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CAUTIONARY
AND
ADVISORY LABELS
(CALS)

B y Kiran Sharma
KIET School of Pharmacy
CALs
Cautionary and advisory labels (Cals) are
sometimes added (with the dispensing label) to a
medicine dispensed by the pharmacist to the patient.
Standard cautionary and advisory labels offer advice
but are not exhaustive.
The labels are not a substitute for adequate counseling
by prescribers and dispensers (most medicines are
dispensed by pharmacists) but are intended to
reinforce essential information the patient needs to
know.
Kiran Sharma, KIET School of Pharmacy

11/12/2013

2
2 Types of CALs
* for providing advice regarding medication use
*for warning consumers about undesirable effects

Kiran Sharma, KIET School of Pharmacy

11/12/2013

3
Recommended label wording
can offer advice about:
 Timing of doses in relation to food
 Completing the course of treatment

 What has to be done if a dose is missed
 The correct storage of a medicine

 Dissolution of the medicine in water before
taking it
 Limits to the number of tablets that should

be taken in a given time
Kiran Sharma, KIET School of Pharmacy

11/12/2013

4
Recommended label wording
can offer warnings about:
 Effects of the medicine on driving or work






(e.g. through drowsiness)
Foods or medicines that should be avoided
Avoidance of exposure of the skin to sunlight
or sun lamps
Medicines that can discolor the urine
Medicines that can stain clothes or skin
Kiran Sharma, KIET School of Pharmacy

11/12/2013

5
Some Examples

Kiran Sharma, KIET School of Pharmacy

11/12/2013

6
Example

Kiran Sharma, KIET School of Pharmacy

11/12/2013

7
Kiran Sharma, KIET School of Pharmacy

11/12/2013

8
Kiran Sharma, KIET School of Pharmacy

11/12/2013

9
Kiran Sharma, KIET School of Pharmacy

11/12/2013

10
Kiran Sharma, KIET School of Pharmacy

11/12/2013

11
Kiran Sharma, KIET School of Pharmacy

11/12/2013

12
Kiran Sharma, KIET School of Pharmacy

11/12/2013

13
Kiran Sharma, KIET School of Pharmacy

11/12/2013

14
Kiran Sharma, KIET School of Pharmacy

11/12/2013

15
Kiran Sharma, KIET School of Pharmacy

11/12/2013

16
Updating the CALs
 Addition of a new label statement;
 Amendment to the wording of an existing label
statement;
 Deletion of a label statement;
 Application of an existing statement to a new
substance or class of substances;
 Application of a new label statement to a
substance or a class of substances;
 Removal of the requirement for an advisory
statement for a substance or class of substances.
Kiran Sharma, KIET School of Pharmacy

11/12/2013

17
THANKS

Kiran Sharma, KIET School of Pharmacy

11/12/2013

18

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Cautionary and advisory labels for medicines

  • 1. CAUTIONARY AND ADVISORY LABELS (CALS) B y Kiran Sharma KIET School of Pharmacy
  • 2. CALs Cautionary and advisory labels (Cals) are sometimes added (with the dispensing label) to a medicine dispensed by the pharmacist to the patient. Standard cautionary and advisory labels offer advice but are not exhaustive. The labels are not a substitute for adequate counseling by prescribers and dispensers (most medicines are dispensed by pharmacists) but are intended to reinforce essential information the patient needs to know. Kiran Sharma, KIET School of Pharmacy 11/12/2013 2
  • 3. 2 Types of CALs * for providing advice regarding medication use *for warning consumers about undesirable effects Kiran Sharma, KIET School of Pharmacy 11/12/2013 3
  • 4. Recommended label wording can offer advice about:  Timing of doses in relation to food  Completing the course of treatment  What has to be done if a dose is missed  The correct storage of a medicine  Dissolution of the medicine in water before taking it  Limits to the number of tablets that should be taken in a given time Kiran Sharma, KIET School of Pharmacy 11/12/2013 4
  • 5. Recommended label wording can offer warnings about:  Effects of the medicine on driving or work     (e.g. through drowsiness) Foods or medicines that should be avoided Avoidance of exposure of the skin to sunlight or sun lamps Medicines that can discolor the urine Medicines that can stain clothes or skin Kiran Sharma, KIET School of Pharmacy 11/12/2013 5
  • 6. Some Examples Kiran Sharma, KIET School of Pharmacy 11/12/2013 6
  • 7. Example Kiran Sharma, KIET School of Pharmacy 11/12/2013 7
  • 8. Kiran Sharma, KIET School of Pharmacy 11/12/2013 8
  • 9. Kiran Sharma, KIET School of Pharmacy 11/12/2013 9
  • 10. Kiran Sharma, KIET School of Pharmacy 11/12/2013 10
  • 11. Kiran Sharma, KIET School of Pharmacy 11/12/2013 11
  • 12. Kiran Sharma, KIET School of Pharmacy 11/12/2013 12
  • 13. Kiran Sharma, KIET School of Pharmacy 11/12/2013 13
  • 14. Kiran Sharma, KIET School of Pharmacy 11/12/2013 14
  • 15. Kiran Sharma, KIET School of Pharmacy 11/12/2013 15
  • 16. Kiran Sharma, KIET School of Pharmacy 11/12/2013 16
  • 17. Updating the CALs  Addition of a new label statement;  Amendment to the wording of an existing label statement;  Deletion of a label statement;  Application of an existing statement to a new substance or class of substances;  Application of a new label statement to a substance or a class of substances;  Removal of the requirement for an advisory statement for a substance or class of substances. Kiran Sharma, KIET School of Pharmacy 11/12/2013 17
  • 18. THANKS Kiran Sharma, KIET School of Pharmacy 11/12/2013 18