Answers
What must the signed order for a midwife ordering CDs contain? - Answer-- Name and
occupation of midwife
- Name of patient
- Purpose for which CD is required
- Total quantity of drug
- Signature of appropriate medical officer (authorised doctor)
What is the form called for CD requisitions in England and Wales? - Answer-FP10CDF
in England, WP10CDF in Wales.
What are the CD prescription requirements for Schedule 2 and 3 CDs? - Answer--
Prescriber signature
- Date (28 days after appropriate date)
- Prescriber's address (must be within UK)
- Dose (not as directed, PRN etc)
- Form
- Strength (if more than one available)
- Total quantity in words and figures (pharmacists can add if one present)
- Quantity prescribed (maximum 30 days supply)
- Name of patient
- Address of patient
What do dental CD prescriptions need to contain? - Answer-For dental treatment only.
What doses are not legally acceptable on a CD prescription? - Answer-- As directed
- When required
- PRN
- As per chart
- Titration dose
- Weekly (this is just a frequency and not a dose)
- Decrease dose by 3.5ml every 4 days
- Twice a day
What doses are legally acceptable on a CD prescription? - Answer-- One as directed
- Two when required
- One PRN
, - Three ampoules to be given as directed (over 24 hours)
- One to two when required
What are the requirements for an instalment prescription? - Answer-- Amount of
medicine per instalment
- Interval between each time medicine can be supplied
- First instalment must be dispensed within 28 days of appropriate date
What is the home office approved wording for instalment prescribing? - Answer-- Please
dispense instalments due on pharmacy closed days on a prior suitable day
- If an instalment's collection day has been missed, please still dispense amount due for
any remaining days of that instalment
- Consult prescriber if 3 or more consecutive days of a prescription have been missed
- Supervise consumption on collection days
- Dispense daily doses in separate containers
What do patients need if they are travelling abroad with CDs? - Answer-Personal
license only needed if carrying more than 3 months supply.
Advised to have a cover letter signed by prescriber confirming their name, travel plans,
name of prescribed CD, total quantities and dose.
Which Schedule 3 CDs require safe custody? - Answer-Buprenorphine and temazepam.
What are the legal requirements for a CD requisition? - Answer-- Signature, name and
address of recipient
- Profession or occupation
- Total quantity of drug
- Purpose of requisition
How long should CD requisitions be retained for? - Answer-2 years from date of supply.
What CDs can a midwife order? - Answer-- Diamorphine
- Morphine
- Pethidine
What is the maximum dose of pseudoephedrine and ephedrine that can be sold OTC? -
Answer-Legal restrictions on the maximum quantity of pseudoephedrine (720mg) and
ephedrine (180mg) that can be sold, and the restriction against selling the two
medicines together in a single transaction (Regulation 237 of Human Medicines
Regulations 2012). Can refuse sale if suspect misuse.
What are the 4 principles of medicines optimisation? - Answer-1. Aim to understand
patient's experience
2. Evidence-based choice of medicines
3. Ensure medicines use is as safe as possible
4. Make medicines optimisation part of routine practice