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Handling Controlled Substances This product was funded by a grant awarded under the President’s High Growth Job Training Initiative as implemented by the U.S. Department of Labor’s Employment & Training Administration. The information contained in this product was created by a grantee organization and does not necessarily reflect the official position of the U.S. Department of Labor. All references to non-governmental companies or organizations, their services, products, or resources are offered for informational purposes and should not be construed as an endorsement by the Department of Labor. This product is copyrighted by the institution that created it and is intended for individual organizational, non-commercial use only. Course Objectives Detail compliance requirements for manufacturers, distributors and individuals conducting activities with Drug Enforcement Agency (DEA) controlled substances and List I & II Chemicals Diversion of Controlled Chemicals Most of the drugs in the illicit traffic are products of illicit processing or synthesis. Cocaine, for example, can be extracted and converted to its preferred form only by using a tremendous quantity of industrial chemicals. Heroin must be synthesized by using an acetylating agent after the morphine has been extracted from raw, harvested opium. Methamphetamine, PCP, LSD, MDMA and methaqualone are purely synthetic drugs manufactured from chemical precursors. Until recently, there were virtually no legal impediments to obtaining the chemicals necessary to manufacture drugs of abuse, no records required to be maintained for inspection, and no penalties for negligence or willful diversion. Origins of the Laws and Regulations Chemical Diversion and Trafficking Act (CDTA) of 1988 Domestic Chemical Diversion Control Act of 1993 (DCDCA) As a result of government controls, ephedrine and other chemicals used to manufacture methamphetamine became more difficult to divert. Traffickers then began using over-the-counter capsules and tablets that contained these ingredients. closed the loophole of over-the-counter capsules and tablets that contained List I Chemicals, and required DEA registration for all manufacturers, distributors, importers and exporters of List I chemicals. Comprehensive Methamphetamine Control Act of 1996 (MCA) expanded regulatory control of lawfully marketed drug products containing ephedrine, pseudoephedrine, and phenylpropanolamine Pg 6 Chemical Program The mission of DEA's Chemical Control Program is to disrupt the illicit production of controlled substances by preventing diversion of chemicals used to make drugs. The production of illegal drugs such as methamphetamine, cocaine, heroin, and MDMA (ecstasy) requires enormous quantities of precursor and essential chemicals. The Chemical Control Program seeks to minimize the regulatory burden on the legitimate chemical industry while instituting effective anti-diversion policies. DEA registration, record keeping and suspicious order reporting requirements apply to importers, exporters, manufacturers, distributors and certain retailers of 34 listed chemicals. Through a combination of industry outreach and voluntary compliance measures, DEA strives to control chemical diversion in partnership with industry and the public. Principal Provisions of the Chemical Diversion Control Laws and Regulations The laws and regulations require regulated persons (manufacturers, distributors, importers, and exporters of listed chemicals) to implement measures which prevent diversion by: obtaining proof of identity from their customers maintaining retrievable receipt and distribution records reporting to the Drug Enforcement Administration (DEA) any suspicious orders Manufacturers who distribute or export, distributors, importers, and exporters of List I chemicals are also required to: register with DEA provide controls and procedures to guard against theft and diversion. Pg 8 Controlled Substances Act (CSA) Controlled Substances Act The law that regulates the prescribing and dispensing of dangerous substances, especially psychoactive drugs, including narcotics, hallucinogens, depressants and stimulants. Controlled Substances Act (CSA) The CSA mandates that DEA prevent, detect and investigate the diversion of legally manufactured controlled substances and make sure legitimate medical needs are met. Schedule I - V The CSA established five schedules into which controlled substances are separated according to their approved medical use and abuse potential. Schedule I – NP, HA II – P, HA III – V • Prescription and decreasing potential for abuse CSA Schedule I controlled substances are those deemed not to have legitimate medical uses and have a very high potential for abuse. Schedule II substances are approved for medical use and also have a very high abuse