CDSA - Controlled Drugs and
Substances Act
CDSA is a _____________ law and applies to the handling of ____________
__________ in Canada - answer federal law
controlled substances
NSAA is a ____________ act and affects dispensing of _______________ drugs -
answer provincial act
monitored drugs
Where can CDSA and Narcotic safety and awareness (NSAA) legislation be found
online? (3) - answer1. OCP site
2. Gov't of Canada Justice Laws site
3. ON gov't e-laws site
Legislation is made up of ______ and _______________ - answer acts and regulations
Legislation is created and put into force by _______________. - answer government
note: ALL levels of government can create legislation
Act vs Regulation - answerAct outlines what may or may not be done (defining
legislation)
Regulations give more detailed rules about how to be achieve what may or may not be
done (defining legislation)
Schedule - answerWhen a list of information is required, it is generally contained in a
section called the schedule
Schedules can be found in acts and regulations
What are the 2 main acts which govern the handling and dispensing of controlled
substances in canada? - answer1. CDSA (controlled drugs and substances act)
2. FDA (food and drugs act)
3 major types/classifications of controlled substances in Canada - answer1. Narcotics
2. Controlled Drugs
3. Benzodiazepines and Other Targeted Substances
3 sets of regulations governing narcotic, controlled drugs, and benzodiazepines/other
targeted substances - answer1. narcotic control regulations (under CDSA)
2. Food and Drugs Regulations Part G (under FDA)
3. Benzodiazepines and other targetted Substances Regulations (under CDSA)
,The federal gov't developed CDSA to control ________, ________, and _______ of all
controlled substances in canada. - answerimport
export
distribution
controlled substance vs controlled drug - answercontrolled drug refers *only* to items
listed in schedule G to the FDA Regulations
controlled substances may alter mental processes and produce harm to one's health
when distributed/used without supervision
Controlled substances are divided into how many schedules? - answerSchedule 1 to
VIII
Are schedules I to VIII for controlled substances used by pharmacists and pharm techs
when dispensing prescriptions? - answerNo - only for law enforcement - penalties for
manufacturing, possession and trafficking of controlled substances
Note they are not the same as NAPRA schedules either
Defined by CDSA, which practitioners are allowed to prescribe controlled substances? -
answer1. MD Medical Doctors
2. DDS Dentists
3. DVM Veterinarians
4. "Any other person" prescribed as a practitioner (midwives, podiatrists, nurse
practitioners)
In Ontario can nurse practitioners prescribe controlled substances? - answerNo,
*provincial legislation* needs to be amended to permit it
Note: nurse practitioners are defined as practitioners under CDSA (federal) regualtions
narcotic - answerany substance, or anything that contains any substance, included in
the Schedule to the Narcotic Control Regulation (NCR)
labelled with an "N" symbol adjacent to the trade name in the upper left-hand quarter
2 main categories/classes of drugs of narcotic? - answer1. Narcotic Drugs (schedule N)
"written prescription narcotics", "straight narcotics", or "reportable narcotics"
2. Narcotic preparations (verbal prescription narcotics or exempted codeine
preparations)
Regulations define verbal prescription narcotics and exempted codeine preparations.
Narcotic products that dont meet definitions are classified as narcotic drugs
, Do narcotic drugs and narcotic preparations have the same rules regarding purchase
and sale record requirements, rx requirements and dispensing/sale to patient? -
answerNo, each category/class of narcotics has slightly different rules set out in NCR
Narcotic Drugs List - answer-Products containing only a single narcotic ingredient
(straight narcotic, codeine tablets)
-narcotics in an injectible form for parenteral use (meperidine injection)
-narcotic compounds containing more than one narcotic drug
-narcotic compounds containing less than 2 other non-narcotic ingredients
- compounds containing methsone, hydrocodone, oxycodone, pentazocine (even if in
combinaiton with 2 or more non-narcotic medicinal ingredients)
narcotic drug or narcotic preparation?
-containing only a single narcotic ingredient (i.e. codeine tablets) - answerNarcotic Drug
narcotic drug or narcotic preparation?
narcotics in an injectible form for parenteral use (meperidine injection) - answernarcotic
drug
narcotic drug or narcotic preparation?
narcotic compounds containing more than one narcotic drug - answernarcotic drug
narcotic drug or narcotic preparation?
narcotic compounds containing less than 2 other non-narcotic ingredients -
answernarcotic drug
narcotic drug or narcotic preparation?
compounds containing methsone, hydrocodone, oxycodone, pentazocine (even if in
combinaiton with 2 or more non-narcotic medicinal ingredients) - answernarcotic drug
Can a narcotic drug be ordered verbally? - answerno - requires written/ faxed
prescription from the prescriber
Can narcotic drug prescriptions be refilled? - answerno, they may be prescribed as part-
fills and dispensed in divided portions.
-need to have total qty to dispense and part-fill qty indicated
Can narcotic drugs be transferred? (including part-fill)? - answerNo
record for dispensing for all prescriptions must include?
