Medicine:Brazilian Controlled Drugs and Substances Act
The Brazilian Controlled Drugs and Substances Act (Portuguese: Regulamento Técnico sobre substâncias e medicamentos sujeitos a controle especial), officially Portaria nº 344/1998,[1] is Brazil 's federal drug control statute, issued by the Ministry of Health through its National Health Surveillance Agency (Anvisa). The act also serves as the implementing legislation for the Single Convention on Narcotic Drugs, the Convention on Psychotropic Substances, and the United Nations Convention Against Illicit Traffic in Narcotic Drugs and Psychotropic Substances in the country.
The list was last updated in September 2023.[2]
Terminology:
- Prescription notification - a standardized document intended for notifying Anvisa of the prescription of medications. Written by the doctor and retained by the drugstore
- Prescription - a written medication order that provides usage instructions for the patient.
- Special control prescription - a prescrition that is filled out in two copies, one that is retained by the drugstore, and another stays with the patient for usage guidance. It can be provided in a digital signed form.[3]
Overview
Class | Type of substance | Rx type |
---|---|---|
A1 | Narcotic drugs: analgesics, opioids, non-opioids, other analgesics | Yellow "A" Prescription Notification form (provided by Anvisa), along with a prescription. |
A2 | Narcotic drugs: analgesics, opioids and non-opioids | |
A3 | Psychoactive drugs: central nervous system stimulants | |
B1 | Psychoactive drugs: antiepileptics, sleep inducers, anxiolytics, antidepressants, tranquilizers | Blue "B" Prescription Notification form (the doctor request a printing press for it)[4] |
B2 | Psychoactive drugs: anorectics | |
C1 | Other controlled substances: antidepressants, antiparkinsonians, anticonvulsants, antiepileptics, neuroleptics and anesthetics | Special control prescription form, filled in two copies. A digital prescription can be used alternatively.[3] |
C2 | Retinoids: treatmeant of severe cystic acne | White Prescription Notification form (the doctor request a printing press for it)
Contains a teratogenic warning and a sign. |
C3 | Immunosuppressive drugs | Prescription notification form, and a consent form regarding teratogenic risks, confirming understanding and agreeing to be the sole user of the drug. (form provided by a local public health organization to the doctor)[5] |
C4 | revoked | |
C5 | Anabolic steroids | Special control prescription form, filled in two copies. A digital prescription can be used alternatively.[3] |
D1 | Drug precursors | |
D2 | Drug precursors | |
E | Controlled Plants and Fungi | |
F | Prohibited Substances | Allowed only in authorized scientific research.[1] |
F1 | Prohibited narcotics | |
F2 | Prohibited psychotropics | |
F3 | Prohibited precursors | |
F4 | Other prohibited substances |
=Alemerian Aldyhyde
Class A3
- Amphetamine
- Cathine
- Chlorphentermine
- Dexamphetamine
- Dronabinol - Synthetic form with no other cannabinoid.
