Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Law and Ethics > Controlled drugs > Flashcards

Controlled drugs Flashcards

(62 cards)

Start Studying
1
Q

What legislations are applicable to CDs and pharmacy include?

A

The misuse of Drugs Regulations 2002
The misuse of Drugs Act 1971
The misuse of Drugs Regulations 1973 as amended
The health Act
Controlled drugs regulations 2013

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What does the misuse of drugs regulations 1971 do?

A

It imposes prohibitions on the possession, manufacture, import and export of CDs except where permitted by the 2001 regulation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what does the Health act 2006 do?

A

It introduced the concept of an ‘accountable officer’ and required healthcare organisations and services to have standard operating procedures in place for using and managing CDs.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What does the Responsible pharmacist regulations 2008 state?

A

registered pharmacists: it requires a range of pharmacy procedures for managing CDs in their pharmacies and the steps that they should take if an incident occurs or concern relating to CDs arise.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are organisation policies and procedure that ensure the management of CDs

A

Security- access to CDs
Ordering and receipt
Record keeping- audit requirements
Prescribing and clinical monitoring
Administration-witness requirements too
Supply- prompt access to ensure care is not compromised
Denaturing and disposal-witness requirements too
Use and storage of patients with CDs
Investigations and reporting concerns

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the roles of a controlled drug accountable officer?

A

Oversight of the monitoring and auditing of the management, prescribing and use of CDs
Ensuring that systems are in place for recording concerns and incidents involving CDs and the operation of these systems
Appointment of authorised witness for destruction of CDs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

CLASSES OF CD
Give examples of schedule 3 drugs

A

Phenobarbital, Gabapentin, Tramadol, Buprenorphine, Midazolam

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

CLASSES OF CD
Give examples of schedule 4 drugs part I

A

Benz POM
Benzodiazepines;diazepam
Non-benzodiazepines; zopiclone
Sativex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

CLASSES OF CD
Give examples of schedule 4 part II controlled drugs

A

Anabolic POM;
Contains most of the anabolic and androgenic steroids and growth hormones.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

CLASSES OF CD
Give examples of schedule 5 CD

How long are their prescription valid for?

A

Low strengths of dihydrocodeine, codeine, pholcodine, and morphine.

6 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

CLASSES OF CD
How long are schedule 1 to 4 prescription valid for?

A

28 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

CLASSES OF CD
Can the EEA and Swiss HCP prescribe schedule 3 to 5?

A

yes just NOT schedule 2 or 3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

CLASSES OF CD
what schedule of drugs need an invoice to be retained for 2 years?

A

Schd 3 and 5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

SUPPLY AND POSSESSION
Who can supply, possess and procure schd 2 to 4 according to the 2001 regulation

A

Pharmacists, doctors and dentists

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

SUPPLY AND POSSESSION
Who can lawfully possess CDs 2 to 4

A

Also if:

Home office licence (can also supply)
Those covered by the home office licence group authority ( can also supply)
Classes of people specified in 2001 regulation
Patients who have been prescribed them
Dependent on class of drug given as well

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

SUPPLY AND POSSESSION
Who can adminster schedule 2 to 4 drugs

A

A doctor, dentist, pharmacist or nurse IP acting in their own right.

Supplementary prescriber acting in accordance with clinical management plan
A person acting in accordance with the directions of a prescriber who can prescribe CDs.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

SUPPLY AND POSSESSION
Who can administer and prescribe schedule 1?

A

Those with Home office licence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

SUPPLY AND POSSESSION
What is needed for a pharmacy to import and export CD

A

A licence( if not being used for self administration)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

SUPPLY AND POSSESSION
when are requisition forms needed

A

For schd 1, 2 and 3 drugs

when stocks of the relevant controlled drugs are to be obtained in the community, including from wholesalers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

SUPPLY AND POSSESSION
What are the legal requirements for a controlled drug requisition?

A

Signature of recipient
name of the recipient
Address of the recipient
Profession or occupation
Total quantity of drug
Purpose of the requisition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

SUPPLY AND POSSESSION
what is the approved mandatory requisition forming England

A

FP10CDF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

SUPPLY AND POSSESSION
What are the legal requirements when a requisition is received?

A

Mark the requisition indelibly with the supplier’s name and address; where a pharmacy stamp is used this must be clear and legible.

Send the requisition to the relevant NHS agency

Retain a copy for two years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

SUPPLY AND POSSESSION
The processing requirements do not apply when the supply is made for which cases?

A

If supply is made;
By a person responsible for the dispensing and supply of medicines of a hospital, care home, prison or Ambulance services who must mark and retain the original requisition for two years.

