Controlled drugs

Question 1

What are the schedules for CD?

Answer 1

Sch 1-5

Question 2

what is CD sch 1?

Answer 2

most sch 1 have no theraputic use, and a licensce is required for their production, possesion or supply

Question 3

what CD sch 2?

Answer 3

includes opiates (eg: diamorphine, morphine, methadone, oxycodone, pethidine, lisdexamfetamine, methylphenidate

Question 4

what is CD sch 3?

Answer 4

buprenorphine, temazepam, tramadol, midazolam, phenobarbital, gabapentin, pregabalin

Question 5

what is CD sch 4?

Answer 5

sch 4 is split into two parts:

• Part 1 most of the benzodiazepines (diazepam), non-benzodiazepines (zoplicone, aleplon, zolpidem tartrate,) sativex (oral mucosal spray)
• Part 2 androgenic and anabolic steroids, clenbuterol, chorionic gonadotrophin (HCG), non-human chorionic gonadotrophin, somatotropin, somatrem, and somatropin. Controlled drug prescription requirements do not apply and Schedule 4 Controlled Drugs are not subject to safe custody requirements.

Records in registers do not need to be kept (except in the case of Sativex®)

Question 6

what is CD sch 5?

Answer 6

includes preparations of certain Controlled Drugs (such as codeine, pholcodine, or morphine ORAL SOLUTION) which due to their low strength, are exempt from virtually all Controlled Drug requirements other than retention of invoices for two years.

Question 7

how is a precription for CD 1-4 valid for?

Answer 7

28 days

Question 8

how is a precription for CD 5 valid for

Answer 8

6 months

Question 9

what sch does the precriber have to be in the UK?

Answer 9

Sch 2&3

Question 10

Are sch 2&3 prescriptions repetable?

Answer 10

No, but 4 and 5 are

Question 11

is ES allowed for sch 2&3?

Answer 11

No, ES only allowed for sch 4&5

Question 12

Which CD should retain the invoice for 2 years?

Answer 12

Sch 3 and 5

Question 13

what are the legal requirments on a CD requisition form?

Answer 13

Signature of the recepient
name of the recipient
address of the recipient
profession or occupation
total quantity of drug
purpose of requsition

Question 14

processing a requisition form

Answer 14

-mark the requisition indelibly with the suppliers name and address
-pharamcy stamp
send the requisition to relevant NHS agency

Question 15

what can midwife obtain using a midwife supply order?

Answer 15

diamorphine, morphine and pethidine

Question 16

CD prescription requirments

Answer 16

1. Prescriber signature - indelible ink
2. Date - only valid for 28 days
3. Prescribers address (UK)
4. Dose
5. Formulation
6. Strength –if more than one available
7. Total Quantity – in both words and figures
8. Acceptable quantity prescribed (30 days)
9. Patient name
   10.Patient address

if CD is prescribed by a dentist “for dental use” must be present

Question 17

what two peice of info does instalment prescription consist of?

Answer 17

amount of medicine supplied per instalment
interval between each time the med can be supplied

Question 18

when should the first instalment on a instalment prescription be dispensed by?

Answer 18

no later than 28 days after the appropriate date

Question 19

What do you include when you make an ammendment on a CD prescription?

Answer 19

Name, sign, date and GPHC no

Question 20

What should a private CD prescription be on?

Answer 20

FP10PCD, but vet prescription doesnt not have to be

Question 21

what should be ona standerlised private prescription?

Answer 21

PIN of the prescriber diff to GMC number