Compounding Flashcards

1
Q

what are the 4 categories of veterinary medications

A

1) drugs
2) biologics
3) pesticides
4) VHPs

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2
Q

biologics are regulated by:
a) VDD
b) veterinary drugs directorate
c) CFIA
d) pesticide mgmt regulatory agency

A

c) CFIA

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3
Q

VHP are regulated by:
a) VDD
b) veterinary drugs directorate
c) CFIA
d) pesticide mgmt regulatory agency

A

a

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4
Q

Drugs are regulated by:
a) VDD
b) veterinary drugs directorate
c) CFIA
d) pesticide mgmt regulatory agency

A

b

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5
Q

pesticides are regulated by:
a) VDD
b) veterinary drugs directorate
c) CFIA
d) pesticide mgmt regulatory agency

A

d

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6
Q

in order for a vet to dispense/prescribe medications there must be a valid

A

V-C-P-R

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7
Q

drugs are categorized based on (3)

A

safety concerns; abuse potential; ability of a lay person to understand and execute directions for their use

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8
Q

scheduling of drugs dictates (3)

A

how drug is ordered for dispensing; how drug is stored; how drug is obtained

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9
Q

NAPRA I drugs include (3)

A

narcotics (N); controlled drugs (C1-C3); targeted substances (TS)

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10
Q

T/F you need a prescription for NAPRA II drugs

A

F

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11
Q

NAPRA II drugs can be obtained with/without a pharmacist, and with/without a prescription

A

with; without

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12
Q

NAPRA III drugs can be obtained with/without a pharmacist, and with/without a prescription

A

without; without

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13
Q

what class of drugs can be obtained at retail stores

A

unscheduled

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14
Q

all NAPRA I drugs require

A

labelling

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15
Q

T/F you can prescribe refills for narcotics

A

F; need to label as dispense x pills every y days

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16
Q

whos responsibility is it to communicate with a client on medication use

A

the veterinarian

17
Q

what is compounding

A

the combining of two or more ingredients, of which at least one is a drug or pharmacologically active component, to create a final drug in an appropriate dosage form

18
Q

T/F splitting a tablet into two is an example of compounding

A

T

19
Q

if you are giving a client a compounded drug, informed consent must include (3)

A

drug is not approved by the VDD of Health Canada; list of any potential ADRs; drug efficacy may be unknown and the drug is not rigorously tested

20
Q

reporting ADRs from compounded products to the ADD of Health Canada is (voluntary/involuntary)

A

voluntary

21
Q

why must you have a valid VCPR before prescribing compounded medications

A

to ensure that the response to therapy can be monitored

22
Q

what is the biggest difference between compounded products and generic/brand-name products

A

generic/brand-names are HEALTH CANADA APPROVED

23
Q

T/F generics are deemed bioequivalent to brand-name products

A

T

24
Q

Generic/brand-name products are Health Canada approved. What 4 implications does this have

A

1) good manufacturing practices
2) subject to inspection
3) safety and efficacy data known
4) stability is known

25
Q

T/F compounding pharmacies are not subject to inspection

A

F

26
Q

what 4 signs are possible evidence of drug instability for liquid compounded drugs

A

1) colour change
2) cloudiness/film
3) precipitation
4) gas/odour

27
Q

what 3 signs are possible evidence for drug instability in solid compounded products

A

1) crumbling
2) breaks/cracks
3) capsules/tablets sticking together

28
Q

what are the 2 biggest causes of changes in drug stability

A

pH and temperature

29
Q

compounded TD drugs need to be __________ to provide a dose in ____ to _____ volume

A

potent/soluble; 0.1-0.2 mL

30
Q

what is a benefit of compounding to drug administration

A

it enhances patient/owner compliance (ex. flavouring agents)

31
Q

what are 4 difficult products for a veterinarian to compound

A

1) sterile products
2) extended release products
3) transdermal products
4) opthalmic products

32
Q

T/F with some exceptions, the importation of drugs for food animals is very restricted

A

T

33
Q

T/F with some exceptions, the importation of drugs for companion animals is very restricted

A

F; loophole exists

34
Q

what is the VDD EDR program

A

Emergency drug release program: permits veterinarians access to drugs not available in Canada to treat diseases on an emergency basis - vet must supply info like species, drug safety data, nature of emergency, amount of drug needed