Controlled Drugs Class Notes

1. opiate Any of the natural opioid analgesic alkaloids found in the opium poppy plant. 2. Opioid Any chemical that resembles opiates in its pharmacological effects 3. Psychotropic agent that affects mental processes 4. Habituation The build up of tolerance against an opioid needing a higher dosage to get the same effect 5. substitution therapy replacement therapy in which a substitute substance is used to help the patient give up on illicit drug use and to minimise harm 6. Drugs used for substitution therapy Methadone and buprenorphine of heroin 7. Methadone Fully opioid agonist orally active has a longer half life than heroin 8. Methadone disadvantages initial care has a high risk of death due to very low dosing needed If a dose is missed it takes 3 days to restabilise 9. Buprenorphine partial opioid agonist and partial antagonist sublingual tablets withdraws are milder 10. Suboxone buprenorphine/naloxone sublingual film or tablets 11. Naloxone 1/5 opioid antagonist which is inactive sublingually but blocks heroin when injected 12. Main legislation on controlled drugs Misuse of drugs act 1971 Misuse of drugs regulations 2001 13. Misuse of drugs Act 1971 1. established the Advisory Council on the Misuse of Drugs 2. introduced a classification system for controlled substances 3. placed restrictions on the importation, exportation, production, prescribing and supply of controlled drugs 4. created a series of offences and penalties in relation to controlled drugs 5. gave powers to the Secretary of State to make regulations for preventing the misuse of controlled drugs 14. offences under misuse of drugs act • unlawful possession of a controlled 1971 substance • possession of a controlled substance with intent to supply it • supplying or offering to supply a controlled substance (even if no charge is made for the drug) • manufacturing a Controlled Drug • import or export of a Controlled Drug 15. Advisory council on the misuse of drugs Formed by misuse of drugs act 1971, aim to review drugs that are likely to be misused and inform the public about drug misuse. 16. classes of controlled drugs A,B and C where A is the most serious Drugs are can be upgraded or downgraded 2/5 17. Misuse of Drugs Regulations 2001 define the categories of persons who are authorised to prescribe, supply and possess controlled drugs whilst acting in their professional capacities 18. Schedules Degree of control 19. schedule 1 CD Lic POM Most tightly controlled include raw opioids and hallucinogenics 20. Schedule 2 CD POM Opiates that have medicinal use 21. Schedule 3 CD no reg POM Minor stimulates that have no requirements to be recorded in a CD register 22. Schedule 4 CD Benz POM and CD Anab POM part 1 includes benzodiazepines part 2 includes anabolic and androgenic steroids 23. Schedule 5 CD Inv POM or CD Inv P Include CDs that are not POMs 24. professionals able to prescribe schedule 2-5 drugs Doctors, vets and dentists Nurses and independent pharmacist can prescribe these drugs except coke and diamorphine 25. Private prescriptions requirements Written on standardised form for schedule 2 and 3 drugs Must include prescribers unique identification number The original prescription must be submitted to the NHS Business Services Authority which is done on a monthly basis 3/5 26. veterinary requirements for prescribing sched 2 and 3 CDS do not need to be written on standardised forms or submitted to the relevant NHS agency Copy must be held for 5 years 27. Which schedules requires prescrip- 2 and 3 tion requirements? 28. Which schedule prescriptions are valid for 28 days 2-4 29. Which schedule prescriptions are valid for 6 months 5 30. Which schedules cannot be given as 2 and 3 an emergency supply 31. Which schedule drug invoices must 3 and 5 be kept for 2 years 32. Controlled drug requisitions Not prescriptions so patient details are not needed. Allows a pharmacist to buy CDs from another pharmacy to supply a healthcare professional 33. date expired pharmacy stock It is a legal requirement for pharmacy contractors to have stocks of obsolete, expired and unwanted Schedule 1 and 2 CDs destroyed in the presence of an authorised witness. 34. denaturing Sched 2,3 and part 4 drugs should be rendered irretrievable after being returned by a patient 35. CD register Pharmacies must keep a record of the sched 1 and 2 drugs that they have obtained and supplied 4/5 36. CD register requirements when re- The date supplied, the name and adceived by pharmacy dress of supplier along with the quantity 37. CD register requirements when sup- The date the supply was made, the plied by pharmacy name and address of the person supplying to along with their prescription details. The quantity supplied and if the patient themselves collected. 5/5