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Pharmacology II > Controlled Drugs > Flashcards

Controlled Drugs Flashcards

1
Q

Prior to the establishment of the DEA how were drugs of abuse (e.g., opioids) regulated?

A

Before the 1970s, there were very little, if any, laws on the use and control of many drugs, so many dangerous drugs were sold without any control

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2
Q

Substances are placed in their respective DEA schedules based on what three criteria?

A

Whether they have a currently accepted medical use in treatment in the US
Their relative abuse potential
Likelihood of causing dependence when abused

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3
Q

What are the criteria that make drugs schedule I?

A

Drugs or other substances with high potential for abuse
Have no currently accepted medical use in treatment
Lack of accepted safety for use of the drug or other substance under medical supervision

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4
Q

What are the criteria that make drugs schedule II?

A

Drug or other substances has high potential for abuse
Has currently accepted medical use in treatment in the US with severe restrictions
Abuse of drug or other substances may lead to severe physiological or physical dependence

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5
Q

What are the criteria that make drugs schedule III?

A

Drug or substance has a potential for abuse less than those in schedules I and II
Drug or substance has currently accepted medical use in the US
Abuse of drug or substance may lead to moderate or low physical dependence or high physiological dependence

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6
Q

What are the criteria that make drugs schedule IV?

A

Drug or other substance has a low potential for abuse relative to those in schedule III
Drug or substance has currently accepted medical use in treatment in the US
Abuse of may lead to limited physical dependence or physiological dependence relative to schedule III drug

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7
Q

What are the criteria that make drugs schedule V?

A

Drug or other substance has a low potential for abuse relative to schedule IV drugs
Drug or substance has currently accepted medical use
Abuse of drug or substance may lead to limited physical dependence or physiological dependence relative to schedule IV drugs

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8
Q

What is the DEA schedule for alprazolam (Xanax)?

A

4

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9
Q

What is the DEA schedule for anabolic steroids such as boldenone (Equipoise)?

A

3

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10
Q

What is the DEA schedule for buprenorphine?

A

3

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11
Q

What is the DEA schedule for butorphanol?

A

4

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12
Q

What is the DEA schedule for codeine with acetaminophen?

A

3

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13
Q

What is the DEA schedule for diazepam (Valium)?

A

4

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14
Q

What is the DEA schedule for diphenoxylate (Lomotil)?

A

5

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15
Q

What is the DEA schedule for euthanasia solutions with phenobarbital?

A

2

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16
Q

What is the DEA schedule for fentanyl?

A

2

17
Q

What is the DEA schedule for hydrocodone with acetaminophen or homatropine?

A

2

18
Q

What is the DEA schedule for hydromorphone?

A

2

19
Q

What is the DEA schedule for ketamine?

A

3

20
Q

What is the DEA schedule for marijuana (cannabis)?

A

1

21
Q

What is the DEA schedule for midazolam (Versed)?

A

4

22
Q

What is the DEA schedule for morphine?

A

2

23
Q

What is the DEA schedule for tiletamine/zolazepam (Telazol)?

A

3

24
Q

What is the DEA schedule for tramadol (Ultram)?

A

4

25
Q

How do schedule II substances differ from other schedules relative to whether refills are allowed? If not, what is an alternative to provide the drug for patients beyond the initial prescription?

A

No refills allowed
You can write a maximum of 3 one month prescriptions (not to be post-dated)
Can enter the correct fate on prescription and then write “Do not fill before mm/dd/yyyy”

26
Q

How do schedule II substances differ from other schedules relative to whether telephoned or faxed prescriptions are acceptable. How does this differ in an emergency and what additional steps must be taken as follow-up? ?

A

Can be phoned in for an emergency, but a written prescription must follow within 7 days with “Authorization for Emergency dispensing” written on it

27
Q

What entity typically oversees a Prescription Monitoring Program and what is/are the purpose(s) of the program?

A

The state oversees this program
This is aimed at finding patients and doctors that abuse the prescriptions
Every time you write a prescription, it must be entered on the website
The biggest intent is looking at an individual patient’s prescriptions
You can see the date the prescription was filled and what the drug was to see if there is a potential for abuse

28
Q

What is a DEA form 222 used for and where do practitioners obtain them?

A

A DEA 222 form is used for the procurement of controlled drugs
It is used to obtain drug from the distributor

29
Q

What are the requirements for storing controlled drugs in a clinic?

A

Must be stored in a double locked, secured container
Box must be secured to an immovable object
License holder should have possession of storage box keys
There should be no label on the outside

30
Q

What additional requirement is needed to store carfentanil?

A

It must be stored in a safe or steel cabinet equivalent to a US government class V security container

31
Q

What logs need to be kept for use and dispensing of controlled drugs within a practice?

A

Authorized users signature log
Unopened container log
Opened container log

32
Q

How are expired controlled drugs dealt with?

A

All expired and unused controlled substances must be turned over to a Reverse Distributor licensed by the DEA
If you have expired controlled substances, mark them accordingly and store them in the controlled substances cabinet until they can be relinquished to the reverse distributor
You will get a receipt and it should be recorded in your drug logs and should be kept for 2 years with order packing slips/invoices

33
Q

How long are prescriptions for controlled drugs good for and how does this compare to prescriptions for other medications?

A 
Controlled drug prescriptions are only good for six months if Schedule 3-5. Schedule 2 is good for 1 month
Other prescriptions (refills) are good for one year

Pharmacology II (18 decks)

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