NATIONAL OFFICERS 2018-2019 JOSE P. SANTIAGO JR., MD President BENITO P. ATIENZA, MD Vice President CHRISTINE S. TINIO, MD National Treasuree BENJAMIN M. ALABAN, MD Secretary General BOARD OF GOVERNORS MARTIN HEGINIO C. QUERUBIN, MD Northeastern Luzon FELIPE GOZAR L. DUQUE, MD Northwestern Luzon WILFREDO F. BATOL, MD Central Luzon ALEJANDRO Y. TAN, MD Manila NORMA M. TORREGOZA, MD Quezon City CORAZON E. LEYVA, MD Rizal JOSE FLORENCIO F, LAPENAJR., MD Central Tagalog NILO M, ALCOREZA, MD Southern Tagalog MA. HUMILDE B. JANABAN, MD Bicol ERLINDA G. DE LOS REYES, MD Western Visayas MARLON T. CO, MD Contral Visayas REALINO G. MOLINA, MD Eastern Visayas APRIL R. LOPEZ, MD Western Mindanao DURES FEE. TAGAYUNA, MD. Northern Mindanao DANTE T. EUGENIO, MD Southeasiem Mindanao GRACE MARILOU L. VEGA, MD Northoentral Mindanao ADAH JUNE C. ROBLES, MD Caraga PHILIPPINE MEDICAL ASSOCIATION THEME: "BUILD, BUILD, BUILD PMA!" Member World Medical Association (WMA) Co-Founder: Confaderation of Medical Association in Asia anes Oceania (CMAAO) Medical Association of Southeast Asian Nations (MASEAN) Secretariat Philppine Medical Association Building, North Avenue, Quezon City 1105 “Telephone Numbers: (632) 929-7361; 929-6366; 926-2447 Fax (632) 929-6951 ‘Mobile Numbers: 0927-5606903; 0947-2994782 (Membership) (0917-8221957; 0918-9234730 (Secretariat) Ema: phimedas@yahoo,com: piiimedas@amailcom; info@philippinemedicalassociation ora ‘Website: www phlippinemdocalassaciation.org MEMORANDUM CIRCULAR NO: 2018-10-03-031 : PRESIDENTS OF: COMPONENT SOCIETIES, SPECIALTY DIVISIONS, SUB-SPECIALTY SOCIETIES, AND AFFILIATE SOCIETIES : OCTOBER 3, 2018 GUIDELINES IN PRESCRIBING DANGEROUS DRUGS Greetings from the Philippine Medical Association! The Regulatory Compliance Officers of the Philippine Drug Enforcement Agency has called our attention regarding practices of some medical practitioners which do not conform with the prescribed reglementary requirements. ‘Among some of the observations that were noted as follows: prescribing practitioner not indicating hisfher contact number which is relevant when a dispensing pharmacist verifies some information from the physician; incorrect $-2 license umber indicated in the prescription; incomplete patient information as regards age and complete address; not indicating the quantity of the prescribed dangerous drug in words; all three (3) copies of a set of a prescription are given to the patient which is wrong since a prescriber has to retain one (1) copy for hisiher file; not indicating the number of prescription issued to the patient in mulf-month prescriptions for Schedule IV drugs of the 1971 UN Convention, ete. In line with this, the PDEA is reminding our medical practitioners regarding the Guidelines in Prescribing Dangerous Drugs, written in Section 31 Arfcle II of Board Regulation No. 1, Series of 2074, as per attached. The said regulation may also be dovmloaded at their website: pdea.gov.oh or ddb.gov ph. For your guidance and strict compliance to avoid future viotaion, Thank you. Very truly yours, Noted by: te L upfeckoph iE P hnirind, sR, MO PresidentRepublic of the Philippines Office of the President PHILIPPINE DRUG ENFORCEMENT AGENCY DEA Bldg. NIA Northside Road, National Government Center, Barangay Pinyshan, Quen City 100 | tp *// pen gow ph | (00927-9702 loc. 197/198 / 920-8110 Ref. No. 419/CS-Misc/2018 September 17, 2018 Jose P. Santiago Jr., MD President 2/F PMA Bidg., North Avenue, Quezon City 1105 Dear Dr. Santiago: This refers to Guidelines in Prescribing Dangerous Drugs. During the conduct of compliance inspections to PDEA-registered drug establishments, our Regulatory Compliance Officers (RCOs) noted that there are practices of some medical