Manitoba Pharmacy Jurisprudence Practice Exam

Is it permissible to dispense a drug not approved by Health Canada?

1. Yes, if it's approved in another country

2. No, it's not permissible

3. Only if it's an emergency

4. With special permission from a doctor

The correct answer is: With special permission from a doctor

Dispensing a drug not approved by Health Canada can be permissible under specific circumstances. When a pharmacy receives special permission or an authorization from a physician, it opens a pathway for a pharmaceutical product to be accessed when the potential benefits may outweigh the lack of Canadian approval. This situation can arise in cases where no suitable alternatives are available within approved drugs, and the physician believes it is necessary for the patient's treatment. For instance, this might occur in treating rare conditions where off-label use or access to unapproved medications could significantly impact patient outcomes. The physician's responsibility here includes ensuring that the patient understands the risks associated with using a non-approved drug. In these instances, it is crucial that proper protocols and documentation are followed to ensure patient safety and compliance with existing regulations. Therefore, obtaining special permission from a doctor is a vital step in the process of dispensing unapproved drugs.