Controlled Drugs

Question 1

When is a licence needed in a pharmacy?

Answer 1

• For the import and export of Sch 1,2,3 and 4 part 1

Question 2

Which controlled drug schedule does not have restrictions for their import or export?

Answer 2

• Schedule 5 CDs

Question 3

What is the legal requirement for Sch 2 & 3 prescriptions?

Answer 3

• Patient’s name and address
• Name of CD
• Form
• Strength (only if available in more than one strength)
• Dose
• Total quantity (words and figures)
• Quantity prescribed (should not exceed 30 days)
• Signature
• Date
• Address of prescriber
• Dental wording where appropriate
• Instalment wording where appropriate

Question 4

For controlled drug legal considerations, which doses are not legally acceptable?

Answer 4

• As directed
• When required
• PRN
• As per chart
• Titration dose
• Weekly
• Decrease dose by 3.5ml every four days
• Twice a day

Question 5

For controlled drug legal consideration, which doses are legally acceptable?

Answer 5

• One as directed
• Two when required
• One PRN
• Three ampoules to be given as directed
• One to two when required

Question 6

What needs to happen after dispensing a Private CD prescription?

Answer 6

• Submit the original private prescription to the relevant NHS agency (NHS Business services authority or equivalent)

Question 7

What are the legal requirements for CD requisitions?

Answer 7

• Name & address of recipient
• Profession or occupation
• Total quantity of drug
• Purpose of requisition

*Standardised form - FP10CDF

Question 8

Which CDs can a midwife supply/obtain with supply order?

Answer 8

• Diamorphine
• Morphine
• Pethidine

Question 9

What must a midwife supply order contain?

Answer 9

• Name of midwife
• Name of the person to whom the CD is to be administered or supplied
• Occupation of the midwife
• Purpose for which the CD is required
• Total quantity of the drug to be obtained
• Signature of an appropriate medical officer

Question 10

Pharmacist must keep a record of which Sch 4 part 1 CD?

Answer 10

Sativex

Question 11

Which CD schedule must have their invoices kept, and for how long?

Answer 11

• Schedule 3 CDs and for two years

Question 12

Do Patient-returned CDs require denaturing?

Answer 12

• Yes, if Sch 2.3.4 part 1 ( no CD entry and witness required.

Question 13

Do obsolete, expired and unwanted stock require Denaturing?

Answer 13

Yes, if Sch 2,3,4 part 1

• needs to be entered in CD register and witness required if Sch 2

Question 14

How long should the Pharmacy record be kept for?

Answer 14

Five years

Question 15

Which activities cannot take place while the responsible pharmacist is absent?

Answer 15

• Professional check
• Sale/supply of P medicines
• Sale/supply of POMs
• Supply of medicines under a PGD
• Wholesale of medicines
• Emergency supply