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9 сентября 2019
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№188, сентябрь 2019
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Минздрав готовит новые изменения в приказ № 4н
Ведомство предлагает внести в порядок оформления рецептов поправки, касающиеся назначения незарегистрированных в России лекарственных препаратов. Проект изменений опубликован 6 сентября на портале проектов нормативных актов.
Министерство дополняет 8‑й пункт приказа указанием, что незарегистрированные лекарственные препараты могут быть назначены при необходимости индивидуального применения по жизненным показаниям при отсутствии альтернативного метода лечения.
Решение о таком назначении будет принимать консилиум федеральной специализированной медицинской организации или учреждения Российской академии медицинских наук, либо консилиум учреждения субъекта Российской Федерации, в котором оказывается медицинская помощь пациенту. Такое решение должно быть оформлено специальным протоколом и подписано главным врачом или директором медицинской организации.
Напомним, что ранее Правительство дало поручение министерствам сформировать потребности в иностранных препаратах, содержащих диазепам, фенобарбитал, мидозалам и клобзам в подходящих для детей лекарственных формах (суппозитории, сиропы и т. д.), но не зарегистрированных в России. Целью сбора информации является централизованная закупка таких препаратов.
Также проект изменений устанавливает новый срок действия рецептов на бланках № 148–1/у-04 (л), если на них выписаны наркотические и психотропные препараты списка II в дополнение к рецептам № 107/у-НП или № 148–1/у-88 (пункты 39 и 40 приказа № 4н). Такие рецепты будут действительны 15 дней.
Кроме этого, документ содержит поправки, ранее предложенные Минздравом в мае этого года: продление срока, на который можно назначать курс лечения пациентам с хроническими заболеваниями, новую форму рецептурного бланка № 148–1/у-04 (л), а также исправления в приложении «Рекомендованные к использованию сокращения при оформлении рецептов».
Катрен Стиль
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