RXPREP Chapter 6: Controlled substances part 1 Flashcards

1
Q

What does CSA stand for

A

controll substance act

  • the DEA, under the DOJ, enforces the requirements in the CSA
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2
Q

the schedule is determined based on wheter the drug has currently accepted…

A

medical use,
its relative abuse potential

and the potential for it to cause dependence when abused

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3
Q

the higher the abuse potential the higher/lower the schedule number

A

lower

schedule I drugs have the highest abuse potential and are considered to have no accepted medical use

(heroin and LSD)

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4
Q

Schedule __-__ drugs are considered to have currently accepted medical uses

A

schedule II-V

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5
Q

What schedule?

no currently accepted medical use; high potential for abuse and lack of accepted safety under medical supervision

A

schedule I

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6
Q

what schedule?

high potential for abuse and may cause severe psychologiacl or physical dependence

A

schedule II

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7
Q

lower abuse potential than schedules I and II; abuse may cause moderate or low potential for physical dependence or high psychological dependence

A

schedule III

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8
Q

low potential for abuse relative to the next schedule, abuse may cause limited physical or psychological dependence

A

schedule IV

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9
Q

low potential for abuse relative it the next schedule, abuse may cause limited physical or psychological dependence relative to schedule IV

A

schedule V

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10
Q
MDMA
GHB
Heroin
LSD
Marijuana/Cannabis sativa
mescaline
peyote
what schedule?
A

I

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11
Q

Alfentanil
codeine
fentanyl
hydrocodone, single ingredient

what schedule?

A

II

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12
Q

hydrocodone combo products
hydromorphone/ Diluadid
levorphanol
meperidine / Demerol

what schedule?

A

II

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13
Q

methadone/ Methadose
morphine / Kadian, MS Contin
oxycodone single ingredient/ OxyContin, Roxicodone

what schedule?

A

II

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14
Q

oxycodone combo products/ Endocet, Percocet, Percodan
oxymorphone
sufentanil
tapentadol

what schedule?

A

II

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15
Q

Actiq

what schedule?

A

fentanyl

II

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16
Q

Duragesic

what schedule?

A

fentanyl

II

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17
Q

Hysingla ER

what schedule?

A

hydrocodone

II

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18
Q

Zohydro ER

what schedule?

A

hydrocodone

II

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19
Q

Lortab, Norco, Tussicaps, Tussionex, vicodin, vicoprofen

what schedule?

A

hydrocodone combo products

II

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20
Q

Opana

what schedule?

A

oxymorphone

II

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21
Q

Nucynta, Nucynta ER

A

Tapentadol

II

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22
Q

Focalin, Focalin XR

what schedule?

A

amphetamine/dextro

II

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23
Q

Dexerdrine

what schedule?

A

dextroamphetamine

II

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24
Q

Cocaine

what schedule?

