Controlled drugs Flashcards

1
Q

Is the 30 days maximum quantity rule a LEGAL requirement?

A

NO

only a ‘strong recommendation’ from the Scottish Government

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2
Q

how long should the CD register be kept for

A

2 years from date of last entry

Electronic: 2 years from the date the entry was made (as the system can then delete these automatically when 2 years are up)

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3
Q

Which schedules of CD’s do invoices need to be retained for? and for how long?

A

Schedule 3 and schedule 5 only (schedule 2’s get entered in CD register, and schedule 4’s is just random that you don’t need to!)

Keep invoices for 2 years

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4
Q

All Schedule 2 CD’s require safe custody requirements, apart from which drug?

A

Secobarbital

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5
Q

All the barbiturates are Schedule 3 CD’s, bar one, which is?

A

Secobarbital

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6
Q

The majority of the Schedule 2 CD’s are exempt from safe custody requirements and do not need to be kept in the CD cupboard. Which ones DO need to be kept in there?

A

Temazepam
Buprenorphine
Diethylpropion

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7
Q

Does midazolam (schedule 3 CD) need to be kept in the CD cabinet?

A

No

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8
Q

Does tramadol need to be kept in the CD cabinet?

A

No

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9
Q

Do prescriptions for tramadol need to follow CD Rx requirements?

A

Yes

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10
Q

How long is a prescription for Zopiclone valid for?

A

28 days

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11
Q

Does a prescription for Zaleplon need to follow CD Rx requirements?

A

no- it is schedule 4

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12
Q

Is it a legal requirement for the strength to always be on a CD prescription?

A

For CD’s that need to follow CD Rx requirements (Schedule 2 and 3 bar temazepam) the strength has to be stated only if there is more than one strength available

This is not the same for form: form always has to be stated regardless of whether only one form is available

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13
Q

Codeine phosphate (30mg + 60mg) is a schedule 5 CD. How long are prescriptions for these CD’s valid for?

A

6 months

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14
Q

Compared to POM’s what is the only thing that seems to make Schedule 5 CD’s different?

A

Need to retain invoices for 2 years

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15
Q

If a CD has been prescribed by a dentist, what must be present on the Rx?

A

For dental treatment only

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16
Q

What strength of Oramorph solution is a schedule 5 CD?

A

10mg/ 5ml

20mg/ml is schedule 2 CD

17
Q

Which CD’s can be repeated?

A

Schedule 4 and 5

schedule 2 and 3 are NOT repeatable

NB: for schedule 4 repeats, first dispensing must occur within 28 days of the appropriate date!

18
Q

WRT getting the patient to sign the back of a prescription when CDs are collected, is this a legal requirement?

A

no
good practice

NB: for schedule 2 CDs it is a legal requirement to ask for ID

19
Q

In addition to the normal prescription requirements, private prescriptions must also include the ___________

A

prescriber identification number: a separate number to their registration number- enables tracking of prescribing patterns

20
Q

Expired
Obsolete
Unwanted
Patient returns

For which is it a legal requirement for schedule 1 and 2 CD’s to be destroyed in the presence of an authorised witness ?

A

Expired
Obsolete
Unwanted

NB: (the person witnessing can be someone authorised by an Accountable Officer)

21
Q

Can prescribers ‘forward date’ prescriptions?

A

Yes- they can put a date on the prescription that they want it to be valid for 28 days from

22
Q

What can instalment prescriptions be written for?

A

Any schedule 2 CD
Buprenorphine
Diazepam

23
Q

A total of __ days of treatment can be written up on Instalment prescriptions

A

14 days!

Remember this

24
Q

What is the legal maximum number of days treatment of CD 2, 3 and 4 that you can supply?

A

There is no legal max
Strong recommendation from WHO states 30 days
But can go over this if clinical need

25
Q

What schedule CD is Sativex?

A

Schedule 4 part I

26
Q

Why do you think the quantity in words and figures is required for controlled drugs?

A

1) so that it is clear to pharmacists what is required

2) To avoid the quantity being tampered with/ changed by someone- abuse potential

27
Q

Patients intending to travel abroad for more than ______ carrying any amount of Schedule __, __ & __ CDs will require a personal IMPORT/ EXPORT License!

A

more than 3 months travel

Carrying Schedule 2, 3 and 4 PART I

This is only to get the drugs through the UKs customs- they need to consult with the country they are going to to check their requirements.

it is advised that they carry a letter from their prescribed if travelling for less than 3 months

Schedule 4 part II and 5 CDs do not need this license