Question

Identify medical specialty clinics that might dispense as well as prescribe controlled substances and discuss their uses

Answer 1

Ans. The federal law giving authority to the Drug Enforcement Administration to regulate the sale and use of drugs.

A prescription for a controlled substance may only be issued by a physician, dentist, podiatrist, veterinarian, mid-level practitioner, or other registered practitioner who is: Authorized to prescribe controlled substances by the jurisdiction in which the practitioner is licensed to practice.

A controlled substance is generally a drug or chemical whose manufacture, possession, or use is regulated by a government, such as illicitly used drugs or prescription medications that are designated by law.

- Title 21 United States Code Controlled Substances Act (CSA):

Classifies drugs into five (5) "schedules"

Scheduling is based on currently accepted medical use in the United States and potential for abuse.

Schedule I:

High potential for abuse

No current accepted medical use in the US

Lack accepted safety for use in medicine

Heroin

Marijuana

LSD

Methaqualone

Schedule 2 drugs:

High potential for abuse

Current accepted medical use in the US with severe restrictions

Potential for severe psychological or physical dependence

Opium and its derivatives not listed under Schedule I

Cocaine

Methadone

PCP

Dronabinol (synthetic THC)

Schedule 3 drugs:

Less potential for abuse vs. I and II

Currently accepted medical use in US

Potential for low/moderate physical dependence and high psychological dependence

Some codeine preparations

Barbiturate preparations (except those listed in Schedule II)

Anabolic steroids

Schedule 4 drugs:

Low potential for abuse, less than III

Current accepted medical use in the US

Limited dependence potential

Darvon

Phenobarbitol

Tranquilizers

Librium

Valium

Schedule 5:

really Low potential for abuse

Current accepted medical use in the US

Less potential for dependence vs. Schedule IV drugs

Drug mixtures containing nonnarcotic medicinal ingredients, or mixtures that contain a drugs from a previous schedule but in a very small amount

Cough syrup preparation.