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Laws governing the use of morphine
Opioids such as morphine are known as class A drugs and therefore regulated
by different international and national laws and regulations
INTERNATIONAL LAWS AND TREATIES
• Opioids are regulated under: The 1961 single convention on narcotic drugs
as amended by the 1972 protocol.
• This ensures the availability of opioids for medical use and scientific work
and to prevent abuse and misuse.
• The international Narcotics control board (INCB), Vienna established in 1968
is a UN Agency and is an independent and quasi-judicial body which
oversees the use of narcotics.
• The National Drug Policy and Authority (NDPA) statute N.13 of 1993
regulates the handling of drugs in the country.
Importation of class A drugs
• The manufacturers / wholesalers of class A drugs require an annual license.
• Currently national drug authority (NDA) allows only
1) The National medical stores – NMS (government)
2) This joint medical stores (NMS) (NGO) to import narcotics.
Expired rejected or returned class A drugs
• Unused class A drugs should be returned to the prescriber/dispenser.
• If class A drugs expire or are rejected, they must be returned to the pharmacy in
charge who should contact the drug inspector
• Expired drugs should be destroyed by the pharmacy in charge, witnessed by the
drug inspector.
Disposal
• Distribution follows WHO guidelines (NDA)
• Details of the quantity destroyed and the reason for destruction must be
written in the class A register.
Storage
• Powdered morphine finished products and all narcotics must be stored
according to the NDP/A statute/regulations that it is in a DDA cupboard.
- Immovable
- Separate
- Lockable
- Restricted to public access
- Under secure lock and key (double lock)
DDA – Dangerous drugs act safety (U.K)
• The key to a class A drug cupboard is held by a responsible person.
Transportation
• The single convention on Narcotics Drugs requires that all enterprises
and individuals involved in the distribution system should be licensed
or authorized.
• The government has in place an anti-narcotic drug squad of the
criminal investigation department (CID) to ensure that narcotics are
not diverted.
Prescription
• Previously the following were the only ones allowed to prescribe by
the law:
- Registered medical practitioner
- Registered dentist
- Registered veterinary surgeon
• With the advent of palliative care, the government has allowed
specialist palliative care nurses /clinical officers to prescribe /
dispense drugs including narcotics for home care teams.
Prescription
- Name
- Age
- Sex
- Address
• Total quantity of drugs to be disposed in words and figures.
• The form of drugs e.g tablets, orals solution, injection
• Specify the strength of the solution
• A prescription is valid for a period not exceeding 14 days and the
supply of narcotic must not exceed one month.
• The prescription must be in duplicate.
Penalties on infringement of the law
• Section 28 subsection 2 of ND P/A statute states that any person who
is in possession of a classified drug otherwise that is in accordance
with provisions of this section commits an offence and is liable to
• Charge of 2 million
• Imprisonment of 2 years or both.

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Palliative care presentation slide2.pptx

  • 1. Laws governing the use of morphine Opioids such as morphine are known as class A drugs and therefore regulated by different international and national laws and regulations INTERNATIONAL LAWS AND TREATIES • Opioids are regulated under: The 1961 single convention on narcotic drugs as amended by the 1972 protocol. • This ensures the availability of opioids for medical use and scientific work and to prevent abuse and misuse. • The international Narcotics control board (INCB), Vienna established in 1968 is a UN Agency and is an independent and quasi-judicial body which oversees the use of narcotics. • The National Drug Policy and Authority (NDPA) statute N.13 of 1993 regulates the handling of drugs in the country.
  • 2. Importation of class A drugs • The manufacturers / wholesalers of class A drugs require an annual license. • Currently national drug authority (NDA) allows only 1) The National medical stores – NMS (government) 2) This joint medical stores (NMS) (NGO) to import narcotics. Expired rejected or returned class A drugs • Unused class A drugs should be returned to the prescriber/dispenser. • If class A drugs expire or are rejected, they must be returned to the pharmacy in charge who should contact the drug inspector • Expired drugs should be destroyed by the pharmacy in charge, witnessed by the drug inspector.
  • 3. Disposal • Distribution follows WHO guidelines (NDA) • Details of the quantity destroyed and the reason for destruction must be written in the class A register. Storage • Powdered morphine finished products and all narcotics must be stored according to the NDP/A statute/regulations that it is in a DDA cupboard. - Immovable - Separate - Lockable - Restricted to public access - Under secure lock and key (double lock)
  • 4. DDA – Dangerous drugs act safety (U.K) • The key to a class A drug cupboard is held by a responsible person. Transportation • The single convention on Narcotics Drugs requires that all enterprises and individuals involved in the distribution system should be licensed or authorized. • The government has in place an anti-narcotic drug squad of the criminal investigation department (CID) to ensure that narcotics are not diverted. Prescription • Previously the following were the only ones allowed to prescribe by the law:
  • 5. - Registered medical practitioner - Registered dentist - Registered veterinary surgeon • With the advent of palliative care, the government has allowed specialist palliative care nurses /clinical officers to prescribe / dispense drugs including narcotics for home care teams. Prescription - Name - Age - Sex - Address
  • 6. • Total quantity of drugs to be disposed in words and figures. • The form of drugs e.g tablets, orals solution, injection • Specify the strength of the solution • A prescription is valid for a period not exceeding 14 days and the supply of narcotic must not exceed one month. • The prescription must be in duplicate. Penalties on infringement of the law • Section 28 subsection 2 of ND P/A statute states that any person who is in possession of a classified drug otherwise that is in accordance with provisions of this section commits an offence and is liable to • Charge of 2 million • Imprisonment of 2 years or both.