- Phenmetrazine
- Phencyclidine
- Phenethylline
- Levamphetamine
- Levomethamphetamine
- Lisdexamfetamine
- Methylphenidate
- Methylsynephrine
- Thamphetamine
- Cannabis sativa derivates containing up to 30mg/mL THC and 30mg/mL CBD
Class A1 =
- Acetylmethadol
- Alphacetylmethadol
- Alphameprodine
- Alphamethadol
- Alphaprodine
- Alfentanil
- Allylprodine
- Anileridine
- Bezitramide
- Benzethidine
- Benzylmorphine
- Benzoylmorphine (CID 10982005 from PubChem)
- Betaacetylmethadol
- Betameprodine
- Betamethadol
- Betaprodine
- Buprenorphine
- Butorphanol
- Clonitazene
- Codoxime
- Concentrated opium poppy straw
- Dextromoramide
- Diampromide
- Diethylthiambutene
- Diphenoxylate
- Difenoxin
- Dihydromorphine
- Dimepheptanol
- Dimenoxadol
- Dimethylthiambutene
- Dioxaphetyl butyrate
- Dipipanone
- Drotebanol
- Ethylmethylthiambutene
- Etonitazene
- Etoxeridine
- Phenadoxone
- Phenampromide
- Phenazocine
- Phenomorphan
- Phenoperidine
- Fentanyl
- Furethidine
- Hydrocodone
- Hydromorphinol
- Hydromorphone
- Hydroxypethidine
- Methadone intermediate
- Moramide intermediate
- Pethidine intermediate A
- Norpethidine (Pethidine intermediate B)
- Pethidinic acid (Pethidine intermediate C)
- Isomethadone
- Levophenacylmorphan
- Levomethorphan
- Levomoramide
- Levorphanol
- Methadone
- Metazocine
- Methyldesorphine
- Methyldihydromorphine
- Metopon
- Myrophine
- Morpheridine
- Morphine
- Morinamide
- Nicomorphine
- Noracymethadol
- Norlevorphanol
- Normethadone
- Normorphine
- Norpipanone
- Codeine-N-oxide
- Morphine-N-oxide
- Opium
- Oripavine
- Oxycodone
- Oxymorphone
- Pethidine
- Piminodine
- Piritramide
- Proheptazine
- Properidine
- Racemethorphan
- Racemoramide
- Racemorphan
- Remifentanil
- Sufentanil
- Tapentadol
- Thebacon
- Thebaine
- Tilidine
- Trimeperidine
Class A2
- Acetyldihydrocodeine
- Codeine
- Dextropropoxyphene
- Dihydrocodeine
- Ethylmorphine (Dionine)
- Pholcodine
- Nalbufina
- Nalorphine
- Nicocodine
- Nicodicodine
- Norcodeine
- Propiram
- Tramadol
Class A3
- Amphetamine
- Cathine
- Chlorphentermine
- Dexamphetamine
- Dronabinol - Synthetic form with no other cannabinoid.
- Phenmetrazine
- Phencyclidine
- Phenethylline
- Levamphetamine
- Levomethamphetamine
- Lisdexamfetamine
- Methylphenidate
- Methylsynephrine
- Thamphetamine
- Cannabis sativa derivates containing up to 30mg/mL THC and 30mg/mL CBD
Class B1
- Allobarbital
- Alprazolam
- Amineptine
- Amobarbital
- Aprobarbital
- Armodafinil
- Barbexaclone
- Barbital
- Bromazepam
- Bromazolam
- Brotizolam
- Butabarbital
- Butalbital
- Camazepam
- Ketamine
- Ketazolam
- Cyclobarbital
- Clobazam
- Clonazepam
- Clonazolam
- Chlorazepam (CAS: 34985-87-0 , CID 3084599 from PubChem, Template:UNII)
- Clorazepate
- Chlordiazepoxide
- Ethyl chloride
- Methylene chloride/dichloromethane
- Clotiazepam
- Cloxazolam
- Delorazepam
- Diazepam
- Diclazepam
- Esketamine
- Estazolam
- Eszopiclone
- Ethchlorvynol
- Ethylamphetamine (N-Ethylamphetamine)
- Ethinamate
- Etizolam
- Phenazepam
- Phenobarbital
- Flualprazolam
- Flubromazolam
- Fludiazepam
- Flunitrazepam
- Flurazepam
- GBL
- GHB
- Glutethimide
- Halazepam
- Haloxazolam
- Lefetamine
- Ethyl loflazepate
- Loprazolam
- Lorazepam
- Lormetazepam
- Medazepam
- Meprobamate
- Mesocarb
- Methylphenobarbital (prominal)
- Methyprylon
- Midazolam
- Modafinil
- Nimetazepam
- Nitrazepam
- Fencamfamin
- Nordazepam
- Oxazepam
- Oxazolam
- Pemoline
- Pentazocine
- Pentobarbital
- Perampanel
- Pinazepam
- Pipradrol
- Pyrovalerone
- Prazepam
- Prolintane
- Propylhexedrine
- Secbutabarbital
- Secobarbital
- Temazepam
- Tetrazepam
- Thiamylal
- Thiopental
- Triazolam
- Trichlorethylene
- Trihexyphenidyl
- Vinylbital
- Zaleplon
- Zolpidem
- Zopiclone
- Cannabis derivates containing up to 0,2% THC
Class B2
Class C1
- Acepromazine
- Valproic acid
- Agomelatine
- Amantadine
- Amisulpride
- Amitriptyline
- Amoxapine
- Aripiprazole
- Asenapine
- Atomoxetine
- Azacyclonol
- Beclamide
- Benactyzine
- Benfluorex
- Benzydamine
- Benzoctamine
- Benzquinamide
- Biperiden
- Brexpiprazole
- Brivaracetam
- Bupropion
- Buspirone
- Butaperazine
- Butriptyline
- Cannabidiol - Synthetic form with no other cannabinoid.
