Question 1
Question
Controlled drugs are those which carry a risk of [blank_start]harm[blank_end] to an individual or [blank_start]society[blank_end]. The Misuse of Drugs Act & Regulations governs both illicit and [blank_start]therapeutic[blank_end] use of controlled drugs.
Question 2
Question
Which of these roles cannot prescribe controlled drugs?
Question 3
Question
How long can they prescribe for?
• Medical practitioners & Nurse practitioners
- Class A & B = [blank_start]1 month[blank_end]
- Class C = [blank_start]3 months[blank_end]
• Dentists
- [blank_start]7[blank_end] days only
• Designated prescriber nurse
From Schedule [blank_start]1A[blank_end] only for [blank_start]7 days[blank_end]
• Designated prescriber pharmacist
Schedule [blank_start]1B[blank_end] only for [blank_start]3 days[blank_end]
• Midwives
Can prescribe from Schedule [blank_start]1C[blank_end] of the Regulations (pethidine, morphine or fentanyl) for [blank_start]1[blank_end] month
Answer
-
1 month
-
3 months
-
7
-
1A
-
7 days
-
1B
-
3 days
-
1C
-
1
Question 4
Question
The prescription:
Class A & Class B CD and specified Class C CD prescriptions must be [blank_start]handwritten[blank_end] by prescriber on a [blank_start]H572[blank_end] form – a triplicate prescription form
OR can be on a paper form that is electronically generated from an [blank_start]approved[blank_end] system (New Zealand Electronic Prescription Service.)
Prescriptions for controlled drugs must be dispensed within [blank_start]seven[blank_end] days of the prescribing date.
Section 24 of the Act prohibits prescribing to a person whom the prescriber believes to be [blank_start]dependent[blank_end] on
that or any controlled drug, unless that prescriber:
- is a gazetted practitioner; or
- is working in a gazetted agency;
ie [blank_start]methadone[blank_end] clinic.
Answer
-
handwritten
-
H572
-
approved
-
seven
-
dependent
-
methadone
Question 5
Question
In accordance with Regulation 31 of the Regulations, the [blank_start]maximum[blank_end] period of supply is no greater than a quantity sufficient for use for a period of:
- [blank_start]one[blank_end] month for Class A & Class B controlled drugs
- [blank_start]three[blank_end] months for Class C controlled drugs.
Question 6
Question
[blank_start]Dexamphetamine[blank_end] (CD B1) & [blank_start]methylphenidate[blank_end] (CD B2) can be supplied by:
• A medical practioner specialising in paeds or psych (for [blank_start]attention deficit hyperactivity[blank_end] disorders)
• A medical practioner specialising in internal medicine – but only for tx of [blank_start]narcolepsy[blank_end]
• Or on the recommendation of one of the above.
[blank_start]Ephedrine & pseudoephedrine[blank_end]
• Must be prescribed by a medical practitioner
Cannabinoid products
• Cannabis products are Class [blank_start]B1[blank_end] Controlled Drugs
• Sativex is the only registered product approved for use. The only approved indication is for [blank_start]spasticity due to multiple sclerosis[blank_end]. It must be endorsed “multiple sclerosis” on the prescription and be written by a [blank_start]neurologist[blank_end], or by a medical practitioner with the [blank_start]recommendation[blank_end] of a neurologist.
Answer
-
Dexamphetamine
-
methylphenidate
-
attention deficit hyperactivity
-
narcolepsy
-
Ephedrine & pseudoephedrine
-
B1
-
spasticity due to multiple sclerosis
-
neurologist
-
recommendation
Question 7
Question
MDA s20 says the Medical Officer of Health may publish statements about person to prevent supply of controlled drugs to that person.
Question 8
Question
Health Information Privacy Code (HIPC):
- Can only disclose health information to the [blank_start]Medical Officer of Health[blank_end], not to others. HIPC Rule 11(2)(j)
- Can only disclose information if it is a serious and immediate [blank_start]threat[blank_end] to public health, public safety or the life or health of an individual, and you have to tell the appropriate people, not ring around pharmacies. HIPC Rule 11(2)(d)(ii)
Question 9
Question
Needles & Syringes
First national needle exchange programme in the world!
• Originally GP and pharmacist run service, now also includes [blank_start]Drug User Groups[blank_end]
• [blank_start]Harm reduction[blank_end] – to reduce potential harm from injecting drug use
Pharmacists and [blank_start]employees[blank_end] may sell needles & syringes:
• From/at a [blank_start]registered pharmacy[blank_end]
• To a person aged over [blank_start]16[blank_end] years
• To a person aged under 16 yrs if they have a [blank_start]Rx[blank_end]
Answer
-
Harm reduction
-
Drug User Groups
-
employees
-
registered pharmacy
-
16
-
Rx