Controlled Drugs & Substances Act Flashcards
NAPRA stands for what?
National Assoc. of Pharmacy Regulatory Authorities
1) NAPRA reviews what kinds of drugs?
2) Health Canada reviews what kinds of drugs?
NAPRA: Non-Rx Drugs
HC: Rx Drugs
What two documents authorize the SCPP to maintain drug schedules (ie. + or - Drugs from Drug Schedules)?
i) Pharmacy & Pharmacy Disciplines Act [Sec. 52 (1) (c)]
ii) Drug Schedule Regulations [Sec. 3 (1)]
NAPRA schedules: What are they?
I: Require Rx!
II: Sold w/o Rx but require Pharmacist intervention… No public access or opportunity for self-selection.
III: Sold w/o Rx but must be sold in licensed pharmacy… Can be sold from self-selection areas under supervision of Pharmacist.
Unscheduled: Sold w/o professional supervision & from any retail outlet.
When was the Controlled Drugs & Substances Act (CDSA) established?
1996
Laws enacted by Fed. / Prov. Governments are also referred to as what?
Statues / Legislation / Acts
The CDSA defines a “controlled substance” as a substance included in what schedules?
I / II / III / IV / V
An “inspector” is defined as what by the CDSA?
A person designated as an inspector under Sec. 30 of the CDSA.
A “Minister” is defined as what by the CDSA?
Refers to the “Minister of Health”.
How does the Criminal Code define “possession”?
-Someone has anything in their personal possession.
OR
-Knowingly has something in the possession or custody of another person or in a place for the use or benefit of oneself or another person.
Under the Criminal Code, if a person has something in their custody or possession & others know of or consent to said possession, what does that mean for the group?
-Said items are deemed to be in the custody & possession of each & all of them.
How does the CDSA define a “practitioner”?
Person registered & entitled under provincial laws to practice in said province within the following professions:
Medicine, Dentistry, Vet Med, Prescribed Midwives, Nurse Practitioners, Podiatrists.
Are Pharmacists considered to be “practitioners” under the CDSA?
Nope
The word “produce” means what under the CDSA?
To obtain a substance by any method or process including:
-Manufacturing / Synthesizing or using a means of altering chemical or physical properties of the substance
OR
-Cultivating, Propagating, or Harvesting substance or a living thing from which the substance may be extracted or otherwise obtained from.
“Provide” is defined as what under the CDSA?
-To give, transfer, make available in any manner (whether or not it’s for considerations).
“Sell” is defined as what under the CDSA?
-Offer / Expose for sale or have in possession for sale & distribution (whether or not distribution is made for considerations).
“Traffic” is defined as what under the CDSA?
-To sell / administer / give / transfer / transport / send / deliver substance.
OR
-Sell authorization to obtain a substance.
Sec. 4(1) of the CDSA states that “no person shall possess a substance included in Schedule _, _, or _ (except as authorized under the regulations of the Act)”.
I / II / III
Sec. 4(2) of the CDSA states that “no person shall seek or obtain authorizations for a substance included in Schedule _, _, _, or _ from a Practitioner, unless they disclose details of other substances obtained from other Practitioners within the last 30 days”.
I / II / III / IV
Sec. 4(2) of the CDSA discourages what patient malpractice from occurring?
Double Doctoring… Obtaining meds from two different Dr.’s & pt. isn’t being transparent regarding drugs that they’re taking.
If a person contravenes Sec. 4(1) of the CDSA & is in possession of a Schedule I substance, what is the maximum imprisonment sentence?
7yrs
If a person contravenes Sec. 4(1) of the CDSA & is in possession of a Schedule II substance, what is the maximum imprisonment sentence?
5yrs
Sec. 4(1) provides possession exemptions under what grounds?
-When seeking emergency medical or law enforcement assistance for a person in a life-threatening situation (ie. Naloxone).
CDSA rules around Trafficking, Importing / Exporting & Substance Production?
T: No one shall traffic controlled substances (ie. I to V).
I/E: No one shall import into Canada or export from Canada a substance included in Schedules I-VI.
SP: No one shall produce controlled substances unless authorized in guidelines… Includes possession / production / selling / importing / transporting things used for controlled substance production.
What are the parts of the CDSA?
I: Offences & Punishment
II: Enforcement
III: Disposition
IV: Administration & Compliance
V: Administrative Orders for Contraventions of Designated Regulations
VI: General
Enforcement (Pt. II) within the CDSA encompasses what?
Search & Seizure
Disposition (Pt. III) within the CDSA encompasses what?
Forfeiture of property related to offence
Administration & Compliance (Pt. IV) within the CDSA encompasses what?
Designation & powers of the inspector (ie. Conditions under which records & inventory can be reviewed, copied or seized).
Under Pt. V of the CDSA, the Minister may do what?
-Inform SCPP of concerns with practice.
-Make orders to restrict activities permitted by a license (ie. Ordering or Possessing CDSA outlined drugs).
Sec. 56(1) of the CDSA exempts Pharmacists from provisions of the Act & authorizes us to do what?
-Prescribe controlled substance refills.
-Transfer controlled drugs within Canada.
-Receive V/O’s from Practitioners for controlled substances.
Within Part VI of the CDSA, individuals are exempted from criminal charges for possession of drugs not obtained legally if they are in what kind of a facility?
Supervised Consumption Site
What drugs are encompassed under Schedule I as defined by the CDSA?
-Opioids
-Cocaine
-Amphetamines
-Flunitrazepam
-Ketamine
-Tramadol
What drug is excluded from Schedule I as defined by the CDSA?
Naloxone
Encompassed Schedule II drugs as defined by the CDSA?
-Synthetic Cannabinoids (ie. Nabilone)
Encompassed Schedule III drugs as defined by the CDSA?
-Methylphenidate
Encompassed Schedule IV drugs as defined by the CDSA?
-Barbiturates
-Benzodiazepines
-Anabolic Steroids
Encompassed Schedule V drugs as defined by the CDSA?
-N-Phenyl-4-Piperidinamine (Fentanyl Intermediate)
Encompassed Schedule VI drugs as defined by the CDSA?
-Precursors
