Medicines, Narcotic and Psychotropic Substances and Prescription Rules
Medicines law in Kazakhstan controls prescribing, dispensing, storage and special accounting. Dental practice commonly uses local anesthetics, antibiotics, analgesics and antiseptics; narcotic analgesics are exceptional and tightly controlled.
Rules
- Prescribe only within competence and after checking allergies, pregnancy, interactions and previous therapy.
- Prescriptions follow the current form and electronic-prescription rules; special forms and accounting apply to narcotic and psychotropic medicines.
- Narcotics and psychotropics require authorized prescribing, limited quantities, secure storage, a register and destruction procedures; a dentist must confirm the clinic's authority.
Worked example
A patient has severe postoperative pain after a complex extraction. The dentist considers an opioid but finds that the clinic is not authorized for narcotic prescribing and the patient can be managed with a non-opioid regimen. The dentist documents the assessment and refers if escalation is needed. Writing a narcotic prescription without authority is a serious violation.
Traps
Prescribing antibiotics for viral infections; using expired or unlabeled drugs; failing to record batch numbers; borrowing narcotics from another department; assuming a general licence covers special medicines.