Classifications and Prescription Requirements of Controlled Drugs

- Scheduel 1 --> can't be used for medicinal purposes - Schedule 2 --> opiates and major stimulants e.g. amphetamines - Schedule 3 --> barbiturates (except secobarbital) What 5 schedules are CDs split into? - Schedule 4 --> benzodiazepines, zaleplon, zolpidem and zopicone (part I) --> anabolic and androgenic steroids and derivatives - Schedule 5 --> preparation of certain controlled drugs where there is negligible risk of abuse What is required in order to possess, supply or produce schedule 1 drugs? Home Office License Give examples of Schedule 1 drugs - hallucinogenic drugs (LSD) - MDMA - cannabis What was the Cannabis Regulation change in 2018? Moved cannabis-based products for medicinal use from Schedule 1 to Schedule 2 - restrict routes of access What was the importance of this regula- limit prescribing to specialist doctors on tion change? the GMC's specialist register - the product is or contains cannabis, cannabis resin, cannabinol, or a cannabinol derivative What are the 3 requirements for moving - is produced for medicinal use in hua Schedule 1 drug to Schedule 2? mans - is a product that is regulated as a medicinal product, or an ingredient of a medicinal product 1/4 - CD prescription writing requirements What requirements apply to Schedule 2 - safe custody requirements drugs? - record-keeping requirements - diamorphine - morphine - methadone - oxycodone Give examplse of Schedule 2 drugs - CD special prescription writing requirements For Schedule 3 drugs what requirements - safe custody requirements apply? - records DO NOT need to be kept in CD registers but invoices and like records do need to be kept for 2 years - gabapentin - pregabalin - temazepam - tramadol - midazolam Give example of Schedule 3 CDs contains: - benzodiazepines (except temazepam and midazolam) - nonbenzodiazepine hynotics (zopiSchedule 4 drugs are split into two parts. clone) Give a description of part I - Sativex (have to keep records of this) No restriction on possession when contained in another medicinal product contains: Schedule 4 drugs are split into two parts. - most anabolic and androgenic steroids Give a description of part II - clenbuterol (adrenoreceptor stimulant) - growth hormones What are the requirements for Schedule 5 drugs? Retain invoices for 2 years Give examples of Schedule 5 drugs - pholcodine - codeine Define emergency supply supplying an item without a prescription 2/4 - Schedule 2 What schedules of drugs can't pharma- Schedule 3 (except phenobarbital for cists provide an emergency supply for? epilepsy) How long is a CD prescription valid for? - Schedule 2-4 is 28 days - Schedule 5 is 6 months For which Schedule of CDS do invoices need to be retained for at least 2 years - Schedules 3 and 5 1. Signature of prescriber 2. Date 3. Address of prescriber (must be in UK) 4. Name of CD 5. Form of CD 6. Strength of CD 7. Dose (can't say 'as advised' or 'as directed') What are the 13 prescription writing re8. Total quantity in words and figures quirements for Schedule 2 and 3 CDs? 9. MAX quantity of CDs supplied shouldn't exceed 30 days 10. Name of patient 11. Address of patient 12. Dental wording for dental prescriptions 13. Instalment direction if supplied in instalments What action should you take as a phar- Don't dispense the prescription and remacist if all of the legal details aren't turn it back to the prescriber for the missincluded in in the prescription? ing info to be added They must include: - the amount of medicine to be supplied per installment What are the rulings for Installment pre- - Interval between each time the mediscriptions for Schedule 2 and 3 drugs cine is supplied - first installment must be dispensed within 28 days after the prescription date 3/4 What action would a pharmacist need to Instalment may be dispensed but subtake if an installment is for more than one tract the number of missed days day and the collection is missed? What action would a pharmacist need to take if a schedule 2 of 3 CD prescription contains technical errors, for example, the words OR numbers of the total quantity are removed? - A pharmacist can amend the prescription indelibly - must mark the prescription with their name, date, signature, and GPhC reg number What CAN'T pharmacists amend? Other omissions or amendments e.g. missing date - must be written on designated standardised forms. In England the form type is FP10PCD type What are the rulings for private prescrip- - must include a prescriber identification tions for Schedule 2 and 3 CDs? number (can't dispense if this isn't present) - Original private prescriptions must be submitted to the relevant NHD agency - determine whether the patient collecting is the patient, the patient's representative, or healthcare professional When a patient is collecting a Schedule 2 drug, the pharmacist is legally required --> for a representative request ID unless to... How? already known to the pharmacist --> for healthcare professional name, address and identity unless already known to the pharmacist 4/4