practitioners which do not conform with prescribed reglementary requirements. Among some of the observations are: prescribing practitioner not indicating his/her contact number which is relevant when a dispensing pharmacist verifies some information from the physician; incorrect S-2 license number indicated in the prescription; incomplete patient information as regards age and complete address; not indicating the quantity of the prescribed dangerous drug in words; all three (3) copies of a set of a prescription are given to the patient which is wrong since a prescriber has to retain one (1) copy for his/her file; nt indicating the number of prescription issued to the patient in multi-month prescriptions for Schedule IV drugs of the 1971 UN Convention and etc. Hence, we would like to call your attention as regards Section 31 Article III of Board Regulation No. 1, Series of 2014 which specifically deals on “Prescriptions”. See attached. Said Regulation can be downloaded in our website: pdea.gov.ph or ddb.gov.ph. In this connection, may we request your association to disseminate this vital information to all your S-2 licensed medical practitioners for their guidance and reference to avoid future violation. Your favorable consideration on this request is highly appreciated. Truly yours, 68. MEDICAL ee oars | (NORTE: AVENUE, QEZON CTX——— “PHILIPPINE SCHEDULET hhas no curently accepted medical use in treatment in the Philippines; has lack of accepted safety or use of the drug under ‘medical supervision ‘Schedule IV of 1961 UN Convention on Narcotic Drugs ‘Schedule Lot 1971 UN Convention on Psychotropic Substances PHILIPPINE SCHEDULE IT ‘may have currently accepted medical use in treatment in the Philippines; has high potential for abuse that may lead to severe ‘psychological or physical dependence ‘Schedule 10nd I of 1961 UN Convention on Narcotic Drugs ‘Schedule 11 of 1971 UN Conventen on Payehetrope Substances PHILIPPINE SCHEDULE II has a curently accepted medical use in treatment in the Philigpines; has @ potential for abuse less than the ¢rug in | schedules 4 and 2 that may fead to moderate or low physical dependence or high psychological dependence Schedule IT of 1971 UN’ Convention on Psychotropic Substonces | PHILIPPINE SCHEDULE 1V hhas a currently accepted medical use in treatment in the Philippines; has a low potential for abuse less than the drug in schedule 3 that may lead to limited physical dependence or ‘psychological dependence | | Schedule ZT of 1961 UN Convention an Narcotic Drugs ‘Schedule 1V of 1971 UN Convention on Psychotrople Substances | PHILIPPINE SCHEDULE V | has @ currently accepted medical use in treatment in the | Philippines; has potential for abuse that may lead to from fow to high psychological or physical dependence. Dangerous Drugs in the Philippines onty. Table Z: (Ephedrine) ofthe 1988 UN Camention Against Hct Tac of ‘Narcotic Drugs and Psychotropic Substances | Section 92 Article XT RABI6S (Ketomine and Nelbuphine) | Remifentani! Fentanyl Morphine ‘Oxycodone Pethidine Methyiphenidate Buprenorphine Pentobarbital Phentermine Zolpidem Ephedrine Ketamine Nalbuphine(cha mates rctnar aon aecrance ith he nee tnd a 1 sme hedut Sect to pent or anevalin he nnn cere of retmener 1 supees me erga pret oro anne cure ef eter ema pce ve} leer om the pce of Gamer spray thn > Ne pram a paves dngwra od srpertn dna whihan es (0) ae prrnba he dgia th area pace the epee rein 52a to prs ich isthe PEA aynsrscrston ter asrgecu ap Ino cn aSoncalPacinion form a ps (th eneeted In be sere atdated or thepescbngareionr ante sect: (eon ny one argv anor preperation coma cantar (ae sued in thee copes win specie Breton f se. 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