- Captodiame
- Carbamazepine
- Caroxazone
- Celecoxib
- Cyclarbamate
- Cyclexedrine (CAS: 532-52-5 , CID 115663 from PubChem)
- Cyclopentolate
- Cisapride
- Citalopram
- Clomacran
- Clomethiazole
- Clomipramine
- Chloralodol
- Chlorpromazine
- Chlorprothixene
- Clotiapine
- Clozapine
- Dapoxetine
- Desflurane
- Desipramine
- Desvenlafaxine
- Deutetrabenazine
- Dexetimide
- Dexmedetomidine
- Dibenzepine
- Dimetacrine
- Disopyramide
- Disulfiram
- Divalproex sodium
- Dixyrazine
- Donepezil
- Doxepin
- Droperidol
- Duloxetine
- Ectylurea (See Acylurea) (CAS: 95-04-5 , CID 5895404 from PubChem)
- Emylcamate
- Enflurane
- Entacapone
- Escitalopram
- Etomidate
- Etoricoxib
- Ethosuximide
- Levophacetoperane
- Phenprobamate
- Phenaglycodol
- Phenelzine
- Pheniprazine
- Phenytoin
- Fluphenazine
- Flumazenil
- Fluoxetine
- Flupentixol
- Fluvoxamine
- Gabapentin
- Galantamine
- Haloperidol
- Halothane
- Chloral hydrate
- Etodroxizine (Hydrochlorbenzethylamine)
- Hydroxydione
- Homofenazine
- Imiclopazine
- Imipramine
- Imipraminoxide
- Iproclozide
- Isocarboxazid
- Isoflurane
- Cenestil (Isopropyl-crotonyl-urea) (CAS: 60364-26-3 , CID 6377520 from PubChem)
- Lacosamide
- Lamotrigine
- Leflunomide
- Levetiracetam
- Levomepromazine
- Levomilnacipran
- Lisuride
- Lithium
- Loperamide
- Loxapine
- Lumiracoxib
- Lurasidone
- Mavacamten
- Maprotiline
- Meclofenoxate
- Mephenoxalone
- Mefexamide
- Memantine
- Mepazine
- Mesoridazine
- Methylnaltrexone
- Methylpentynol
- Methysergide
- Metixene
- Methopromazine (CAS: 61-01-8 , CID 18847 from PubChem)
- Methoxyflurane
- Mianserin
- Milnacipran
- Miltefosine
- Minaprine
- Mirtazapine
- Misoprostol - Hospital authorization only.[2]
- Moclobemide
- Molnupiravir
- Moperone
- Naloxone
- Naltrexone
- Nefazodone
- Nialamide
- Isobutyl nitrite
- Nomifensine
- Nortriptyline
- Noxiptiline
- Olanzapine
- Opipramol
- Oxcarbazepine
- Oxybuprocaine
- Hydroxyphenamate
- Oxypertine
- Paliperidone
- Parecoxib
- Paroxetine
- Penfluridol
- Perphenazine
- Pergolide
- Pericyazine
- Pimozide
- Pipamperone
- Pipotiazine
- Pramipexole
- Pregabalin
- Primidone
- Prochlorperazine
- Promazine
- Propanidid
- Propiomazine
- Propofol
- Prothipendyl
- Protriptyline
- Proparacaine
- Quetiapine
- Ramelteon
- Rasagiline
- Reboxetine
- Ribavirin
- Rimonabant
- Risperidone
- Rivastigmine
- Rofecoxib
