Some products need storage in an access-controlled environment.
It is important to identify products that are at risk of theft or abuse or have the potential for addiction, and to provide increased security for those items. This includes products that are in high demand or have the potential for resale (black market value).
Usually, National Essential Medicines Lists (NEML) include several narcotics and psychotropic medicines; one or two will be on facility lists. Typical examples are-
Narcotics: morphine, opium preparations, pethidine, diamorphine, papaveretum, hydrocodone and oxycodone, dipipanone, and tramadol.
Other opioid and strong analgesics: pentazocine, codeine, dihydrocodeine, dextroproproxyphene, dextromoramide, and buprenorphine.
Psychotropic drugs: usually the group of drugs called “benzodiazepines,” the more common being diazepam, temazepam, nitrazepam, flunitrazepam, and oxazepam. Clonazepam, used to treat epilepsy, may be found under a different class, and is not always under the same control. Strong tranquilizing medicines, such as chlorpromazine, may also be found under this heading.
Some of the medicines mentioned earlier are controlled substances, which are medicines handled under international control. These medicines need greater attention. There are specific procedures in place for the procurement, reception, storage, dispensing, and administration of controlled substances. Special ordering forms should be used.
Note: Other medicines, including antiretrovirals used to treat HIV/AIDS, may need storage in a controlled facility, because they are scarce, expensive, and in high demand.
Organizations donating medicines may require that those medicines be stored in a controlled environment. These may be products donated for a specific condition that can also be used for other conditions. Examples include medicines used to treat opportunistic infections for HIV/AIDS and medicines used to treat sexually transmitted infections that might also be on the NEML and used for other conditions; or HIV test kits that may be donated for use in specific programs, such as preventing mother-to-child transmission, but can be used for other purposes, such as ensuring blood safety.