Send Feedback
Print
Ü Back
Prescribing of Opioids
Prescriptions for m-EslonTM, LA MorphTM, Morphine Elixir, SevredolTM and other opioids must be in triplicate on the Ministry of Health CONTROLLED DRUG PRESCRIPTION FORM (H572).
- They must be written legibly and indelibly in the practitioner's own handwriting. (DO NOT use hospital stickers)
- They must be dated and include the full physical address (e.g. PO Box not acceptable).
- The maximum supply available is 10 days with 2 repeats.
- Elixirs are prescribed in varying strengths (e.g.1 mg/ml, 5 mg/ml etc) and must be specified as such.
- The strength, dose and frequencies must be stated (PRN is inadequate).
- The total quantity requested and the dose prescribed must be written in words and numbers.
Note: A sample script appears in Appendix C.
Opioid Conversion Chart

Topic Code: 4063