Misuse of drugs 1

Question 1

List 5 relevant legislation to CDs

Answer 1

• misuse of drug regulations 2017
• persons authorised to witness destruction of controlled drugs
• misuse of drugs (safe custody) regulations 1982
• misuse of drugs (supervision of prescription and supply of methadone and medicinal products containing buprenorphine authorised for opioid substitution treatment) regulations 2019
• misuse of drugs (prescription and control of supply of cannabis for medical use) regulations 2019

Question 2

What is part 1 of misuse of drug regulations 2017-2020 and list the regulations of it

Answer 2

Part 1 - Preliminary and General
1. Citation and commencement
2. Interpretation

Question 3

What is part 2 of misuse of drug regulations 2017-2020 and list the regulations of it

Answer 3

Part 2 - Issuing of prescriptions by registered nurses and registered midwives
3. Provisions applicable to practitioners who are registered nurses or registered midwives
4. Person may refuse to supply drug if reasonable cause to believe
conditions referred to in regulation 3 have not been satisfied.

Question 4

What is part 3 of misuse of drug regulations 2017-2020 and list the regulations of it

Answer 4

PART 3 = Production, Supply, Importation and Exportation of Controlled Drugs
5. General prohibition.
6. Licences.
7. Administration.
8. Exemption for practitioners, pharmacists, etc.
9. Supply.

Question 4

What is part 4 of misuse of drug regulations 2017-2020 and list the regulations of it

Answer 4

PART 4 = Possession of Controlled Drugs
10. General exemptions.
11. Exemption to possess butan-1,4-diol or dihydrofuran-2(3H)-one.
12. Exemption for midwives in respect of pentazocine and pethidine.
13. General authorities.

Question 5

What is part 5 of misuse of drug regulations 2017-2020 and list the regulations of it

Answer 5

PART 5 = Documentation and Record-Keeping
14. Documents to be obtained by a supplier.
15. Form of prescriptions.
16. Supply on prescription.
17. Marking of containers.
18. Documents required for export of controlled drugs.
19. Keeping of registers for drugs in Schedules 1 and 2.
20. Record-keeping in particular cases for drugs in Schedule 2.
21. Keeping of records for drugs in Schedules 3 and 4.
22. Preservation of registers, etc.
23. Preservation of records for drugs in Schedules 3, Part 1 of Schedule 4, and Schedule 5
24. Furnishing of information with respect to controlled drugs.

Question 6

What is part 6 of misuse of drug regulations 2017-2020 and list the regulations of it

Answer 6

PART 6 = Miscellaneous
25. Destruction of certain drugs.
26. Disposal of certain drugs on cessation of business.
27. Forged, etc. prescriptions.
28. Publication, sale etc. of certain books, periodicals and other publications.
29. References to the revoked Regulations of 1988 in other enactments.
30. Transitional provisions

Question 7

How many regulations and parts in total

Answer 7

6 parts and 30 regulations

Question 8

What does paragraph (1) of regulation 3 state

Answer 8

any references in the regulations to schedule 2/3 should be understood as a reference to schedule 8

Question 9

What does paragraph (2) of regulation 3 state

Answer 9

registered nurses cannot prescribe drugs listed in schedules 4,5,8 unless the following conditions are met

Question 10

What do part 1 - part 5 of schedule 8 refer to

Answer 10

Part 1 - (i) relief of pain
(ii) immediately prior to medical or surgical procedure
(iii) post operative pain relief
Part 2 - palliative care
Part 3 - midwifery
Part 4 - neonatal care
Part 5 - mental health or intellectual disability

Question 11

What does paragraph (3) of regulation 3 state

Answer 11

the regulation doesn’t limit a health service provider from preventing a nurse from prescribing, or setting additional conditions
the nursing and midwifery board of ireland from carrying out any duties assigned to them by the nurses and midwifes act

Question 12

What is regulation 4

Answer 12

Person may refuse to supply drug if reasonable cause to believe conditions referred to in Regulation 3 have not been satisfied.

Question 13

What does the Paragraph (1) of regulation 5 refer to

Answer 13

Subject to the provisions of these Regulations, a person shall not—
(a) produce a controlled drug,
(b) supply or offer to supply a controlled drug, or
(c) import or export a controlled drug.

Question 14

What does paragraph (2) of regulation 5 refer to

Answer 14

(a) Paragraph (1)(b) shall not apply to poppy straw. (can supply poppy straw)
(b) Paragraph (1)(c) shall not apply to any drug specified in—
* (i) Part 2 of Schedule 4, or
* (ii) Schedule 5
(import or export)

Question 15

What does regulation 7 refer to

Answer 15

Administration - it is okay for anyone to give drugs from schedule 5 to someone else
a practitioner except vet to give patient schedule 2,3,4
non-medical professional to give patients drugs from schedule 2,3,4 as long as they follow instructions from a dentist, nurse, midwife

Question 16

What does regulation 8 refer to?

Answer 16

exemptions of pharmacist, practitioner
they can:
(a) supply or offer to supply S 2,3,4 to authorised persons
(b) make or prepare CD

(2) Registered nurses can’t make or prepare CD

(3) a person who runs a retail pharmacy can supply/ offer to supply S2,3,4 to individuals who are allowed to have them at the location where their business operates

Question 17

What does regulation 9 refer to?

Answer 17

Supply
- list of people who can supply
- director of nursing can’t if there is a pharmacist in charge of dispensing
- nurses can only supply CDs as directed by medical practitioners

Question 18

What does paragraph (3) of regulation 9 refer to

Answer 18

owner of ship/ master of ship

Question 19

What does paragraph (4) of regulation 9 refer to

Answer 19

installation manager of an offshore installation

Question 20

What does regulation 12 refer to

Answer 20

exemption for midwives in respect of pentazocine and
pethidine.
(1) they are allowed to possess pentazocine/ pethidine as necessary for their practice
(2) specific conditions for allowing them to possess pethidine/pentazocine as mentioned in paragraph (1)

Question 21

Regulation 13?

Answer 21

General authorities - people who may have a controlled drug in their possession

Question 22

Regulation 14?

Answer 22

Documents to be obtained by supplier
(7) - must furnish a receipt
(8) - pharmacist must check and return receipt not later than 3 working days

Question 23

Regulation 15

Answer 23

forms of a prescription
(1) must know identity and must comply with requirements in (2)
(2) requirements