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Assessment of the Management Practices of Controlled Medicines in a District General Hospital in Sri Lanka


Authors : Indika Wanninayake; Mayoni Abenayake; Sashi Samarasinghe

Volume/Issue : Volume 11 - 2026, Issue 4 - April


Google Scholar : https://tinyurl.com/32kmrerz

Scribd : https://tinyurl.com/4aazar4j

DOI : https://doi.org/10.38124/ijisrt/26apr636

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Abstract : Drug conventions and local drug ordinance and its management regulate the management of controlled drugs. Sri Lanka is signatory for above three drug conventions and takes necessary measures to prevent the misuse of controlled substance while ensuring their adequate availability of Medical and scientific purposes. Non - medical use of Pharmaceutical are increasing. There may trend of diversion of controlled substance. Diversion of Contolled drug may cause personal and social problems. A descriptive cross-sectional study was done at District General Hospital Avissawella Sri Lanka to assess Management Practices of Controlled Medicines in District General Hospital Avissawella. Structured facility observation was done for data collection by using check list. Principles of controlled drug management are largely followed however ,several gaps exist, indicating the need for further system strengthening and improvements. Assurance of availability of relevant acts and manuals in drug store, strengthening the supervision by respective supervisors, strengthening the infrastructure development, conduct staff training programmes and encouraging research studies are recommended.

Keywords : Drug conventions Drug ordinance Controlled Medicine

References :

  1. National Medicines Regulatory Authority. (n.d.). Controlled drugs. Retrieved April 9, 2026, from https://www.nmra.gov.lk
  2. International Narcotics Control Board. (n.d.). Psychotropic substances. Retrieved April 9, 2026, from https://www.incb.org
  3. Sri Lanka Government. (1936). Poisons, Opium and Dangerous Drugs Ordinance (as amended). Government of Sri Lanka.
  4. National Medicines Regulatory Authority. (2023). Regulatory framework for medicines in Sri Lanka.
  5. National Dangerous Drugs Control Board. (1984). National Dangerous Drugs Control Board Act No. 11 of 1984. Government of Sri Lanka
  6. Fan, M., Tscheng, D., & Hamilton, M. (2019). Diversion of controlled drugs in hospitals: A scoping review of contributors and safeguards. Journal of Hospital Medicine, 14(7), E1–E10. https://doi.org/10.12788/jhm.
  7. World Health Organization. (2018). Controlled substances and public health. WHO
  8. Burke-Shyne, N., Csete, J., Wilson, D., Fox, E., Wolfe, D., & Rasanathan, J. (2017). How drug control policy and practice undermine access to controlled medicines. Health and Human Rights Journal, 19(1), 83–96.
  9. United Nations. (1961). Single Convention on Narcotic Drugs,1961
  10. United Nations. (1971). Convention on Psychotropic Substances.1971
  11. United Nations. (1988). United Nations Convention against Illicit Traffic in Narcotic Drugs and Psychotropic Substances, 1988.
  12. Bewley-Taylor, D. (2012). International drug control: Consensus fractured. International Journal of Drug Policy, 23(2), 72–79. https://doi.org/10.1016/j.drugpo.2011.09.
  13. Preuss, C. V., Kalava, A., & King, K. C. (2026). Prescription of controlled substances: Benefits and risks. StatPearls. National Library of Medicine. https://www.ncbi.nlm.nih.gov
  14. Wood, D. (2015). Drug diversion. Australian Prescriber, 38(5), 164–166. https://doi.org/10.18773/austprescr.2015.
  15. National Dangerous Drugs Control Board. (2025). Handbook of drug abuse information: Sri Lanka.
  16. World Health Organization. (2025). WHO guideline on balanced national controlled medicines policies to ensure medical access and safety: Rapid communication. https://doi.org/10.2471/B09419

17. Medical Supplies Division. (2008). Manual on management of drugs (2nd rev. ed.). Ministry of Health, Sri Lanka.

Drug conventions and local drug ordinance and its management regulate the management of controlled drugs. Sri Lanka is signatory for above three drug conventions and takes necessary measures to prevent the misuse of controlled substance while ensuring their adequate availability of Medical and scientific purposes. Non - medical use of Pharmaceutical are increasing. There may trend of diversion of controlled substance. Diversion of Contolled drug may cause personal and social problems. A descriptive cross-sectional study was done at District General Hospital Avissawella Sri Lanka to assess Management Practices of Controlled Medicines in District General Hospital Avissawella. Structured facility observation was done for data collection by using check list. Principles of controlled drug management are largely followed however ,several gaps exist, indicating the need for further system strengthening and improvements. Assurance of availability of relevant acts and manuals in drug store, strengthening the supervision by respective supervisors, strengthening the infrastructure development, conduct staff training programmes and encouraging research studies are recommended.

Keywords : Drug conventions Drug ordinance Controlled Medicine

Paper Submission Last Date
30 - April - 2026

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