2nd lab test Flashcards

1
Q

Drug names:

- Chemical names

A

dont need to know the chemical name

  • Description: based on international naming conventions (several differences among countries)
  • Use on prescription: rarely used on prescriptions (eg. ethanol)
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2
Q

Drug names:

- Approved name

A

e.g Amoxillin
Description:
- International Non-proprietary Names (RlNN), British Approved Names (BAN) and United States Approved Names (USAN).
- can be derived from the chemical name sometimes corresponds (eg. sodium proprionate)
- given by the Pharmacopoeia Commission
- useful in the orientation among trade names

Use on prescriptions:
- used for prescribing Official and Prepared medicines

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3
Q

Drug names:

- Licensed, brand, trade or proprietary names

A

eg: Betamox injection, Amoxysol injection etc..

Description:

  • given by manufacturers (based on fantasy)
  • can differ considerably from the chemical name
  • a particular chemical compound can be supplied under several unrelated names

Use on prescriptions:
- use for prescribing Authorised medicines.

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4
Q

Official drug:

- Difference between formulated and non-formulated

A
  • Formulated: Have a dosage form. Eg: Amoxicillin tabl.

- Non-formulated: Don´t have a dosage form. Eg: Amoxicillin

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5
Q

Special prescription requirements of schedule 2 and 3 drugs:

  • what the prescription must include
A

The prescription must be written indelible (or computer generated) and the signature must be in ink or electronic prescription form available since 2015:

  • name and address of the owner
  • date on which the prescription was signed
  • name, form and strength of the preparation
  • total quantity or the number of dosage units in both words and figures
  • dose to be administered (“take as required” is not acceptable)
  • prescribers signature, qualification and RCVS registration number
  • animal or herd under the vet´s care

A pharmacist must not dispense a S2 or S3 drug unless it complies with the above requirements and the prescribers address in the UK.

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6
Q

Special prescription requirements of schedule 2 and 3 drugs:

A
  • Signature part: NO latinisation or abbreviation is allowed (Signature or Label)
  • The prescription is valid for 28 days (also S4) –> S5: 6months.
  • Repeat prescription is not permitted - if pre-printed: most be crossed put
  • Special case: Buprenorphine: Schedule 3 CD and its use does not need to be recorded in the CD register but safe custody does apply.
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7
Q

What does it mean if the prescription says “Label: to the veterinarians hand”?

A

the owner wont use it, only pick it up at the pharmacy and bring it back to the veterinarian

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8
Q

Labelling of dispensed veterinary medicines:

  • the label must include
A

All medicines sod or supplied by a veterinarian are by definition “dispensed medicines”
The label must include:
- name and address of the owner and veterinarian
- date of dispensing
- “for external use only” if only for topical use
- the relevant WP
- If the product containe eg. hexachlorophene, aspirin (se neste flashcard)
- “for animal treatment only” unless container or package is too small
- “keep out of reach for children”

It is a good practice to include the drug name, concentration and the amount dispensed and information about the application.
The use of mechanically printed letters is recommended.
Both the container and the outer packaging should be labelled.

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9
Q

What should the label include it the product containes e.g. hexachlorophene, aspirin:

A
  • the drug containing aspirin (or similar drugs) must be labelled with the words “unsuitable for cats”, and “it contains aspirin” within a ruled rectangle.
  • if drug includes hexachlorophene for oral adiministration: sheep (protective clothing), cattle: product is not for use in lactating cattle.
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10
Q

Italic type in Sample Label indicates?

A

the optional particulars

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11
Q

Medicated feeding stuff prescriptions (MFS):

The Veterinary Medicines Regulations 2013

A
  • the regulations apply to anyone who incorporates a medicated product of any description in an animal feeding stuff.
  • the legislation does not affect a companion animal owner administering a medicinal product mixed in the feed, since no business is involved.
  • noor does it affect a farmer “top dressing” feed or medicating via the drinking water.
  • the regulations require all manufacturers (feed compounders) and distributors who add medicines to feed to register with the Royal Phermaceutical Sociaty or Great Britain (RPSGB) or the Department of Agriculture and Rural Development for Northters Ireland (DARD for NI).
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12
Q

Basic requirements for Medicated Feeding Stuff prescription:

A
  • Three copies of MFS prescriptions are required (the compounder, the farmer and the veterinarian)
  • MFS is valid for a period of 3 months or such shorter period as may be specified in the prescription.
  • According to data sheet recommendations (inclusion rates, target species and WP)
  • medicines may be incorporated in animal feedstuff by an appropriately registered person only if the product has a relevant Product License (marketing authorisation) or an Animal Test Certificate (ATC).
  • Medicinal products to be included in feed must be licensed for infeed use, although the veterinarian may authorize use for species or conditions other than those specified in the product license.
  • However, if they are to be incorporated in any way not in accordance with the product license, an MFS ir required.
  • It must be sufficient for only one course of treatment.
  • A MFS prescription is generally necessary for incorporation of veterinary medicinal product into a feeding stuff and it is certainly required before such medicated feed is supplied to a farmer.
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13
Q

All MFS should follow a specified format and should include:

A
  • the name and address of the person prescribing the product.
  • the qualifications enabling the person to prescribe the product
  • the name and address of the keeper of the animals to be treated.
  • the species of animal, identification and number of the animals.
  • the premises at which the animals are kept if this is different from the address of the keeper
  • the date of the prescription
  • the signature or other authentication of the person prescribing the product.
  • the name and amount of the product prescribed
  • the dosage and administration instructions.
  • any necesarry warnings
  • the WP
  • the manufacturer or the distributor of the feedstuffs (who must be approved for the purpose)
  • if the validity exceeds one month, a statement that not more than 31 days supply may be provided at any time
  • the name, type and quantity of feedingstuffs to be used
  • the inclusion rate of the veterinary medicinal product and the resulting inclusion rate of the active substance
  • any special instructions
  • the percentage of the prescribed feedingstuffs to be added to the daily ration
  • if it is prescribed under the cascade, a statement to that effect.
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14
Q

Powder for external use:

A

eg: talcum powder, sparsorium

  • usage reduced
  • active substances: antiobiotics, antiseptics, antimycotics, ectoparastiticides
  • binders: gives the total volume of the external powder. eg: Talcum, zinc oxide.
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15
Q

What is special with Talcum and Zinc oxide as binders in external powder?

A

Talcum:

  • binds water.
  • MgAlSi: can not be used on wounds, as it decreases the healing process.

Zinc oxide:

  • can be used on wounds
  • it decreases the inflammation and seperation (?) in wounds.
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16
Q

Powder for Internal use (Pulvis, -Eris):

  • Adiminstration
  • categories
A

Administration: per os
Categories:
- water soluble powder (for use in drinking water)
- powder for in-feed use
- powder for oral solution and suspension
- for direct administration (eg. capsule)

17
Q

Powder for Internal use (Pulvis, -Eris)

- composition

A

Composition:

  • active substance
  • binder (must be edible, cheap)
  • -> Lactose (Lactsum): cheap, edible, without taste
  • -> Sorbit (Sorbitolum): tastes sweet, used in case of bitter taste in the suspension
  • -> Glucose (Glucosum Monohydricum)
  • -> Bran flour, cereal flour
18
Q

Powder for Internal use (Pulvis, -Eris)

- Dividation

A

Pwder for internal use is categorized into Divided and non-divided

Divided:

  • For more dangerous medicines
  • the owner will by already seperated packages.
  • the pharmacist makes it.

Non-divided:

  • for less dangerous medicines
  • the owner will get the whole package and divide the medicine herself.
19
Q

Powder for Internal use (Pulvis, -Eris)

- Divided powder

A

Divided is further categorized into Dividation and Dispensation

Dividation:

  • The pharmastis measure the totam amount and divide it
  • “Divide in dose aequales No…” : less precise, quicker.

Dispensation:

  • The pharmacist will measure it seperately
  • used when the drug is easy to overdose
  • “Dentur tales doses No….”: more precise, slower.
20
Q

Granule (granulatum, -i):

- usage

A

Made from powder. Advantage: less dust compared to powder, easier to get the entire amount.

  • Farm animals: mixed in feed or drinking water.
  • Small animals, humans: for solution or mixed in feed.
21
Q

Granule (granulatum, -i):

- composition

A
  • active substance
  • Binder: Saccharose (saccharum), Lactose (Lactosum)
  • Adhesive (attaches the particles together): Purified water, ethanol, methylcellulose.
  • Coating (dust resistance. protection. Only used if needed):
  • -> eg: When the active substance is sensitive to lo pH, like the GI mucosa. Omeprazol prevents gsatric ulcer.
  • -> eg. protect the GI mucosa from the active substance. Clindamycin.

Active substance, Binder and Adhesive is ALWAYS NECESSARY. Coating only if needed!