Substances Act
CDSA is a _____________ law and applies to the handling of ____________
__________ in Canada - answer federal law
controlled substances
NSAA is a ____________ act and affects dispensing of _______________ drugs -
answer provincial act
monitored drugs
Where can CDSA and Narcotic safety and awareness (NSAA) legislation be found
online? (3) - answer1. OCP site
2. Gov't of Canada Justice Laws site
3. ON gov't e-laws site
Legislation is made up of ______ and _______________ - answer acts and regulations
Legislation is created and put into force by _______________. - answer government
note: ALL levels of government can create legislation
Act vs Regulation - answerAct outlines what may or may not be done (defining
legislation)
Regulations give more detailed rules about how to be achieve what may or may not be
done (defining legislation)
Schedule - answerWhen a list of information is required, it is generally contained in a
section called the schedule
Schedules can be found in acts and regulations
What are the 2 main acts which govern the handling and dispensing of controlled
substances in canada? - answer1. CDSA (controlled drugs and substances act)
2. FDA (food and drugs act)
3 major types/classifications of controlled substances in Canada - answer1. Narcotics
2. Controlled Drugs
3. Benzodiazepines and Other Targeted Substances
3 sets of regulations governing narcotic, controlled drugs, and benzodiazepines/other
targeted substances - answer1. narcotic control regulations (under CDSA)
2. Food and Drugs Regulations Part G (under FDA)
3. Benzodiazepines and other targetted Substances Regulations (under CDSA)
,The federal gov't developed CDSA to control ________, ________, and _______ of all
controlled substances in canada. - answerimport
export
distribution
controlled substance vs controlled drug - answercontrolled drug refers *only* to items
listed in schedule G to the FDA Regulations
controlled substances may alter mental processes and produce harm to one's health
when distributed/used without supervision
Controlled substances are divided into how many schedules? - answerSchedule 1 to
VIII
Are schedules I to VIII for controlled substances used by pharmacists and pharm techs
when dispensing prescriptions? - answerNo - only for law enforcement - penalties for
manufacturing, possession and trafficking of controlled substances
Note they are not the same as NAPRA schedules either
Defined by CDSA, which practitioners are allowed to prescribe controlled substances? -
answer1. MD Medical Doctors
2. DDS Dentists
3. DVM Veterinarians
4. "Any other person" prescribed as a practitioner (midwives, podiatrists, nurse
practitioners)
In Ontario can nurse practitioners prescribe controlled substances? - answerNo,
*provincial legislation* needs to be amended to permit it
Note: nurse practitioners are defined as practitioners under CDSA (federal) regualtions
narcotic - answerany substance, or anything that contains any substance, included in
the Schedule to the Narcotic Control Regulation (NCR)
labelled with an "N" symbol adjacent to the trade name in the upper left-hand quarter
2 main categories/classes of drugs of narcotic? - answer1. Narcotic Drugs (schedule N)
"written prescription narcotics", "straight narcotics", or "reportable narcotics"
2. Narcotic preparations (verbal prescription narcotics or exempted codeine
preparations)
Regulations define verbal prescription narcotics and exempted codeine preparations.
Narcotic products that dont meet definitions are classified as narcotic drugs
, Do narcotic drugs and narcotic preparations have the same rules regarding purchase
and sale record requirements, rx requirements and dispensing/sale to patient? -
answerNo, each category/class of narcotics has slightly different rules set out in NCR
Narcotic Drugs List - answer-Products containing only a single narcotic ingredient
(straight narcotic, codeine tablets)
-narcotics in an injectible form for parenteral use (meperidine injection)
-narcotic compounds containing more than one narcotic drug
-narcotic compounds containing less than 2 other non-narcotic ingredients
- compounds containing methsone, hydrocodone, oxycodone, pentazocine (even if in
combinaiton with 2 or more non-narcotic medicinal ingredients)
narcotic drug or narcotic preparation?
-containing only a single narcotic ingredient (i.e. codeine tablets) - answerNarcotic Drug
narcotic drug or narcotic preparation?
narcotics in an injectible form for parenteral use (meperidine injection) - answernarcotic
drug
narcotic drug or narcotic preparation?
narcotic compounds containing more than one narcotic drug - answernarcotic drug
narcotic drug or narcotic preparation?
narcotic compounds containing less than 2 other non-narcotic ingredients -
answernarcotic drug
narcotic drug or narcotic preparation?
compounds containing methsone, hydrocodone, oxycodone, pentazocine (even if in
combinaiton with 2 or more non-narcotic medicinal ingredients) - answernarcotic drug
Can a narcotic drug be ordered verbally? - answerno - requires written/ faxed
prescription from the prescriber
Can narcotic drug prescriptions be refilled? - answerno, they may be prescribed as part-
fills and dispensed in divided portions.
-need to have total qty to dispense and part-fill qty indicated
Can narcotic drugs be transferred? (including part-fill)? - answerNo
record for dispensing for all prescriptions must include?
