CD Law Flashcards
Which CDs are included in Schedule 2?
Opiates (diamorphine, morphine, oxycodone, methadone, pethidine), major stimulants (amphetamines, methylphenidate), quinalbarbitone, ketamine.
Which CDs are included in Schedule 3?
Minor stimulants, buprenorphine, temazepam, tramadol, midazolam, phenobarbital, gabapentin, pregabalin.
Which Schedule 3 CDs do not require safe custody (i.e. they aren’t required to be kept in the CD cabinet)?
Phenobarbital, mazindol, meprobamate, midazolam, tramadol, pentazocine, phentermine, gabapentin, pregabalin.
When where gabapentin and pregabalin rescheduled as Schedule 3 CDs?
1st April 2019.
How is Schedule 4 split?
Into CD Benz POM (Part 1) and CD Anab POM (Part 2).
Which CDs are included in Schedule 4 Part 1?
Most of the benzodiazepines, non-benzodiazepine hypnotics (e.g. zopiclone), Sativex (cannabinoid spray).
Which CDs are included in Schedule 4 Part 2?
Most anabolic and androgenic steroids, clenbuterol, growth hormones.
Which CDs are included in Schedule 5?
Preparations of certain CDs exempt from full control due to their presence being in particularly low strengths.
Prescriptions for which schedules are exempt from CD prescription requirements?
Schedules 4 and 5.
Prescriptions for which schedules have a validity of 28 days?
Schedules 2, 3 and 4.
Prescriptions for which schedules require the prescribers address to be from within the UK?
Schedules 2 and 3.
Which schedules can be legally prescribed by EEA and Swiss prescribers?
Schedules 4 and 5.
Prescriptions for which schedules are able to be repeated should the prescriber write this on the prescription?
Schedules 4 and 5.
Which schedules are able to be supplied as an emergency supply?
Schedules 4 and 5.
Which Schedule 3 CD is exempt from emergency supply restrictions?
Phenobarbital for epilepsy requested by a UK registered prescriber.
If a patient currently using CDs for medical purposes intends to travel abroad, to which organisation should they be signposted for advice?
The Home Office and NHS website.
What are the legal requirements for a CD requisition?
Signature of the recipient, name of the recipient, address of the recipient, profession/occupation, total quantity of the drug, purpose of the requisition.
Which organisations are exempt from the requirements for CD requisitions?
Hospices and prisons.
Are supplied of CDs against a faxed or photocopied form legally valid?
No.
In an emergency, a doctor or dentist can be supplied with a Schedule 2 or 3 CD. What is required in this instance?
A requisition will be supplied within the next 24 hours. Failure to do so is an offence on the behalf of the HCP.
Where CDs are collected by a messenger on behalf of the purchaser, what is required?
A written authorisation provided to the supplying pharmacist empowering the messenger to receive the medicines on behalf of the purchaser.
What must be done when CD requisitions are received?
They must be indelibly marked with the supplier’s name and address. Stamps must be clear and legible. The original form must be sent to the relevant NHS agency. A copy should be retained for 2 years (Good Practice).
Which CDs can a midwife obtain?
Diamorphine, morphine, pethidine.
What must be included on a CD order made by a midwife?
Name, occupation, name of the patient, purpose, total quantity, signature of medical officer appointed to oversee midwives in the area.
What is required to be present on a CD prescription?
Signature, date, prescribers address, dose, form, strength, total quantity (W&F), name of patient, address of patient, for dental use (if applicable), instalment direction (if applicable).
What do the DoH recommend with regards to prescribed quantity of CDs?
They should not exceed 30 days (not a legal req.).
How many missed doses of an instalment CD would require you to refuse supply and inform the prescriber?
Usually three (or whatever the local agreement states).
What amendments can pharmacists make to technical errors on CD prescriptions?
Minor typographical errors, spelling mistakes, omission of either words or figures (not both).
What must also be included when a pharmacist makes minor amendments to a CD prescription?
Name, date, signature, GPhC reg. number.
Can amendments be made to a CD prescription in the form of a cover letter?
No.
What is required when a CD is prescribed privately?
The prescription must be on a standard form, the prescriber must include their identification number (issued by the NHS).
Do veterinary CD prescriptions need to be on standardised forms?
No.
Fow how long should veterinary prescriptions for CDs need to be retained?
5 years.
Which Schedule 3 CDs require safe custody?
Temazepam and buprenorphine.
Which schedule CDs require denaturing before disposal?
Schedules 2, 3 and 4 (Part 1).
In what circumstances do CDs being denatures require the presence of an authorised witness?
When the stock is expired, unwanted, or obsolete. NOT patient returns.
Which schedule of CDs should be entered into the CD returns book?
Schedule 2.
Which schedule of CDs require a CD register entry?
Schedule 2 and Sativex.
What must be included in the CD register when CDs are received?
Date, name and address of supplier, quantity.
What must be included in the CD register when CDs are supplied?
Date, name and address of recipient, details of authority to possess (prescriber details), quantity, details of person collecting, was proof of identity requested, was proof of identity shown.
