MSK 14 Flashcards
Control drugs are 3 different types (based on risk and harm to the public)
Class A Ex: Heroin
Class B Ex: Morphine
Class C. Ex: Codeine
Which rules govern the control drugs use and its illicit (forbidden by law, rules, or custom) ?
Misuse of Drug act and
Misuse of Drug regulations
How many schedule are there in each classification
Class A Schedule 1 severely restricted substances.
Class B Schedule 1,2,3
Class C 2,3,4,5
Class A schedule 1 need ministerial approval?
Yes
Drugs those are severely restricted substances and need ministerial approval for use. Example: Heroin
Does COCAINE need ministrial approval to prescribe ?As it is on the severely restricted substances on Class A on schedule 1 list?
exempted from ministrial approval because it has legitimated therapeutic use.
Does Class B Schedule 2 Part 1 medicines need ministerial approval?
Ministerial approval required for use except for morphine and opium.
Class B Schedule 2-part 2 need ministerial approval?
Yes
Class C schedule 3 do need ministerial approval?
not
Restrictions start on section?
Section 6 & 7
About how to deal with, possession & use of CDs
Also sets penalties
Section 8 describes about?
Permission given of therapeutic use of CDs
Who can prescribe?
Who can supply?
What can patient do with CDs?
Who can prescribe CDs?
Medical practitioner,
dentist,
veterinarian can prescribe, produce, manufacture, supply, or administer explain in the section 8
A designated prescriber,
nurse practitioner,
optometrist,
midwife who is authorised by regulation made under this act Can prescribe
For how long prescriber can prescribe control drugs (limits of prescribing) ?
Medical practitioners and nurse practitioner (medical and nurse)
Class A & Class B for 1 month
Class C=> 3 months
Dentists=> all classes for 7 days
Designated nurse prescriber can prescribe control drugs for how long?
1A drugs only and for 7 days’ supply.
Designated prescriber pharmacist can prescriber control drug for how long?
only MDR schedule 1B and 3 days’ supply only
Midwife can prescribe control drug for how long?
MDR Schedule 1C class of drug for One month’s only during labour.
How to write Control drug prescription for Class A, B & specified class C control drugs?
The prescription must be handwritten by prescriber
On a H572 form- a triplicate prescription form or on a paper generated from approved system=NZePS
But Class C would be in print or handwritten in a regular prescription form.
In triplicate form how many drugs can be prescribed?
only 2 drugs can be prescribed
What is the Number on top for CD prescription?
Every prescription has a prescription no on top which is for council or PSNZ if any prescription gets stolen then they inform pharmacy that this Prescription with the no has been stolen and do not prescribe medicine.
Date of birth required for patient if under the under the age of?
12 years
So why the Triplicate prescription form is for?
It has 3 copies • 1st copy is for our pharmacy top copy • Yellow page goes to health pack for claiming that we get paid for dispensing • And the red copy goes to Govt Medsafe. • Remember to stamp all three copies.
What we did during COV19 with control drugs?
•
Prescription is generated via approved NZePS and printed with barcode on a separate piece of paper.
• Signed by the CD prescriber
• We need a downloaded form that we can scan or enter the barcode manually
• If the prescription needs to be amended than a handwritten amendment is not acceptable, we need a new amended prescription.
• If a prescription emailed or faxed than we still needed a signed with ink prescription.
For prescription need to be maintain the following
- Every prescription has to be signed physically handwriting
- Legible and indelible
- Dated on which it was signed
- Stamped control drug prescriber
- Set out the surname with initial of the firs name and address of the person to whom the controlled drug in intended to be administered or person who has custody of the animal to which the controlled drug is intended to be administered
- Person under 12 years must need age months and years
- If dentist prescribing the prescription, then mention for “dental treatment only”
- If midwife prescribing “for midwifery use only”
- In veterinarian “for animal treatment only”
- The name of the drug needs to supply
- Cannot use any other short form or abbreviation other than those abbreviation is listed in the pharmacopeia.
- Indicate the total amount of drug that may be sold or dispensed on the one occasion. i.e repeats
- Dose and frequency of the dose with direction like external and direction of use
- If CD prescriber prescribe an unusual dose, then underline them and initial them to emphasised by being underlined.
Dispensing CD prescription who can do that?
Pharmacist and a person with authority under immediate supervision of pharmacist.
Prescription expiry and repeats in exceptions?
A medical practitioner or nurse practitioner for class A drug or Class B CDs can indicate in the prescription the how many intervals they want to dispense for the patient 7 days or in 2 occasions etc.so the 2 occasion cannot be not more than 7 days after the date of prescription and 2nd interval not more than 7 days after the termination of the interval.
