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Law > Controlled Drugs > Flashcards

Controlled Drugs Flashcards

1
Q

What legislation can be applied to CDs and pharmacy?

A
  1. Misuse of Drugs Act 1971
  2. Misuse of Drugs Regulations 2001
  3. Misuse of Drugs (Safe Custody) Regulations 1973
  4. The Health act 2006
  5. Controlled Drugs Regulations 2013
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2
Q

Explain the contents of the Misuse of Drugs act 1971

A

Prohibits the possession, supply, manufacture, import and export of CDs except where permitted by the 2001 Regulations or under license

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3
Q

Explain the contents of the Health Act 2006

A

Introduced ‘accountable officers’, requires healthcare organisations, and those providing services to them, to have SOPs in place for CD management

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4
Q

What are the recommended SOP topics for CDs?

A
  1. Security
  2. Ordering and receipt
  3. Record-keeping
  4. Prescribing and monitoring
  5. Administration
  6. Supply
  7. Denaturing and disposal
  8. Use and storage for patients
  9. Transport
  10. Investigation and reporting of concerns
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5
Q

What are the main roles of accountable officers?

A
  1. Oversight, monitoring and auditing
  2. Ensuring effective systems are in place for reporting
  3. Attend Local Intelligence Network meetings
    4.Submission of occurrence reports regarding concerns in a time frame
  4. Appointing authorised witness for destruction of CDs
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6
Q

What are schedule 1 drugs?

A

Most have no therapeutic use and a licence is usually required for productions

Eg. Hallucinogenic drugs, ecstasy-type substances and raw opium

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7
Q

What are the schedule 2 drugs?

A

Opiates (diamorphine, morphine, methadone, oxycodone, pethidine)

Major stimulants (amphetamines)

Quinalbarbitone

Ketamine

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8
Q

What is the abbreviation for schedule 2 drugs?

A

CD POM

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9
Q

What are the schedule 3 drugs?

A

Minor stimulants and others that are less likely to be abused and are less harmful

Buprenorphine
Temazepam
Tramadol
Midazolam
Phenobarbital
Gabapentin
Pregabalin

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10
Q

What is the abbreviation for schedule 3 drugs?

A

CD no register POM

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11
Q

What are the schedule 4 part 1 drugs?

A

Most benzodiazepines

Non-benzodiazepine hypnotics (zopiclone)

Sativex (cannabinoid mouth spray)

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12
Q

What is the abbreviation for schedule 4 part 1 drugs?

A

CD Benz POM

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13
Q

What are the schedule 4 part 2 drugs?

A

Most anabolic and androgenic steroids

Clenbuterol

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14
Q

What is the abbreviation for schedule 4 part 2 drugs?

A

CD Anab POM

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15
Q

What are schedule 5 drugs?

A

Preparations of certain CDs that are exempt from full control when present in specifically low strengths

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16
Q

How long are schedule 5 prescriptions valid for?

A

6 months

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17
Q

How long are schedule 2-5 prescriptions valid for?

A

28 days

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18
Q

What schedule of drugs cannot be on repeat prescription?

A

Schedule 2 and 3

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19
Q

What schedule of drugs cannot be given as an emergency supply?

A

Schedule 2 and 3

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20
Q

What schedule of drugs require retention of invoices for 2 years?

A

Schedule 3 and 5

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21
Q

What schedule of drugs doesn’t require a licence to import or export?

A

Schedule 5

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22
Q

Which schedule 3 drug, uniquely, is allowed to be given as an emergency supply?

A

Phenobarbital for epilepsy by a UK based prescriber

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23
Q

What regulation empowers doctors, pharmacists and dentists to possess CDs when acting in their professional capacity?

A

Misuse of Drugs Regulations 2001

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24
Q

What mechanisms exist to allow the lawful possession of CDs?

A
  1. Home office licence
  2. Home office group authority
  3. Class of person (Eg. essential to transport or administration)
  4. Class of drugs (Schedule 4 part 2 when in medicinal products, schedule 5 drugs)
  5. Patients with a prescription
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25
Q

What are the requirements for the administration of schedule 1 CDs

A

Home office licence

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26
Q

What are the requirements for the administration of schedule 1 CDs

A

Home office licence

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27
Q

Who can administer schedule 2-4 CDs?

A
  1. Doctor
  2. Dentist
  3. Nurse/ Nurse IP
  4. Supplementary prescriber within their clinical management plan
  5. Someone acting in accordance with the directions of a prescriber
28
Q

For the administration of which specific drugs, is a home office licence required?

A

Cocaine, diamorphine and dipipanone when treating addiction only

29
Q

When is a licence required by a pharmacy regarding import and export of CDs?

A

Schedule 1, 2, 3 and 4 part 1

30
Q

Under what conditions is a licence not required for the import or export of schedule 4 part 2 CDs?

A

In scenarios of self-administration

31
Q

What may be required for patients to take CDs abroad?

A

A personal license from the home office

32
Q

In what circumstances is a personal license not required?

A

Carrying less than 3 months supply - a covering letter is still advised

33
Q

What are the legal requirements for the requisition of a CD?

