Controlled drugs Flashcards

(38 cards)

1
Q

what are controlled drugs

A

non medicinal use of drugs, split into 3 classes. Class A being the most harmful

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2
Q

Class A drug examples

A

-cocaine
-heroid
-estacy
-injected class b drugs

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3
Q

class b drug examples

A

-cannabis
-amphetamine except for methamphetamine which is a class A

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4
Q

class c CD example

A

-tramadol
-anabolic steroids (testosterone mimic for muscle building)

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5
Q

What is the ACMD

A

advisory council on the misuse of drugs
-advices government on drug related issues in the UK e.g. the potential of a drug to being harmful

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6
Q

what is the misuse of drugs act

A

controls and classifies drug that are considered dangerous or harmful if misused

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7
Q

misuse of drugs regulations 2001

A

the use of controlled drugs for medicinal and scientific use

-non medicinal use requires home office license
-medicinal includes CD OTC or prescription

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8
Q

describe schedule 1 CD

A

-hallucinogenic substances e.g. ecstasy, cannabis
-no therapeutic use
-limited classes of person that are authorised for access
-others need a license to produce, possess or supply

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9
Q

describe schedule 2

A

-CD POMS
-opioids e.g. diamorphine and morphine
-pharmacists and other classes of persons named in regulations can asses etc. WHEN ACTING IN CAPACITY
-import/export, license required

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10
Q

describe schedule 3 drugs

A

-CD no register POM
-minor stimulants
-temazepam for sleep
-tramadol for painkillers
-less likely to be misused or harmful if used

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11
Q

describe schedule 4 drugs

A

Part 1: CD benz POM
-most benzodiazepines

Part 2: CD ANAB pom
-anabolic and androgenic steroids
-home office license needed for import or export unless in the form of a medicinal product for self administration

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12
Q

describe schedule 5 drugs

A

Low strength of CDs for pain relief e.g. codeine

Part 1: CD INV.P
-codeine cough mixture

Part 2: CD INV. POM
-codeine tabs

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13
Q

the misuse of drugs, safe custody regulations

A

requirement to keep relevant CDs in a locked, space cabinet or room to prevent unauthorised access to the drugs.
-access to CDs (who can store, administer etc.) should be documented within an SOP (written guidelines)

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14
Q

what CDs need to be in a cupboard

A

-schedule 1
-schedule 2 except secobarbital
-schedule 3 e.g. temazepam, buprenorphine etc.

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15
Q

what is an accountable officer

A

-certain health body that manage CD effectively and comply with legislation and report incidents

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16
Q

what is a CD requisiton

A

-formal written request to order CDs
-needed prior to the supply of schedule 2-3 CDs

17
Q

what is the standardised requisiton form for CDs

18
Q

when do you not need to use the mandatory standardised form for requisitions

A

-prison
-hospitals, internal

19
Q

what are the requirements of requisitions in an emergency

A

-only doctors and dentists can obtain a supply of schedule 2 or 3 CDs without requisitions
-but they must agree to do the form within 24 hours

20
Q

what details are required on a CD requisiton form

A

-name, address and profession of the recipient/ who is receiving a supply
-total quantity that needs to be supplied
-purpose for why the drug is required
-signature of recipient

21
Q

what to do as a pharmacist when requisition has been received

A

-mark the requisition with indelible ink with pharmacy name and address
-retain copy for 2 years from supply date
-send original requisition to relevant NHS agency

22
Q

who is exempt from following the legal requirements of a requisition form

A

-hospitals, when requesting CDs from their own hospital
-prisons
-veterinary practices must obtain copy for 5 years

23
Q

how can you legally possess CDs

A

-Home office license
-home office group authority who are covered by the home office license can possess and supply CDs
-legislation for class of person e.g. doctors, pharmacists
-legislation for class of drug e.g. Sch.5 CDs
-patient, when prescribed by a practioner

24
Q

what are the legal requirements when possessing schedule 1 drugs

A

-need a home license
-pharmacists can possess them when they are being destructed or being handed over to a police officer

25
what are the administration requirements for controlled drugs
-schedule 1 can only be administered or prescribed under license -Sch. 2,3,4 can be administered to patient by a professional practitioner acting within their rights -supplementary prescriber acting in accordance with authorised prescriber
26
what are the prescribing requirements for cocaine, diamorphine, dipipanone
only can be prescribed for treating organic disease but for addiction, home office license will be needed and only prescribed by medical prescribers so doctors
27
what are the requirements for import, export and travellers on CDs
-pharmacy needs license to import/export sch. 1,2,3,4 (part 1) -license needed for part 2 of Sch.4 CDs unless it is for self administration -no restrictions for schedule 5
28
what are the CD prescription requirements
APPLIES TO ALL SCHEDULE 2 AND 3 CDS (NHS AND PRIVATE) -must be in indelible ink, including prescriber's signature - pharmacist should be familiar with prescriber's signature, ensure genuine rx -prescription dispensed no later than 28 days (VALID FOR 28 DAYS) - pharmacist must put in supply date
29
what are the prescription requirements of a CD apart from the basics
-total quantity must be in both words and numbers -Sch. 2,3,4, must have a valid date of 28 days -Sch. 5 is valid for 6 months (like normal prescription)
30
what is the legal requirement for repeat prescriptions of CDs
not allowed for Sch.2 and 3 CDs
31
how many days of supply is recommended for CDs
30 days -more than 30 needs to be justified by prescriber
32
what are some technical errors that the prescription may have but still is able to be supplied to the patient by the pharmacist
-typographical errors -spelling mistakes -leaving out the total quantity in either words or numbers but NOT BOTH
33
what should pharmacist do to the prescriptions if they have these technical errors
-make amendments with indelible ink - in margin of prescription (left) , sign with your signature, name , date, GPhC register number NOW IT IS LEGALLY VALID
34
what are the type of CD prescription forms
-FP10SS, NHS prescription form used by independent prescribers, GPs, etc. -FP10MDA, instalment form -FP10PCD, private prescription form
35
what is the max consecutive treatment for FP10MDA prescriptions
14 days
36
what is specifically required on an FP10MDA prescriptions
-amount of instalment and interval e.g. 50ml every 3 days
37
how long should a CD register be kept
2 years from last entry
38