Recalls and Controlled substances

Class 1 recall

strong likelihood that the product will cause serious adverse effects or death

Class 2 recall

the product may cause temporary but reversible adverse effects, or in which there is little likelihood of serious adverse effects

Class 3 recall

Where a product is not likely to cause adverse effects

Controlled substances

Commonly called narcotics

Opium

substance derived from the opium poppy, causes analgesic effects and affect mood/behaviour

C-I

Strongest potential for abuse w/ no medical use in the USA

C-II

schedule II controlled substance, a drug with a high potential for abuse, must be locked up

C-V

Schedule V drugs have the lowest risk of abuse or dependence of the scheduled drugs; may be kept OTC

Form 224

Needed by pharmacy to dispense controlled substances

Form 225

To manufacture or distribute controlled substances

Form 363

To run a narcotic treatment program or compound narcotics

Form 222

Form used to order and return C-II controlled substances

Form 41

Returns to reverse distributor damaged, outdated or unwanted controlled substances

Which schedule drugs can be refilled up to 5 times?

C-III-C-V

How often must the pharmacist count Schedule II drugs?

Every 2 years

Which copy or copies of form 222 are sent to the supplier?

Copies 1 and 2

Which copy or copies of form 222 stay w/ pharmacist?

Copy 3

Who must sign form 222?

Pharmacist who signed form 224, or power or attorney

Which controlled substances cannot be filled electronically?

C-I, C-II

Controlled substance forms must be kept for how many years?

2

Where should order forms for C-III, C-IV, and C-V be kept?

Sperate from non-scheduled drugs

When delivering controlled substances to a nursing floor what must you and the nurse do?

Both count and sign

How often is narcotic inventory preformed?

2 years

Drug Diversion

The intentional misuse of a drug intended for medical purposes

unwanted, outdated, or unusable controlled substances must be returned to:

Distributor