Controlled Drugs Flashcards

1
Q

What is a controlled drug?

A

Drugs which are controlled - can be abused and misused.

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2
Q

What are narcotics?

A

Opioids which are used to treat moderate to severe pain.

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3
Q

What is the Human Medicine Regulations 2012?

A

Regulates medicines for human use.

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4
Q

What is the Misuse of Drugs Act?

A

Prohibits all activities of CDs.

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5
Q

What is the Misuse of Drugs Regulations?

A

Provides exceptions to restrictions of Misuse of Drugs Act - CDs can be used in medicine.

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6
Q

What is the duration of validity of an Rx?

A

28 days

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7
Q

What is the form called which private prescriptions are written on?

A

FP10PCD

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8
Q

Where are private prescriptions sent to?

A

The NHS BSA

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9
Q

True or False: The maximum quantity of the CD should be written on the form.

A

False - it is not a legal requirement but it is good practice.

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10
Q

What is the role of Controlled Drugs Accountable Officers (CDAO)?

A
  • Senior manager who is not directly involved with the CDs.
  • Ensure safe and appropriate management of CDs.
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11
Q

Who do you contact if you have any concerns about CDs?

A

Controlled Drugs Accountable Officer (CDAO)

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12
Q

What are the two types of classifications for CDs called?

A
  • Schedule 1-5
  • Class A, B, C
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13
Q

What is the difference between the two types of classifications for CDs?

A

Schedule 1-5: Level of control when CDs used legally as medicines.
Class A, B, C: Level of penalty for illegal use or possession.

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14
Q

True or False: Class C contains the most harmful drugs.

A

False - The answer is Class A

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15
Q

Which schedule drugs are the most controlled?

A

Schedule 1 drugs

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16
Q

What is the abbreviation for schedule 1 drugs?

A

CD Lic (license)

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17
Q

State some examples of Schedule 1 drugs.

A
  • Cannabis
  • LSD
  • MDMA
  • Khat
    -> all for non-medicinal use
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18
Q

True or False: Anyone can have possession of schedule 1 drugs

A

False - must have license in order to have legal possession of the drug.
-> Given by Home Office

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19
Q

Give an example of when someone would be in legal possession of a schedule 1 drug.

A

When doing research on the drug.

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20
Q

When are pharmacists only allowed in possession of Schedule 1 drugs?

A
  • For the purpose of destruction
  • For the purpose of handing it over to police officer
    -> have to maintain patient confidentiality if given by someone
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21
Q

Can the drugs be given back to a patient if the patient hands the drugs over to you?

A

No as this would be supply which is illegal.

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22
Q

Should patient confidentiality be maintained if a patient gives you a large quantity?

A

Can be broken as the person may be drug dealing. Benefits outweigh the risks.

23
Q

What is the abbreviation for Schedule 2 drugs?

24
Q

Give some examples of Schedule 2 drugs.

A

Opiates - Diamorphine, morphine, methadone
Stimulants - Amphetamines

25
Q

Is a license required for Schedule 2 drug?

A

Only required for the import and export of the drug.

26
Q

When can pharmacists only supply Schedule 2 drugs to patients?

A

Only when there is a prescription, issued by an appropriate practitioner.

27
Q

Where are Schedule 2 CDs kept?

A

In the CD cabinet.

28
Q

Which Schedule 2 drug is not kept in the CD cabinet?

A

Quinalbarbital

29
Q

Where are supplies of CDs recorded in?

A

A CD register.

30
Q

True or False - The ID of the person collecting Schedule 2 CDs is required.

31
Q

Who is responsible for the keys to the CD cabinet?

A

Pharmacist.

32
Q

What is a CD Key Log?

A

It allows for the transfer of the keys from one pharmacist to the next. Can sign in and out of the sheet and keep in safe for the next pharmacist.

33
Q

True or False: Returned CDs or out-of-date CDs can be kept in the cabinet until they can be destroyed.

34
Q

Name some examples of Schedule 3 drugs.

A

Barbiturates - phenobarbital
Buprenorphine, temazepam, gabapentin

35
Q

Which Schedule 3 drugs are kept in safe custody? Which of these drugs are no longer available in the UK?

A

Temazepam, buprenorphine, diethylpropion, flunitrazepam.

Diethylpropion and flunitrazepam.

36
Q

True or False: A record has to be made in the CD register for Schedule 3 drugs.

A

False. Only for Schedule 1 and 2 drugs.

37
Q

What is the abbreviation for Schedule 4 Part 1 drugs?

A

CD Benz POM.

38
Q

Which drugs are part of Schedule 4 Part 1?

A

Benzodiazepines - Diazepam, nitrazepam
‘Z’ hypnotics

39
Q

What is the abbreviation for Schedule 4 Part 2?

A

CD Anab POM

40
Q

What is the abbreviation for Schedule 5 drugs?

A

CD Inv POM/P

41
Q

What type of drugs are part of Schedule 5?

A

Dilute preparation of Schedule 2 drugs. - low strength of CD

42
Q

Is safe custody or an entry in the CD register required for Schedule 5 drugs?

43
Q

Parasol is a combination of which 2 drugs?

A

Dihydrocodeine and paracetamol.

44
Q

Which abbreviation contains drugs with the higher dose, CD POM or CD P?

45
Q

Name a drug which can be part of 2 different schedules. (3)

A
  • Dihydrocodeine
  • Morphine
  • Codeine
46
Q

Schedule 2 drugs

A
  • Morphine
  • Diamorphine
  • Methadone
  • Oxycodone
  • Pethidine
47
Q

Schedule 3 drugs.

A
  • Buprenorphine
  • Gabapentin
  • Pentazocine
  • Phenobarbital
  • Pregabalin
  • Temazepam
  • Tramadol
48
Q

Name Schedule 4 part 1 drugs.

A
  • Diazepam
  • Lorazepam
  • Nitrazepam
  • Zopliclone
  • Zolpidem
49
Q

Name Schedule 5 drugs.

A

Low strength forms:
- Codeine
- Dihydrocodeine
- Morphine
- Pholcodine (withdrawn - no longer available)

50
Q

Which drugs are part of Schedule 4 Part 2?

A

Anabolic steroids and growth hormones.

51
Q

True or False: Schedule 4 drugs - there are no safe custody requirements, no record of supply and no destruction requirements.

52
Q

True or False: CDs can only be kept in a CD cabinet.

A

False. They can be kept in non-regulation cabinets only if there is an exemption certificate from the police.

53
Q

CDs taken out of a CD cabinet must be under ‘direct personal supervision’. What does this mean?

A

The drugs may be out the cabinet for dispensing. They must be kept under supervision at all times as they may be swiped by the members of the public.