What schedule is codeine classified in?

Codeine is classified as a Schedule II controlled substance when it is in its pure form or used in certain high-concentration formulations. This classification indicates that codeine has a high potential for abuse, which can lead to severe psychological or physical dependence. However, when codeine is used in combination with other medications, such as acetaminophen or aspirin, and is prescribed in lower doses, it may be classified under Schedule III.

The classification of controlled substances is governed by the federal Controlled Substances Act (CSA), which organizes drugs into schedules based on their medical usefulness and potential for abuse. Schedule II drugs like pure codeine require stricter regulations, including tighter prescription controls and limitations on refills, to help mitigate the risk of abuse.

This understanding of codeine's classification is crucial for pharmacy practice, as it affects how medications can be dispensed, prescribed, and monitored. Recognizing the correct schedule not only ensures compliance with legal standards but also supports patient safety and effective pain management.