By pharmaceutical manufacturers or wholesalers

Against veterinary medicines requisition should be retained for five years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

CD PRESCRIPTIONS

What are TEN things that needs to be on on CD prescription

A
  1. Name and address of the patient
  2. Name and address of prescriber
  3. Signature
  4. Date (INCLUDING date of supply)
  5. Total quantity in words and figures
  6. specific direction e.g take one as directed not just as directed
  7. name, dose, strength of medication
    8.Formulation
  8. Dental should say ‘for dental use only’
  9. patient age if younger than 12
  10. Prescriber identification number
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
INSTALMENT DIRECTION FOR SCHEDULE 2OR 3 CONTROLLED DRUGS What is it?
It combines two pieces of information 1. Amount of medicine to be supplied per instalment 2. interval between each time the medicine can be supplied Instalment prescription must have both a dose and an instalment amount specified on the prescription.
26
INSTALMENT DIRECTION FOR SCHEDULE 2OR 3 CONTROLLED DRUGS When must be the first instalment of an instalment prescription be dispensed?
Within 28 days of the appropriate date, remainder of the instalments should be dispensed in accordance with instructions The prescription must be marked with the date of each supply
27
INSTALMENT DIRECTION FOR SCHEDULE 2OR 3 CONTROLLED DRUGS What are legal requirements for an instalment prescriptions?
Instalment directions with specific wording
28
INSTALMENT DIRECTION FOR SCHEDULE 2OR 3 CONTROLLED DRUGS What are home office approved wording?
Please dispense instalments due on pharmacy closed day on prior suitable day If an instalment's collection day has been missed, please still dispense the amount due for any remaining day(s) of that instalment Consult the prescriber if three or more consecutive days of a prescription have been missed. Supervise consumption on collection days Dispense daily doses in separate containers
29
INSTALMENT DIRECTION FOR SCHEDULE 2OR 3 CONTROLLED DRUGS If the relevant approved wording is used for the instalment direction for schd 2 and 3 CDs, what can the pharmacist do?
Supply the balance of an instalment if the interval date is smiled Supply treatment prior to the start date on the prescription, if this is on a day where the pharmacy is closed e.g bank holiday
30
COLLECTION OF DISPENSED CD What would you do if the patient has missed three days of treatment and why ?
There is a risk the patient has lost tolerance to the drug and usual dose may cause an overdose. Contact prescriber to discuss appropriate steps.
31
COLLECTION OF DISPENSED CD What would you do if there was a minor typographical error or spelling mistake or spelling mistake or where prescriber has failed to put quantity in both words and figures?
A pharmacist can amend the prescription indelibly so that it becomes compliant with legislation. The pharmacist must also put name, date, signature, and GPhC reg no and initials
32
COLLECTION OF DISPENSED CD What can a pharmacist NOT amend in a CD prescription
Missing date incorrect dose, form or strength
33
PRIVATE CD PRESCRIPTIONS what are additional legal requirements of private CD prescriptions?
Must be written on a standardised form prescriber identification number Pharmacies must submit original private prescription to the relevant NHS agency Medicines that are NOT CD must NOT be written on the standardised CD form
34
PRIVATE CD PRESCRIPTIONS When is a standardised form not needed for human private CD prescriptions?
where prescription is issued and dispensed within the same legal entity.
35
COLLECTION OF DISPENSED CD What are the legal requirements if a drug misuser wants a representative to collect their CD meds
Pharmacist must obtain a letter from the misuser that authorises and names the representative.(Separate letter should be obtained each time) Representative needs to provide ID Record on the CD register should include the details of representative If directions on prescription state that the dose must be supervised, the pharmacist should contact the prescriber before it is supplied to the representative. Verbal agreement from prescriber is fine prescription should be annotated stating dose was not supervised in pharmacy.
36
COLLECTING A NORMAL CD DRUG: what actions need to occur if collected by; a)Patient or patients representative b) HCP acting in professional capacity on behalf of patient
If not known by the pharmacy a) Pharmacist may request evidence of identity ID. b) Name, address and ID of the healthcare professional
37
SAFE CUSTODY What is the requirement of the safe custody regulations?
Pharmacies keep relevant CDs in a locked safe to prevent unauthorised access to drugs. A key log could also be used to keep an audit trail of who has had access to the keys, including overnight storage.
38
SAFE CUSTODY What controlled drugs need to be kept under safe custody?
Schedule 1 schedule 2 except some liquid preparations schedule 3 unless exempt under the misuse of Drugs Regulations 1973 as amended. Patient returned and out of date or obsolete controlled drugs until they can be destroyed
39
What schedule 3 drugs are exempt from being in CD cupboard under the misuse of Drugs Regulations 1973 as amended?
Gabapentin Mazindol Meprobamate Midazolam Pentazocine Phenobarbitol Tramadol Phentermine
40
DESTRUCTION OF CDs What drugs need to be denatured before disposal
