Misuse of Drugs 2 Flashcards
what does regulation 16 refer to
supply on prescription
paragraph (1) of regulation 16
specifies the requirements on a prescription to supply a CD other than schedule 4 part 2 or schedule 5
paragraph (2) of regulation 16
a person supplying on a prescription a controlled drug, other than a drug specified in Schedule 4 or 5 shall, at the time of the supply—
(a) mark on the prescription the date on which the drug is supplied, and
(b) retain the prescription on the premises from which the drug was
supplied.
paragraph (3) of regulation 16
Specifies requirements regarding dispensing a schedule 4 part 1 drug
paragraph (4) of regulation 16
health prescriptions - duplicate copy made by GP at the time of writing shall be treated as if it was the original document
How long are rx for CD 2 and 3 valid
14 days
How long are rx for CD4 valid
9 months (extended from 6)
How has emergency supply at patient request changed?
- Previously an emergency supply of a Controlled Drug in Schedule 2, 3 or 4 was
not permitted at the request of a patient, with the exemption of phenobarbitone supplied for the treatment of epilepsy. - now can supply 5 days treatment of CD 2,3,4
- 10 days supply of midazolam, clobazam and clonazepam for treatment of epilepsy
How has emergency supply at prescriber request changed?
- Previously an emergency supply of a Controlled Drug in Schedule 2, 3 or 4 at the
request of a prescriber could not be made, with the exemption of
phenobarbitone supplied for the treatment of epilepsy. - Now a pharmacist can supply 5 days supply of CD2,3,4
- can supply midazolam, clobazam, clonazepam for treatment of epilepsy
Paragraph (5) of regulation 16
Refers to supply of methadone in prison
Regulation 17
Marking of containers
Regulation 19
Keeping of a register for Schedule 1 and 2 drugs, where the requirements are specified under paragraph (5)
Regulation 20
Record-keeping in particular cases for drugs in Schedule 2
Regulation 22
Preservation of registers
Regulation 23
Preservation of records for drugs in Schedule 3, Part 1 of Schedule 4 and Schedule 5
Regulation 24
Furnishing of information with respect to controlled drugs
Regulation 25 (Miscellaneous)
Destruction of CD
How do you destruct CD2 expired drugs?
Garda witness, written out
of stock and recorded in the special section of the register
How do you destruct returned CD2 drugs?
Second pharmacy staff witness required, written into specific CD destruction book
List drugs in Schedule 1 - CD1
- Cannabinol
- Cannabinol derivatives
- Cannabis (not being a preparation specified in paragraph 5 of schedule 4 part 1)
- Cannabis resin
- Psilocin
- Raw opium
What is S.I no. 262/2019 misuse of drugs
Prescription and control of supply of cannabis for medical use purpose - to allow cannabis to be used for the treatment of persons with certain medical conditions under the care of a medical consultant
What register are patients using cannabis placed on
Cannabis for Medical Use Register
issued a CMUR number
What are the specific percentages and amounts of cannabis allowed?
Not more than 230mg of tetrahydrocannabinol (THC) per gram
A pack should contain not more than 5g in total
Oil based preparations are limited to a concentration of 3% w/v
What changes were made in 282/2019?
- Preparations containing dronabinol now included in schedule 2
- Certain cannabis products or preparations for medical use which are specified in Schedule 1 are now S2
What is dronabinol?
The major psychoactive component of cannabis
What cannabis containing products were authorised under 583/2019?
- Aurora High CBD Oil Drops
- CannEpil
What 3 oral solutions containing cannabis are now allowed?
- Aurora High CBD Oil Drops (less than 3% w/v)
- CannEpil (0.5%w/v)
- Tilray Oral Solution (1%w/v)
