Rx writing and Schedules of Controlled Drugs Flashcards
Instead of U use:
unit
Instead of IU use:
international unit
Instead of QD, QOD use:
daily and every other day
Instead of MS, MSO4, MgSO4 use:
morphine and morphine sulfate
Instead of ug use:
mcg
Instead of HS use:
half strength or at bedtime
Instead of TIW use:
3 times weekly or three times weekly
Instead of SC of SQ use:
Sub-Q, subQ or subcutaneously
Instead of D/C use:
discharge
Instead of cc use:
mL
Instead of AS, AD, AU, OS, OD, OU use:
left ear, right ear, both ears
left eye, right eye, both eyes
What are legend drugs?
Not controlled, but require an Rx
Why might it be beneficial to write a Rx for an OTC drug?
Insurance may cover the Rx for the patient
Schedule I drugs:
Illicit drugs
High potential for abuse
No accepted medical use in the US, lack of accepted safety
Ex- heroin, MDMA, LSD, marajuana
Schedule II drugs:
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
Schedule III drugs:
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
Why are Schedule II drugs with the addition of APAP often considered Schedule II drugs?
Ceiling effect, less likely to abuse
Schedule IV:
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
Schedule V:
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
In addition to general Rx requirements what else do Schedule drugs require?
DEA #
Refills for Schedule III-V?
Only allowed 5 refills and/or valid for 6months (whichever comes first)
Refills for Schedule II drugs?
NO refills
Hard copy required
Signature required
State laws may vary
