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PEBC Study #5
5. Health Canada, CDSA & Federal Laws
| Question | Answer |
|---|---|
| What part of the Food and Drugs Act is for Regular Drugs? | Part C |
| What part of the Food and Drugs Act is for controlled drugs? | Part G |
| What part of the Food and Drugs Act is for vitamins, minerals and amino acids? | Part D |
| What part of the Food and Drugs Act is for restricted drugs? (Not used in pharmacy practice) | Part J |
| What class on the OCP regulation chart is buprenorphine | Narcotic drugs |
| What class on the OCP regulation chart is codeine | narcotic drugs |
| What class on the OCP regulation chart is fentanyl | narcotic drugs |
| What class on the OCP regulation chart is hydromorphone | narcotic drugs |
| What class on the OCP regulation chart is ketamine | narcotic drugs |
| What class on the OCP regulation chart is Lomotil | narcotic drugs |
| What class on the OCP regulation chart is methadone | narcotic drugs |
| What class on the OCP regulation chart is meperidine | narcotic drugs |
| What class on the OCP regulation chart is morphine | narcotic drugs |
| What class on the OCP regulation chart is nabilone | narcotic drugs |
| What class on the OCP regulation chart is oxycodone | narcotic drugs |
| What class on the OCP regulation chart is Percocet | narcotic drugs |
| What class on the OCP regulation chart is teva-lenoltec No. 4 | narcotic drugs |
| What CDSA classification is described as all products containing only 1 straight narcotic | narcotic drugs |
| What CDSA classification contains all narcotics for parenteral use | narcotic drugs |
| What CDSA classification is described as narcotic compounds containing 1 narcotic and 1 non-narcotic active ingredient | narcotic drugs |
| Narcotic drugs are automatically classified under this category if they contain any of the following 5 narcotics | diacetylmorphine (heroin), hydrocodone, methadone, oxycodone, pentazocine |
| The classification of narcotic drugs CAN or CANNOT be received as a verbal Rx? (prior to CDSA s56(1) exemption) | Cannot |
| How many times can Benzodiazepines & Other Targeted Substances be transferred? (prior to CDSA s56(1) exemption) | Once |
| Which two CDSA classifications CANNOT have refills on prescriptions? (but can have part fills with total authorized quantities) | Narcotic drugs & narcotic preparations |
| What CDSA classification is described as all combinations for non-parenteral use, containing only 1 narcotic and 2 or more non-narcotic ingredients | narcotic preparations |
| What class on the OCP regulation chart is Fiorinal | narcotic preparations |
| What class on the OCP regulation chart is Robitussin AC | narcotic preparations |
| What class on the OCP regulation chart is Teva-lenoltec No. 2 | narcotic preparations |
| What class on the OCP regulation chart is teva-lenoltec No. 3 | narcotic preparations |
| What are the ingredients and strengths of Teva-lenoltec No. 1 | 300mg acetaminophen, 15mg caffeine, 8mg codeine |
| What are the ingredients and strengths of Teva-lenoltec No. 2 | 300mg acetaminophen, 15mg caffeine, 15mg codeine |
| What are the ingredients and strengths of Teva-lenoltec No. 3 | 300mg acetaminophen, 15mg caffeine, 30mg codeine |
| What are the ingredients and strengths of Teva-lenoltec No. 4 | 300mg acetaminophen, 60mg codeine |
| What are the ingredients and strengths of Robitussin AC | Per 5mL: 100mg Guaifenesin, 10mg codeine, 7.5mg pheniramine |
| How much codeine (solid and liquid forms) can exempted codeine preparations contain? | up to 8 mg/solid oral dosage form, or 20 mg/30mL of liquid |
| What CDSA classification is described as preparations containing codeine (up to 8 mg/solid oral dosage form, or 20 mg/30mL of liquid)and 2 or more active non-narcotic ingredients | exempted codeine preparations |
| What schedule are exempted codeine preparations? | Schedule II |
| ADHD medications and stimulants are part of what class of the OCP regulation chart? | Controlled drugs Part I |
| What CDSA classification is described as all products containing only 1 controlled drug (‘straight’ controlled drugs) and all combinations containing more than 1 controlled drug | Controlled drugs Part I |
| What class on the OCP regulation chart is amphetamine | Controlled drugs Part I |
| What class on the OCP regulation chart is dextroamphetamine | Controlled drugs Part I |
| What class on the OCP regulation chart is methylphenidate | Controlled drugs Part I |
| What class on the OCP regulation chart is butorphanol | Controlled drugs Part II |
| What class on the OCP regulation chart is barbituates | Controlled drugs Part II |
| What class on the OCP regulation chart is nalbuphine | Controlled drugs Part II |
| What CDSA classification is described as all combinations containing 1 controlled drug in Part II and 1 or more non-controlled ingredient(s) | Controlled drug preparations part II |
| What class on the OCP regulation chart is Tecnal | Controlled drug preparations part II |
| What class on the OCP regulation chart are anabolic steroids and derivatives | Controlled drugs Part III |
| How long are prescriptions for Benzodiazepines & Other Targeted Substances valid? (prior to CDSA s56(1) exemption) | 1 year after issue date |
