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Flashcards in Pharmacy Deck (33)
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1

What is meant by veterinary medicine?

Any substance or combination of substances presented as having properties for treating of preventing diseases in animals

Any substance or combination of substances that may be used in, or administering to, animals with either a view to restoring, correcting, modifying physiological functions by exerting a pharmacological, immunological or metabolic action

2

What are the legislations applying to use of veterinary medicines in the UK?

EU directives- 2004/2009
UK vet med regulations- 2013

3

What is the role of the vet med directorate?

Executive agent of DEFRA
Monitor and act on adverse effects
Residue monitoring
Authorising companies to sell vet medicines in UK
Control production and distribution
Enforcing and updating UK legislation

4

What legislation applies to prescriptions?

Vet med order 2005

5

What are the 4 classifications of veterinary drugs?

POM-V- Vet only
POM-VPS- Prescription only medicine, vet, pharmacist, SQP
NFA-VPS- non food animal only, registered qualified person
AVM-GSL- Authorised vet medicine- general sales list

6

What are the classifications of controlled drugs?

Schedule 1- no therapeutic value, misuse likely
Schedule 2- therapeutic, highly addictive
Schedule 3- therapeutic, less chance of missuse
Schedule 4- reduced potential for abuse
Schedule 5- Preparations of codeine, morphine

7

Which schedules of controlled drugs can vet medicine use?

2-5

8

How are schedule 2 and 3 drugs not dispensed?

Not through electronic or faxed form
Must be authorised requisition form

9

How are controlled drugs dispensed?

Order forms provided by vet med wholesalers
Order form must contain- name, address, profession, total quantity, signature, RCVS registration number

10

Which schedules require extra prescriptions?

Schedule 2 and 3
2, 3 and 4 prescriptions only last 28 days

11

How long do invoices of controlled drugs need to be kept?

2 years

12

What needs to be in the control drugs register?

Needs to be bound book or computer
Separated into class
Separate page for each strength and form of drug with heading
Chronological order- made on day or next latest
Ink or computerised
No deletions
Any corrections signed and dates- running balance corrected
Specific premises
2 years minimum keep

13

Ho do controlled drugs need to be stored?

In accordance with manufactures recommendations
Labelled with opening date
No access by unauthorised persons

14

How do schedule 2 and 3 drugs need to be stored?

Locked cabinet
Attached to fabric of building
Only accessed by veterinary surgeon or authorised by vet
Key kept by one specific person or combination key box, no indication, clients not allow in room unsupervised

15

What is the cascade?

If there is a suitable authorised product available for the condition in affected species, this must be used at manufactures recommended dose
If non in stock non-authorised can be used as welfare comes first

16

Is cost an acceptable reason for the cascade?

Cost is not an acceptable reason

17

How should drugs be selected under the cascade if no authorised products exist?

1) Vet med authorised in another species or different condition in same species
2) Medicine authorised in UK for human or animals in EU
3) Medicine made up at time by vet surgeon- one off
If no suitable medicine is available in the UK or EU the VMD will consider allowing a human medicine from EU

18

How does the cascade affect food producing animals?

Medicines imported from a member state must be authorised in a food-producing species
Vet must specify an appropriate withdraw period
Appropriate records need keeping

19

How are medicines imported?

Special import certificate
Wholesale dealers import certificate
Research import certificate

20

What 12 things are needed on a written prescription?

1) Name, address, telephone of person prescribing
2) Qualifications of person prescribing the product
3) Name and address of the owner/keeper
4) Full identification of the animal or group of animals
5) Premises at which the animal are kept if different to owner
6) Date
7) Signature
8) Name of drug and amount prescribed
9) Dose and administration
10) Necessary warnings
11) Withdrawal if relevant
12) If under cascade a statement

21

How long is a prescription valid for?

6 months unless shorter period is specified
Repeatable prescriptions should state how many repeats

22

What do controlled drug prescriptions need to include?

Total quantity of drug
Name of form and strength
Declaration animal is under vets care
Specific dosing instructions
Repeat prescriptions not issued for schedule 2 and 3

23

What is the legal requirement for labelling?

No legal requirement for labelling of authorised vet products dispensed
RCVS recommends all medicines labelled in the same way as cascade

24

What is on a label 13 things?

1) Namer and address of vet/pharmacy
2) Name of vet
3) Name of animal/group of animals
4) Identification of the animal
5) Date of supply
6) Batch number and expiration
7) Name/description of medicine, name strength
8) Dosage and administration
9) storage precautions
10) Any necessary warnings
11) Withdrawl period
12) Keep out of reach of children, for animal treatment only
13) if topical- for external use only

25

What is a prescribing premises?

Practice premises must be registered with the RCVS as vet practice premises supply vet medicines

26

What records should be kept for vets of POV-V and POM-VPS medications?

Date
Identity of VMP incl batch
Quantity
Name and address of supplier or recipient
Cope of prescriptions
Keep for 5 years

27

What records need to be kept of food-producing animals under the cascade?

Date
Name of surgeon
Name and address of owner
Identification of animal
Outcome of clinical assessment
Identity of the product incl batch number
Active ingredients incl quality
Amount
Withdrawl period
5 year record

28

What is a SOP?

Standard operating procedure

29

What is required for a SOP?

Handling, storage, disposal
Categories, records, ordering protocol, dispensing

30

What is the MRL?

Maximum residue limit- maximum concentration of residue allowed in animal food product- no observed adverse effect level