Advised by the home office that all schd 2,3 and 4
41
DESTRUCTION OF CDs How can pharmacies legally denature CDs
requires a license or pharmacies can register an exemption known as T28 exemption without needing to obtain a licence.
42
DESTRUCTION OF CDs What drugs need to be witnessed by an authorised person? What records need to kept?
Drugs that need to be registered in the CD register that are expired, obsolete, and unwanted so schd 2. But not those returned by patients. Those returned by the patient do not need records kept Schd 2 an entry should be made in the CD register
43
DESTRUCTION OF CDs How should CDs be destroyed?
Should be denatured and deemed irretrievable, before being put in pharmaceutical waster bin.
44
DESTRUCTION OF CDs What are the different methods of destruction for solids dosage forms?
Grind or crush the tablet before adding to the CD denaturing kit
45
DESTRUCTION OF CDs What is a method of destruction for liquid dosage form?
Pour into CD denaturing kit or pour into another suitable product When bottle is emptied, small amount may remain so bottles can be rinsed. The empty bottle can be rinsed
46
DESTRUCTION OF CDs What is a method of destruction for ampoules and vials?
Open ampoules (if containing liquid) into CD denaturing kit or in the same way as liquid formulations For powder containing ampoules, open kit and add water to dissolve powder, this mixture should be added to the denaturing kit. or crush ampoules in empty container then add soapy warm water or suitable product.
47
DESTRUCTION OF CDs What is a method of destruction for patches?
remove backing fold patch over itself place into a waste disposal or denaturing kit
48
RECORD KEEPING AND CONTROLLED DRUG REGISTERS What drugs need to be added to the CD register?
schd 1 and 2 and sativex
49
RECORD KEEPING AND CONTROLLED DRUG REGISTERS what must be recorded for CDs received?
Date of supply Name and address of recipient Quantity received
50
RECORD KEEPING AND CONTROLLED DRUG REGISTERS What must be recorded for CDs supplied?
Date supplied Name and address of recipient Details of authority to possess-prescriber or licence holders details Quantity supplied Details of patient or representative or HCP Whether proof of identity was requested and whether it was provided
51
RECORD KEEPING AND CONTROLLED DRUG REGISTERS How should CD registers be organised?
Different sections for each class within each class, separate page is used for different strengths and formulations for each drug.
52
RECORD KEEPING AND CONTROLLED DRUG REGISTERS How should entries be made?
Entered chronologically entered promptly- the day of or the day after Made in ink or indelible Unaltered-entries cannot be cancelled- corrections must be made by dated marginal notes. (this correction must include name, initials, GPhC number of corrector)
53
RECORD KEEPING AND CONTROLLED DRUG REGISTERS How long should registers be kept following the date of the last entry?
Two years
54
RECORD KEEPING AND CONTROLLED DRUG REGISTERS What is the aim of keeping a running balance? how often should stock checks be done?
To ensure that any discrepancies or irregularities are identified as soon as possible. At least once a week
55
CANNABIS AND CANNABIS BASED PRODUCTS: Give examples of licensed cannabis based products. what are they indicated for? What is their legal category
Sativex- used for moderate to severe spasticity in MS schd 4 CD Nabilone- N+V caused by chemotherapy and if unresponsive antiemetic treatments POM Epidyolex- Seizures associated with Lennox-Gastaut syndrome schd 5 CD
56
CANNABIS AND CANNABIS BASED PRODUCTS: What do the following products contain Sativex Nabilone Epidyolex
S-Cannabis extracts containing THC and CBD N-synythetic non-natural cannabinoid E-cannabidiol
57
CANNABIS AND CANNABIS BASED PRODUCTS: What is Dronabinol contain? what is it indicated for? Legal category?
Not classified as a licence product but synthetic compound. A synthetic, nature identical version of THC Schedule 2 drug Used to treat loss of appetite in those with AIDS N+V caused by chemo if unable to use conventional anti-emetic treatments.
58
CANNABIS AND CANNABIS BASED PRODUCTS: what is CBPM? Who can prescribe it?
Cannabis based products for medicinal use Prescribing is limited to specialist doctors on the GMC's Specialist register.
59
CBPM DEFINITION What are the THREE broad requirements a CBPM should satisfy?
1.The product is or contains cannabis, canners resin, cannabinol or cannabinol derivative 2.It is produced for medicinal use in humans 3.It is a product that is regulated as a medicinal product, or an ingredient of medicinal product.
60
CANNABIS AND CANNABIS BASED PRODUCTS: Who should decide to commence treatment of CBPM
Joint decision between prescriber and patient/carer Clinician should consider; the patient, the clinical condition, the clinical effectiveness and safety that cannot be met by licensed medicines.
61
CANNABIS AND CANNABIS BASED PRODUCTS: What schedules are CBPMs? When prescribing what does the patient need to know
SCHD 2 Patient is involved in the decision Made aware that it is unlicensed (a note of this needs to be made in patients medical records)
62
CANNABIS AND CANNABIS BASED PRODUCTS: What standards must a private prescription for CBPM meet?
Must meet the legal requirements for schedule 2 CDs and must be on standardised form Must specify prescribers six digit ID number

Law and Ethics (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions