Controlled Drugs and Their Classifications

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Questions and Answers

Which of the following substances is classified as a Class B controlled drug?

Methadone

MDMA

Cocaine

Dihydrocodeine (correct)

What is the maximum penalty for possession of Schedule 4 controlled drugs?

Up to 10 years in prison

Up to 7 years in prison

There are no penalties for possession (correct)

Up to 5 years in prison

Which of the following drugs is classified as a Schedule 3 controlled drug?

Diazepam

Anabolic steroids (correct)

Tramadol

Buprenorphine

What is the penalty for dealing Class A controlled drugs?

Up to life in prison Signup and view all the answers

Which statement correctly describes the Safe Custody Regulations regarding controlled drugs?

They dictate that Schedule 5 drugs must be stored in a locked cupboard. Signup and view all the answers

Which of the following statements about Schedule 5 controlled drugs is correct?

They consist of dilute preparations of Schedule 2 drugs. Signup and view all the answers

What is a major difference between Schedule 3 and Schedule 2 controlled drugs?

Schedule 3 does not require record-keeping in the CD register. Signup and view all the answers

Which of the following drugs is required to be kept under safe custody in Schedule 3?

Buprenorphine Signup and view all the answers

In which part of Schedule 4 are most anabolic steroids classified?

Part II Signup and view all the answers

Which of the following is true regarding safe custody regulations for controlled drugs?

Only Schedule 2 and specific Schedule 3 drugs require safe custody. Signup and view all the answers

What specific record-keeping requirement differs between Schedule 2 and Schedule 3 controlled drugs?

Records of destruction are not needed for Schedule 3. Signup and view all the answers

Which schedule of controlled drugs has no destruction requirements for pharmacies?

Schedule 4 Signup and view all the answers

Which of the following statements about the classification of drugs under Schedule 4 is incorrect?

All parts of Schedule 4 require record-keeping. Signup and view all the answers

Which of the following drugs is classified under Schedule 5?

Dihydrocodeine Signup and view all the answers

What requirement is NOT necessary for the destruction of controlled drugs in Schedule 5?

Authority needed for destruction Signup and view all the answers

Which drug is found in Schedule 4 Part 1?

Diazepam Signup and view all the answers

What is true regarding dihydrocodeine when used for parenteral purposes?

It is classified as CD POM Signup and view all the answers

Which of the following is a common drug listed under Schedule 3?

Nitrazepam Signup and view all the answers

Which regulation does NOT apply to Schedule 5 controlled drugs?

Authority needed for manufacture Signup and view all the answers

What is the classification of 30mg dihydrocodeine tablets when used non-parenterally?

CD Inv POM Signup and view all the answers

Identify the drug that is classified under Schedule 2.

Methadone Signup and view all the answers

Which drug is NOT classified under Schedule 4?

Phenobarbital Signup and view all the answers

Which of the following is a common CD in Schedule 5?

Codeine Signup and view all the answers

Study Notes

Controlled Drugs - Schedules

Preparations containing a low strength of CDs do not require safe custody or entry in the CD register.
Invoices for these preparations must be kept for two years.
These preparations may be manufactured and compounded by practitioners, pharmacists, or licence holders.
No authority is needed for their destruction.

Dihydrocodeine

Dihydrocodeine tartrate is available in various formulations:
- 50mg/mL injection [CD POM]
- 30mg tablets [CD Inv POM]
- 7.46mg tablets [CD Inv P] (marketed as Paramol® tabs, containing dihydrocodeine and paracetamol)
If dihydrocodeine is for parenteral use, it is classified as a CD POM.
If dihydrocodeine is for non-parenteral use and has a maximum strength of 100mg (base), it is classified as CD Inv POM.

Relationship between Schedule and Class

Cannabis and Cannabis resin are classified as Schedule 1 and Class B.
Diamorphine is classified as Schedule 2 and Class A.
Temazepam is classified as Schedule 3 and Class C.
Phenobarbital is classified as Schedule 3 and Class B.
Raw Opium is classified as Schedule 1 and Class A.
Flunitrazepam is classified as Schedule 3 and Class C.
Nitrazepam is classified as Schedule 4 (part 1) and Class C.

Common Controlled Drugs (CDs)

Schedule 2: Diamorphine, Methadone, Morphine, Oxycodone, Pethidine
Schedule 3: Buprenorphine, Gabapentin, Pentazocine, Phenobarbital, Pregabalin, Temazepam, Tramadol
Schedule 4 (Part 1): Diazepam, Lorazepam, Nitrazepam, Zopiclone, Zolpidem
Schedule 5: Codeine, Dihydrocodeine, Morphine, Pholcodine (withdrawn)

Schedule 3 [CD No Reg POM]

Includes barbiturates (e.g., phenobarbital), buprenorphine, temazepam, and gabapentin.
Less likely to be misused than Schedule 2 drugs.
Safe custody requirements apply, except for temazepam, diethylpropion, buprenorphine, and flunitrazepam.
New drugs added to schedule 3 require safe custody, unless exempt.
Controls are similar to Schedule 2, with differences in:
- Who can possess and supply them.
- Less strict destruction requirements.
- No record is needed in the CD register.
Invoices must be retained for two years.

Schedule 4 CDs

Part I [CD Benz POM]: Contains most benzodiazepines (e.g., diazepam, nitrazepam) and ‘z’ hypnotics.
Part II [CD Anab POM]: Contains most anabolic, androgenic steroids and growth hormones.
CD prescription and labeling requirements do not apply, except for prescription validity being limited to 28 days.
HMR 2012 prescription requirements for POMs apply.
No safe custody requirements.
No requirement to keep records of supply.
No destruction requirements for pharmacies.
No restriction on possession of schedule 4 part II drugs when contained in a medicinal product.

Schedule 5 [CD Inv POM / P]

Contains dilute preparations of drugs in Schedule 2.

Advisory Council on the Misuse of Drugs

Advises the government on controlled drug misuse.
Includes people with experience in:
- Medicine
- Dentistry
- Veterinary medicine
- Pharmacy
- Pharmaceutical industry
- Chemistry
Other roles include:
- Public education
- Promoting research
- Promoting cooperation between professional groups.

Class A Drugs

Most harmful drugs with the severest penalties.
Includes:
- Cocaine
- Diamorphine
- LSD
- Opium
- MDMA
- Magic mushrooms (fresh or dried)
- Methylamphetamine
- Morphine
- Methadone
Penalties for possession: Up to 7 years in prison or an unlimited fine.
Penalties for dealing: Up to life imprisonment or an unlimited fine.

Class B Drugs

Less severe penalties than Class A.
Includes:
- Oral amphetamines (methylamphetamine is Class A)
- Barbiturates
- Codeine
- Dihydrocodeine
- Methylphenidate
- Ketamine
- Cannabis
Penalties for possession: Up to 5 years in prison or an unlimited fine.
Penalties for dealing: Up to 14 years in prison or an unlimited fine.

Class C Drugs

Less severe penalties than Class B.
Includes:
- Benzodiazepines (e.g., diazepam, midazolam, temazepam)
- GHB
- Tramadol
- Zopiclone
- Khat
- Buprenorphine
- Anabolic steroids
Safe custody applies to patient returned CDs, out-of-date CDs, and obsolete CDs until destruction, if they are normally required to be kept under safe custody.

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Description

This quiz focuses on the classification of controlled drugs, their schedules, and specific formulations like dihydrocodeine. Learn about the regulations regarding safe storage, invoicing, and destruction of these substances. Test your knowledge on the relationship between drug schedules and classifications.