G. Controlled Drug and the misuse of drugs regulations

Question 1

What are the 2 ways in which controlled drugs are classified?

Answer 1

1. Misuse of Drugs Act 1971

2. Misuse of Drug regulations 2001

Question 2

What is the purpose of the misuse of drugs act?

Answer 2

Primary purpose to prevent the misuse of ‘controlled drugs’.

Bands the possession, supply, manufacture, import, export…

Question 3

What is the role of advisory council on misuse of drugs ?

Answer 3

Advice the government of which medicines should be CD . Also what will work in practice and what punishments should be given if misuse of drugs act is broken

Question 4

What is the most dangerous Class of drugs and give an example? (in terms of the misuse of drugs act 1971)

Answer 4

Class A: Heroin, LSD, crack cocaine

Class B: Weed, codiene, anphetamine

Class C: anabolic steroids, benzodiazapines

Class A has the most severe punishment.

Question 5

What is the misuse of drug regulation 2001? What factors are they classified on?

Answer 5

Rules applied to drugs for their legit use.

Extent of use in medicine
Need to prevent misuse

Question 6

What are the different levels of control in the misuse of drugs regulation ?

Answer 6

5 schedules

Schedule 1 = CD Lic
Schedule 2 = CD POM
Schedule 3 = CD NO register POM

Schedule 4 (part 1) = CD Benz POM
                   (part 2) = CD Anab POM

Schedule 5 = CD Inv P or CD inv POM

Question 7

What is the most tightly/strictly controlled schedule and what drugs are included?

Answer 7

Schedule 1

Includes drugs such hallucinogenics, raw opium and cannabis in its whole.

Usually drugs that have no to little clinical/ therapeutic use use

Question 8

Can you use schedule 1 drugs for research?

Answer 8

No unless you have a licence from the home secretary in order to posses, produce or supply these drugs in schedule 1

Question 9

What drugs are included in schedule 2?

Answer 9

Includes opiates, major stimulants (e.g. amfetamines), quinalbarbitone.

Question 10

What are the full controls relating to schedule 2 drugs ?

Answer 10

• Prescription requirements
• Safe custody
• Record keeping (always make a record in CD)

Question 11

What is required if pharmacists wanted to supply or export schedule 2 drugs outside of the UK ?

Answer 11

A licence is required for the import and export

Question 12

What drugs fall into schedule 3?

Answer 12

Barabiturates, buprenophine, temazepam, gabapentin and pregablin

Question 13

What are the full controls relating to schedule 3 drugs?

Answer 13

• Prescription requirements
• Safe custody- Numerous exemptions
• CD register entries NOT required
• Invoice retained for 2 years
• Licences required for import ad export

Question 14

For schedule 4 drugs, do you need safe custody, prescription or record keeping ?

Answer 14

No, but you do need import and export licence unless its for personal use

Question 15

What drugs are included in schedule 4 part one ?

Answer 15

CD benz e.g benzodiazepines, sativex (cannabis extract)

Question 16

What drugs are included in schedule 4 part 2?

Answer 16

CD anabolic steroids, growth hormones

Question 17

What is schedule 2 and what drugs are included?

Answer 17

Low strength preparations of certain CD e.g. co-codamol (which contains paracetamol and codeine)

Question 18

how long should an invoice be retained for for schedule 5

Answer 18

2 years

Question 19

Finish the sentence:
Unlawful to be in possesion of CDs other than in schedule 5 unless permited by:

a. Home office licence
b. Member of a group
specified by the home office
c. Member of a class of person un the regulation eg pharmacists
d. Regulation provide that possession of drug/group of drug is lawful
e. legally prescribed

Answer 19

all of the above

Question 20

What schedules can be prescribed by a doctor?

Answer 20

From schedule 2-5

Question 21

What are the prescription requirements for schedule 2 and 3 drugs

Answer 21

• Acquainted with the prescribers signature
• Date (sch 2,3 and 4) (28 day from)
• Address- UK (prescriber)
• Dose (how much they should take when required)
• Total quantity (written in words and figures)
• Quantity prescribed (max 30 days supply)
• If dental Rx, then the words ‘for dental treatment only’ must be included
• Instalments within 30 days

Question 22

What is the colour of CD prescriptions that are private ?

Answer 22

Pink

Question 23

When would we keep records for CD drugs?

Answer 23

when we receive and supply a schedule 1 or 2

Question 24

What information is needed for control drug record keeping for CDs that have been received ?

Answer 24

Date at which it has been received

name and address from whom received
Quantity received

Question 25

What information is needed for control drug record keeping for CDs that are being supplied?

Answer 25

• Date of supply
• Name and address of recipient
• Details of authority to posses- prescriber or licence
• Quantity supplied
• Details of person collecting- patients
• Whether proof of identity was requested from collector
• Whether prof of identity was provided

Question 26

How would you dispose CD 234?”

Answer 26

Requires denature prior to disposal