Measures for the management of special drugs:

The management of special drugs refers to the management of narcotic drugs, psychotropic drugs, toxic drugs and radioactive drugs.

According to the provisions of the "Drug Administration Law", the State Council has promulgated the "Measures for the Administration of Narcotic Drugs" (November 1987), "Measures for the Administration of Psychotropic Drugs" (November 1988), "Measures for the Administration of Toxic Drugs for Medical Use" "Measures for the Administration of Drugs" (December 1988) and "Measures for the Administration of Radioactive Drugs" (January 1989), in order to correctly play their positive role in disease prevention and treatment and to strictly prevent harm caused by poor management or improper use. Hospitals are the units that purchase and use the most drugs under special management. The key to strengthening the management of special drugs is to control the use and management of special drugs by medical institutions. Hospital pharmacies must strictly implement the laws and regulations of the State Council and the Ministry of Health, and strengthen Management of the use of special drugs.

Management of Narcotic Drugs

Narcotic drugs refer to drugs that are prone to physical dependence and addiction after continuous use. The key points of its management are:

1. Narcotic drugs can only be used for the medical, teaching and scientific research needs of our hospital. They should be used correctly and rationally to prevent patients from becoming dependent on such drugs and eliminate accident loopholes.

2. Medical personnel must have professional and technical positions above that of a physician and have been assessed to be able to use narcotic drugs correctly before they have the right to prescribe narcotic drugs.

3． Narcotic drugs must use special prescriptions and have a doctor's signature. The formular must also double-sign, and a narcotic drug prescription register must be established. Medical personnel are not allowed to prescribe narcotic drugs for themselves.

4. Prescription limits for narcotic drugs: Each prescription injection shall not exceed 2 daily dosages, tablets, tinctures, syrups, etc. shall not exceed 3 daily dosages, and continuous use shall not exceed 7 days. Critically ill patients who are diagnosed by medical units above the county level and really need to use narcotic drugs for pain relief can apply for a "Special Card for Narcotic Drugs" according to the prescribed procedures, and go to the designated medical unit with the card to get a prescription. The maximum number of medicines taken at one time is 5 daily dosages.

5. There must be a dedicated person responsible for narcotic drugs, special counters with locks, special account books, special prescriptions, and special registration books. Prescriptions are kept for 3 years for future reference.

For those who violate regulations and abuse narcotic drugs, drug management personnel have the right to refuse to distribute drugs and report to superiors in a timely manner.

Management of Psychotropic Drugs

Psychotropic drugs refer to drugs that directly act on the central nervous system, excitating or inhibiting it, and can produce dependence if used continuously. The key points of its management are:

1. Psychotropic drugs are only allowed to be used in this hospital. Doctors should use them reasonably according to medical needs and abuse is strictly prohibited.

2. Prescription limits for psychotropic drugs: Except for special needs, prescriptions for Class I psychotropic drugs shall not exceed 3 daily dosages at a time; prescriptions for Class II psychotropic drugs shall not exceed 7 daily dosages at a time. Prescriptions should be retained for 2 years for future reference.

3． Medical units should establish accounts of receipts and expenditures of psychotropic drugs and conduct quarterly inventory to ensure that the accounts are consistent. Any problems discovered should be reported immediately to the local drug regulatory authority, which should investigate and deal with them in a timely manner.

Management of Toxic Drugs

Toxic drugs for medical use (referred to as "toxic drugs") refer to highly toxic drugs whose therapeutic dose is similar to the toxic dose. Improper use may cause poisoning or death. of medicines.

1. Type range of toxic drugs

According to the regulations of the Ministry of Health, currently there are 27 types of toxic traditional Chinese medicines (referring to raw medicinal materials and their pieces) and 11 types of toxic Western medicines (referring to raw materials) among the managed varieties of toxic drugs in China. The above-mentioned types of Chinese and Western toxic drugs generally do not include their preparations, and their single-prescription preparations are subject to local regulations if there are regulations in some places.

⑴ Toxic traditional Chinese medicine varieties arsenic (red arsenic, white arsenic), arsenic, raw Sichuan Wu, raw Nux vomica, raw Gansui, realgar, raw Cao Wu, Hong Niangchong, raw white monkshood, raw Aconite, mercury, croton, white root, stephenia, pinellia, cantharides, green lady bug, goldenrod, celestial being, southern star, red powder, garcinia, toad fennel, wormwood on snow, wolf Poison, light powder, sheep flower.

⑵ Toxic Western medicines: desacetyl lanosin C, atropine (including its salts), digoxigenin, homatropine hydrobromide, arsenic trioxide, pilocarpine (including its salts), liters Mercury, physostigmine salicylate, potassium arsenite, scopolamine hydrobromide, strychnine (including its salts).

2. Management of the use of toxic drugs

⑴ All processing and processing of toxic traditional Chinese medicines must be carried out in accordance with the relevant provisions of the "Pharmacopoeia of the People's Republic of China" or the "Processing Specifications" formulated by the provincial drug regulatory authorities. Only when medicinal materials meet medicinal requirements can they be supplied, formulated and used in the production of proprietary Chinese medicines or in the preparation of self-made preparations by medical units.

⑵ When doctors write prescriptions for toxic drugs, they are only allowed to prescribe preparations and not raw materials for toxic drugs. The maximum amount of each prescription must not exceed 2 days' dosage.

⑶ When preparing prescriptions, you must be serious and responsible, measure accurately, indicate the requirements according to the doctor's orders, and must be signed and stamped by the formulary personnel and reviewers with technical positions above pharmacists before they can be issued. Toxic traditional Chinese medicines that do not indicate "raw use" on the prescription should be treated as processed products. If there is any doubt about the prescription, it must be re-examined by the original prescriber before dispensing. The prescription is valid once and should be kept for 2 years for future reference.

⑷ Establish systems for storage, acceptance, distribution, and verification. Be careful not to receive counterfeit products, send them in error, or mix them with other drugs. It must be kept by designated personnel, in special counters, and under lock and key, and a registration account must be established to record receipts, expenditures, and deposits.

Radioactive drugs

Radioactive drugs refer to radionuclides or their labeled drugs used for clinical diagnosis or treatment. Medical units using radioactive drugs must obtain a "Radioactive Drug Use License" issued by the provincial public security, environmental protection and drug supervision and management departments. Medical units have nuclear medicine departments and rooms (isotope rooms), which are used by professional technicians trained in nuclear medicine technology.