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Author: Admin | 2025-04-28
Times more potent than diphenoxylate, the active ingredient in Lomotil, which is in Schedule V)Tramadol (Ultram), an opioid analgesicCarisoprodol (Soma) has become a Schedule IV medication as of 11 January 2012[53]Suvorexant and Lemborexant, orexinergic sedativesSchedule V substances are those that have the following findings:The drug or other substance has a low potential for abuse relative to the drugs or other substances in schedule IVThe drug or other substance has a currently accepted medical use in treatment in the United StatesAbuse of the drug or other substance may lead to limited physical dependence or psychological dependence relative to the drugs or other substances in schedule IV.[35]No controlled substance in Schedule V which is a drug may be distributed or dispensed other than for a medical purpose.[46] A prescription for controlled substances in Schedules III, IV, and V issued by a practitioner, may be communicated either orally, in writing, electronically transmitted or by facsimile to the pharmacist, and may be refilled if so authorized on the prescription or by call-in.[45]Drugs in this schedule include:Cough suppressants containing small amounts of codeine (e.g., promethazine+codeine);Preparations containing small amounts of opium or diphenoxylate (used to treat diarrhea);Some anticonvulsants, such as pregabalin (Lyrica), lacosamide (Vimpat), brivaracetam (Briviact), and retigabine (ezogabine) (Potiga/Trobalt);Pyrovalerone (used to treat chronic fatigue and as an appetite suppressant for weight loss);Some centrally-acting antidiarrheals, such as diphenoxylate (Lomotil) when mixed with atropine (to make it poisonous, if taken at euphoria-inducing dosages). Difenoxin with atropine (Motofen) has been moved to Schedule IV. Without atropine, these drugs are in Schedule II.Cannabidiol, only in a cannabis-derived pharmaceutical formulation marketed by GW Pharmaceuticals as Epidiolex. Other CBD formulations remain Schedule I, except for those derived from hemp which are unscheduled but still FDA-regulated.[54]Controlled by other federal laws for legal recreational use[edit]These psychoactive drugs are not controlled by the act, and are also allowed for sale intended for recreational use at the federal level (others are allowed for sale as dietary supplements, but not specifically regulated or intended for recreational use):Alcohol (ethanol), a sedative found in alcoholic drinks. Per the National Minimum Drinking Age Act (which is voluntarily abided by all 50 U.S. states), sale is limited to persons 21-years-old and above only.[55] Sale regulated by the Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF) and less commonly the Food and Drug Administration (FDA).[citation needed] Alcohol was formerly illegal under the Eighteenth Amendment to the Constitution from 1919, until the Twenty-first Amendment repealed it in 1933.[56]Caffeine, a stimulant found in coffee, chocolate; and some teas and soft drinks. It is regulated by the FDA under the Federal Food, Drug, and Cosmetic Act, and drinks cannot contain more than 200 parts per million (0.02%) of caffeine. There is no federal age
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