Controlled Drugs - Cannabis

Question 1

Give e.g. of cannabis products that are controlled by MofD 1971. (2)

Answer 1

Tetrahydrocannabinol (THC)
Cannabinol (CBN)

Question 2

Give e.g. of cannabis products that isn’t controlled by MofD 1971. (1)

Answer 2

Cannabidiol (CBD)

Question 3

What type of cannabis products would be considered a schedule 2 CD? (1)

Answer 3

Cannabis (medicine use)

Question 4

What type of cannabis products would be considered as a schedule 1 CD? (1)

Answer 4

Raw cannabis

Question 5

Give e.g. of unlicensed cannabis-based products? (3)

Answer 5

Sativex
Epidyolex
Nabilone

Question 6

What does NICE guidelines state about initial prescribing of unlicensed cannabis medicines? (2)

Answer 6

Completed by a doctor who is listed on Specialist register of the GMC and who has a specialist interest in the condition being treated.
Only strong evidence of benefit or UK guidelines recommended drugs.

Question 7

What does NICE guidelines NOT recommend when using cannabis-based products in medicines? (1)

Answer 7

Tx for chronic pain.

Question 8

State the main features of Sativex. (7)

Answer 8

Cannabis based oromucosal mouth spray.
(CBD + Dronabinol)
Indicated as treatment for symptom improvement in adult px with moderate to severe spasticity due to MS.
Classified as Schedule 4 part 1.
Rx written as Schedule 4 CD.
No legal need for a CD register entry but pharmacists are required to keep records of Sativex. Home office recommends using CD register.
Stored in fridge.

Question 9

What are the main features of Nabilone? (3)

Answer 9

Synthetic cannabinoid medicines.
Schedule 2 CDs
Use for CINV.

Question 10

What are the main features of Dronabinol? (3)

Answer 10

Synthetic cannabinoid (THC version)
Schedule 2 CDs.