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Thread: Legal class- dihydrcodeiene

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    Asterix is online now Thousand Plus Poster !!!
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    Exclamation Legal class- dihydrcodeiene

    Anyone explain to me how it is possible to determine whether dihydrocodeine is a pom, cd pom or cd inv pom. I was always under that tablets were always cd pom and injection/ampoules were cd inv pom but I have been told this is not the case. I read up the mep classification and remain even more confused.

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    Re: Legal class- dihydrcodeiene

    Take a look at my posts in the Controlled Drugs thread in the student chat section.
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    Re: Legal class- dihydrcodeiene

    non-parenteral use and in undivided preparations with max strength 2.5% then it's a CD Inv Pom, i.e schedule 5

    what's the whole max strength 2.5% about?

    So tablets are always CD POM right, the bnf says pom but surely that's a reference to cd pom. Tablets are non-parenteral so is that scedule 5, grr so confusing!

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    Re: Legal class- dihydrcodeiene

    Dihydrocodeine tabs are not CD POM - firstly they are not subject to safe custody requirements (have you ever seen them in CD cupboards ?!). Secondly never use the BNF to check the legal classification of a drug. Amoxicillin has POM next it, as does, esomeprazole, buspirone, salbutamol, etc etc. First place to check always is the alphabetical list of meds for humans in MEP.

    Quote Originally Posted by Nikolai View Post
    The list is not that long . I know the wording in the MEP can get a bit confusing, which is why you should read it again. Basically all it says is if it's for non-parenteral use and in undivided preparations with max strength 2.5% then it's a CD Inv Pom, i.e schedule 5. If the preparation doesn't fit those categories it's a CD POM, i.e schedule 2. For example if you look in the BNF, it says dihydrocodeine tartrate 30 mg tablets are POM (i.e sched 5), whereas dihydrocodeine tartrate 50 mg/mL injection is CD (i.e sched 2).
    Simply, non-parenteral = not for injection, i.e through the mouth = schedule 5 (CD Inv POM). If it does not fit that category, i.e it is an injection, it is CD POM (Sched 2). This is what "CD" means next to dihydrocodeine tartrate 50 mg/mL injection in BNF.
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    Re: Legal class- dihydrcodeiene

    Yeah thanks for that, I read it wrong

    Could you possibly simplify morphine for me too, morphine salts are cd pom but what is oromorph?

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    Re: Legal class- dihydrcodeiene

    Quote Originally Posted by Asterix View Post
    Yeah thanks for that, I read it wrong

    Could you possibly simplify morphine for me too, morphine salts are cd pom but what is oromorph?

    Check the concentration requirements for CD POM.
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    Re: Legal class- dihydrcodeiene

    I feel as if I have repeated myself many times in the last couple of weeks regarding dihydrocodeine/morphine/CD rules and regs. As Pharmanaut has said, the key with oramorph is the differences in conc between the different preps.
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    Re: Legal class- dihydrcodeiene

    Quote Originally Posted by Asterix View Post
    Yeah thanks for that, I read it wrong

    Could you possibly simplify morphine for me too, morphine salts are cd pom but what is oromorph?
    Welcome back Giggsy

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