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level: UK drugs and the law

Questions and Answers List

level questions: UK drugs and the law

QuestionAnswer
Where are the laws on drugsBritish national formulary
What act governs medicinesThe medicines act 1968
3 classes of medicinal productsGSL, pharmacy medicines, prescription only medicines
Illegal drugs governed byMisuse of drugs act 1971
Most recent drugs actMisuse of drugs regulations 2017
What info is needed on drugs prescriptions§ name and address of the patient § the dose to be taken § form (e.g. tablets) and strength § frequency (or the words ‘as directed’) § total quantity (in both words and figures) § the words “for dental treatment only” signature of prescriber and date
What is the only thing dentists can prescribe forDENTAL PAIN
MDR- schedule 1Canabis and LSD not used in medicine CD1
MDR schedule 2Diamorphine pethadine
MDR schedule 3Tramadol temazepam cd3
MDR schedule 4Benzos except temazepam and midazolam
Schedule 2 and 3 must bePresribed on a pink private prescription from
Private prescribers must includeSix digit indentifier number
Storage of drugsPractices may keep some 2 and 3s must be ordered officially, midazolam doesnt have to kept in a CD cupboard but need SOPs
2 3 and 4 must be ........ before disposalDenatured
Questions to ask pre proceduralDo you drink alcohol- if no why did stop, do you take recreational drugs such as... do you use any presciption drugs not given by doctor
Alcohol dental side effectsDental caries, trauma to teeth, perio, recurrent oral ulceration, dental cancer, sialadenitis- gland infection
Marajuana dental side effectsGingival hyperplasia, leukoplakia, oral cancer e.g. tongue, craving for carbs --> caries risk
Morphines desired effect isanalgesia and euphoria
What is methadoneHeroin substitiute to mitigate heroin withdrawal
Opiods dental side effectsPoor OHI, xerostomia due to opiates, caries as high sugar in methadone, increased bleeding as dec. platelets
Coke side effects dentalSmearing on oral mucosa, perio, ulcers, gingival necrosis, nasal septal necro. e.g. through palatal fistula
What is a palatal fistulaCommunication between nasal and palatal cavities
Ecstacy- interactionsTCAs and MAOIs
Ecstacy dental issuesToothwear/bruxism, jaw muscle tenderness, xerostomia, mucosal ulceration, perio, meth mouth
Khat dental side effectsGingival recession, tmj dysfunction, perio inflammation, oral leukoplakia /SCC