CDs Flashcards
(17 cards)
What are the classes of CDs?
Schedule 1
- CD Lic POM
- hallucinogenics, ecstasy
Schedule 2
- CD POM
- diamorphine, methadone, pethidine
Schedule 3
- CD No Register POM
- buprenorphine, temazepam, midazolam, pregabalin
Schedule 4
- CD Anab POM: zopiclone, sativex
- CD Benz POM: diazepam
Schedule 5
- CD INV P or CD INV POM
- nitrous oxide, codeine, low dose morphine
What are the differences between prescription requirements for CDs?
Schedule 1 - 4 vs 5
- valid for 28 days
- vaid for 6 months
Schedule 1 and 2
- address of prescriber must be in the UK
- EEA and Swiss prescribers cannot prescribe
- prescription is NOT repeatable
Which CDs CAN be given as emergency supply?
Schedule 4 and 5
Schedule 3
- phenobarbital only for epilepsy
What is required to possess/administer Schedule 1 CDs?
Home Office license except in for the purpose of destruction or to hand over to a police officer
When is a license needed to import or export CDs?
Schedule 1 - 3, 4 part 1
- needed
Schedule 4 part 2 (zopiclone, sativex)
- needed unless imported or exported by a person for self administration
Travellers
- not needed if the person is carrying less than 3 months supply
What is a requisition? What is the name of the form? What are the legal requirements?
transfer of Schedule 2 and 3 CDs between community (except in prison and hospice)
FP10CDF, CDRF, WP10CDF
signature of recipient
name of recipient
address of recipient
profession or occupation
total quantity of drug
purpose of requisition
CANNOT be faxed or photocopied
stock can only be collect on behalf if written permission if given
When can an emergency requisition be done?
doctor or dentist can be supplied with a Schedule 2 or 3 CDs on the undertaking
that a requisition will be supplied within the next 24 hours
What is a midwife supply order? What are the requirements?
an order used to obtain these CDs
- diamorphine, morphine, pethidine
name of the midwife
occupation of the midwife
name of the person being supplied
purpose of the CD
total quantity
signature of the appropriate medical officer
What are the prescription requirements for CDs?
name of patient
address of patient
name of CD
form of CD
strength of CD
dose of CD
total quantity - words and figures
quantity prescribed
signature prescriber
address of prescriber
date of dispensing
dental wording and instalment wording where needed
What are the instalment directions needed for CDs?
amount of medicine to be supplied per instalment
interval between each time medicine can be supplied
When should prescribers be contacted for CD instalments/supervision?
if more than 3 days have been missed
- tolerance issue
What technical errors can be amended by pharmacists? What must they record?
missing words OR figures (only ONE)
spelling mistake, minor typographical error
record
- name, date, signature, GPHC registration number
What are private prescription requirements for CDs?
standardised form
- FP10PCD, PPCD, WP10 PCD
prescriber identification number
submit the original prescription
Which CDs are exempt from safe custody?
gabapentin
pregabalin
mazindol
tramadol
midazolam
meprobamate
pentazocine
phentermine
phenobarbital
When is denaturing of CDs required? When is an authorised witness required? When must a record be made?
Patient returned
- Schedule 2, 3 and 4 part 1 must be denatured
Expired stock
- Schedule 2, 3 and 4 part 1 must be denatured
Authorised witness
- expired pharmacy stock of Schedule 2 CDs
Record
- patient returned and expired pharmacy stock Schedule 2 CDs
Which CDs must be recorded in the CD register?
Schedule 1 and 2 CDs
Sativex
- Schedule 4 part 1
How long should requisition and CD registers be kept for?
2 years
