Controlled Drugs Background and Schedules Flashcards
What regulates all medicines for human use?
Human Medicines Regulation 2012
What regulates narcotics and other controlled drugs?
The Misuse of Drugs Act 1971 & associated regulations
Who administrates the HMR and Medicines Act 1968?
The Department of Health and Social Care
Who administers The Misuse of Drugs Act 1971?
The Home Office
What does the The Misuse of Drugs Act 1971 do?
Controls dangerous/harmful drugs designated as control drugs. (is restrictive -> prohibits use)
Who permits use of CD?
The Misuse of Drugs Regulations 2001
What is the difference between The Misuse of Drugs Act 1971 and The Misuse of Drugs Regulations 2001?
The Misuse of Drugs Act 1971 prohibits all CD
The Misuse of Drugs Regulations 2001 provides exceptions so CD can be used in medicine.
How are control drugs classified?
Schedules 1-5: CDs used as medicines legally
Classes A,B,C- penalty for illegal possession
Who is classification for CDs decided by?
The Advisory Council (advises government)
Who is in the advisory council?
people experienced in medicine, dentistry, veterinary medicine, pharmacy, pharmaceutical industry and chemistry
What is the penalty for possession of a Class A drug?
up to 7 years in prison, unlimited fine, or both
What is the penalty for dealing of a Class A drug?
up to life in prison unlimited fine, or both
What is the penalty for possession of a Class B drug?
up to 5 years in prison, unlimited fine, or both
What is the penalty for dealing of a Class B drug?
up to 14 years in prison, unlimited fine, or both
What is the penalty for possession of a Class C drug?
up to 2 years in prison unlimited fine, or both
What is the penalty for dealing of a Class C drug?
up to 14 years in prison, unlimited fine, or both
What is the name for Schedule 1 control drug?
[CD Lic]
What is the name for Schedule 2 control drug?
[CD POM]
What is the name for Schedule 3 control drug?
[CD No Reg POM]
What is the name for Schedule 4 control drug?
Part I [CD Benz POM]
Part II [CD Anab POM]
What is the name for Schedule 5 control drug?
[CD Inv POM/P]
When can a Schedule 1 drug be possessed, produced or supplied?
With a license from the Home Secretary
When is a pharmacist allowed possession of a Schedule 1 drug?
If for the purpose of destruction or handing over to the police
Should the pharmacist disclose identification to the police for a Schedule 1 drug?
The pharmacist should not disclose identification to the police, however if a large amount is handed over and drug dealing is suspected, use discretion.
Is a license needed to to import/export Schedule 2 drugs?
Yes a license is needed
When can a pharmacist supply a Schedule 2 drug?
Only on authority of a prescription.
Does a Schedule 2 drug need safe custody requirements?
Yes they must all be kept in a CD cupboard except quinalbarbital and all transactions recorded in the CD register.
When do safe custody requirements apply?
Even with other health professionals, e.g. care homes.
Don’t apply when under direct supervision by pharmacist, e.g. whilst dispensing.
When are safe custody requirements applied for Schedule 3 drugs?
temazepam, diethylpropion, buprenorphine and flunitrazepam
Is a record in the CD register needed for Schedule 3 drugs?
No
How long are Schedule 3 invoices kept for?
2 years
What type of drugs are Schedule 5?
Dilute preparations of Schedule 2 drugs.
What are the requirements for Schedules 4 & 5 drugs?
No safe custody needed No entry in CD register Invoice kept for 2 years HMR 2012 requirements for POMs apply CD prescription and labelling requirements don't apply no authority needed for destruction
How long is a Schedule 4 prescription valid for?
validity of prescription is 28 days
How long is a Schedule 5 prescription valid for?
validity of prescription is 6 months
Is there a relationship between schedule and class?
No
Schedule 2 examples (endings ine and one)
Diamorphine Methadone Morphine Oxycodone Pethidine
Schedule 3 examples
Buprenorphine Gabapentin Pentazocine Phenobarbital Pregabalin Temazepam Tramadol
Schedule 4 examples (only part I) [ending pam and start zo]
Diazepam Lorazepam Nitrazepam Zopiclone Zolpidem
Schedule 5 examples (ending eine/ine)
Codeine
Dihydrocodeine
Morphine
Pholcodine