Our friends at the DEA have turned their attention to propofol and are seriously considering listing it as a controlled substance. After the untimely death of the pop star Michael Jackson, the drug enforcement watchdog has been under pressure to classify the milky stuff as a controlled substance.
From Pharmacy Practice News:
The agency is circulating a proposed rule that would classify propofol as a Schedule IV substance, putting it in the same category as midazolam, diazepam, lorazepam and the sleeping aid zolpidem, according to a DEA official familiar with the decision. Schedule IV drugs “are known to produce euphoric moods as adverse events and have histories of abuse” in the United States and abroad.
Ironically the propofol pro-drug fospropofol was listed as a controlled substance in 2009. What this means for the anesthesia provider? Prepare to account for every mL of the milk of amnesia. Not sure what role this decision will play in the shortage. My hope is for an alternative…soon (see previous post).
See ASA position on scheduling of propofol here.
FYI (and mine):
a category of drugs not considered legitimate for medical use. Included are heroin, lysergic acid diethylamide (LSD), and marijuana.
a category of drugs considered to have a strong potential for abuse or addiction but that also have legitimate medical use. Included are opium, morphine, and cocaine.
a category of drugs that have less potential for abuse or addiction than Schedule I or II drugs and have a useful medical purpose. Included are short-acting barbiturates and amphetamines.
a medically useful category of drugs that have less potential for abuse or addiction than those of Schedules I, II, and III. Included are diazepam and chloral hydrate.
a medically useful catiegory of drugs that have less potential for abuse or addiction than those of Schedules I through IV. Included are antidiarrheals and antitussives with opioid derivatives.