Controlled Drugs Flashcards
What is a controlled drug?
Drugs which are controlled - can be abused and misused.
What are narcotics?
Opioids which are used to treat moderate to severe pain.
What is the Human Medicine Regulations 2012?
Regulates medicines for human use.
What is the Misuse of Drugs Act?
Prohibits all activities of CDs.
What is the Misuse of Drugs Regulations?
Provides exceptions to restrictions of Misuse of Drugs Act - CDs can be used in medicine.
What is the duration of validity of an Rx?
28 days
What is the form called which private prescriptions are written on?
FP10PCD
Where are private prescriptions sent to?
The NHS BSA
True or False: The maximum quantity of the CD should be written on the form.
False - it is not a legal requirement but it is good practice.
What is the role of Controlled Drugs Accountable Officers (CDAO)?
- Senior manager who is not directly involved with the CDs.
- Ensure safe and appropriate management of CDs.
Who do you contact if you have any concerns about CDs?
Controlled Drugs Accountable Officer (CDAO)
What are the two types of classifications for CDs called?
- Schedule 1-5
- Class A, B, C
What is the difference between the two types of classifications for CDs?
Schedule 1-5: Level of control when CDs used legally as medicines.
Class A, B, C: Level of penalty for illegal use or possession.
True or False: Class C contains the most harmful drugs.
False - The answer is Class A
Which schedule drugs are the most controlled?
Schedule 1 drugs
What is the abbreviation for schedule 1 drugs?
CD Lic (license)
State some examples of Schedule 1 drugs.
- Cannabis
- LSD
- MDMA
- Khat
-> all for non-medicinal use
True or False: Anyone can have possession of schedule 1 drugs
False - must have license in order to have legal possession of the drug.
-> Given by Home Office
Give an example of when someone would be in legal possession of a schedule 1 drug.
When doing research on the drug.
When are pharmacists only allowed in possession of Schedule 1 drugs?
- For the purpose of destruction
- For the purpose of handing it over to police officer
-> have to maintain patient confidentiality if given by someone
Can the drugs be given back to a patient if the patient hands the drugs over to you?
No as this would be supply which is illegal.
Should patient confidentiality be maintained if a patient gives you a large quantity?
Can be broken as the person may be drug dealing. Benefits outweigh the risks.
What is the abbreviation for Schedule 2 drugs?
CD POM
Give some examples of Schedule 2 drugs.
Opiates - Diamorphine, morphine, methadone
Stimulants - Amphetamines
Is a license required for Schedule 2 drug?
Only required for the import and export of the drug.
When can pharmacists only supply Schedule 2 drugs to patients?
Only when there is a prescription, issued by an appropriate practitioner.
Where are Schedule 2 CDs kept?
In the CD cabinet.
Which Schedule 2 drug is not kept in the CD cabinet?
Quinalbarbital
Where are supplies of CDs recorded in?
A CD register.
True or False - The ID of the person collecting Schedule 2 CDs is required.
True
Who is responsible for the keys to the CD cabinet?
Pharmacist.
What is a CD Key Log?
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.
True or False: Returned CDs or out-of-date CDs can be kept in the cabinet until they can be destroyed.
True.
Name some examples of Schedule 3 drugs.
Barbiturates - phenobarbital
Buprenorphine, temazepam, gabapentin
Which Schedule 3 drugs are kept in safe custody? Which of these drugs are no longer available in the UK?
Temazepam, buprenorphine, diethylpropion, flunitrazepam.
Diethylpropion and flunitrazepam.
True or False: A record has to be made in the CD register for Schedule 3 drugs.
False. Only for Schedule 1 and 2 drugs.
What is the abbreviation for Schedule 4 Part 1 drugs?
CD Benz POM.
Which drugs are part of Schedule 4 Part 1?
Benzodiazepines - Diazepam, nitrazepam
‘Z’ hypnotics
What is the abbreviation for Schedule 4 Part 2?
CD Anab POM
What is the abbreviation for Schedule 5 drugs?
CD Inv POM/P
What type of drugs are part of Schedule 5?
Dilute preparation of Schedule 2 drugs. - low strength of CD
Is safe custody or an entry in the CD register required for Schedule 5 drugs?
No.
Parasol is a combination of which 2 drugs?
Dihydrocodeine and paracetamol.
Which abbreviation contains drugs with the higher dose, CD POM or CD P?
CD POM.
Name a drug which can be part of 2 different schedules. (3)
- Dihydrocodeine
- Morphine
- Codeine
Schedule 2 drugs
- Morphine
- Diamorphine
- Methadone
- Oxycodone
- Pethidine
Schedule 3 drugs.
- Buprenorphine
- Gabapentin
- Pentazocine
- Phenobarbital
- Pregabalin
- Temazepam
- Tramadol
Name Schedule 4 part 1 drugs.
- Diazepam
- Lorazepam
- Nitrazepam
- Zopliclone
- Zolpidem
Name Schedule 5 drugs.
Low strength forms:
- Codeine
- Dihydrocodeine
- Morphine
- Pholcodine (withdrawn - no longer available)
Which drugs are part of Schedule 4 Part 2?
Anabolic steroids and growth hormones.
True or False: Schedule 4 drugs - there are no safe custody requirements, no record of supply and no destruction requirements.
True
True or False: CDs can only be kept in a CD cabinet.
False. They can be kept in non-regulation cabinets only if there is an exemption certificate from the police.
CDs taken out of a CD cabinet must be under ‘direct personal supervision’. What does this mean?
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.