Controlled drugs

Question 1

Who is the enforcement body for CD offences

Answer 1

The Home Office (via the police)

Question 2

What CD class is Sativex

Answer 2

CD 4 part 1 (CD Benz POM)

Question 3

Drugs are included in CD4 Part II (Anab POM)

3 points

Answer 3

1. Anabolic and androgenic steroids
2. Clenbuterol (an adrenoceptor stimulant)
3. Growth hormones

Question 4

What schedules of CDs do the extra CD prescription requirements apply to

Answer 4

Schedule 2 and 3

Question 5

What schedule of CDs have a Rx validity of 6 months instead of 28 days

Answer 5

CD 5

Question 6

Prescribers with addresses outside of the UK (EEA and Swiss) can prescribe which schedules of CDs

Answer 6

CD 4 (part I and II) 
CD 5

Question 7

True or false:

All CD prescriptions are repeatable

Answer 7

FALSE

Only PRIVATE prescriptions for schedule 4 and 5 CDs can be repeated

Question 8

True or false:

EEA and Swiss prescribers can request emergency supplies of Phenobarbital for epilpsy

Answer 8

FALSE

They can only request emergency supplies of schedule 4 and 5 CDs

Question 9

For which schedules of CDs would requisitions be necessary

Answer 9

Schedules 2 and 3

Question 10

True or false:

Only invoices for schedule 3 and 5 CDs need to be retained for 2 years

Answer 10

TRUE

see MEP page 91

Question 11

Under which 2 circumstances only can a pharmacist take possession of a schedule 1 CD

Answer 11

1. For destruction

2. For handing over to a police officer

Question 12

True or false:

Pharmacist IPs can prescribe cocaine, diamorphine or dipipanone for the treatment of addiction

Answer 12

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

Question 13

True or false:

There are no restrictions on the import or export of schedule 5 CDs

Answer 13

True

Question 14

Under which specific circumstance is a license NOT needed for import or export of a CD 4 part II drug

Answer 14

Only if the product is being imported or exported by a person for self administration

Question 15

Legal requirements for a CD requisition?

6 points

Answer 15

1. Name of recipient
2. Address of recipient
3. Occupation of recipient
4. Purpose of requisition
5. Total quantity of drug requested
6. Signature of recipient

Question 16

When is a requisition form NOT required

Answer 16

When ordering stock within the same legal entity e.g. hospital ward ordering stock from hospital pharmacy department

Question 17

In an emergency, schedule 2 and 3 CDs can be supplied to a doctor or dentist as long as the requisition is received within ______

Answer 17

24 hours

Failure to do so is a criminal offence by the doctor or dentist

Question 18

How are CD requisitions supposed to be processed

2 points

Answer 18

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)

Question 19

What are the approved CD requisition forms?

England, Wales, Scotland

Answer 19

England: FP10CDF

Wales: WP10CDF

Scotland: CDRF (private) or GP10A (NHS)

Question 20

Under what circumstances would the strength of a CD not need to be stated on a Rx

Answer 20

If the drug is only available in one strength

Question 21

True or false:

The total quantity on CD prescriptions can be expressed in milligrams (in words and figures)

Answer 21

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

Question 22

True or false:

It is a legal requirement to prescribe only 30 days maximum treatment of CDs

Answer 22

FALSE

This is good practice.

Question 23

What additional wording is needed on schedule 2 and 3 CD prescriptions written by dentists

Answer 23

For dental treatment only

Question 24

Which prescribers can prescribe schedule 2 and 3 CDs without needing to use a standardised form

Answer 24

Veterinary surgeons

Question 25

True or false:
Private prescriptions for CDs prescribed and dispensed in the same hospital must also use the standardised private CD form

Answer 25

FALSE

If prescribed and dispensed within the same legal entity, the standardised form is not needed

Question 26

True or false:

The prescriber ID number on private CD Rxs is the same as their professional registration number

Answer 26

FALSE

It is a separate number issued by the relevant NHS agency

Question 27

Midwives can obtain supply orders for which CDs

3 points

Answer 27

Morphine
Diamorphine
Pethidine

Question 28

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

Answer 28

TRUE

It differs in this respect to CD requisitions which do not need patient details

Question 29

True or false:

The prescriber’s address needs to be including in a CD register entry

Answer 29

FALSE