| What has been changed regarding transfers after the CDSA s56(1) exemption? | All narcotics and controlled drugs can now be transferred as many times as necessary |
| What has been changed regarding benzos/targeted substances expiry dates after the CDSA s56(1) exemption? | They no longer expire after one year |
| Can pharmacists adapt/renew prescriptions for controlled substances to facilitate continuation of treatment? | Yes, only after the CDSA s56(1) exemption |
| What 3 categories of drugs are included in "controlled substances" | narcotics, controlled drugs, and targeted substances |
| Which class of drugs can now be received as a verbal prescription after the CDSA s56(1) exemption? | narcotic drugs |
| Difference between a controlled drug and a controlled substance | a controlled drug is an item listed in Schedule G of the FDA regulations, a controlled substance is a product that can be abused or cause harm when distributed or used without supervision |
| Who can prescribe narcotics according to the CDS? (Name 6) | physicians, dentists, nurse practitioner, pharmacists, veterinarians, midwives and podiatrists |
| What two main identification pieces must be included on a narcotic prescription? | patients HC number, physicians license number |
| How long are narcotic/controlled substance purchase records to be kept | 2 years |
| Who should a pharmacy report to if controlled substances are lost or stolen? What is the time requirement for this report? | To Health Canada within 10 days |
| Signed receipt of a narcotic order must be returned to the licensed dealer within how many days after sale? | 5 business days |
| What part of the prescription is the Subscription? | instructions for the pharmacist (i.e. how much to dispense etc.) |
| What part of the prescription is the Signa or Signatura? | Directions for the patient on how to use the medication to be put on the vial label |
| What part of the prescription is the Superscription? | The symbol "RX" |
| What part of the prescription is the Inscription? | details the medications & strengths prescribed |
| Difference between a Signature and Signatura | the signature is the prescriber's signature/initials, whereas a signatura details the instructions for the patient on the prescription |
| What are the ingredients and strengths of Mersyndol? | 8mg codeine, 325mg paracetamol, 5mg doxylamine |
| What are the ingredients of Fiorinal? | butalbital, aspirin, caffeine |
| What are the ingredients of Tecnal? | butabital, aspirin, caffeine, codeine |
| What is the federal legal age to smoke cannabis? | 18 years |
| How many grams of cannabis can someone possess in public? | 30 grams |
| How many cannabis plants are individuals allowed to grow without a medical license? | 4 plants |
| A cannabis product label must include what limit? | THC limits |
| What motor functions does cannabis most notably impair in the body? | reaction time, coordination and judgement |
| There is a higher risk of overdose of edible cannabis due to what factor? | delayed onset |
| What does the Health Canada National Principle of Public Administration detail? | Health care insurance plans must be administered by a public agency on a not-for-profit basis |
| What does the Health Canada National Principle of Comprehensiveness detail? | Health care insurance plans must cover all medically necessary health care services provided by hospitals, physicians, or dentists |
| What does the Health Canada National Principle of Universality detail? | Health care insurance plans must insure all residents |
| What does the Health Canada National Principle of Portability detail? | Health care insurance plans must cover all residents when they travel within Canada (limited coverage outside of Canada) |
| What does the Health Canada National Principle of Accessibility detail? | Health care insurance plans must provide all residents with reasonable access to medically necessary services on uniform terms and without financial charges or other barriers. Health care plans must pay compensation to health care providers and hospitals |
| What does the Code of Ethics principle of Beneficence mean? | To benefit our patients |
| What does the Code of Ethics principle of Non-Maleficence mean? | do no harm and, whenever possible, prevent harm from occurring |
| What does the Code of Ethics principle of Respect for Persons/Justice mean? | respect our patients’ vulnerability, autonomy and right to be self-governing decision makers in their own healthcare. Justice requires that we fulfill our ethical obligation to treat all patients fairly and equitably |
| What does the Code of Ethics principle of Respect for Accountability mean? | To act in the best interests of patients and not our own |
| You may share information to another health care provider if: | they are within the patient's circle of care |
| If a police officer comes to the pharmacy asking about a patient's meds, you should: | ask them for a warrant or court order, and not disclose anything without one |
| Ideally if you need to translate anything from a patient a professional translator should be used, but if one is not accessible and you must use a friend/family member, what should you do first? | Ask the patient for their consent to have that person translate |
Created by:
ella.brennan
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