Misuse of drugs act 1971 Flashcards
What is the purpose of Misuse of Drug Regulations 2001?
- 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
When is it legal to manufacture, produce, supply, import or export CDs?
- specific exemption in the 1971 Act
- specific exemption in the 2001 act
- you possess a Home Office Licence to do so
What are Schedule 1 Drugs? (CD LIC)
- CD that requires Home Offic Licence
- Hallucinogenic drugs like LSD, ectasy-type substances and cannabis
- limited in therapeutic use
What arethe example of Scedule 2 Drugs? (CD POM)
- Prescription only
- Mainly opiates and major stimulants
- Includes:
- diamorphine (heroin)
- morphine
- dipipanone
- cocaine
- nabilone
- methadone
- pethidine
- amfetamine
- lisdexamfetamine
- secobarbital
What CD S2 can a doctor prescribed only if the doctor has a special licence for drug addiction?
- Diamorphine
- Dipipanone
- Cocaine
What are CD S2 regulations?
- Storage in CD cupboard(except quinalbarbitone)
- Strict prescription requirement
- NO emergency supplies
- NO repeats
- Dispense within 28 days
- Records
Does CD S2 has to be stored in CD cupboard? What’s the exception?
Yes, except quinalbarbitone
Does CD S2 has to comply with strict prescripment?
Yes
Is emergency supply allowed for S2?
NO
What is the time limit to dispense S2 prescription
28 days
Is repeats allowed for S2?
NO
Does S2 has to be recorded in CD register?
Yes, for drugs obtained and supplied
What are the strict prescription requirements required BY LAW for S2 & S3?
- 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
What are the further requrements for S2 & S3 prescription?
- Private Px on a pink standardised form
- Prescriber must include ID number on prvate Px
- Px sent to relevant NHS agency
Can S2 be supplie if prescriber’s address is NOT in the UK?
NO
What are required for S2 CD register entry for drugs OBTAINED?
- Date received
- Name and address from whom received
- Quantity received
What are required for S2 CD register entry for drugs SUPPLIED?
- Date supplied
- Name & address of person supplied
- Details of authority to possess
- Quantity
- Person collecting
- Was dentity requested or provided? ( for new patient)
How should entries in CD register be recorded?
- 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
How long must the CD entries be kept?
2 years
Does prescription for S2 CD need to be recorded in POM register?
Good practice for S2 private Px, not required for NHS prescription
What are the example of CD S3? (CD NoReg)
- Not register required
- small number of minor stimulate such as Benzphetamine
- others: PHENOBARBITAL, meprobamate, midazolam, TEMAZEPAM, BUPRENORPHINE, TRAMADOL, diethyl propion, flunitrazepam
Is it necessary for S3 CDs to be kept in the CD cupboard? Any exceptions?
Yes, only for:
- temazepam
- diethylpropion
- buprenorphine
- flunitrazepam
Are emergency supplies allowed for CD S3? Any exceptions?
NO, except phenorbarbital for epilepsy ( 5 days supply)
Are repeats allowed for S3?
no
What is the time limit to dispense a S3 prescription?
28 days
Is a CD register required for S3?
NO
Does prescription for Temazepam needs to adhere to strict Px requirement?
No, the only S3 that doesn’t need to
Is there a limit on the amount of CD that can be supplied?
NO
What are the requirement for requisition for S2 & S3?
- Recipient signature
- Recipient’s name, address and profession
- Total quantity of drug
- Purpose
- Copy retained and orginal sent to PPD
How many signature does a matron and midwives require for requisition of S2 & S3?
TWO
Can emergency supplies be made for CDs?
- 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
Can a messenger be allowed to collect supplies requested from a written requistion?
Yes, a messenger with written authority
How should a destruction of OUT OF DATE S2 CD be done?
- In the presence of authorised witness
* Details of date & quantity destroyed must be recorded in CD register and signed by witness
Does destruction of PATIENTS’ RETURNED S2 CD needed to be done with an authorised witness?
- No, it can be done without an authorised witness
* However, a witness is still required ie a pharmacy staff
Destruction of CDs rendered irretrievable applies to which class of CDs?
S2, S3 & S4 part 1
What are CD S4?
- Part 1 - CD Benz contains the benzodiazepines
* Part 2 - CD Anab contains the anabolic steroids
What is the time limit to dispense a prescription for S4?
28 days
Is storage required for S4?
NO
Is a CD register required for S4?
NO
What are included in S4 Part 1 (CD Benz)?
- Nitrazepam
- Diazepam
- Lorazepam
- Chlorodiapepoxide
- Chlobazam
- Zopiclone
What are included in S4 Part 2 (CD Anab)?
- Growth hormone
* Testosterone
What is the time limit for prescription for S5(CD Inv)?
6 months
What are S5 CD? (CD Inv)
- Only requirement is keeping invoices (2 years)
* Dilute preparation of S2
Example of S5?
- Codeine linctus [P]
- co-codamol 8/500 tablets [P]
- Kaoline & morphine mixture [P]
- Oramorph 10mg/5ml solution [POM] - >30mg, S2
Do patients need a licenc to take prescribed CDs abroad?
- 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
What is FP10MDA form?
- Instalment dispensing of CDs
* Any CD S2, Buprenorphine and diazepam [s4]
What is the maximum days of supply for CD instalment?
14 days
