| Where are the laws on drugs | British national formulary |
| What act governs medicines | The medicines act 1968 |
| 3 classes of medicinal products | GSL, pharmacy medicines, prescription only medicines |
| Illegal drugs governed by | Misuse of drugs act 1971 |
| Most recent drugs act | Misuse 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 for | DENTAL PAIN |
| MDR- schedule 1 | Canabis and LSD not used in medicine CD1 |
| MDR schedule 2 | Diamorphine pethadine |
| MDR schedule 3 | Tramadol temazepam cd3 |
| MDR schedule 4 | Benzos except temazepam and midazolam |
| Schedule 2 and 3 must be | Presribed on a pink private prescription from |
| Private prescribers must include | Six digit indentifier number |
| Storage of drugs | Practices 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 disposal | Denatured |
| Questions to ask pre procedural | Do 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 effects | Dental caries, trauma to teeth, perio, recurrent oral ulceration, dental cancer, sialadenitis- gland infection |
| Marajuana dental side effects | Gingival hyperplasia, leukoplakia, oral cancer e.g. tongue, craving for carbs --> caries risk |
| Morphines desired effect is | analgesia and euphoria |
| What is methadone | Heroin substitiute to mitigate heroin withdrawal |
| Opiods dental side effects | Poor OHI, xerostomia due to opiates, caries as high sugar in methadone, increased bleeding as dec. platelets |
| Coke side effects dental | Smearing on oral mucosa, perio, ulcers, gingival necrosis, nasal septal necro. e.g. through palatal fistula |
| What is a palatal fistula | Communication between nasal and palatal cavities |
| Ecstacy- interactions | TCAs and MAOIs |
| Ecstacy dental issues | Toothwear/bruxism, jaw muscle tenderness, xerostomia, mucosal ulceration, perio, meth mouth |
| Khat dental side effects | Gingival recession, tmj dysfunction, perio inflammation, oral leukoplakia /SCC |
