CD Prescriptions Flashcards
What are the legal requirements of CD prescriptions?
for Schedule 2 and 3 CDs
signature of the prescriber - indelible ink date - must be within 28 days of the appropriate date prescriber address - must be within the UK name of CD formulation of CD strength of CD dose of CD - must be clearly defined total quantity of CD - in both words and figures quantity prescribed - cannot exceed 30 day supply patient name patient address date of birth/age - if under 12 years old
dental prescription
- for dental treatment only
What is required for instalment prescribing?
instalment direction
- amount to be dispensed at each instalment
= dose and dispense amount
- interval between each instalment
must mark the prescription with the date of each supply
Are CD prescriptions repeatable?
are not repeatable for Schedule 2 and 3 CDs
- must be given as instalment prescription
are repeatable for Schedule 4 (4.1/4.2) and 5 CDs
What are technical errors that pharmacists can/cannot amend on CD prescriptions?
can amend
- minor typographical
- spelling mistakes
- total quantity = only if total words OR figures are missing not both
cannot amend
- missing date
- missing form
- missing strength
- incorrect dose
- total quantity missing in both words and figures
What must be done when a pharmacist makes a technical amendment?
must make a note in the endorsement section with
- name, date, signature, GPhC registration number
What are the different types of CD prescriptions?
regular
- FP10SS
private
- FP10PCD
instalment
- FP10MDA
requisition
- FP10PCDF
What are FP10MDA prescriptions used for? What is prescribed on a FP10MDA? What is the maximum duration of treatment?
treatment of addiction
can only be given for Schedule 2 CDs and buprenorphine and diazepam
- methadone = Schedule 2
- buprenorphine = exemption
- diazepam = exemption
maximum treatment is 14 consecutive days
- must be dispensed dispensed with 28 days of the appropriate date
What should done if doses are missed on a FP10MDA and why?
if more than 3 days of prescribed treatment have been missed then there is a risk of losing tolerance to the drug and it may cause an overdose
- must contact the prescriber
must supervise consumption on collection days
What are requirements for prescribing Schedule 2 and 3 CDs?
must follow the mandatory prescription requirements whether they are NHS or private prescriptions
must be on a standardised form if private
- FP10PCD
must include the prescribers identification number
must submit the original private prescription the the relevant NHS agency
- NHS Business Services Authority (NHSBSA)
Who can collect dispensed CDs?
patient
patient représentative or healthcare professional
- must have ID
- must have a letter of authorisation for each collection
= must a make a record of who collects it
What are Safe Custody Regulations?
refer to the physical security of certain Schedule 2 or 3 CDs
- requires that pharmacies, private hospitals and care homes keep relevant CDs in
= a ‘locked safe, cabinet or room which is constructed as to prevent unauthorised access to the drugs’
specifications of the safe/cabintet/room must meet Safe Custody Regulations
What CDs must be kept in safe custody?
all Schedule 1 CDs all Schedule 2 CDs most Schedule 3 CDs - buprenorphine - temazepam
access to CDs must be documented
- who has access?
- each time they are accessed
What are exemptions to the safe custody regulations?
some Schedule 2 CDs
- some liquid preparations and quinalbarbitone (secobarbitone)
some Schedule 3 CDs
- gabapentin
- mazindol
- meprobamate
- midazolam
- pentazocine
- phentermine
- phentermine
- phenobarbital
- pregabalin
- tramadol
What safe custody regulations in regards to patient returned or out of date/obsolete CDs?
safe custody applies until they can be destroyed
to minimise risk to patients
- stock should be clearly segregated from other pharmacy stock
- stock should be clearly marked
Which CDs must be recorded in the CD register? How should they be entered? How long should they be kept for?
any schedule 1 or 2 CD
- received or supplied
sativex = schedule 4.1 (CD Benz POM)
must be entered
- chronologically, promptly, in indelible ink, unaltered
= corrections should be made in the margin and marked with the date, name, correction, GPhC registration number and signature
records must be kept 2 years from the date of supply
