Controlled drugs are substances regulated by government agencies due to their potential for abuse and dependence (e.g., opioids, benzodiazepines).
Regulatory Framework in Dispensing of Controlled Drugs:
Schedules: Drugs are classified into schedules based on abuse potential (e.g., Schedule I-V in the U.S.).
Legal Compliance: Adherence to laws such as the Controlled Substances Act.
Dispensing Process:
Prescription Requirements:
Valid Prescription: Must include date, patient information, drug details, and physician's signature.
Restrictions: Some schedules prohibit refills or require new prescriptions for each dispense.
Verification:
Authenticity Check: Ensuring the prescription is legitimate.
Patient Evaluation: Assessing for signs of misuse or diversion.
Secure Storage:
Pharmacy Security: Controlled substances stored in locked cabinets or safes.
Access Control: Limited to authorized personnel.
Record-Keeping:
Inventory Logs: Tracking quantities received, dispensed, and remaining.
Dispensing Records: Detailed logs including patient and prescriber information.
Reporting Obligations:
Regulatory Reporting: Submitting reports to agencies like the DEA.
Monitoring Programs: Participation in Prescription Drug Monitoring Programs (PDMPs) to track dispensing.
Patient Counseling:
Safe Use Instructions: Emphasizing adherence to prescribed dosages.
Risks Discussion: Highlighting potential for addiction and side effects.
Storage and Disposal: Advising on keeping medications secure and proper disposal methods.
Special Considerations:
Emergency Dispensing: Procedures for dispensing without a prescription in emergencies, following legal guidelines.
Ethical Responsibility: Balancing pain management with the risk of substance abuse.
These are the Considerations to follow while doing Dispensing of Controlled Drugs.