Control Drugs 3

Question 1

What is addiction

Answer 1

“Person as a result of repeated administration becomes so dependant on drug that they have an overpowering desire for administration of it to be continued”

Question 2

What are the 3 components if addiction

Answer 2

-physiological dependance
-physical dependence
-tolerance

Question 3

What is harm reducton

Answer 3

intended to reduce adverse effects of drug misuse as
far as possible until the misuser has decided, or is able, to stop misusing the drug

Question 4

What are the 3 principles of harm reduction

Answer 4

• Misuse of drugs is accepted but not approved of
• User should be treated as a normal human being
• Harm reduction need not necessarily lead to the longer-term goal of
  ridding the world of drug misuse

Question 5

What are the drugs used for harm reduction

Answer 5

-methadone or buprenorphine (inc evidence for diamorphine)

Question 6

Harm reduction is best used in conjunction with….

Answer 6

Phsycological Support (Full-Package support, not just about giving drug)

Question 7

True or False ; Not all patients taking methadone are aiming to reduce their dose to 0

Answer 7

True, programmes can be maintenance or reduction to 0

Question 8

Prescription form used to treat addiction

Answer 8

FP10MDA

Question 9

What the the requirements for FP10MDA medications?

Answer 9

-Must be a schedule 2 diazepam or buprenorhine
-max 14 day supply

Question 10

Legal requirements of FP10MDA prescriptions

Answer 10

ALl legal requirements for CD plus installment direction

Question 11

What is installment direction

Answer 11

• In addition, the prescription must also include an ‘instalment direction’ which consists of two pieces of information:
  1) Amount of medicine per instalment
  2) Interval between each instalment

Installment and dose need to be seperate on prescription

Question 12

True or False: The prescription needs to have a start date

Answer 12

False - if no start date, dispensing must start within 28 days of the appropriate date

Question 13

Where would a start date be found

Answer 13

in the installment directions

Question 14

Half Life of methadone

Answer 14

22 hours, metabolized slowly compared to other morphine drugs due to lipphilicity

Question 15

Colours of methadone solutions

Answer 15

1 mg/mL - green (most common)
10 mg/mL - blue
20 mg/mL - brown

Question 16

What is buprenorphine and what are its uses

Answer 16

An opiod partial agonist used for:
- substance dependance - temgesic
- pain relief (analgesic) - subutex

Question 17

True or False - methadone is more sedating than buprenorphine

Answer 17

true

Question 18

When a third party is collecting a CD for a patient it is good practice to have ….

Answer 18

A letter of authorisation from the patient

Question 19

Is it a legal requirement for patients to take their doses supervised

Answer 19

No- but good practice, should contact prescriber, prescription should be annotated to show the dose was not supervised, issue of patients reselling