A

II

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25
Dronabinol solution (Syndros) what schedule?
II
26
Levo-alpha-acetyl-methadol (LAAM( what schedule?
II
27
Phentobarbital what schedule?
II
28
Secobarbital
what schedule?
29
Benzphetamine what schedule?
III
30
Buprenorphine, single ingredient (Butrans)
III
31
Buprenorphine/naloxone (Suboxone)
III
32
Butabarbital
III
33
Butalbital (Fioicet with codeine, Fiorinal, Fiorinal with codeine)
III
34
Codiene/acetaminophen (tylenol with codeine #3, tylenol with codeine #4)
III
35
Dronabinol capsules (Marinol)
III NOTE: solution (Syndros is schedule II)
36
Ketamine
III
37
Paregoric
III
38
Perampanel (Fycompa)
III
39
Phendimetrazine
III
40
Sodium oxybate (Xyrem)
III
41
Testosterone and all anaboolic steroids (look for andro) Androderm, Androgel
III
42
What schedule are benzos?
IV alprazolam/xanax, lorazepam/ativan, all the pams!
43
Chlordiazepoxide (Librium)
benzo IV
44
Clobazam (Onfi)
benzo IV
45
Klonopin
benzo, IV
46
Clorazepate (Tranxene-T)
benzo, IV
47
Diastat AcuDial, Valium
benzo, IV
48
Estazolam
benzo, IV
49
Flurazepam
benzo, IV
50
Versed
midazolam, IV
51
Byfavo
Remimazolam, IV
52
Restoril
Temazepam, IV
53
Halcion
Triazolam, IV
54
What schedule are hypnotics?
IV
55
Lunesta, Sonata, Ambien, Edluar, Zolpimist
IV
56
Suvorexant, Lemborexant, Zaleplon
IV
57
Weight loss drugs are what schedule?
IV Adipex-P Qysmia Diethylpropion
58
Armodafinil/Nuvigil Modafinil
schedule IV
59
Butorphanol (Stadol)
schedule IV
60
Carisoprodol (Soma)
schedule IV
61
Difenoxin/atropin
IV
62
eluxadolin
IV
63
Phenobarbital
IV
64
tramadol (Ultram) tramadol/APAP (Ultracet)
IV
65
Brivacetam
V
66
Codeine containing cough syrups (codeine/promethazine, codeine/peomethazine/phenylephrine, codeine/guaifenasin)
V Ceratussin AC anything with AC
67
Diphenoxylate/atropine (Lomotil)
V
68
Lacosamide
V Vimpat
69
PRegabalin
V lyrica
70
when a schedule change occurs, a pharmacy must complete ...
an inventory of the drug on the DATE of the changes becomes EFFECTIVE
71
barbiturate schedules-- a single entity oral formulation, such as pentobarbital is scheduled as: when it is used in combination and formulated as a supposititory, schedule:
II III phenobarbital: IV federally non control --> Fioricet, but iowa i think it is scheduled
72
Codeine schedules: single entitiy products: combination tablets/capsules: combination cough syrups:
II III V
73
Dronabinol schedules: Oral solution: oral capsules:
II (Syndros) III (Marinol)
74
The scheduling of some opioid-containing combintation drugs depends on the
opioid concentration compared to the other non-narcotic active ingredients **we must know how to calculate the opioid concentration if a drug exceeds the "not more than" quantity for schedule V, look to the next/more restrictive schedule cirtera
75
A drug will be classified as schedule ____ if the opioid quantity is NMT: 1.8g of codeine per 100mL or 90mg per dosage unit when combined with an equal or greater quantity of an isoquinoline alkaloid of opium
schedule III rule of 3
76
A drug will be classified as schedule ____ if the opioid quantity is NMT: 1.8g of codeine per 100mL or 90mg per dosage unit when combined with one or more active non narcotic ingredient
schedule III rule of 3
77
A drug will be classified as schedule ____ if the opioid quantity is NMT: 1.8g of dihydrocodeine per 100mL or 90mg per dosage unit when combined with one or more active non narcotic ingredient
III rule of 3
78
A drug will be classified as schedule ____ if the opioid quantity is NMT: 50mg per 100mL or 100g per dosage unit when combined with one or more active non narcotic ingredient
III rule of 3
79
A drug will be classified as schedule ____ if the opioid quantity is NMT: 1mg difenoxin and lot les than 25mcg of atropine sulfate per dosage unit
IV
80
A drug will be classified as schedule ____ if the opioid quantity is NMT: 200mg of codeine per 100mL or per 100g when combined with one or more active non nacotic ingredient (robitussin AC cough syrup)
V rule of 5
81
A drug will be classified as schedule ____ if the opioid quantity is NMT: 100mg of dihydrocodeine per 100mL or per 100g when combined with one or more active non nacotic ingredient (dihydrocodeine/clorpheniramine/phenylephrine cough syrup)
V rule of 5
82
A drug will be classified as schedule ____ if the opioid quantity is NMT: 2.5mg of diphenoxylate and not less than 25mcg of atropine sulfate per dosage unit (lomotil)
V rule of 5
83
Epidiolex (cannabidiol) the first FDA approved CBD derived product that is indicated for seizures associated with several disorders, is what schedule?
NON-CONTROLLED. (containing no more than 0.1% (w/w) residual THC
84
Dronabinol (synthetic THC) is what schedule?
schedule II: syndros (oral solution) schedule III (marinol oral capsule)
85
Nabilone (Cesamet) what schedule?
II
86
Legally, can CBD be extracted from hemp and used in topical products?
yes FDA still regulates hemp and hemp-derived products, but they are no longer classified as schedule I -- allows retail pharmacies to sell CBD containing topical products in select states