G. Controlled Drug and the misuse of drugs regulations Flashcards
What are the 2 ways in which controlled drugs are classified?
- Misuse of Drugs Act 1971
2. Misuse of Drug regulations 2001
What is the purpose of the misuse of drugs act?
Primary purpose to prevent the misuse of ‘controlled drugs’.
Bands the possession, supply, manufacture, import, export…
What is the role of advisory council on misuse of drugs ?
Advice the government of which medicines should be CD . Also what will work in practice and what punishments should be given if misuse of drugs act is broken
What is the most dangerous Class of drugs and give an example? (in terms of the misuse of drugs act 1971)
Class A: Heroin, LSD, crack cocaine
Class B: Weed, codiene, anphetamine
Class C: anabolic steroids, benzodiazapines
Class A has the most severe punishment.
What is the misuse of drug regulation 2001? What factors are they classified on?
Rules applied to drugs for their legit use.
Extent of use in medicine
Need to prevent misuse
What are the different levels of control in the misuse of drugs regulation ?
5 schedules
Schedule 1 = CD Lic
Schedule 2 = CD POM
Schedule 3 = CD NO register POM
Schedule 4 (part 1) = CD Benz POM
(part 2) = CD Anab POM
Schedule 5 = CD Inv P or CD inv POM
What is the most tightly/strictly controlled schedule and what drugs are included?
Schedule 1
Includes drugs such hallucinogenics, raw opium and cannabis in its whole.
Usually drugs that have no to little clinical/ therapeutic use use
Can you use schedule 1 drugs for research?
No unless you have a licence from the home secretary in order to posses, produce or supply these drugs in schedule 1
What drugs are included in schedule 2?
Includes opiates, major stimulants (e.g. amfetamines), quinalbarbitone.
What are the full controls relating to schedule 2 drugs ?
- Prescription requirements
- Safe custody
- Record keeping (always make a record in CD)
What is required if pharmacists wanted to supply or export schedule 2 drugs outside of the UK ?
A licence is required for the import and export
What drugs fall into schedule 3?
Barabiturates, buprenophine, temazepam, gabapentin and pregablin
What are the full controls relating to schedule 3 drugs?
- Prescription requirements
- Safe custody- Numerous exemptions
- CD register entries NOT required
- Invoice retained for 2 years
- Licences required for import ad export
For schedule 4 drugs, do you need safe custody, prescription or record keeping ?
No, but you do need import and export licence unless its for personal use
What drugs are included in schedule 4 part one ?
CD benz e.g benzodiazepines, sativex (cannabis extract)
What drugs are included in schedule 4 part 2?
CD anabolic steroids, growth hormones
What is schedule 2 and what drugs are included?
Low strength preparations of certain CD e.g. co-codamol (which contains paracetamol and codeine)
how long should an invoice be retained for for schedule 5
2 years
Finish the sentence:
Unlawful to be in possesion of CDs other than in schedule 5 unless permited by:
a. Home office licence
b. Member of a group
specified by the home office
c. Member of a class of person un the regulation eg pharmacists
d. Regulation provide that possession of drug/group of drug is lawful
e. legally prescribed
all of the above
What schedules can be prescribed by a doctor?
From schedule 2-5
What are the prescription requirements for schedule 2 and 3 drugs
- Acquainted with the prescribers signature
- Date (sch 2,3 and 4) (28 day from)
- Address- UK (prescriber)
- Dose (how much they should take when required)
- Total quantity (written in words and figures)
- Quantity prescribed (max 30 days supply)
- If dental Rx, then the words ‘for dental treatment only’ must be included
- Instalments within 30 days
What is the colour of CD prescriptions that are private ?
Pink
When would we keep records for CD drugs?
when we receive and supply a schedule 1 or 2
What information is needed for control drug record keeping for CDs that have been received ?
Date at which it has been received
name and address from whom received
Quantity received
