Controlled drugs Flashcards

1
Q

What is the aim of the misuse of drugs act 1971?

A

Control dangerous or otherwise harmful drugs.

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2
Q

Why is this control exercised?

A

This control is exercised since the act renders unlawful all activities associated with the controlled drugs under it, other than limited provisions for licenses for importation and exportation (s.3).

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3
Q

What is a controlled drug by definition?

A

A drug that has potential to be abused or misused, or all drugs either in a temporary class drug order subject to temporary control or in schedule 2 to the misuse of drugs act 1971.

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4
Q

What is the role of the misuse of drugs act 1971?

A

The 1971 act imposes prohibitions on the production, possession, supply, manufacture, import and export of CD’s except where permitted by the 2001 regulations or under license from the secretary of state.

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5
Q

What is the Misuse of Drugs (Safe Custody) Regulations 1973?

A

Storage, safe custody requirements for CD’s

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6
Q

What is the health act 2006?

A

Requires SOP’s for using, managing CD’s by healthcare organisations, introduces accountable officer concept

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7
Q

What are accountable officers?

A

Responsible for supervising, managing CD’s in their organisation.

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8
Q

What are one of the roles of accountable officers?

A

Appointment of authorised witnesses for destruction of CD’s

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9
Q

How are the misuse of drugs regulations 2001 (as amended) classified into schedules?

A

Five schedules according to different levels of control.

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10
Q

What are the controls for schedule 1 controlled drugs?

A

(CD lic POM). No therapeutic use, license required for production, possession, supply.

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11
Q

What is schedule 2 to the misuse of drugs act 1971?

A

Schedule divided three classes decreasing order of harmfulness part I (class a), part II (class b), part III (class c).

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12
Q

What are examples of schedule 1 controlled drugs?

A

Raw opium, cannabis, LSD

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13
Q

What are the controls surrounding schedule 2 controlled drugs?

A

Pharmacists and other people mentioned in 2001 regulations possess, supply, procure.

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14
Q

Examples of schedule 2 controlled drugs

A

“MOD PM AQK”

Morphine Oxycodone Diamorphine Pethidine Methadone Amfetamines Quinalbarbitone Ketamine

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15
Q

What are schedule 3 controlled drugs also known as?

A

CD no register POM

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16
Q

Examples of schedule 3 controlled drugs

A

“BP TMT”

Buprenorphine Phenobarbital Temazepam Midazolam Tramadol

17
Q

What schedule 3 controlled drugs were rescheduled?

A

Gabapentin, pregabalin

18
Q

When did the rescheduling of these schedule 3 controlled drugs occur?

A

1st April 2019

19
Q

What is schedule 4 controlled drugs also known as?

A

CD BENZ POM, CD ANAB POM

20
Q

Examples of schedule 4 part 1 controlled drugs

A

diazepam, zopiclone, sativex (cannabinoid oromucosal mouth spray)

21
Q

Examples of schedule 4 part 2 controlled drugs

A

most anabolic, androgenic steroids, clenbuterol (adrenoreceptor stimulant), growth hormones

22
Q

What are schedule 5’s also known as?

A

(CD INV POM OR CD INV P)

23
Q

Examples of schedule 5’s

A

Low strength medicinal product exempt from full control - preparations of codeine, pholcodine, morphine

24
Q

Which schedules have prescription requirements?

A

2, 3

25
Q

Length of prescripton validity

A

6 months for schedule 5,

28 days for rest

26
Q

Which schedules require an address of a prescriber within the UK?

A

2, 3

27
Q

What schedules can have emergency supply?

A

3 (only phenobarbitone sodium for epilepsy by a UK-registered prescriber), 4, 5

28
Q

Which schedules are requisitions necessary?

A

2, 3

29
Q

Which schedules require invoices to be retained for two years?

A

3, 5

30
Q

Which schedules need a license for import or export?

A

2, 3 , 4 part 1, 4 part 2 (no license needed for self-administration use)

31
Q

What are the controls for schedule 1’s?

A

Administered, prescriber under a home office license.

32
Q

Who can administer schedule 2,3,4’s?

A

Supplementary prescriber (pharmacist supplementary prescriber) with a clinical management plan

33
Q

Which CD’s must be kept under safe custody?

A

1, 2 (except some liquid preparations, quinalbarbitone (secobarbital), 3 (except phenobarbital, gabapentin, pregabalin).

34
Q

Record keeping for sativex

A

Pharmacists required to keep records of sativex (schedule 4 part 1).