Final Flashcards
What 2 categories are under ‘pharmaceuticals’?
Prescription drugs
Non-prescription drugs
who controls schedules 1, 2, 4 and unscheduled drugs – NAPRA or Health Canada?
NAPRA
prescription drugs are which schedule?
1
Non-prescription drugs are which schedule?
2, 4, and unscheduled
Controlled drugs fall under which schedules?
1-4
T/F: Pr drugs are federal
T
‘Prescription Drug List’ includes 2 categories…
Human Pr drugs
Veterinary Pr drugs
T/F: any drug used off-label is prescription
T
T/F: any Schedule 1 drug is prescription?
T
3 principles when Health Canada selects Pr drugs?
- supervision necessary
- uncertainty re: the drug justifies supervision
- drug can cause harm which supervision can mitigate
3 classes of Pr drugs
Narcotics (N)
Controlled <C></C>
Benzo + Targeted substances [T/C]
T/F: controlled drugs are dangerous because they have a high TI
F: low
T/F: NAPRA is federal
F: provincial
NAPRA stands for…
National Association of Pharmacy Regulatory Authorities
T/F: federal laws are stricter than provincial
F - provincial can be more strict!
T/F: NAPRA only deals with human drugs, so only human-labelled drugs in vet med fall under this domain
T
what is the ‘harmonized drug schedule model’?
created by NAPRA - lists classes recognized at a provincial level
schedule 1 - Pr required federally
sched 2 - non-Pr, but ‘behind the counter’ (ie. ephedrine)
sched 3 - non-Pr, but pharmacist supervises your selection (ie. extra strength formulas)
unscheduled - can be sold anywhere
to order ephederin, DVM must sign ‘end use declaration form’ how often?
annually
vet biologicals are regulated by ___ and enforced by ___
Health of Animals Act
CFIA
T/F: under no circumstances can rabies vaccines be sold to a non-vet
F
requests can be made in special circumstances:
- remote areas without veterinary services for temporary rabies vaccination clinics.
- trap-vaccinate-release programs run by provincial wildlife officials.
T/F: NAPRA regulates natural non-Pr health products?
F
NNDPD does (Natural + Non-Pr Health Products Directorate)
natural health products require ___ before they can be sold
product license - lets consumers know Health Canada has approved it
(8 numbers-NPN, or DIN-HM if homeopathic)
what is homeopathy?
treating disease with small doses of drugs that cause the same symptoms as the disease
T/F: only Pr drugs have a DIN
F - anything (Pr of OTC) with an active pharmaceutical ingredients does
what is a drug label?
monograph that comes with every drug
- must be included for every drug with a DIN!!
before being licensed, indications must have been…
tested
T/F: dosage, route are part of ‘indications’
T
what is the difference between precautions and warnings?
warnings are more serious or more frequent
veterinary drugs are regulated by….
VDD
WDT are determined by…
Health Canada
T/F: WDT is once drug reaches ‘0’ in tissues
F - when drug reaches max allowable level in tissue
T/F: WDT only applies to certain drugs
F - anything with a DIN!
although certain drugs do not have a labelled WDT
what drugs are banned from food animals?
(a) chloramphenicol or its salts or derivatives;
(b) a 5-nitrofuran compound;
(c) clenbuterol or its salts or derivatives;
(d) a 5-nitroimidazole
(e) diethylstilbestrol or other stilbene compounds
(f) oestrogenic activity
what does Canadian Global Food Animal Residue Avoidance Databank (CgFARAD) do?
non-profit that gives vets advice for drugs without labelled WDTs
T/F: If the prescription is for a drug that has no withdrawal period, this should be noted on the prescription.
T
T/F: WDTS must be on dispensing label, except not yet required for equine
T
T/F: vets can use drugs off-label as long as they have a DIN
T
ELDU cannot be used for which 2 categories?
- those in Health of Animals Act (vaccines)
- pesticides
T/F: RVTs can recommend compounding drugs
F - must be prescribed by vet
blanket prescriptions (herd health) are reviewed by a vet every….
year
prescriptions and refills expire when?
one year from the date the script was written
Prs can be given verbally if…
they are transcribed into medical record
- ie. DVM tells RVT what drug they want, RVT then records it and dispenses
info legally required on a dispensing label?
- client
- patient and spp.
- drug (brand or generic)
T/F: narcotics can have refills
F
T/F: verbal Rx is ok for narcotics
F - written only
T/F: narcotics Rx can be transferred
F
how long must Rx’s be kept on file according to SVMA? federally?
5y, 2y
the dispensing record for narcotics must include a client’s….
name and address
T/F: verbal Rx is ok controlled drugs
T