- Ropinirole
- Rotigotine
- Rufinamide
- Selegiline
- Sertraline
- Sevoflurane
- Sulpiride
- Sultopride
- Tacrine
- Teriflunomide
- Tetrabenazine
- Tetracaine
- Tiagabine
- Tianeptine
- Tiapride
- Thioproperazine
- Thioridazine
- Thiothixene
- Tolcapone
- Topiramate
- Tranylcypromine
- Trazodone
- Triclofos
- Trifluoperazine
- Trifluperidol
- Trimipramine
- Troglitazone
- Valdecoxib
- Sodium valproate
- Venlafaxine
- Veralipride
- Vigabatrin
- Vilazodone
- Vortioxetine
- Ziprasidone
- Zotepine
- Zuclopenthixol
Class C2
Class C3
Class C4
List revoked in September 2016.[6]
Class C5
- Androstanolone
- Bolasterone
- Boldenone
- Chlorodehydromethyltestosterone
- Clostebol
- Dehydrochlormethyltestosterone
- Drostanolone
- Stanolone
- Stanozolol
- Ethylestrenol
- Fluoxymesterone
- Formebolone
- Gestrinone
- Mesterolone
- Methandienone
- Methandranone
- Methandriol
- Methenolone
- Methyltestosterone
- Mibolerone
- Nandrolone
- Norethandrolone
- Oxandrolone
- Oxymesterone
- Oxymetholone
- Prasterone (dehydroepiandrosterone - DHEA)
- Somapacitan
- Somatrogon
- Somatropin (Human Growth Hormone)
- Testosterone
- Trenbolone
Class D
Class D1
- 1-Boc-4-AP (CAS: 125541-22-2 , CID 1491502 from PubChem)
- 1-phenyl-2-propanone
- 3,4-MDP-2-P methyl glycidic acid (PMK glycidic acid)
- 3,4-MDP-2-P methyl glycidate (PMK glycidate)
- 3,4-Methylenedioxyphenyl-2-propanone
- 4-AP (N-Phenyl-4-piperidinamine) 23056-29-3
- Anthranilic acid
- Phenylacetic acid
- Lysergic acid
- N-Acetylanthranilic acid
- Alpha-phenylacetoacetonitrile (APAAN) (CAS: 4468-48-8 , CID 20547 from PubChem)
- Alpha-phenylacetoacetamide (APAA) (CAS: 4433-77-6 , CID 12541433 from PubChem)
- 4-ANPP
- Dihydroergometrine
- Dihydroergotamine
- Ephedrine
- Ergometrine
- Ergotamine
- Etafedrine
- Helional
- Isosafrole
- Methyl alpha-acetylphenylacetate (MAPA) - (CAS: 16648-44-5 , CID 13096216 from PubChem)
- Norfentanyl
- Sassafras oil
- Long pepper oil
- Piperidine
- Piperonal
- Pseudoephedrine
- N-phenethyl-4-piperidinone (NPP)
- Safrole
Class D2
- Acetone
- Hydrochloric acid
- Sulfuric acid
- Acetic anhydride
- Ethyl chloride
- Methylene Chloride
- Chloroform
- Ethyl Ether
- Methyl ethyl ketone
- Potassium permanganate
- Sodium sulphate
- Toluene
- Trichlorethylene
Class E
- Cannabis sativa - except for registed products under allowed dosage mentioned in Class A3.
