Control Drugs 3 Flashcards
Instalment Prescriptions
What is addiction
“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”
What are the 3 components if addiction
-physiological dependance
-physical dependence
-tolerance
What is harm reducton
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
What are the 3 principles of harm reduction
- 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
What are the drugs used for harm reduction
-methadone or buprenorphine (inc evidence for diamorphine)
Harm reduction is best used in conjunction with….
Phsycological Support (Full-Package support, not just about giving drug)
True or False ; Not all patients taking methadone are aiming to reduce their dose to 0
True, programmes can be maintenance or reduction to 0
Prescription form used to treat addiction
FP10MDA
What the the requirements for FP10MDA medications?
-Must be a schedule 2 diazepam or buprenorhine
-max 14 day supply
Legal requirements of FP10MDA prescriptions
ALl legal requirements for CD plus installment direction
What is installment direction
- 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
True or False: The prescription needs to have a start date
False - if no start date, dispensing must start within 28 days of the appropriate date
Where would a start date be found
in the installment directions
Half Life of methadone
22 hours, metabolized slowly compared to other morphine drugs due to lipphilicity
Colours of methadone solutions
1 mg/mL - green (most common)
10 mg/mL - blue
20 mg/mL - brown
What is buprenorphine and what are its uses
An opiod partial agonist used for:
- substance dependance - temgesic
- pain relief (analgesic) - subutex
True or False - methadone is more sedating than buprenorphine
true
When a third party is collecting a CD for a patient it is good practice to have ….
A letter of authorisation from the patient
Is it a legal requirement for patients to take their doses supervised
No- but good practice, should contact prescriber, prescription should be annotated to show the dose was not supervised, issue of patients reselling
