Prescription Writing Flashcards
What did the Durham-Humphrey Amendment to the Food, Drug, and Cosmetic Act of 1938 do? Also when was the amendment enacted?
1951, They limited 3 classes of drugs to prescription use only:
1. Certain habit-forming drugs (Controlled Substances)
2 Drugs not safe for use without supervision of licensed practitioner
3. Drugs limited to prescription use under an NDA
What are some considerations for classification of non prescription drugs?
- Self-Diagnosable and treatable
- Toxicity? Habit-forming? High dose safety profile?
- Benefits out weight potential harm
- methods appropriate
- Directions understood by layman
What information must be on a prescription order?
- Drug- generic or brand
- Date
- ID of prescriber
- Patient infomation
- Symbol Rx
- Drug, Strength, and Quantity
- Directions for patient: Dosing regimen
- Refill information
- Child proof Container
- Signiture and DEA number
What did the controlled substance act of 1970 do?
Provided for control of manufacture and distribution of depressant and stimulant drugs and other drugs with abuse potential.
What are drugs ranked into 5 schedules based upon?
- Medical Usefulness
- Abuse potential
- Degree to which they may lead to physical or psychological dependence if they are abused
What are the difference(s) between Schedule I and Schedule II drugs?
Schedule one has no medical use. They both have high abuse potential, high physical and psychological dependence risk
What is the difference(s) between a schedule II and a Schedule III?
Schedule III has only a moderate abuse potential and a moderate physiological dependence risk.
What is the difference between a schedule III and a schedule IV drug?
Schedule III has moderate abuse potential, moderate physiological risk of dependence and a high risk of psychological dependence.
Schedule IV has a low risk of: abuse potential, and physiologic and psychological risk of dependence.
What are the characteristics of Schedule V drugs?
They have medical usefulness, limited abuse potential, and the lowest risk of physiological and psychological dependence. Can be OTC in some states, but treated like schedule II-IV in Colorado
Give an example of one drug from each category of scheduled drugs.
I. Marijuana; hallucinogenic; opium
II. Hydrocodone +/- non-opioids; barbituates; stimulants
III. Opiodis and stimulants
IV.stimulants; benzodiazepines; nonbenzodiazepine hypnotic agents
V. Opioids
Can schedule I drugs be prescribed?
No
What schedule drugs need prescriptions in Colorado?
II-V
Can schedule II drugs be called in?
No they must be written prescription
How many times can schedule III-V drugs be refilled in 6 months?
No more than 5
Convert the following from Household measurements to Metric:
1 grain
1 ounce
2.2 pounds
- 8 mg
28.35 grams
1000 grams