- Claviceps paspali (Ergot)
- Datura suaveolens
- Erythroxylum coca
- Lophophora williamsii (Coto Peyote)
- Mitragyna speciosa
- Papaver somniferum
- Prestonia amazonica
- Salvia divinorum
Class F
Class F1
- 2-Methyl-AP-237 (methyl analogue of bucinnazine)
- 3-Methylfentanyl
- 3-Methylthiofentanyl
- 4-Fluoroisobutyrfentanyl
- 7-Hydroxymitragynine
- Acetyl-alpha-methylfentanyl
- Acetylfentanyl
- Acetorphine
- Acryloylfentanyl
- AH-7921
- Alpha-methylfentanyl
- Alpha-methylthiofentanyl
- Beta-hydroxy-3-methylfentanyl
- Beta-hydroxyfentanyl
- Brorphine
- Butyrfentanyl
- Butonitazene
- Carfentanil
- Ketobemidone
- Cyclopropylfentanyl
- Cocaine
- Crotonylfentanyl
- Desomorphine
- Dihydroetorphine
- Ecgonine
- Etazene (Etodesnitazene)
- Etonitazepyne
- Etorphine
- Furanylfentanyl
- Heroin
- Isotonitazene
- MDPV
- Metonitazene
- Methoxyacetylfentanyl
- Mitragynine
- MPPP
- MT-45
- Ocfentanil
- Orthofluorofentanyl
- Parafluorobutyrfentanyl
- Parafluorofentanyl
- PEPAP
- Protonitazene
- Tetrahydrofuranylfentanyl
- Thiofentanyl
- U-47700
- Valerylfentanyl
Class F2
- LSD
- 1B-LSD
- 1cP-LSD
- 1P-LSD
- 2C-B
- 2C-C
- 2C-D
- 2C-E
- 2C-F
- 2C-I
- 2C-T-2
- 2C-T-7
- 2-MeO-Diphenidine
- 3-Fluorophenmetrazine
- 3-MeO-PCP
- 3-MMC
- 4-AcO-DMT
- 4-Bromomethcathinone
- 4-Chloro-alpha-PVP
- 4-Chloromethcathinone (4-CMC)
- 4-Fluoroamphetamine (4-FA)
- 4-Fluoromethcathinone
- 4F-MDMB-BINACA
- 4-HO-MIPT
- 4-MEAPP
- 4-MEC
- 4-Methylaminorex
- 4-MTA
- 4,4'-DMAR
- 5-APB
- 5-APDB
- 5C-MDA-19 (BZO-POXIZID, CAS: 1048973-64-3 , Template:UNII)
- 5-EAPB
- 5F-AB-FUPPYCA
- 5F-ADB
- 5F-AKB48
- 5F-AMB-PINACA
- 5F-MDA-19 (5F-BZO-POXIZID, Template:UNII)
- 5F-MDMB-PICA
- 5F-PB-22
- 5-IAI
- 5-MAPDB
- 5-MeO-AMT
- 5-MeO-DALT
- 5-MeO-DIPT
- 5-MeO-DMT
- 5-MeO-MIPT
- 25B-NBOH
- 25B-NBOMe
- 25C-NBF
- 25C-NBOH
- 25C-NBOMe
- 25D-NBOMe
- 25E-NBOH
- 25E-NBOMe
- 25H-NBOH
- 25H-NBOMe
- 25I-NBF
- 25I-NBOH
- 25I-NBOMe
- 25N-NBOMe
- 25P-NBOMe
- 25T2-NBOMe
- 25T4-NBOMe
- 25T7-NBOMe
- 30C-NBOMe
- AB-CHMINACA
- AB-FUBINACA
- AB-PINACA
- ADB-BUTINACA
- ADB-CHMINACA
- ADB-FUBIATA
- ADB-FUBINACA
- ALD-52
- Alpha-D2Pv
- Alpha-EAPP
- Alpha-PHP
- alpha-PiHP
- Alpha-PVP
- AKB48
- AM-2201
- AMT
- Benzphetamine
- Bk-DMBDB
- Brolamphetamine
- BZO-4en-POXIZID (4en-pentyl MDA-19)
- BZO-CHMOXIZID
- BZP
- Cathinone
- CH-PIATA (CID 165361915 from PubChem)
- Clobenzorex
- CUMYL-4CN-BINACA
- CUMYL-PEGACLONE
- DET
- Diphenidine
- Dihydro-LSD (ChemSpider ID: 67024742) (8β)-N,N-Diethyl-6-methyl-9,10-didehydro-2,3-dihydroergoline-8-carboxamide
- Dimethylone
- DMA
- DMAA
- DMBA
- DMHP
- DMT
- DOC
- DOET
- DOI
- EAM-2201
- Ergine
