Possession and Supply of CDs Flashcards
When is it lawful to possess and supply CDs?
patients
- for personal use
profesional capacity
- doctors, IPs, SPs
other classes of people with professional capacity
- midwives, post offices
home office group authority
- paramedics
home office license
- RPS museum
class of drug - if contained within a medicinal product
What are Schedule 1 CDs? What is their purpose? What are examples?
CD LIC POM
- have not therapeutic use
- hallucinogenic drugs (LSD), ecstasy type substances, raw opium
a license is required to produce, possess and supply
What are Schedule 2 CDs? What is their purpose? What are examples?
CD POM
- opioids = diamorphine, morphine, methadone, oxycodone
- major stimulants = ampethamine
- quaint baritone
- ketamine
pharmacist have a general authority to posses, supply and procure
What are Schedule 3 CDs? What is their purpose? What are examples?
CD NO REGISTER POM
- minor stimulants and other drugs
= buprenorphine, temazepam, tramadol, gabapentin
are less likely to be misused and are less harmful if misused
What are Schedule 4 CDs? What is their purpose? What are examples?
part 1 - CD Benz POM
- contain most benzodiazepines = diazepine
- contain non-benzodiazepine hypnotics = zopiclone
- contain sativex
part 2 - CD Anab POM
- contain most anabolic and androgenic steroids
- contain most clenbuterol (adrenoceptor agonists)
- growth hormones
What are Schedule 5 CDs? What is their purpose? What are examples?
CD INV POM
CD INV P
contain preparations of certain CDs that are exempt from full control when present in medicinal products or specifically low strengths
- codeine
- pholcodine
- morphine
Who can supply and administer CDs?
Schedule 1 CDs
- may only be prescribed or administered under a home office license
Schedule 2, 3, 4 and 5 CDs
- can be administered by appropriate healthcare professionals
What drugs can be prescribed for the treatment of addiction? Who can prescribe them?
cocaine, diamorphine and dipipanone
can only be prescribed by medical prescribers with a special license from the Home Secretary
- not required when treating organic disease or injury
What are the regulations regarding import and export of CDs?
a license is required to import and export Schedule 1, 2, 3 and 4.1 CDs
a license is needed for Schedule 4.2 CDs unless they are being imported/exported for self-administration
no license is required for Schedule 5 CDs
What are the regulations regarding travelling with CDs?
the home office is the regulatory body
- may require people to apply for personal licenses in certain circumstances
a personal license is not required if carrying less than 3 months supply
are advised to obtain a cover letter from their prescriber providing their
- name, travel plans, name of prescribed CD, total quantity and dose
What are requisitions? What is its purpose?
an approved form used for the requisitioning of Schedule 2 and 3 CDs in community pharmacy
- prisons and hospices are exempt
was introduced in response to the Shipman Inquiry
- aimed at ensuring the purchase of all stocks of Schedule 2 and 3 CDs by healthcare professionals within the community can be monitored
cannot supply Schedule 1 CDs on a requisition form
What are the forms for requisitions?
England
- FP10CDF
Scotland
- CDRF (private)
- GP10A (NHS supply)
Wales
- WP10CDF
Who must use requisition forms?
practitioners paramedics supplementary prescriber independent prescriber person in charge of - laboratory, hospital, care home ship owner or master installation manager of an offshore installation
What are the legal requirements of a requisition form? How long should it be kept?
signature of the recipient name of the recipient address of the recipient profession or occupation of the recipient total quantity of drug purpose of the requisition
it should be kept for 2 years
What should be done when you receive a requisition?
mark it indelibly with the supplier’s name and address or use a pharmacy stamp (must be clear and legible)
send the original requisition to the relevant NHS agency
- PPD/NHSBSA
