MEP: Vet Flashcards
In what circumstances can a pharmacist supply veterinary medicine?
under certain circumstances (e.g. when there is a valid prescription) and, as with human medicines, are responsible for any medicines supplied
What is a POM-V?
Prescription-only medicines that can only be prescribed by a veterinary surgeon and supplied by a veterinary surgeon or a pharmacist with a written prescription
What is a POM-VPS
Prescription-only medicines that can be prescribed and supplied by a veterinary surgeon, a pharmacist or a suitably qualified person on an oral or written prescription. A written prescription is only required
if the supplier is not the prescriber
What is a NFA-VPS?
A category of medicine for non-food animals
that can be supplied by a veterinary surgeon, a pharmacist or a suitably qualified person. A written prescription is not required
What is a AVM-GSL?
An authorised veterinary medicine that is available on general sale
Exempt medicines under Schedule 6 of the veterinary medicines regulations – exemptions for small pet animals (SAES) - describe it?
An unlicensed veterinary medicine that does not require a marketing authorisation because it meets criteria laid out in Schedule 6 of the Veterinary Medicines Regulations - Exemptions for small pet animals.
What is an Unauthorised veterinary medicine?
An unlicensed medicine that does not have
a marketing authorisation and is not eligible
for exemption through the SAES. It can only be prescribed by a veterinary surgeon under the Cascade . This includes any human medicine used for animals
The following must be present for a veterinary medicine prescription to be valid:
1) Name, address, telephone number, qualification and signature of the prescriber. Where Schedule 2 or 3 CDs have been prescribed, the Royal College of Veterinary Surgeons (RCVS) registration number of the prescriber must also be included.
2) Name and address of the owner.
3) Identification and species of the animal and its address (if different from the owner’s address).
4) Date. -
prescriptions are valid for six months or shorter if indicated by the prescriber
has confirmed in the case of repeatable prescriptions all supplies must be made within 6 months or shorter if indicated by prescriber). Prescriptions for Schedule 2, 3 and 4 CDs are valid for 28 days.
5) Name, quantity, dose and administration instructions of the required medicine- ‘as directed’ is not an acceptable administration instruction.
6) Any necessary warnings and if relevant the withdrawal period (i.e. the time that must elapse between when an animal receives a medicine and when it can be used for food).
7) Where appropriate, a statement highlighting that the medicine is prescribed under the veterinary Cascade (e.g. ‘prescribed under the Cascade’ or other wording to the same effect).
8) If the prescription is repeatable, the number of times it can be repeated.
Where Schedule 2 or 3 CDs have been prescribed, a declaration that ‘the item has been prescribed for an animal or herd under the care of the veterinarian’ – usual CDs prescription requirements apply (see section 3.6.7).
Differences between veterinary and human Controlled Drug prescriptions?
- Standardised forms are not required for veterinary prescriptions; however, a statement that the medicines are ‘prescribed for the treatment of an animal or herd under my care’ is required for Schedule 2 and 3 CDs
- Veterinary prescriptions should be retained for five years and not submitted to the relevant NHS agency. Original human private prescriptions for Schedule 2 and 3 CDs must be submitted to the relevant NHS agency
- For all CDs, it is considered good practice for only 28 days’ worth of treatment to be prescribed on veterinary prescriptions unless
in situations of long term ongoing medication - Veterinary prescriptions for Schedule 2 and 3 CDs must include the Royal College of Veterinary Surgeons (RCVS) registration number of the prescriber. Human private prescriptions for Schedule 2 and 3 CDs must include a prescriber identification number
SIMILARITIES between vet and human rx’ions?
- Both are valid for 28 days from the appropriate date
- Usual CD prescription content requirements (e.g. Total quantity in words and figures, etc. apply to both
What is the veterinary cascade:
A veterinary medicine with a GB or UK marketing authorisation must be supplied where one exists and is clinically appropriate. It is unlawful to supply a human medicine against a veterinary prescription unless it is prescribed by a veterinary surgeon and specifically states that it is ‘for administration under the Cascade’, or other wording to this effect.
The Cascade is an exemption within the Veterinary Medicines Regulations and specifies that where a licensed veterinary product is not available, other medicines, in a strict order of preference, can be considered.
What is the law surrounding the sell/supply of GSL/P medicines?
It is unlawful to sell or supply unauthorised veterinary medicines (medicines not licensed as veterinary medicines), including human medicines such as GSL and P medicines, for an animal unless this takes place under the veterinary Cascade. This applies even if a veterinary surgeon asks the animal owner verbally to purchase an over-the- counter human product from a pharmacy.
It is a legal requirement for pharmacists who supply NFA-VPS medicines or prescribe POM-VPS medicines to:
- Advise on how to use the product safely
- Advise on any applicable warnings and contraindications on the packaging or label
- Be satisfied that the recipient intends to use the medicine correctly and is competent to do so
- Prescribe or supply the minimum quantity required for treatment.
Is it necessary for the pharmacist to be there for the supply of POM-V, POM-VPS and NFA-VPS medicines?
Unless a transaction has been individually authorised in advance by a pharmacist and the person handing out the medicine is judged to be competent, the physical presence of the pharmacist is required
LABELLING OF DISPENSED VETERINARY MEDICINES:
When a medicine is supplied by a pharmacy
for use under the Cascade, the following details must appear on the dispensing label unless they already appear on the packaging and are not obscured by the dispensing label:
- Name of the prescribing veterinary surgeon
- Name and address of the animal owner
- Name and address of the pharmacy
- Identification and species of the animal
- Date of supply
- Expiry date of the product
- The name or description of the product or its active ingredients and content quantity
- Dosage and administration instructions
- If appropriate, special storage instructions
- Any necessary warnings for the user (e.g. relating to administration, disposal, target species, etc)
- Any applicable withdrawal period (i.e. the time between when an animal receives a medicine and when it can safely be used for food)
- The words: ‘For animal treatment only’
- The words: ‘Keep out of reach of children’.
