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highly abusive, no medicinal use in the USex: heroin, hallucinogenic subsaces, marijuana, opiates | |
high abuse potention, accepted medical uses, not refillable, refills require a new original prescription | |
Record units dispensed, dispense the remainder within 72 hrs., tellthe physician if the remainder can't be dispensed, prescription is valid for 60 days for LTFC/terminally ill/hospice patientsPharmacist must record the date, amount dispensed and remaining, and sign the back. | |
Emergency situations for dispensing schedule 2 drugs (prescriptions called in by phone) | only if:immediate administration is requiredthere are not alternatives availablethe physician can't provide a writtn prescription at the momenta hard prescription must be provided within 72 hrs. |
less potential for abuse, prescription can be refilled 5 times within 6 monthsEx: tylenol with codeine, Vicodin, Fioricet Codeine hydrocordone with acetaminphen, acetaminophen with codeine | |
cocaine, morphine, oxycodone, amphetamine salts, Demerol (Meperidine), Methylphenidate (Ritalin), Codeine, Percocet & Opiates, Dilaudid, MS Contin, Fentanyl (Durgesic) | |
Pharmacist must record quantities dispensed and remainng, and initial/signmust be within 6 months of the original prescription date | |
less potential for abuse, same dispensing rules as schedule 3ex: Benzodiazepines, Meprobamate, Propoxyphene | |
low potential for abuse, can be sold OTC to 21 yrs and older, only sold by pharmacistno more than 240 mL or 48 solid dosages of products containing opiumno more than 120 mL or 24 solid dosages of non-opium containing productsrecord contains name of patient, date, and pharm. initials | |
Parapectolin (for diarrhea), pomethazine with codeine, guaifenesin with codeine (for cough) | |
physical inventory done yearly within 4 days of anniversarydistribution records for in-patient settingsRocords of receipt and disposition must be kept separate | |
must use DEA form 222only pharmcist can sign the form from the wholesalertranportation and payment records not required |
This class of drugs is available by injection, oral doses, tincture, suppositories and skin patches for particularly sustained release. Usually, the major narcotics are reserved for the treatment of severe pain and/or terminal conditions. When needed in chronic pain, the major narcotics, particularly the sustained release forms, are very helpful.
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Class 1 Narcotics For Pain
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