3. Schedule III substances—Lesser degree of abuse potential with accepted medical usefulness; abuse leads to moderate dependence (i.e., paregoric, some barbiturates, Tylenol #3, Fiorinal). Prescriptions may be refilled up to five times within 6 months.
4. Schedule IV substances—Low abuse potential with medical usefulness; limited dependence problems (i.e., diazepam, pentazocine, phenobarbital, chlordiazepoxide, flurazepam). Prescriptions of these may be refilled up to five times within a 6-month period.
5. Schedule V substances-Low abuse potential, accepted medical usefulness, and limited dependence factors (i.e., Lomotil, ETH with Codeine). Prescriptions maybe refilled up to five times within 6 months.
ANTIDOTES AND ANTIDOTE LOCKERS REFERENCES
All persons in the Medical Department will be aware of the danger of poisons and the use of antidotes. A separate poison antidote locker marked “ANTIDOTE LOCKER” will be located prominently in every emergency room. If necessary, you may use more than one locker. In small ships with only one independent duty hospital corpsman aboard, the locker will be located immediately outside the emergency treatment room for ready accessibility y when the corpsman is absent. Secure the locker with a seal. Whenever the seal is broken, the contents will be inventoried, the used antidotes replaced, and the locker resealed. Place an inventory list for each shelf on the inside of the door together with a copy of NAVMED P-5095, Poisons, Overdoses, and Antidotes, and the address and telephone number of the local poison control center.
All personnel involved in emergency room treatments will be thoroughly familiar with the contents of the locker and their use. The books, Clinical Toxicology of Commercial Products, by Gleason, Gosselin, Hedge, and Smith and Handbook of Poisons, by Robert H. Driesback, M.D. are recommended as reference material and should be outside the locker for easy reference. The list may be modified to meet local requirements; however, it is very important to keep each item up-to-date to avoid depletion or spoilage. For further information, consult MANMED, chapter 21.
1. NAVMED P-117, Manual of the Medical Department, chapter 21
2. Drug Facts and Comparisons, 1985 ed. Philadelphia: J.B. Lippincott
3. Goodman and Gilman’s, The Pharmacological Basis of Therapeutics, ed 6. New York: The Macmillan Co.
4. Physicians’ Desk Reference, ed 37. New Jersey: Medical Economics Co, Inc.
