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With effect from 1st Dec 2016, esomeprazole, mometasone, olopatadine, and ruscogenins/trimebutine were reclassified as POMs granted exemptions for limited sale and supply without prescription.

This move is in line with H.S.A.’s efforts to further enhance access to effective and safe medicines by the general public.

These selected POMs had been reviewed by H.S.A. that they can be used in a safe and effective manner under the supervision of a pharmacist, subject to conditions including indication, strength, maximum daily dose, maximum supply quantity, and age restriction.

 

Active ingredient

Exemptions for supply of POM without prescription


Mometasone

As an intranasal spray not exceeding 50mcg/actuation
Indication: Prevention and treatment of allergic rhinitis
Maximum daily dose: 200mcg
Maximum supply: 3 months
Minimum age: 18 years

Esomeprazole

As an oral solid preparation not exceeding 20mg
Indication: Relief of heartburn symptoms associated with acid reflux
Maximum daily dose: 20mg
Maximum supply: 2 weeks
Minimum age: 18 years

Olopatadine

0.1% and 0.2%

As an eyedrop not exceeding 0.2%
Indication: Short-term treatment of symptoms of allergic conjunctivitis

Maximum daily dose:
0.1%: One drop in each affected eye two times per day
0.2%: One drop in each affected eye once a day

Maximum supply:
0.1%: 5ml
0.2%: 2.5ml

Minimum age: 3 years

Ruscogenins and trimebutine

As a rectal cream not exceeding 0.5g/5.8g per 100g
Indication: For the symptomatic relief of external and internal haemorrhoids, anal pruritis, anal fissure
Maximum daily dose: One or two applications per day
Maximum supply: 20g
Minimum age: 18 years

As suppositories not exceeding 10mg/120mg
Indication: For the symptomatic relief of external and internal haemorrhoids, anal pruritis, anal fissure
Maximum daily dose: One to two suppositories per day
Maximum supply: 10 suppositories
Minimum age: 18 years

Table: New POMs granted exemptions for limited sale and supply without prescription (with effect from 1 Dec 2016)

In the absence of an appropriate consumer pack for the supply of medicine under this exemption, the Pharmaceutical Society of Singapore (PSS) has developed patient information leaflets (PILs) for pharmacists to supply upon dispensing.

The reclassification of medications exercise has been made a regular annual event since January 2016 to shift more medicines to a lower tier of control.

 

For the full list of Updates on Reclassified Medicines, visit this link:

http://www.hsa.gov.sg/content/hsa/en/Health_Products_Regulation/Western_Medicines/Reclassified_Medicines/Reclassified_Medicine_Updates.html

 

For the full list of PSS PILs, go to:

http://www.hsa.gov.sg/content/hsa/en/Health_Products_Regulation/Western_Medicines/Reclassified_Medicines/Patient_Information_Leaflets.html

 

Prepared by: Sharene Goh