Controlled Drugs Flashcards
Which legislation imposes prohibitions on the possession, supply, manufacture, import, and export of CDs?
Misuse of Drugs Act 1971
Which legislation details the safe custody and storage requirements?
Misuse of drugs regulations 1973
What are the terms for schedule 1 drugs (CD Lic POM)?
- no therapeutic use - license required for possession, supply and production
- e.g. hallucogenics (LSD), ecstasy, raw opium, cannabis
What are the terms for schedule 2 drugs (CD POM)?
- pharmacists and others have general authority to possess, supply and procure these drugs
Which drugs are part of schedule 2?
- Opiates, major stimulants, quinalbarbitone, ketamine
Which drugs fall under the schedule 3 category (CD no register POM)?
- Gaba and pregab NEW
- minor stimulants, buprenorphine, temazepam, tramadol, midazolam, phenobarbital
Which drugs fall under the schedule 4 category? (CD Benz POM or CD Anab POM)?
part 1: benzos, non-benzo hypnotics e.g. zopiclone and sativex (cannabinoid)
part 2: anabolic and androgenic steroids as well as clenbuterol and growth hormones
What are the prescription requirements for CDs?
- dose
- formulation
- strength
- total quantity in words and figures
- quantity prescribed - no more than 30 days recommended unless clinical reason suggested
- ‘for dental use only’ where appropriate
- instalment wording where appropriate
Which CDs require prescription requirements?
2 and 3
Which schedules are valid for 28 days?
2, 3, 4 part 1, 4 part 2
Which schedules are valid for 6 months?
5
Which schedules require the address of the UK prescriber?
2 and 3
Which schedules allow for repeat prescriptions?
4 and 5
Which schedules can be given as emergency supply?
4 and 5
What schedule 3 drug is an exception for emergency supply?
- phenobarbital
- licensed for epilepsy
- UK registered prescriber
Which invoices need to be retained for at least 2 years?
Schedule 3 and 5
Which schedule does not need a license for import/export?
schedule 5
all of the others do
Under which circumstances are pharmacists allowed to be in possession of schedule 1 drugs?
- for destruction
- to hand over to the police
When is a license needed to import/export drugs?
For schedules 1 to 4 part 1
Is a license needed for schedule 4 part 2?
yes unless import/export is for self administration
What are the legal requirements for CD requisition: FP10CDF forms?
- Signature of the Recipient
- Name of the Recipient
- Address of the Recipient
- Profession or Occupation
- Total Quantity of Drug
- Purpose of the Requisition
- On processing, the supplier (pharmacy) must stamp or sign indelibly and send original to NHS
How long does the original requisition need to be retained for?
- 2 years
- vet - 5 years
Who is exempt from using an approved CD requisition form?
prisons and hospices
Are faxed copies of CD requisition acceptable?
no
When can a drug be supplied without a requisition form?
- in an emergency
- form must be obtained within 24 hours though
What controlled drugs can a midwife order using a midwife supply order?
- diamorphine
- morphine
- pethidine
What must the midwife order contain?
o Name of the midwife
o Occupation of the midwife
o Name of the person to whom the CD is to be administered or supplied
o Total quantity of the drug to be obtained
o Signature of an appropriate medical officer
What must a CD instalment include?
- amount of medicine per instalment
- interval between each time the medicine can be supplied
What errors can pharmacists amend on a CD script?
- quantity
- words and figures
NOT BOTH
What errors can’t pharmacists amend on a CD script?
- missing date
- incorrect dose, form, strength
What are the requirements for schedule 2/3 private prescription CDs?
- Standardised Form – unless vet rx or prescribed and issued under same entity i.e. hospital
a. FP10CDF – Local NHS England area team
b. PPCD (1) – Scotland NHS health board
c. WP10PCD -Welsh - Prescriber Identification Number
- Submission: must submit original private prescription to relevant NHS agency
- Should not prescribe regular POMs on the same form as the form needs to be sent to NHS, does not allow private RX to be retained for 2 years then
If someone else is collecting a CD prescription on behalf of someone else, what can a pharmacist ask?
- i.d of person collecting
- representative should have a letter authorising collection and naming representative - ID should also be requested
- separate letter should be obtained each time
- supervised dose - not a legal requirement. check with prescriber verbally if its ok to hand over instalment to representative
When controlled drugs get destroyed, when is a witness required?
If the drug is schedule 2
How do you dispose of ampoules and vials?
- open up and empty the contents into a CD denaturing kit
Which schedule 4 requires record keeping?
Sativex - sch 4 part 1
What should a record for receiving consist of?
date supply received, name and address from whom supplied, quantity supplied
What should a record for supplying consist of?
date supplied, name & address of recipient, details of authority to possess, quantity supplied, details of person collecting
What does it mean if a product says “use by” or “use before” ?
the product should be used before the end of the previous month.
