed medicines that have been mixed together by nurses in palliative care settings.

Although combining licensed drugs creates an ‘unlicensed’ product that falls outside the remit of nurse prescribing, the agency noted it was long-standing accepted practice for nurses to give such mixtures for pain relief in palliative care via injection or syringe driver.

It said there was evidence to show this practice was safe and effective. It said it had started to review legislation and, in
the meantime, would not take action against nurses ‘unless it would be in the public interest to do so’.

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