Drug enforcement Flashcards by Cutler Frandsen

What is the mission of the DEA?

-Enforce the controlled substances laws and regulations of the USA

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What does the DEA address?

-Issues of illegal growing, manufacturing or distribution both domestically and internationally

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What does the Drug Czar head up?

-ONDCP (Office of National Drug Control Policy)

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What does the Drug Czar oversee?

activities and budgets of:

DEA
NIDA (National Institute of Drug Abuse)
NIAAA

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What department oversees programs that deal with illicit and prescribed Scheduled drugs?

-DEA

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What are four programs that the DEA oversees?

Drug eradication
Drug education
Assist state and local agencies, civic groups, and school systems to combat drug abuse
Helps secure borders against drug trafficking

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What branch of government is the drug czar?

-Executive branch

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What is a schedule I drug?

No currently accepted medical use in the US

- High potential for abuse

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What is a schedule II drug?

High potential for abuse

-Has approved medical use

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What are examples of schedule I drugs?

Heroin
LSD
Marijuana
Ecstasy

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What are examples of schedule II drugs?

Hydrocodone (Vicodin, Lortab)
Fentanyl (Sublimaze)
Stimulants (amphetamines)
Methadone

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What is a schedule III drug?

Moderate or low physical dependence

- Less potential for abuse

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What are examples of schedule III drugs?

Buprenorphine

- Ketamine

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What is a schedule IV drug?

-Low potential for abuse

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What are examples of schedule IV drugs?

-Alprazolam (Xanax)
-Midazolam (Versed)
(Most Benzos)
-Tramadol (Ultram)

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What is a schedule V drug?

Low abuse potential

- Limited quantities of certain narcotics

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Examples of Schedule V drugs?

-Robitussin

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DOPL is a legislatively created database to track and collect data on what?

-Dispensing of schedule II-V drugs

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What is the purpose of DOPL and the UCSD?

-Identify over-utilization, misuse and over-prescribing of controlled substances throughout the state

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Outpatient pharmacies report dispensing of scheduled drugs within what time frame?

-7 days and the data are posted within 24 hrs after receipt

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What is not required to report to the UCSD (Utah controlled substance database)?

Prescriptions at federal facilities (VA, military)
Out of state pharmacies
Pharmacies servicing in-patient populations (hospital)

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In prescriptions what does a.c. (ante cibum) mean?

-Before meals

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In prescriptions what does ad.lib (ad libitum) mean?

-Use freely

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In prescriptions what does aq (aque) mean?

-Water

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What does bis mean in a prescription?

-Twice

What does bid mean in a prescription?

-Twice daily

What does c.f mean in a prescription?

-with food

What does dc mean in a prescription?

-Discontinue

what does h (hora) mean in a prescription?

-hour

What does noct (nocta) mean in a prescription?

-at night

What does p.c. (post cibum) mean in a prescription?

-after meals

What does prn (pro re nata) mean in a prescription?

-as needed

What does p.o. (per os) mean in a prescription?

-by mouth

What does q (quaque) mean in a prescription?

-every

What does q.h. mean in a prescription?

-every hour

What does q.d. mean in a prescription?

every day

What does .q.i.d (quates in die) mean in a prescription?

-4 x per day

What does s (sina) mean in a prescription?

- without | - w/o also means without

What does sig mean in a prescription?

-write on the label

What does stat mean in a prescription?

-immediately

What does t.i.d mean in a prescription?

-Three times daily

What does w mean in a prescription?

-with

What is an FDA approved cannabinoid agonist?

-Marinol (dronabinol)

What is Marinol used for?

- Increases appetite - Anti-nausea - CB1 agonist - Synthetic THC/prescription

What are proposed THC/marijuana uses?

- anti-nausea - increase appetite - glaucoma-reduce intraocular pressure - chronic pain

What is CBD (cannabidol)?

- Analog promoted as anti seizure | - Not as addicting as THC

What is (Acomplia) Rimonabant?

CB1 antagonist | -Used to treat obesity by reducing apetite

What do "spice" products contain?

-Cannabinoid agonists/antagonists and other drugs

who evaluates, coordinates, and oversees both international and domestic anti-drug efforts?

the drug czar

the UCSD is a legistlatively created database to track and collect data on dispensing of schedule ___ drugs by retail, institutional, and outpatient hospital pharmacies

II-V

what is the role of the DOPL in controlling dental licensing?

- manages unprofessional conduct (false advertising and maintaining proper conditions related to practice) - manage proper CE observance

what is amotivation syndrome?

- lose a sense of ambition | - common affect of marijuana

what is the endogenous ligand in marijuana?

-anandamide (natural neurotransmitter)

what are the 3 main mechanisms of marijuana?

- activates cannabinoid receptors - bronchodilator - vasodilator

what are the cannabinoid receptors that marijuana activates, where are they located, and what do they do?

- CB1 - mostly CNS and mediates abuse problems | - CB2 - mostly peripheral and mediates inflammatory effects

can marijuana cause tolerance and dependence?

yes

T or F: | many cannabinoid agonists are developed for street drugs

true

what is the legal status of marijuana?

- schedule I federal laws | - varies according to state laws (range from illegal, medical marijuana, to legalization)

why was the approval of rimonabant withdrawn in europe?

-due to depression/suicide

is "spice" legal?

-it was originally legal, but has since been outlawed

what schedule drug is "spice"?

-schedule I

what are the side effects of spice?

- withdrawals - attention disruptions - induced psychosis with strong marijuana - anxiety disorders

what is MUD?

-marijuana use disorder

___% of those who use marijuana have a form of MUD

if marijuana users begin using <18 years old, the likelihood of MUD increases ___x

4-7x

how many people in the US had MUD in 2015?

4 million

___ are drugs that alter fetal development when used during pregnancy by the mother

teratogens

when used during pregnancy, ___ dramatically increases the likelihood that female offspring would develop cervical cancer especially when young, although the incidence of this is quite rare

diethylstilbesterol

what are the 5 FDA classifications for teratogens?

A, B, C, D, X

what is a category A teratogen?

no evidence the drug is a teratogen in either humans of lab animals

what is a category B teratogen?

no animal evidence, not well tested in humans

what is a category C teratogen?

no good animal or human testing done

what is a category D teratogen?

animal testing suggests it is teratogenic, but not well studied in humans

what is a category X teratogen?

definitely shown to be teratogenic in humans

what is an example of a category X teratogen?

isotretinoin (accutane)