Controlled drugs Flashcards
Who is the enforcement body for CD offences
The Home Office (via the police)
What CD class is Sativex
CD 4 part 1 (CD Benz POM)
Drugs are included in CD4 Part II (Anab POM)
3 points
- Anabolic and androgenic steroids
- Clenbuterol (an adrenoceptor stimulant)
- Growth hormones
What schedules of CDs do the extra CD prescription requirements apply to
Schedule 2 and 3
What schedule of CDs have a Rx validity of 6 months instead of 28 days
CD 5
Prescribers with addresses outside of the UK (EEA and Swiss) can prescribe which schedules of CDs
CD 4 (part I and II) CD 5
True or false:
All CD prescriptions are repeatable
FALSE
Only PRIVATE prescriptions for schedule 4 and 5 CDs can be repeated
True or false:
EEA and Swiss prescribers can request emergency supplies of Phenobarbital for epilpsy
FALSE
They can only request emergency supplies of schedule 4 and 5 CDs
For which schedules of CDs would requisitions be necessary
Schedules 2 and 3
True or false:
Only invoices for schedule 3 and 5 CDs need to be retained for 2 years
TRUE
see MEP page 91
Under which 2 circumstances only can a pharmacist take possession of a schedule 1 CD
- For destruction
2. For handing over to a police officer
True or false:
Pharmacist IPs can prescribe cocaine, diamorphine or dipipanone for the treatment of addiction
FALSE
Only medical prescribers can do this.
Pharmacist IPs, Nurse IPs/SPs can prescribe these drugs to treat organic disease or injury but not addiction
True or false:
There are no restrictions on the import or export of schedule 5 CDs
True
Under which specific circumstance is a license NOT needed for import or export of a CD 4 part II drug
Only if the product is being imported or exported by a person for self administration
Legal requirements for a CD requisition?
6 points
- Name of recipient
- Address of recipient
- Occupation of recipient
- Purpose of requisition
- Total quantity of drug requested
- Signature of recipient
When is a requisition form NOT required
When ordering stock within the same legal entity e.g. hospital ward ordering stock from hospital pharmacy department
In an emergency, schedule 2 and 3 CDs can be supplied to a doctor or dentist as long as the requisition is received within ______
24 hours
Failure to do so is a criminal offence by the doctor or dentist
How are CD requisitions supposed to be processed
2 points
Mark it with the pharmacy details indelibly (name and address. Can use pharmacy stamp)
Send original copy to the relevant NHS agency (good practice to retain a copy for 2 years)
What are the approved CD requisition forms?
England, Wales, Scotland
England: FP10CDF
Wales: WP10CDF
Scotland: CDRF (private) or GP10A (NHS)
Under what circumstances would the strength of a CD not need to be stated on a Rx
If the drug is only available in one strength
True or false:
The total quantity on CD prescriptions can be expressed in milligrams (in words and figures)
TRUE - Can express as e.g.
a) 100 (one hundred) mg
b) 10 mg x ten (10)
However it is preferred to write as dosage units (i.e 10 caps) to reduce risk of arithmetic errors
True or false:
It is a legal requirement to prescribe only 30 days maximum treatment of CDs
FALSE
This is good practice.
What additional wording is needed on schedule 2 and 3 CD prescriptions written by dentists
For dental treatment only
Which prescribers can prescribe schedule 2 and 3 CDs without needing to use a standardised form
Veterinary surgeons
True or false:
Private prescriptions for CDs prescribed and dispensed in the same hospital must also use the standardised private CD form
FALSE
If prescribed and dispensed within the same legal entity, the standardised form is not needed
True or false:
The prescriber ID number on private CD Rxs is the same as their professional registration number
FALSE
It is a separate number issued by the relevant NHS agency
Midwives can obtain supply orders for which CDs
3 points
Morphine
Diamorphine
Pethidine
True or false:
The name of the patient the drug is to be administered or supplied to must be included in a midwife supply order for a controlled drug
TRUE
It differs in this respect to CD requisitions which do not need patient details
True or false:
The prescriber’s address needs to be including in a CD register entry
FALSE
