Tramadol Schedule 3 validity — GPhC CRA MCQ

Correct answer: A — Decline dispensing and obtain a new valid tramadol prescription

Decline dispensing and obtain a new valid tramadol prescription: Tramadol is a Schedule 3 controlled drug and the prescription is valid for 28 days from the appropriate date. Dispense the prescription under the standard six-month prescription-validity period: The six-month rule for many ordinary prescriptions does not apply to Schedule 2–4 controlled drugs. Dispense three days and mark the remaining tramadol quantity as expired: Expiry removes authority to make any first supply, including a reduced quantity. Amend the appropriate date after verbal confirmation from the prescriber: The dispenser cannot extend a controlled-drug prescription by changing its date. Treat the prescription as an emergency request and dispense the full quantity: Emergency supply rules do not permit this pharmacist-initiated workaround for tramadol.

Reference: Misuse of Drugs Regulations 2001: https://www.legislation.gov.uk/uksi/2001/3998/contents; NHSBSA: controlled drugs prescribing and dispensing: https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/prescribing-and-dispensing/controlled-drugs