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PHAM01 > Wk 18: CD > Flashcards

Wk 18: CD Flashcards

1
Q

What schedule are cannabis based products?

A
  • Medicinal use = 2
  • Raw = 1
  • Epidyolex (contains CBD) = 5
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2
Q

Who can prescribed cannabis for medicinal use?

A

Doctor listed on specialist register of general medical council + specialist interest in condition treated

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3
Q

What is sativex?

A
  • Cannabis based oral mucosal mouth spray (CBD + dronabinol)
  • For mod/severe spasticity due to multiple sclerosis
  • Sched 4 part 1
  • Required to make record
  • Stored in fridge
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4
Q

What is nabilone + dronabinol?

A
  • Sched 2
  • Synthetic cannabinoid
  • Nabilone: N+V caused by chemo + unresponsive to anti-emetics
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5
Q

What are the diff. schedules?

A
  • Schedule 1: CD lic
  • Schedule 2: CD POM - opiates + major stimulants
  • Schedule 3: CD no reg POM - barbiturates + minor stimulants
  • Schedules 4 part 1: CD benz - benzodiazepines
  • Schedule 4 part 2: CD anab - anabolic steroids
  • Schedule 5: CD inv POM/P - lower strength
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6
Q

What are the exceptions to taking possession of schedule 1?

A
  • For destruction
  • Hand to police
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7
Q

What are the legal requirements of schedule 2 drugs?

A
  • Safe custody (except quinalbarbital)
  • Recorded in CD register
  • Specific destruction
  • Rx valid for 28 days
  • Retained for 6 years
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8
Q

What are the legal requirements for schedule 3 drugs?

A
  • Safe custody: temazepam, diethylpropion, buprenorphine + flunitrazepam
  • Rx valid for 28 days
  • Retained for 2 years
  • No record in CD + destruction requirement
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9
Q

What are the differences of schedule 3 + 4 drugs legal requirement?

A

Sched 4:

  • No restriction on import/export part II
  • No restrictions on possession part II
  • No need to be retained for 2 years
  • No safe custody requirement
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10
Q

What are the legal requirements of schedule 4 drugs?

A
  • Rx valid 28 days
  • No need for CD register
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11
Q

What are the legal requirements for schedule 5 drugs?

A
  • Invoice kept 2 years
  • Rx valid 6 months
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12
Q

What are the prescription requirements for a CD?

A
  • Indelible writing
  • Name + address of patient (FNA)
  • Signed by person issuing
  • Prescribers address
  • Date
  • Strength if more than 1
  • Dose taken (inc no.)
  • Form in full writing
  • Total quantity in words + figures
  • Dentist: ‘for dental treatment only’
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13
Q

What are the legal requirements for instalment directions on FP10MDAs?

A
  • Max 14 day supply
  • Direction: Amount of med per installment + interval btw each installment
  • Instalment direction + dose specified separately
  • Marked each date of dispensing
  • No start date: start w/in 28 days
  • Record made as per requirement
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14
Q

Which medications can be prescribed on an FP10MDA?

A
  • Sched 2
  • Buprenorphine
  • Buprenorphine/suboxone
  • Diazepam
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15
Q

When would you not supply a schedule 2/3 prescription?

A
  • Prescriber address not w/in UK
  • Before date
  • Later than 28 days after date
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16
Q

What is the good practice amount of CD drugs supplied at any given time?

A

30 days supply

17
Q

What are the legal requirements for a private prescription for CDs 2 + 3?

A
  • FP10PCD
  • Prescriber’s priv CD identification no.
  • Need CD register but good practice POM
  • OG form sent to NHSBSA
  • Kept for 2 yrs
18
Q

Which private prescriptions for CD 2 + 3 do not need to be on FP10PCD + sent to NHSBSA?

A

Hospital private Rx, vet + prison

19
Q

Which CDs can be on repeat prescriptions + which can’t be?

A
  • Can’t: 2 + 3
  • Can: 4 (28 days) + 5 (6 months)
  • No time limit for repeats
20
Q

What are the errors that a pharmacist can amend?

A
  • Minor typographical error
  • Minor spelling mistake
  • Quantity is missing in words OR figures (not both)

Mark Rx showing amendment: name, date, signature + GPhC no. (if 2 pharmacist involved, both mark)

21
Q

What are the legal requirements of requisitions forms?

A
  • Signed by recipient
  • State name, address, profession of recipient
  • Total quantity of drug
  • Purpose of use of CD
  • no need to be in words or figures
22
Q

What are the legal requirements of requisitions?

A
  • FP10CDF (except hospice, prisons + hospital if same organisation)
  • Sent to NHSBSA + kept for 2 years (good practice)
  • Vet: not sent + kept 5 yrs (legal)
  • Emergency = supply w/o CD requisition but sent w/in 24 hrs
  • Schedule 2: good practice to keep record
23
Q

If the purchaser sends another person to collect a CD requisition, what do they need?

A
  • Statement: signed, dates, statement of authorisation
  • Kept for 2 yrs
24
Q

Can a midwife destroy a CD?

A

No surrender to appropriate medical officer

25
Q

What must you include in the CD register if a CD is received?

A
  • Date received
  • Name + address of person giving
  • Quantity
26
Q

What must you include in the CD register if a CD is supplied?

A
  • Date supplied
  • Name + address
  • Detail of authority to possess
  • Quantity supplied
  • Person collecting drug (healthcare = name + address)
  • Proof
27
Q

How long should the CD register be kept?

A
  • 2 Years after last entry
  • Includes destruction: 7 yrs
28
Q

What must be stated with each supply for an installment prescription (FP10MDA)?

A

Each date of supply - also need to supply all products by date

29
Q

When making amendments in the CD register, what needs to be added to identify the person making changes?

A

Name, signature, GPhC no. + date

30
Q

What are the requirements for a CD electronic register?

A
  • Author identifiable
  • Entries can’t be altered
  • Log of data kept + recalled for audit
  • Back up
  • Access controlled to prevent unauthorized access
  • Able to view w/o disrupting dispensing process
31
Q

What is good practice to do when a patient representative is collecting CD 2 medication for drug addiction?

A
  • Sign name on FP10PCD
  • Letter of authorisation from ppt obtained every occasion + retained in pharmacy - doesn’t have to state med can be collected
  • See patient once a wk
  • Applies if detained in police custody
32
Q

What are the requirements for collecting CD 2 for supervised dose?

A
  • Contact prescriber + see if it can be given to representative - verbal confirmation needed + documented
  • Confirmation from prescriber not needed if in police custody
  • Prescription + PMR annotated to show dose has not been supervised

PHAM01 (47 decks)

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