Question

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

Answer 1

Ans) 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 preparations