potential. Schedules III, IV and V include controlled substances that have all been approved for medical use and have diminishing potential for abuse. Examples Schedule I Not for medical use in US GHB Cannibas(Marijuana) Heroin MDMA(3,4 methylenedioxymetha mphetamine) Schedule II Cleared for medical use in US Fentanyl Cocaine (topical) Methylphenidate (Ritalin) Codeine (pure) Phencyclidine (PCP) Phenobarbital Examples Schedule III Schedule IV Anabolic Steroids Dihydrocodeine Xyrem (prep of GHB) Xanax Valium Schedule V Cough Suppressant (codeine) Diphenoxylate (diarr[h]ea) CSA The CSA also established a closed system of distribution that includes the registration of controlled substances handlers, including manufacturers, distributors, importers, exporters, practitioners and pharmacists. What are List I & II Chemicals ? The Chemical Diversion & Trafficking Act (CDTA) also cites chemicals that are used in the manufacture of controlled substances/illicit drugs. These chemicals are also subject to regulation and control measures. LIST I Chemicals (1) Anthranilic acid, its esters, and its salts (2) Benzyl cyanide (3) Ephedrine, its salts, optical isomers, and salts of optical isomers (4) Ergonovine and its salts (5) Ergotamine and its salts (6) N-Acetylanthranilic acid, its esters, and its salts (7) Norpseudoephedrine, its salts, optical isomers, and salts of optical isomers (8) Phenylacetic acid, its esters, and its salts (9) Phenylpropanolamine, its salts, optical isomers, and salts of optical isomers (10) Piperidine and its salts (11) Pseudoephedrine, its salts, optical isomers, and salts of optical isomers LIST I Chemicals (cont’d) (12) 3,4-Methylenedioxyphenyl-2-propanone (13) Methylamine and its salts (14) Ethylamine and its salts (15) Propionic anhydride (16) Isosafrole (17) Safrole (18) Piperonal (19) N-Methylephedrine, its salts, optical isomers, and salts of optical isomers (N-Methylephedrine) (20) N-Methylpseudoephedrine, its salts, optical somers, and salts of optical isomers (21) Hydriodic Acid (22) Benzaldehyde LIST I Chemcials (cont’d) (23) Nitroethane (24) Gamma-Butyrolactone (Other names include: GBL; Dihydro-2 (3H)-furanone; 1,2-Butanolide; 1,4Butanolide; 4-Hydroxybutanoic acid lactone; gamma-hydroxybutyric acid lactone) (25) Red Phosphorus (26) White phosphorus (Other names: Yellow Phosphorus) (27) Hypophosphorous acid and its salts (including ammonium hypophosphite, calcium hypophosphite, iron hypophosphite, potassium hypophosphite, manganese hypophosphite, magnesium hypophosphite, and sodium hypophosphite LIST II Chemicals 1) Acetic anhydride (2) Acetone (3) Benzyl chloride (4) Ethyl ether (5) Potassium permanganate (6) 2-Butanone (or Methyl Ethyl Ketone or MEK) (7) Toluene (8) Hydrochloric acid (including anhydrous hydrogen chloride) (9) Sulfuric acid (10) Methyl Isobutyl Ketone (MIBK) (11) Iodine Methamphetamine: “Perhaps more than any other drug this country has experienced, methamphetamine affects everybody in the community. The first challenge of the meth trade is that we can’t blame it on our South American neighbors….It is locally produced in clandestine laboratories. The second challenge meth presents is that international traffickers are aggressively targeting rural areas…Traffickers think they can escape law enforcement in rural areas. But we have to make sure that’s not true. The third challenge of methamphetamine lies in the very nature of this drug. It is intense, it is highly addictive, and it is overwhelmingly dangerous…The drug has a phenomenal rate of addiction, with some experts saying users often get hooked after just one use. Recent studies have demonstrated that methamphetamine causes more damage to the brain than heroin, alcohol, or cocaine. Methamphetamine takes over the whole person. One former user described its effect on her life by saying, ‘I went against every moral and every belief I ever had when I was on meth.’” Current Major Drug Threats Methamphetamine Street Names: Meth, Speed, Ice, Chalk, Crank, Fire, Glass, and Crystal. Physical Effects: Methamphetamine is a toxic, addictive stimulant. Meth use dilates the pupils and produces temporary hyperactivity, euphoria, a sense of increased energy, and tremors. Dangers: Methamphetamine use increases the heart rate, blood pressure, body temperature, and rate of breathing, and it frequently results in violent behavior in users. Methamphetamine is neurotoxic, meaning that it causes damage to the brain. High doses or chronic use have been associated with increased nervousness, irritability, and paranoia. Withdrawal from high doses produces severe depression. Chronic abuse produces a psychosis similar to schizophrenia and is characterized by paranoia, picking at the skin, self absorption, and auditory and visual hallucinations. Violent and erratic behavior is frequently seen among chronic, high-dose methamphetamine