A
  1. Signature of recipient
  2. Name of recipient
  3. Address of recipient
  4. Profession/ occupation
  5. Total quantity of drug
  6. Purpose of requisition
34
Q

What form is used for the requisition of CDs

A

FP10CDF

35
Q

In what circumstances is an FP10CDF needed?

A

Supply of CDs to institutions within a different legal entity

36
Q

When can an emergency requisition supply of a schedule 2 or 3 CD be given?

A

If the requisition will be supplied within 24h

37
Q

What must be done when a requisition is received for a schedule 1-3 CD?

A
  1. Mark indelibly with suppliers name and address - if a stamp is used it must be clear and legible
  2. Send the original to the relevant NHS agency
38
Q

How long are pharmacies advised to keep a requisition form?

A

2 years (5 for veterinary)

39
Q

What drugs are included in a midwife supply order

A

Diamorphine
Morphine
Pethidine

40
Q

What information must be on a supply order from a midwife?

A
  1. Name of midwife
  2. Occupation of midwife
  3. Name of patient
  4. Purpose
  5. Quantity
  6. Signature of appropriate medical officer
41
Q

What information is required on a CD prescription?

A
  1. Signature of prescriber
  2. Date
  3. Address of prescriber
  4. Name of the CD (as in the SPC)
  5. Formulation - abbreviations are acceptable but must be unambiguous
  6. Strength - if there is more than one strength of a drug being ordered the name should be written each time
  7. Dose - does not need to be in both words and figures, but must be clearly defined
  8. Total quantity - in both words and figures
  9. Quantity prescribed - no more than 30 days generally
  10. Patient name and address
  11. ‘For dental treatment only’ where applicable
  12. Instalment direction where appropriate
42
Q

What type of CD products have greater potential for abuse?

A

Sugar free and colour free - should only be supplied when specifically required

43
Q

What information is required in an instalment direction for schedule 2 and 3 CDs?

A
  1. Amount of medicine to be supplied per instalment (in addition to dose)
  2. Interval between each time the medicine can be supplied
44
Q

When should the first instalment of a schedule 2 or 3 CD instalment prescription be dispensed by?

A

28 days

45
Q

What are pharmacists able to do in regards to schedule 2 and 3 CD instalment prescriptions, when valid direction is present?

A
  1. Supply the rest of the instalment even if supply date is missed
  2. Supply treatment prior to start date (if pharmacy is closed)
46
Q

How many days of a schedule 2 or 3 CD prescription can be missed before contacting the prescriber?

A

3 days

47
Q

What technical errors can pharmacists alter on schedule 2 or 3 CD prescriptions?

A

Typographical errors (minor)
Words OR figures is omitted - can add ONE

48
Q

What are the requirements for private prescriptions for schedule 2 and 3 CDs?

A
  1. Standardised form
  2. Prescriber identification number
  3. Submission - submit form to relevant NHS agency
49
Q

What exemptions are there regarding private veterinary prescriptions for schedule 2 and 3 CDs?

A
  1. Do not need to be on a standardised form
  2. Do not need to be submitted to relevant NHS agency
50
Q

What is required to allow someone to collect CDs on the behalf of someone who misuses drugs?

A

Recommended to request a letter which names the representative - a separate letter is required for each supply
Representative needs ID

51
Q

What information is required when a healthcare professional is acting in their professional capacity on behalf of a patient?

A
  1. Name
  2. Address
  3. ID - with discretion
52
Q

What are the minimum requirements for safe storage of schedule 2 and 3 CDs?

A

In a locked safe, cabinet or room which is constructed to prevent unauthorised access to the drugs

53
Q

What schedule 3 CDs are exempt from safe custody?

A
  1. Gabapentin
  2. Mazindol
  3. Meprobamate
  4. Midazolam
  5. Pentazocine
  6. Phentermine
  7. Pregabalin
  8. Tramadol
54
Q

Where should patient returned CDs be kept when awaiting desruction?

A

In the CD cabinet, separate and clearly labelled

55
Q

What is required to be allowed to destroy CDs?

A

A license
T28 exemption

56
Q

Which CDs need to be denatured before disposal?

A

Schedule 2, 3 and 4 part 1

57
Q

Destruction of which CDs needs to be witnessed?

A

Pharmacy stock of schedule 2 CDs

58
Q

For which CDs should a record be kept?

A

Schedule 1, schedule 2 and Sativex

59
Q

What should be recorded on receipt of schedule 1 and 2 CDs?

A
  1. Date
  2. Name and address from whom received
  3. Quantity
60
Q

What should be recorded when supplying schedule 1 and 2 CDs?

A
  1. Date
  2. Name and address of recipient
  3. Details of authority to possess
  4. Quantity
  5. Details of person collecting
  6. Whether ID was requested and given
61
Q

What is required to be at the top of each CD register page?

A
  1. Class
  2. Strength
  3. Form
62
Q

When should entries into the CD register be completed by?

A

At the latest, the day following supply, ideally the same day

63
Q

How long should CD registers be kept after the last submission date?

A

2 years

64
Q

When should CD stock checks be carried out?

A

At least every week, not legally, varies

65
Q

What schedule CD are cannabis based medicinal products (CBMPs)

A

Schedule 2

Law (5 decks)

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