22
Q

What are the different Premixes?

A
  • Medicated premix: used for preparing medicated feeding stuff.
  • Feed supplements: dont require special compounders to mix it, they can be mixed into the feed by the farmer/owner. Eg: microelements, vitamins, prebiotics.
23
Q

Premix:

- usage

A
  • per os:in small and large scare production as well
  • powder, granulated (microencapsulated), liquid.
  • homogenous mixing (large scale production: feed mills)
24
Q

Premix:

- Composition

A

Active substance:

  • medicated premix: drugs (AB, antiparasitic agents etc)
  • feed supplements: microelements, vitamins, prebiotics, probitocs etc.

Binder:

  • similar to feed
  • it has no nutritinal value, eg: cereal flour, wheat bran.
  • indifferent: silicates
25
Q

Capsule (capsula):

- Usage

A
  • per os, without chewing
  • dont open the capsule
  • only for individual treatment in Small animal medicine!
26
Q

Different types of capsule:

A

Soft capsule:

  • (NSAIDS may be ingredient. Liquid form)
  • Earlier: gelatine + sugar + glyverol + water
  • Nowadays: synthetic polimers
  • thicker wall, eg: pearl capsule.

Hard capusle:

  • Solid
  • Earlier: Gelatine + sugar + water
  • Nowadays: ?
  • eg. hydroxypropyl methylcellulose

Gastro-resistant capsule (soft and hard) = intestinal solvent:

  • eg. methacrylate coating
  • capsula intestinosolvens ( film coated tablets): protect the active substance from the stomach. Do not dissolve in gastric juice.
27
Q

Soft capsule vs. Hard capsule?

A
  • Difference is the active substance

- Both types dissolves in the gastric juice in 15 min.

28
Q

Tablet, Dragee

A

Always authorized medicine

  • most precise dividing form
  • per os
  • Intrauterine (metritis in cattle), intravaginal (human)
  • for preparing solutions: soluble-, effervescent (sparkels when you put it in water)
  • can not be made from a pharmacist, only the producing company
29
Q

Tablet:

- composition

A
  • active substance
  • binder
  • adhesive
  • lubricant eg: liquid parafin
  • coloring, flavouring agents etc.
30
Q

Tablet

- coating:

A
  • Dragees: sugar coating, not frequently used
  • film coating: G astric juice resistant tablets.
  • can be intestine solvent eg: substances that irritates the stomach, or dissolve there.
  • TiO2 –> protection from light.
31
Q

Types of Modified release tablets:

A

They give prolonged release of the drug, and low drug release.
Convenient for animal and owner.

  1. Insoluble matrix:
    - Matrix will not dissolve in gastric juice, but the active substance will be release.
    - the matrix will go out with the feces.
  2. Soluble matrix
    - completely dissolves.
32
Q

Modified release tablets:

- intraruminal bolus

A
  • ruminats, large tablets
  • modified release.
  1. sustained release:
    - when the bolus dissolved slowly, gives a high and continous drug release.
  2. pulse release:
    - each bolus is released one-by-one inside the rumen
    - usefull in worm infections because of the life cycle of parasites (eggs, larvae, adults etc).
33
Q

(Modified release?) tablets:

- packaging

A

usually plastic or aluminium foil (blister) and paper box (authorised products)

34
Q
Herbal tea (species)
- usage:
A

Per os.
Topically: for washing wounds

  1. Infusion (species ad infusum):
    - like making tea at home
    - essential oils, substances that are easily dissolved –> inactivation when expressed to permanent hot temperature.
  2. Decotium (species ad decotum):
    - substances that are difficult to extract (eg. tannic acid from oak trees).
    - boiling for several hours
  3. Soaking/maceration:
    - Active substance sensitive to high temperatures.
    - room temp water, soaking for several hours.
35
Q
Herbal tea (species):
- compostition
A

Active substance with mild effect + herbal parts + occasionally: effect enhancer chemicals (pl. potassium sodium tartrate for laxative herbal tea).

36
Q

Transdermal patch, implant:

A
  • only lipophilic drugs can be used. Need to shave the hair/fur ever 3 day.
  • Continuous, prolonged release
  1. Transdermal patch:
    - drugs with excellent dermal absorption –> systemic effect (eg. analgesi like fentanyl).
  2. Subdermal implants:
    - frequently used.
    - oestrus synchronisation (progestagenes! P4 hormones that suppress the cycle)
    - Deslorelin (analouge of GnRH. used in Suprelorin)