Rx writing and Schedules of Controlled Drugs

Question 1

Instead of U use:

Answer 1

unit

Question 2

Instead of IU use:

Answer 2

international unit

Question 3

Instead of QD, QOD use:

Answer 3

daily and every other day

Question 4

Instead of MS, MSO4, MgSO4 use:

Answer 4

morphine and morphine sulfate

Question 5

Instead of ug use:

Answer 5

mcg

Question 6

Instead of HS use:

Answer 6

half strength or at bedtime

Question 7

Instead of TIW use:

Answer 7

3 times weekly or three times weekly

Question 8

Instead of SC of SQ use:

Answer 8

Sub-Q, subQ or subcutaneously

Question 9

Instead of D/C use:

Answer 9

discharge

Question 10

Instead of cc use:

Answer 10

mL

Question 11

Instead of AS, AD, AU, OS, OD, OU use:

Answer 11

left ear, right ear, both ears

left eye, right eye, both eyes

Question 12

What are legend drugs?

Answer 12

Not controlled, but require an Rx

Question 13

Why might it be beneficial to write a Rx for an OTC drug?

Answer 13

Insurance may cover the Rx for the patient

Question 14

Schedule I drugs:

Answer 14

Illicit drugs
High potential for abuse
No accepted medical use in the US, lack of accepted safety
Ex- heroin, MDMA, LSD, marajuana

Question 15

Schedule II drugs:

Answer 15

High potential for abuse
Currently accepted medical use in the US with severe restrictions
Abuse could lead to severe psychologic or physical dependence
Ex- morphine, fentanyl, methadone, methylphenidate, amphetamines, oxycodone, oxycontin, percocet, Vicodin

Question 16

Schedule III drugs:

Answer 16

Potential for abuse less than I and II
Accepted medical use in the US
Abuse may lead to moderate or low physical dependence or high psychological dependence
Ex- buprenorphine, codeine/APAP, dronabinol, testosterone products

Question 17

Why are Schedule II drugs with the addition of APAP often considered Schedule II drugs?

Answer 17

Ceiling effect, less likely to abuse

Question 18

Schedule IV:

Answer 18

Similar potential for abuse as Schedule III (low)
Accepted medical use in the US
Abuse may lead to limited physical or psychological dependence(relative to schedule III)
Ex- Benzos, Ambien, phenobarbitol, modafinil, tramadol

Question 19

Schedule V:

Answer 19

Low potential for abuse
Accepted for medical treatment in the US
Abuse may lead to limited physical or psychological dependence
Ex- cough syrups containing small amounts of codeine, pregablin(Lyrica), antidiarrheals containing small amounts of opium or diphenoxylate

Question 20

In addition to general Rx requirements what else do Schedule drugs require?

Answer 20

DEA #

Question 21

Refills for Schedule III-V?

Answer 21

Only allowed 5 refills and/or valid for 6months (whichever comes first)

Question 22

Refills for Schedule II drugs?

Answer 22

NO refills
Hard copy required
Signature required
State laws may vary