abusers. Description: Meth can be smoked, snorted, injected, or taken orally, and its appearance varies depending on how it is used. Typically, it is a white, odorless, bitter-tasting powder that easily dissolves in beverages. Another common form of the drug is crystal meth, or “ice,”named for its appearance (that of clear, large chunky crystals resembling rock candy). Crystal meth is smoked in a manner similar to crack cocaine and about 10 to 15 “hits” can be obtained from a single gram of the substance. Distribution Methods: Meth is frequently sold through social networks and is rarely sold on the streets. What are the Closed System of Controls? Registration Receipt Reporting Storage Disposal Registration Disposal Receipt/Handling Security/Storage Reporting Registration Who Must Register Every person (unless specifically exempted below) who engages or proposes to engage in any of the following activities is required to register annually with DEA: manufacturing a List I chemical for distribution distribution of a List I chemical importation of a List I chemical exportation of a List I chemical Separate Registration for Separate Locations A separate registration is required for each principal place of business where a List I chemical is manufactured for distribution, distributed, imported, or exported. Pg 15 Registration Entities manufacturing, distributing and/or dispensing controlled substances and/or List I or II chemicals need to register with DEA. (21CFR 1301 & 1309) Assigned forms based on business activity (Form 225/225a or 510/510a) Separate registrations for separate sites unless approved for under control of one location Include administration controlled substances code # Annual registration (for manufacturers) Fee based on type of business activity Documentation Production quotas as well as recordkeeping and security requirements are designed to enable DEA to track and safeguard potentially dangerous controlled substances as they are transferred from the manufacturer to the ultimate user. Documentation & Records Requirements Labeling Containers should have labels of appropriate size & location - visible from shelf Sealed to determine if opened or tampering Recordkeeping Records should be kept of manufacturing and other transactions involving controlled substances or listed chemicals – tableting machines, encapsulating machines Documentation & Records Requirements Recordkeeping Keep records of said transactions for 2 years after transactions Located at site with transactions (can be centralized if approved) Need to be retrievable Ensure tracking to satisfy application indications and manufacturing levels/quotas if specified. (21 CFR 1310.04) Documentation & Records Requirements Report to DEA special agent: Transactions with extraordinary quantities Atypical methods of payment or delivery Any transaction with and entity noted by DEA Any unusual or excessive loss/disappearance of listed chemicals. • If loss is in transit, supplier is responsible to notify agency, verbally ASAP and in writing within 15 days. Security (1301.71, 1309.71) Limited Access Physical means or electronic monitoring System should consider type/form/quantity of substance Location of site factored into security needs Type of building/construction Electronic detection/alarms Appropriate supervision Procedures for handling guest/visitors in areas with controlled substances/chemicals Tracking system for receipt, distribution, manufacture and disposition Security (1301.71, 1309.71) Limited Access Modifications to facility/construction will need to maintain security integrity. (May need to be approved) Reporting Annual Reports Submitted to Drug & Chemical Evaluation Section of DEA on or before March 15 of next year • Tracking information • Manufacturing & Inventory Data • Use Data Company Responsibilities Evaluate personnel who will work in controlled substance/drug/chemical environment; Background checks Evaluate continued employment of personnel conducting illicit activity. Maintain confidentiality of personnel that inform appropriate points of contacts of illicit activity. Employee Responsibilities Working in such a controlled environment, employees subject themselves to State & Federal prosecution for any illicit activity (violating regulations). Employee is responsible to report illicit activity to security point of contact (POC). Failure to do so may jeopardize employment. Inspections Administrator has authority to inspect Inspect, copy, verify recordkeeping • Receipt, Inventory, distribution Inspections at reasonable hours Typically 1 visit per year (I &II) • III- V frequency as needed Ensuring Closed System of Controls Disposal Security/Storage Reporting Maintain awareness of regulations Registration Establish and enforce policies and procedures Conduct internal audits Receipt/Handling Implement follow-up actions to enhance controls.