1. (a) Because the following classes of drugs may impair a person's ability to operate a vehicle or vessel, a pharmacist shall include a written label on the drug container indicating that the drug may impair a person's ability to operate a vehicle or vessel:

   1. (1) Muscle relaxants.
   2. (2) Antipsychotic drugs with central nervous system depressant effects.
   3. (3) Antidepressants with central nervous system depressant effects.
   4. (4) Antihistamines, motion sickness agents, antipruritics, antinauseants, anticonvulsants and antihypertensive agents with central nervous system depressant effects.
   5. (5) All Schedule II, III, IV and V agents with central nervous system depressant effects.
   6. (6) Anticholinergic agents that may impair vision.
   7. (7) Any other drug which, based on the pharmacist's professional judgment, may impair a patient's ability to operate a vehicle or vessel.

2. (b) Because the following classes of drugs pose a substantial risk to the person consuming the drug when taken in combination with alcohol, a pharmacist shall include a written label on the drug container to alert the patient about possible potentiating effects:

   1. (1) Disulfiram and other drugs (e.g. chlorpropamide, metronidazole) which may cause a disulfiram-like reaction.
   2. (2) Mono amine oxidase inhibitors.
   3. (3) Nitrates.
   4. (4) Cycloserine.
   5. (5) Antidiabetic agents including insulin and sulfonylureas (due to risk of hypoglycemia).
   6. (6) Any other drug which, based upon a pharmacist's professional judgment, may pose a substantial risk to the person consuming the drug when taken in combination with alcohol.

Pursuant to Business and Professions Code Section 4074, a pharmacist shall inform the patient or his or her representative of the harmful effects of certain drugs dispensed by prescription.

Note: Authority cited: Section 4005, Business and Professions Code. Reference: Sections 4022 and 4074, Business and Professions Code.

History

1. New section filed 1-12-77; effective thirtieth day thereafter (Register 77, No. 3).

2. Amendment filed 5-20-83; effective thirtieth day thereafter (Register 83, No. 21).

3. Change without regulatory effect adding article 5 heading and amending first paragraph and Note filed 9-11-2002 pursuant to section 100, title 1, California Code of Regulations (Register 2002, No. 37).

4. Amendment of section and Note filed 1-31-2017; operative 4-1-2017 (Register 2017, No. 5).