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Pharmacy Law > Misuse of drugs act 1971 > Flashcards

Misuse of drugs act 1971 Flashcards

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1
Q

What is the purpose of Misuse of Drug Regulations 2001?

A
  • To control drugs liable to abuse
  • To control treatment of drugs misusers
  • To promote education and research regarding drug addiction
  • Covers the import, export, production, supply and possesion of CDs
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2
Q

When is it legal to manufacture, produce, supply, import or export CDs?

A
  • specific exemption in the 1971 Act
  • specific exemption in the 2001 act
  • you possess a Home Office Licence to do so
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3
Q

What are Schedule 1 Drugs? (CD LIC)

A
  • CD that requires Home Offic Licence
  • Hallucinogenic drugs like LSD, ectasy-type substances and cannabis
  • limited in therapeutic use
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4
Q

What arethe example of Scedule 2 Drugs? (CD POM)

A
  • Prescription only
  • Mainly opiates and major stimulants
  • Includes:
  • diamorphine (heroin)
  • morphine
  • dipipanone
  • cocaine
  • nabilone
  • methadone
  • pethidine
  • amfetamine
  • lisdexamfetamine
  • secobarbital
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5
Q

What CD S2 can a doctor prescribed only if the doctor has a special licence for drug addiction?

A
  • Diamorphine
  • Dipipanone
  • Cocaine
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6
Q

What are CD S2 regulations?

A
  • Storage in CD cupboard(except quinalbarbitone)
  • Strict prescription requirement
  • NO emergency supplies
  • NO repeats
  • Dispense within 28 days
  • Records
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7
Q

Does CD S2 has to be stored in CD cupboard? What’s the exception?

A

Yes, except quinalbarbitone

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8
Q

Does CD S2 has to comply with strict prescripment?

A

Yes

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9
Q

Is emergency supply allowed for S2?

A

NO

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10
Q

What is the time limit to dispense S2 prescription

A

28 days

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11
Q

Is repeats allowed for S2?

A

NO

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12
Q

Does S2 has to be recorded in CD register?

A

Yes, for drugs obtained and supplied

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13
Q

What are the strict prescription requirements required BY LAW for S2 & S3?

A
  • FORM and STRENGTH(if more than one is available) of drugs
  • Total quantity in WORDS (sixty) and FIGURES (60)
  • The dose - has to be very clear
  • For dental treatment if by a dentsit
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14
Q

What are the further requrements for S2 & S3 prescription?

A
  • Private Px on a pink standardised form
  • Prescriber must include ID number on prvate Px
  • Px sent to relevant NHS agency
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15
Q

Can S2 be supplie if prescriber’s address is NOT in the UK?

A

NO

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16
Q

What are required for S2 CD register entry for drugs OBTAINED?

A
  • Date received
  • Name and address from whom received
  • Quantity received
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17
Q

What are required for S2 CD register entry for drugs SUPPLIED?

A
  • Date supplied
  • Name & address of person supplied
  • Details of authority to possess
  • Quantity
  • Person collecting
  • Was dentity requested or provided? ( for new patient)
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18
Q

How should entries in CD register be recorded?

A
  • chronological order
  • seperate register for each class, form and strength written at top of each page
  • entries made on the day or next day
  • Alteration made by a signed footnote
  • In ink or computerised
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19
Q

How long must the CD entries be kept?

A

2 years

20
Q

Does prescription for S2 CD need to be recorded in POM register?

A

Good practice for S2 private Px, not required for NHS prescription

21
Q

What are the example of CD S3? (CD NoReg)

A
  • Not register required
  • small number of minor stimulate such as Benzphetamine
  • others: PHENOBARBITAL, meprobamate, midazolam, TEMAZEPAM, BUPRENORPHINE, TRAMADOL, diethyl propion, flunitrazepam
22
Q

Is it necessary for S3 CDs to be kept in the CD cupboard? Any exceptions?

A

Yes, only for:

  • temazepam
  • diethylpropion
  • buprenorphine
  • flunitrazepam
23
Q

Are emergency supplies allowed for CD S3? Any exceptions?

A

NO, except phenorbarbital for epilepsy ( 5 days supply)

24
Q

Are repeats allowed for S3?

A

no

25
Q

What is the time limit to dispense a S3 prescription?

A

28 days

26
Q

Is a CD register required for S3?

A

NO

27
Q

Does prescription for Temazepam needs to adhere to strict Px requirement?

A

No, the only S3 that doesn’t need to

28
Q

Is there a limit on the amount of CD that can be supplied?

A

NO

29
Q

What are the requirement for requisition for S2 & S3?

A
  • Recipient signature
  • Recipient’s name, address and profession
  • Total quantity of drug
  • Purpose
  • Copy retained and orginal sent to PPD
30
Q

How many signature does a matron and midwives require for requisition of S2 & S3?

A

TWO

31
Q

Can emergency supplies be made for CDs?

A
  • Not permitted for S2 and S3 except phenobarbital(S3) for epilepsy - 5 days supply
  • Allowed for S4 and S5 - 30 days supply like the usual POM
  • Emergency supplies to a practitioner with a written requisition within 24 hours
32
Q

Can a messenger be allowed to collect supplies requested from a written requistion?

A

Yes, a messenger with written authority

33
Q

How should a destruction of OUT OF DATE S2 CD be done?

A
  • In the presence of authorised witness

* Details of date & quantity destroyed must be recorded in CD register and signed by witness

34
Q

Does destruction of PATIENTS’ RETURNED S2 CD needed to be done with an authorised witness?

A
  • No, it can be done without an authorised witness

* However, a witness is still required ie a pharmacy staff

35
Q

Destruction of CDs rendered irretrievable applies to which class of CDs?

A

S2, S3 & S4 part 1

36
Q

What are CD S4?

A
  • Part 1 - CD Benz contains the benzodiazepines

* Part 2 - CD Anab contains the anabolic steroids

37
Q

What is the time limit to dispense a prescription for S4?

A

28 days

38
Q

Is storage required for S4?

A

NO

39
Q

Is a CD register required for S4?

A

NO

40
Q

What are included in S4 Part 1 (CD Benz)?

A
  • Nitrazepam
  • Diazepam
  • Lorazepam
  • Chlorodiapepoxide
  • Chlobazam
  • Zopiclone
41
Q

What are included in S4 Part 2 (CD Anab)?

A
  • Growth hormone

* Testosterone

42
Q

What is the time limit for prescription for S5(CD Inv)?

A

6 months

43
Q

What are S5 CD? (CD Inv)

A
  • Only requirement is keeping invoices (2 years)

* Dilute preparation of S2

44
Q

Example of S5?

A
  • Codeine linctus [P]
  • co-codamol 8/500 tablets [P]
  • Kaoline & morphine mixture [P]
  • Oramorph 10mg/5ml solution [POM] - >30mg, S2
45
Q

Do patients need a licenc to take prescribed CDs abroad?

A
  • Yes, if they are travelling with CD S2, 3 and 4 (part 1 and 2) for 3 calendar months or more
  • and carrying more than 3 months of supply
46
Q

What is FP10MDA form?

A
  • Instalment dispensing of CDs

* Any CD S2, Buprenorphine and diazepam [s4]

47
Q

What is the maximum days of supply for CD instalment?

A

14 days

Pharmacy Law (3 decks)

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