Pharmacy contractors must have appropriate arrangements in place for securing the safe destruction and disposal of Controlled Drugs (CD / CDs). The Royal Pharmaceutical Society (RPS) has issued guidance that unwanted CDs returned from patients homes in Schedule 2, Schedule 3 and Schedule 4 (part 1) should be.
Controlled Drug Registers : A Controlled Drugs Register (CDR) must be used to record details of any Schedule 1 and Schedule 2 CDs received or supplied by a registered pharmacy. The 2001 regulations also require that additional information should be recorded in the CDR in relation to the identity of the person collecting a schedule 2 CD supplied on prescription.
In November 2013, NHS England published guidance on the supervision of management and use of CDs. It also aims to reduce the safety risks associated with CDs.
Substances subject to the full controlled drug requirements; e.g. diamorphine (heroin), pethidine, cocaine, methadone, methylphenidate, Until 2005 prescriptions for most schedule 2 & 3 drugs required certain details to be handwritten by the prescriber, unless he or she held a handwriting.
The regulations have been further tightened since Dr Harold Shipman used diamorphine to murder hundreds of his patients during the late 20th century. Special responsibilities are placed upon pharmaceutical wholesalers, pharmacies and doctors in the stocking, distribution, issuing of prescriptions, supply and disposal of items listed under the first three of the schedules.
However CD Benz products- which also include mild stimulants such as mesocarb and femcamfamine, formerly prescribed as anorectics- are illegal to supply or possess without prescription and all Sch 4 drugs cannot be legally supplied without medical authority.
Schedule 3 Controlled Drugs are exempt from safe custody requirements and can be stored on the open dispensary shelf (temazepam, buprenorphine, flunitrazepam and diethylproprion are exceptions to this rule and must be stored in a complying receptacle).
Examples of Schedule 2 controlled drugs include: diamorphine amfetamine morphine cocaine pethidine methylphenidate methadone secobarbital oxycodone.
Schedule 2 Controlled Drugs are subject, under the Misuse of Drugs Regulations 1973, to safe custody requirements, except secobarbital.
The Misuse of Drugs Act 1971 and Misuse of Drugs Regulations 2001.
Examples of drugs listed in Schedule 1 include cannabis and cannabis resin, coca leaf, lysergamide, lysergide (LSD) and mescaline. Only certain persons have been licensed by the Home Office to possess them for research and other special purposes in the public interest and they are not available in general practice.
When the Controlled Substances Act was passed by Congress in 1970, among its provisions were the classification of various substances and drugs into a series of five schedules. These are Schedule I, II, II, IV, and V. The schedules are arranged in descending order from substances with the highest.
For the most complete current listing, check the U.S. Department of Justice, Drug Enforcement Agency website. The substance or drug name appears first, with other names, if any, in parentheses.
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Examples of Schedule III controlled drugs and substances include anabolic steroids, buprenorphine (Subutex, Suboxone), Testosterone, Chlorhexadol (Mechloral, Mecoral, Melodorm, Chloralodol), Hydrocodone combination product (Lorcet, Lortab, Vicodin, Vicoprofen) and Ketamine (Ketaset, Ketalar, Special K, K).
The schedules are arranged in descending order from substances with the highest potential for abuse to least. These are Schedule I, II, II, IV, and V. When the Controlled Substances Act was passed by Congress in 1970, among its provisions were the classification of various substances and drugs into a series of five schedules. The lists are updated and published on an annual basis.
It also stipulates that the drug or substance has a currently accepted medical use in treatment in the United States and abuse of the drug or other substances may lead to moderate or low physical dependence or high psychological dependence. The classification for Schedule III substances and drugs stipulates that they have a potential for abuse less than the drugs or other substances in Schedule II.
Controlled Substance Schedules. Schedule I (CI). Drugs not used medically. Not accepted as safe for use under medical supervision. High abuse potential Schedule III (CIII). Accepted medical use. Less abuse potential than CII. May lead to moderate to low physical dependence or high psychological.
Controlled Substances ActTITLE 21 - FOOD AND DRUGSCHAPTER 13 - DRUG ABUSE PREVENTION AND CONTROLSUBCHAPTER I - CONTROL AND ENFORCEMENT. Available at http://www.fda.gov/RegulatoryInformation/Legislation/ucm148726.htm#cntlsbb.
Share Print Feedback Close Facebook Twitter LinkedIn Google+ Sections Controlled Substance Schedules Sections Controlled Substance Schedules Controlled Substance Schedules References Controlled Substance Schedules Schedule I (CI) Schedule II (CII) Schedule III (CIII) Schedule IV (CIV) Schedule V (CV). Drugs & Diseases > Protocols Controlled Substance Schedules Updated: May 15, 2014 Author: Abimbola Farinde, PharmD, PhD; more. processing.
Controlled Substance Schedule. Med TV. Available at http://drugs.emedtv.com/controlled-substances/controlled-substance-schedule.html.
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Drug Schedules. US Drug Enforcement Administration. Available at http://www.justice.gov/dea/druginfo/ds.shtml.
Available at http://www.empr.com/controlled-substance-schedules/article/123363/. Controlled Substance Schedules. MPR.
Abimbola Farinde, PharmD, PhD Faculty, Columbia Southern University Abimbola Farinde, PharmD, PhD is a member of the following medical societies: American College of Clinical Pharmacy, American Academy of HIV Medicine, American Pharmacists Association, Academy of Managed Care Pharmacy Disclosure: Nothing to disclose.
Controlled Substances-Quick Reference for Schedule. Available at http://www.dhs.wisconsin.gov/rl_dsl/Publications/cntrlSubstnc.pdf.