- Eticyclidine
- Ethylphenidate
- Ethylone
- Etryptamine
- Eutylone
- FUB-AMB
- Isopropylbenzylamine
- JWH-018
- JWH-071
- JWH-072
- JWH-073
- JWH-081
- JWH-098
- JWH-122
- JWH-210
- JWH-250
- JWH-251
- JWH-252
- JWH-253
- MAM-2201
- MAM-2201 N-(4-hydroxypentyl) (CAS: 1537889-05-6 , CID 131668101 from PubChem, Template:UNII)
- MAM-2201 N-(5-chloropentyl) (CAS: 1445578-25-5 , CID 91864523 from PubChem, Template:UNII)
- MDMB-4en-PINACA
- MDMB-5Br-INACA
- mCPP
- MDA-19 (BZO-HEXOXIZID)
- MDAI
- MDE
- MDMA
- Mecloqualone
- Mephedrone
- Mescaline
- Methallylescaline
- Methanphetamine
- Methaqualone
- Methcathinone
- Methylone
- Methiopropamine
- MMDA
- MXE
- N-acetyl-3,4-MDMC (CAS: 1227293-15-3 , CID 91693878 from PubChem)
- N-Ethylcathinone
- N-Ethylhexedrone (hexen)
- N-Ethylpentylone
- Parahexyl
- Pentedrone
- Pentylone
- PMA
- PMMA
- Psilocybin
- Psilocin
- RH-34
- Rolicyclidine (PCPy)
- Salvinorin A
- DOM (STP)
- Tenamfetamine
- Tenocyclidine
- THC - except for registed products under allowed dosage mentioned in Class A3.
- TH-PVP
- TMA
- TFMPP
- UR-144
- XLR-11
- Zipeprol
Class F3
- Phenylpropanolamine (PPA) or norephedrine
Class F4
- Dexfenfluramine
- Dinitrophenol
- Strychnine
- Etretinate
- Fenfluramine
- Lindane
- Terfenadine
References
- ↑ 1.0 1.1 ANVISA. "Portaria n.o 344, de 12 de maio de 1998". http://www.anvisa.gov.br/hotsite/talidomida/legis/Portaria_344_98.pdf.
- ↑ 2.0 2.1 Anvisa (2023-09-15). "RDC Nº 816 - Listas de Substâncias Entorpecentes, Psicotrópicas, Precursoras e Outras sob Controle Especial" (in pt-BR). Diário Oficial da União. https://www.in.gov.br/en/web/dou/-/resolucao-rdc-n-816-de-15-de-setembro-de-2023-510390164.
- ↑ 3.0 3.1 3.2 Rodrigo, Kleber (2020-03-26). "Medicamentos controlados: receitas com assinatura digital" (in pt-BR). https://site.abcfarma.org.br/medicamentos-controlados-receitas-com-assinatura-digital/.
- ↑ Vigilância Sanitária de Fortaleza (April 2017). "Orientações para prescrição de medicamentos sujeitos a controle especial". https://crfce.org.br/wp-content/uploads/2018/10/Manual-com-Orienta%C3%A7%C3%B5es-para-Dispensa%C3%A7%C3%A3o-de-Medicamentos-Sujeitos-a-Controle-Especial-%E2%80%93-2015.pdf.
- ↑ Anvisa (2011-03-22). "Dispõe sobre o controle da substância Talidomida e do medicamento que a contenha". https://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2011/res0011_21_03_2011.html.
- ↑ Cite error: Invalid
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Original source: https://en.wikipedia.org/wiki/Brazilian Controlled Drugs and Substances Act.
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