controlled drugs

Question 1

legislations applicable to CDs?

Answer 1

misuse of drugs act 1971
misuse of drugs regulations 2001

Question 2

what does Misuse of drugs act 1971 do?

Answer 2

controls dangerous or harmful drugs designated as CDs
imposes prohibition of CDs

Question 3

what does the regulations 2001 do?

Answer 3

exception so CDs can be used in medicine

Question 4

what are schedule 1 (CD Lic POM) drugs?

Answer 4

drugs that have little to no therapeutic use and have strictest controls
licence required for possession or supply

Question 5

examples of schedule 1 CDs?

Answer 5

cannabis, LSD, raw opium

Question 6

what are schedule 2 (CD POM) drugs?

Answer 6

drugs a pharmacist may supply with a prescription
Licence required to import or export

Question 7

examples of schedule2 CDs?

Answer 7

opiates (morphine, methadone, oxycodone)
major stimulants (amphetamines)
ketamine

Question 8

what are schedule 3 (CD no reg POM) drugs?

Answer 8

minor stimulants and other drugs less likely to be misused

Question 9

what are the 2 parts of schedule 4 CDs?

Answer 9

• CD benz POM
• CD anab POM

Question 10

what are schedule 4 (CD benz POM) drugs?

Answer 10

most of benzodiazepines
non-benzo hypnotics

Question 11

what are schedule 4 (CD anab POM) drugs?

Answer 11

anabolic and androgenic steroids
growth hormones

Question 12

what are schedule 5 (CD Inv POM/P) drugs?

Answer 12

dilute preparations of schedule 2 CDs exempt from full control when in medicinal products or low strength

Question 13

conditions for a pharmacists possession of schedule 1 CDs?

Answer 13

1) purpose of destruction
2) purpose of handing over to police
3) patient confidentiality maintained
4) police understanding that source will not be identified

Question 14

approved mandatory requisition form in England?

Answer 14

FP10CDF

Question 15

3 recommendations for use of benzodiazepines?

Answer 15

1) Indicated for short term relief for severe, disabling anxiety
2) Use for short term, mild anxiety is inappropriate
3) Used for insomnia only when severe

Question 16

what is the purpose of harm reduction?

Answer 16

intended to reduce adverse effects of drugs because of difficulty to get people to stop misusing drugs

Question 17

what are the 3 principles of harm reduction?

Answer 17

1) Misuse of drugs is accepted but not approved of
2) User should be treated as a normal human being
3) May not necessarily lead to longer term goal of eradicating misuse

Question 18

what are some controversies of harm reduction?

Answer 18

• doesn’t focus on abstinence
• is maintenance therapy abused
• cost of drug services

Question 19

examples of pharmacy involvement in harm reduction?

Answer 19

• Needle exchange schemes
• Instalment dispensing
• Methadone supply and supervised administration
• Nicotine replacement therapy