N&P Flashcards

1
Q

why are there controls on n& p

A

contain substance that are considered high risk and likely to be misused or abused

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2
Q

definition for cd

A

under mda- 1st schedule of mda

  • preperations containing psychotropic substances, codeine and dextromethrophan under HPA ( TP )
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3
Q

mda under who, + in practice

and intended for

A

ministry of home affairs and enforced by cnb
in practise, minister of home affairs appoints HSA to administer control system that regulates lawful dealings in CDs

intended for controlling drug addiciton and abuse

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4
Q

mda prohibits what kind of actions

A

dealings

  • manufacture
  • import and export
  • trafficking - including supply
  • possession
  • consumptions
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5
Q

exemptions ! in mdr

A
  • lawful dealings of CD fr legitimate medical and scientific use
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6
Q

in order for lawful dealing of CD u need to ___

A
  1. have cd license

2. be a specified certain class of persons allowed to handle CDs under certain circumstances

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7
Q

how are the cds scheduled in the MDR

A
first schedule (S1) 
- cd in small qty or relatively low risk of being abused 

s2 - high risk of abuse , also have use as medicine

s3 - have some use of medicine, relatively less risk of abuse than s2

s4 - high risk of abuse , little therapeutic value

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8
Q

how do u import or export or supply/ administer CDs

A
  • CD(import) license to import
  • CD ( export) license to export
    ^ on top of regular requirements
  • need CD license to supply - mainly inteded for wholesale supply

any person can import or export CD of section 1 without license

following persons can supply cds in schedule 1-3

  • practitioner
  • pharmacist
  • person lawfully conducting retail pharmacy business
  • nurse in charge of ward according to instructuons of doctor/ dentist
  • person engaged in scientific education or research
  • master of singapore flagged ship without doctor can supply to own crew members, to persons who can lawfully supply cds

for administering

  • anyone can administer S1 to another person
  • for s2 and s3 must be doctor/dentist or someone acting according to instructions of doctor or dentist
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9
Q

who can lawfully possess CDs

A
  • person w cd license can possess cd specified in the license
  • persons who can lawfully supply cd in s2 or s3 can posess
  • master of sg flapped shit w/o doctor
  • foreign ship port in sg
  • if person has it for administration by instructions of practitioner , as long as cd not obtained by more than 1 doctor by fraud
    ( must have a prescription )

^ all can have s2 and s3

s1 anyone can have possession of it

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10
Q

posession of cd vs non cd

A

non cd even without prescription - posession is not unlawful

but for cd , poseesion without prescription ( fo rs2and s3 ) is unlawful

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11
Q

who else is generally allowed for lawful posession

A
  • person in legitimate business of transporting cd between 2 parties who are also lawfully able to posess the cd
  • person in lab engaged to examine the cd
  • cnb officer in the course of his duty or for official purposes
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12
Q

cds in s2 and s3 can only be supplied if

A
  • there is prescription - r11

- requisition order for wholesale type of supply - similar to signed order - r10

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13
Q

requisition order requirements

A

r10 of MDR- documents to be obtained by supplier

signed by person to whom it is supplied
name,address and profession or occupation of recipient
purpose for which drug supplied
total qty to be supplied

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14
Q

requirements for prescription

A

r11 of MDR- form of prescription

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15
Q

are repeats allowed for cd prescriptions

A

no but can be done in instalments

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16
Q

cd prescriptions cannot be dispensed unless

A

r12 of MDR

17
Q

cd register must be kept of all records of movements of stocks of which 2 schedules of cd

and it must be done in what kind of book

A

2 and 4 - more tighter controls

bound book

18
Q

cd register entries to be made how

A

chronological order

r14 , 15 ,

19
Q

how long must cd documents and registers be kept of r

A

at least 3 yrs from the date of the last transaction

20
Q

cd labels - for stock container

A

r13- marking of bottles and other containers

21
Q

storage of cd

A

r20= storage of controlled drugs

22
Q

cd disposal

A

r28

23
Q

under hpa -tp which is subject to tighter controls

A

psychotropic substances in 1st schedule
which are mind altering and have potential for abuse

& products w opioids/ dextromethorphan

24
Q

international trade and movement of psychotropic substances governed by

A

international conventions eg INCB
international narcotics control board

system of cross checkign all import export transactions involving such substances is for curbing diversion and illicit trade

25
Q

importation requirements for pychotropic substances

A
  • r6- obtain prior approval from authority for each consignment
26
Q

psychotorpic substances importation for personal use

A

not allowed r52

27
Q

exporter psychotropic substance requirement

A

r8 r9

need consignment
for psychotorpic and codeine, not needed for dextrometorphan

before approval granted, exporter must show that intended importer has approval from authorities in importing country

28
Q

supply limits for codeine

A

r14