Flashcards in Misuse of Drugs Act 1 Deck (36):
What is a Controlled Drug?
A drug controlled under the Misuse of Drugs Act (1971) (MDA)
CDs with in healthcare are subject two regulation under what acts?
Misuse of Drugs Act
MDA places additional controls over certain substances that are likely to be ....
Missed, particularly though addiction
MDA does not control .... And .....
(Two of the most widely used and harmful drugs in the western world)
Alcohol and nicotine
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
Advisory council on the misuse of drugs
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.
CDs are classified into ....
Dependant on ....
depending on their perceived likelihood to be misused and the potential risks that misuse may present to the individual and society
CD Lic POM
(Not used for medicinal purposes - research)
(Opiates and major stimulants)
CD No Reg POM
(Most barbiturates and minor stimulants)
Schedule 4: part I
CD Benz POM
Schedule 4: part II
CD Anab POM
(Anabolic and androgenic steroids)
CD Inv POM or CD Inv P
(Negligible risk of abuse)
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.
Schedule one controlled drugs include...
Drugs with no theraputic use, eg. Cannabis, LSD, ecstasy.
Production, possession, supply of schedule 1 requires....
needs Home Office licence (including by pharmacists and medical practitioners)
Without a licence what can pharmacists can possess schedule 1 for what purposes?
possession for destruction
possession for handing to police
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.
Why should you never hand a suspect illicit drug ack to the patient?
Unlawful supply of CD
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.
Schedule 2 includes:
Includes opiates, major stimulants, quinalbarbitone
Drugs with therapeutic use but risk of dependance.
Pharmacists have authority to possess, supply and procure sch 2 CDs... (2)
... when acting in their professional capacity.
... against a valid Rx/requisition.
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.
Pharmacists are/are not allowed to compound schedule 2 CDs?
Schedule 3 includes....
Includes minor stimulants & barbiturates (except quinalabarbitone - sch 2)
Less risk of misuse/harm than Sch 2. Eg. Smaller risk of overdose.
You need to keep a schedule 3 invoice for....
Is there regulation on record keeping (CD register) and disposal of schedule 3?
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)
Are there special requirements for, labelling, safe custody, CD reg, destruction, keeping invoices?
No requirements except for destruction by manufacturers.
Schedule 5 includes
Preparations containing CD’s in low strength (eg. codeine, morphine, pholcodeine)
Any MDA restrictions on schedule 5?
Except you need to keep a CD reg if you are manufacturing them from schedule 2 stock.
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.
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.
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)