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This is the grouping system used by the Misuse of Drugs Act to reflect how dangerous a substance is.
Drugs are grouped into a ‘Class’ - either A, B or C according to their risk level, with Class A substances the most dangerous.
This is the grouping system used by the Misuse of Drugs Regulations to reflect the different
restrictions that apply to the prescription and monitoring of controlled drugs used for medical
purposes. Drugs are grouped into one of five ‘Schedules’ with Schedule 1 having the tightest
The Home Office maintains the central list of UK controlled drugs and reviews this list periodically.
Changes to the list can only be made after the Advisory Committee on the Misuse of Drugs (ACMD) has advised the Home Office that changes should be made and a full Public Consultation has taken place.
Drugs can be “up-classified” if stronger controls need to be in place or can be down-classified
if a substance has been shown to pose less of a safety risk to patients and the public.
The reclassification of substances can affect how physiotherapists prescribe and/or administer controlled drugs, particularly if the drug is made a controlled drug or is moved into a higher classification that has tighter controls on its use.
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