Misuse of Drugs Act 1 Flashcards Preview

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Flashcards in Misuse of Drugs Act 1 Deck (36):
0

What is a Controlled Drug?

A drug controlled under the Misuse of Drugs Act (1971) (MDA)

1

CDs with in healthcare are subject two regulation under what acts?

Medicines Act
AND
Misuse of Drugs Act

2

MDA places additional controls over certain substances that are likely to be ....

Missed, particularly though addiction

3

MDA does not control .... And .....
(Two of the most widely used and harmful drugs in the western world)

Alcohol and nicotine

4

Two purposes of the additional controls of the MDA?

The additional controls placed by the MDA relate to:
(a) safeguarding health, and
(b) preventing criminal activities e.g. possession, supply and manufacture

of substances that (are considered by ACMD/Government to) present a risk to health from misuse and dependence

5

ACMD is...

Advisory council on the misuse of drugs

6

MDA works by total prohibition of..... (5) Unless.... (2)

Makes total prohibition over the possession, supply, manufacture, import or export of certain substances, except as allowed in the Misuse of Drugs Regulations or under licence.

7

CDs are classified into ....
Dependant on ....

5 schedules
depending on their perceived likelihood to be misused and the potential risks that misuse may present to the individual and society

8

ABBREVIATIONS:
Schedule 1

CD Lic POM

(Not used for medicinal purposes - research)

9

Schedule 2

CD POM

(Opiates and major stimulants)

10

Schedule 3

CD No Reg POM

(Most barbiturates and minor stimulants)

11

Schedule 4: part I

CD Benz POM

(Benzodiazepine tranquillisers)

12

Schedule 4: part II

CD Anab POM

(Anabolic and androgenic steroids)

13

Schedule 5

CD Inv POM or CD Inv P

(Negligible risk of abuse)

14

Q: How do I know if a medicinal product is a CD and which schedule it falls into?

Look up RPS ‘List of Medicines for Human Use’. Abbreviations after medicines dictate classification.

15

Schedule one controlled drugs include...

Drugs with no theraputic use, eg. Cannabis, LSD, ecstasy.

16

Production, possession, supply of schedule 1 requires....

needs Home Office licence (including by pharmacists and medical practitioners)

17

Without a licence what can pharmacists can possess schedule 1 for what purposes?

(2)

possession for destruction
possession for handing to police

18

When removing a suspect illicit substance from a patients should the police be called?

Discuss with other healthcare professionals involved in patient's care and legal advisor.
Maintain patient confidentiality when handing over to the police unless quantity is so large that it is not purely for personal use.
Otherwise over without identifying source.
If patient refuses to give authority for drugs removal the pharmacist may feel they have to call the police.

19

Why should you never hand a suspect illicit drug ack to the patient?

Unlawful supply of CD

20

Schedule 1 exception is...
Used to treat....
Treat as what schedule?

Sativex (cannabis extract)
Treats MS and muscular spasticity

It's a schedule 1 but treat as schedule 2 as pharmacists do not need a licence to possess and supply.

21

Schedule 2 includes:

Includes opiates, major stimulants, quinalbarbitone

Drugs with therapeutic use but risk of dependance.

22

Schedule 2
Pharmacists have authority to possess, supply and procure sch 2 CDs... (2)

... when acting in their professional capacity.
... against a valid Rx/requisition.

23

Licenses are require to import/export what schedules?

All except schedule 5 (and schedule 4 part II - Anab - if in form of medicine and for self administration).

This is only the UK law - may be different where the drug is being taken.

24

Pharmacists are/are not allowed to compound schedule 2 CDs?

Are allowed.

25

Schedule 3 includes....

Includes minor stimulants & barbiturates (except quinalabarbitone - sch 2)

Less risk of misuse/harm than Sch 2. Eg. Smaller risk of overdose.

26

You need to keep a schedule 3 invoice for....

Three years

27

Is there regulation on record keeping (CD register) and disposal of schedule 3?

No

28

Schedule 4 is divided into

Part I (CD Benz POM) most benzodiazepines & ketamine
Part II (CD Anab POM) anabolic & androgenic steroids, clenbuterol (adrenoceptor stimulant) and growth hormones (5 polypeptide hormones)

29

Schedule 4
Are there special requirements for, labelling, safe custody, CD reg, destruction, keeping invoices?

No requirements except for destruction by manufacturers.

30

Schedule 5 includes

Preparations containing CD’s in low strength (eg. codeine, morphine, pholcodeine)

31

Any MDA restrictions on schedule 5?

Nooooooo.
Except you need to keep a CD reg if you are manufacturing them from schedule 2 stock.

32

We might keep schedule 5 invoices as....

Keep invoices for 2 years –inspectors may make checks for excessive ordering/sales. Patients can become addicted to OTC.

33

Some doctors have practice restriction of CDs and can continue to work.
As a pharmacist with the restriction you can't work. GPhC may also strike you off.

.

34

Five legal means of possessing a CD appart from being a pharmacist:

1. Home Office licence
2. Home Office Group Authority
3. Legislation re class of person e.g. couriers, master of a ship
4. Legislation re class of drug (e.g. sch 4 part II medicines & sch 5)
5. Patients

35

Can a patient take CD medicines abroad?

Other considerations?

If less than 3 months supply. If more than three months they should register with a doctor abroad to get more medication.

Will the country allow entry of patient with medicine? - contact embassy in advance

Best practice:
Carry in original pack or in box pharmacy provides
Take letter from prescriber confirming patient’s name, destination/travel plans, medicine name, quantity and detail (e.g. dose)
Check hand luggage/carrier restrictions e.g. volume of liquids