FP10MDA

Question 1

Define addiction

Answer 1

Dependence on a drug due to repeated administration causing an overwhelming desire to continue administration

Question 2

List the 3 components/consequences of addiction

Answer 2

• Physical dependence
• Psychological dependence
• Tolerance

Question 3

What is the aim of harm reduction?

Answer 3

Reduce adverse effects of drug misuses until misuser stops misusing drugs

Question 4

What are the 3 principles of harm reduction?

Answer 4

• Misuse of drugs is accepted but not approved of
• Treat user as a normal human being
• No guarantee to rid the world of drug misuse

Question 5

What can be prescribed for addiction?

Answer 5

FP10MDA prescribed by GPs or drug treatment centre for a MAX supply of 14 days

Question 6

List the Rx requirements on FP10MDA Rx

Answer 6

• Same as CD Rx
• Instalment amount and dose written separately
• Instalment direction of drug per instalment
• Interval between each instalment
• Each date of dispensing on NHS form
• Dispensing must start within 28 days of appropriate date

Question 7

What is required for good practice for unsupervised doses collected by patient representative?

Answer 7

• Letter of authorisation from patient, which is kept at pharmacy
• Insist on seeing patient at least once a week

Question 8

What happens if a patient misses dose?

Answer 8

• Prescriber notified
• If missed for 3 consecutive days the Rx is stopped, patient is reassessed.

Question 9

Why dispense in daily dose bottles?

Answer 9

• Easier for patient to take accurate dose
• Reduce overdose issues

Question 10

What can be prescribed to treat addiction?

Answer 10

Buprenorphine, diazepam

Doctors - cocaine,diamorphine, dipipanone - license from HO

Question 11

What are the two pieces of information included in an ‘instalment direction’?

Answer 11

1. Amount of medicine per instalment
2. Interval between instalment