Page 43 - Taiwan Food and Drug Administration 2016 Annual Report
P. 43

2016     ANNUAL
                                                                                                   REPORT








               Chapter 3. Controlled Drugs Management

                   In order to strengthen management of controlled drugs used for medical and scientific
               purposes in Taiwan, TFDA has established management systems that include regulations,
               certification, distribution management of controlled drugs as well as early warning, monitoring,
               and abuse prevention. Total quality validation was also implemented for the Factory of Controlled
               Drugs in order to improve drug quality and to prevent abuse or illegal use of controlled drugs. Usage
               for Schedule 1 and Schedule 2 controlled drugs has been increasing because of Taiwan's aging       Part II - Key Administrative Results  Controlled Drugs Management
               society and increased incidence of various diseases. There was also a drastic growth in the
               use of sedatives and hypnotics in Taiwan, which was accompanied by incidents of improper
               prescriptions. In order to prevent improper or illegal use of controlled drugs, management of
               controlled drugs must be strengthened accordingly.

               Section 1. Controlled Drugs Regulations and Distribution Management

               Current Status
                   Drug abuse is a common problem faced by various countries around the world. Improper
               use of addictive controlled drugs or its illegal distributions make such drugs as dangerous as
               illegal drugs. Taiwan has imposed controls on narcotics, psychotropic substances, and their
               preparations according to the Single Convention on Narcotic Drugs, Convention on Psychotropic
               Substances, and the Convention against Illicit Traffic in Narcotic Drugs and Psychotropic
               Substances of the United Nations. The Narcotics Hazard Prevention Act was also established
               to enforce stringent controls. However, some drugs and substances are classi?ed as controlled
               drugs because of their usefulness in medical applications or scienti?c research, and are subject
               to the provisions of the Controlled Drugs Act and a control framework composed of license,
               scheduling, and distribution management (Figure 2-3-1).







                Controlled drugs registration license
                (institutions and businesses)
                Controlled drugs prescription license   License
                                                      Management
                (physicians and other professionals)
                Permit for exporting, importing, and manufacturing
                (source management)
                                                                   Schedule
                Relevant licenses: Transportation permit, letter of   Management
                approval for medical education, research, and trail
                purposes                                                           Addictiveness  Abuse
                                                                                   Dependence  Social risks
                                                      Diversion
                                                      Management




                                                 Institutions    Health authorities
                                         Recording        Reporting       Inspection


                                         Figure 2-3-1  Controlled drugs management framework



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