controlled drugs Flashcards
what kind of license do you need to supply a schedule cd 1 drug?
home office
what are included in schedule 1 cd drugs?
no therapeutic use eg cannabis, LSD, heroin
what are included in schedule 2 cd?
morphine, methadone, oxycodone, diamorphine
which schedule cd drug is pethidine in?
2
what are included in schedule 3 cd drugs?
is a cd register required?
buprenorphine, temazepam, tramadol, phenobarbital
no
which schedule 3 cd do not have to be in cd cabinet?
tramadol, phenobarbital, midazolam etc
what are included in cd schedule 4 part 1 and part 2?
part 1: benzos, z drugs, sativex
part 2: growth hormones, anabolic steroids eg testosterone
what are cd schedule 5 drugs?
how long is a rx valid for?
pholcodine, codeine linctus, morphine oral solution 10mg/5ml
6 months
which CD schedule cannot be repeatable, must be issued by a uk prescriber, must be in safe custody?
schedule 2 and 3
[but cd 3: tramadol and phenobarbital not safe custody]
which cd schedules is emergency supply not allowed for?
2 and 3
except phenobarbital for epilepsy
which cd schedule must be recorded in cd register?
2
which cd schedules must invoices be kept for?
3 and 5
which cd schedules must you have a license to import and export?
all
except cd5 and cd4 part 2 if its for personal use
when would you need need a personal license from home office if taking cd abroad?
when travelling for more than 3 months
when only can a pharmacist make an amendment on a cd rx? [2]
and what must they do once they amend it?
- typos or spelling mistakes
- if total quantity EITHER word or figure is missing but not both
attribute amendment eg mark with initals
what is the color for private cd 2 and 3?
pink
a private cd rx comes in with 2 things on the rx : morphine and paracetamol. why would you need to contact the prescriber?
bc must prescribe cd and non cd items separately on private rx bc private cd rx must be sent off at the end of the month whereas normal private rx retained in pharmacy for 2 years
which schedule cd is NOT recorded in the pom register? where is it recorded instead?
schedule 2
cd register
what must be stated on a dental prescription for schedule 2 or 3 controlled drugs?
‘for dental treatment only’
when would you need to contact the prescriber if an instalment cd rx has been missed?
if 3 or more consecutive days have been missed
what must someone present with when collecting a cd instalment rx for a drug misuse patient ?
authorising letter from pt stating name of representative, a separate letter each time they collect
should have ID on them
when must the first instalment be dispensed on a cd instalment rx?
within 28 days
how long are cd records retained?
2 years
generally how long are vet rx and rp records kept?
and everything else like private rx, cd, cd register?
5 years
everything else 2 years
which drug is the only schedule 4 part 1 cd that must be recorded in the cd register?
sativex - cannabis
when must you record in the cd register?
on the day or the following day
must the electronic cd drug register be printable and accessible?
yes
what is a standardised form for cd 2 and 3 requistions?
fp10cdf
which places are exempt from having to put cd 2 and 3 requisitions on a standardised form? [2]
hospices and prisons
what are the legal requirements of a cd requisition? [what must be included?]
name, address, signature and profession of recipient
purpose of requisition and total quantity of drug
are faxed or photocopied cd requisitions allowed?
no
what must the cd requisition first be obtained in before supplying it?
when is the exception for this?
writing
except when supplying to another pharmacy
in emergencies doctors or dentists can be supplied but when must the requisition be given by?
within 24 hours
if a medicine is collected by a messenger for a requisition, what is needed and how long must it be retained for?
written authorisation
kept for 2 years
what is a legal requirement of pharmacies when they receive a requisition?
mark the requisition indelibly with supplier details [pharmacy name and address] and send off to the relevant nhs agency
how long should veterinary requisitions be retained for?
5 years
which cd schedules should be in safe custody?
schedule 2 - except quinalbarbitone
schedule 3: except phenobarbital, mazindol, midazolam, tramadol,
pt returns, out of date
what schedule cd is gabapentin and pregab?
3
which schedule cd should prisons also record in the cd register?
3
which cd schedule should pharmacies denature first before disposing of?
cd 2, 3, 4 part 1
when would you need an authorised witness for destruction of cd?
for schedule 2 EXPIRED stock and must record in cd register
