Controlled substance act Flashcards
CSA
Controlled substance act is legislation created to define and regulate controlled substances . The CSA was written for the purpose of general drug abuse prevention and control.
CSA is Combination of individual state law and regulation . It has strict regulations because it can abuse and potentially addictive and regulate controlled. Substances controlled substances act in combination with individual state laws and regulations specifics for them manufacturing prescribing controlled substances control substances have strict regulations because they can potentially addicting And possible death
The use of prescription drug for recreational purposes
Diversion
Control substance acts is to prevent two things
Diversion and abuse
Which federal administration is responsible for enforcing the CSA
DEA
Not in pharmacies
Abuse, potential is high.
Lack safety data.
No accepted medical use.
Currently illegal substance. (Federally)
Schedule one controlled substances
East men’s have the highest potential for abuse and psychological dependence or addiction pharmacy. In general they have the most stringent requirements in the pharmacy,
Mostly consist of opioids and stimulants
Schedule II controlled substance
OxyContin
Oxycodone ( schedule II)
Raxicodone
Oxycodone (scheduled II opoi
The drug Enforcement Administration is the federal agency governing the enforcement of the controlled substances Act and other regulations concerning controlled substances
DEA
Heroin
Marjuana
LSD
PCP
GHB
Ecstasy
Control I
Not in pharmacy
Abused potential high
Lack safety data
No accepted medical use
Curt illegal substances ( federally)
Single ingredient products hydrocodone C II
Zohydro ER ( hydrocodone bitrate, it does not contain acetaminophen, or Tylenol,). Hysin gla ER (hydrocodone bitrate) opioid
OK
Duragestic
Actig
Abstractly
Lazanda
Fentora
Fentanyl
Hydromorphone
C II
Dilaudid
Lortab
Vicodin
Norco
Tussionex
Vicoprofen.
Hydrocodone combinations
Meperidine
Demerol
MS Contin
Oramorph
Kadian
Avinza
Morphine sulfate
Mathadone
Dolophine
C II it help release Opioid pain
Oxycodone combinations
Percocet
OxyContin
Roxicodone
Oxycodone
Concerta
Ritalin
Methylin
Daytrana
Metadate.
Wuilivant
Methylphenidate
C II stimulants:
Vyvanse
C II stimulants
Lisdexamfetamine
Androderm
Androgel
Depo-testosterone
C III
Testosterone
Actaminophen w/ code in
C III
Tylenol w/ codein
Buprenorphine /naloxone
C III
suboxone
Phentexmine
C IV
Adipex-p
Tramadol
C IV
Ultram
Phenobarbital
C IV
Luminal
Tramadol
C IV
Ultram
Temazepam
C IV
Restoril
Triazolam
C IV
Halcion
Carisoprodol
C IV
Soma
Modafinil
C IV
Provigal ( helps sleep apnea , like certain sleep conditions narcolepsy
Zolpidem
C IV
Ambien
Alprazolam
C iV
Xanax
Clonazepam
CIV
Klonopin
Lorazepam
C IV
Ativan
Diazepam
C IV
Valium
Zalepion
C IV
Sonata
Eszopidone
C IV
Lunesta
Diphenoxylate combination product (no more than 2.5 mg of diphenoxylate and no less than 25 MCG of atropine sulfate per dose units
C V
Lomotil
Guaifenesin AC
C V
Robitussin, AC (no more than 200 mg of Codein per 100 ML)
Coding combination product like Phenergan with codeine
C V
No more than 200 mg of coding per 100 ML
Pregabalin
C V
Lyrica
Lacosamide
C V
For treatment of partial seizures
Vimpact
Hydrocodone combination product CII
Hydrocodone /acetaminophen,
Hydrocodone/chlorpheniramine
Cesamet
Nabilone (C II) for Nausea
Perampanel
Fycompa CIII
Class of anticonvulsant- helping against seizure.
Most state allowed prescribers to describe controlled substance:
Physicians.
Dentists.
Podiatrist.
Veterinarians.
Some states allow physician assistants.
Nurse practitioners.
Optometrist.
Abbreviations for:
Medical doctors:
Doctor of osteopathy:
Doctors of medicine in Dentistry:
Doctor of Dental surgery/
Doctors of podiatric Medicine
Doctor of Veteriary
Physician assistant
Optometrist
Nurse practitioners
MD
DO
DMD
DDS
DPM
DVM
PA
OD
NP
Control and substance prescription must have the following :
-date of issue (the written date)
-patient’s full name ,and address.
Prescriber’s full name, address, and DEA registration number.
-Drug names, strength, dosage, form, quantity, directions for use, and number of refills, if any 
-prescribers signature, is a written rx
Schedule II
Schedule III and iV
Schedule V
Schedule II:
—NO Refills
Schedule III and IV:
—5 refills
Schedule V:
— up to prescribers
Electric prescription
Mobile:
Hardcopy
Fax prescription.
Some states may have restriction
C III to C V
Except for long-term care or hospice for C2
— fax prescription
— considered original RX.
In an emergency prescription for morphine to your pharmacy, a pharmacist must receipt, a written, signed prescription from prescriber within:
Seven days