Prescribing and Dispensing Flashcards

1
Q

Name the 3 aims of the Veterinary Medicines Regulations 2013

A
  1. To control risks to human health, animal health, and the environment through safe use of veterinary medicines.
  2. To provide assurance on efficacy
  3. To provide reliable information to users
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How is the regulation of drugs achieved (governing bodies)

A

Data assessment and authorisation by VMD
Centralised application of European Medicine Agency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Name the processes by which the regulation of medicines is achieved (x4)

A
  1. Certification and qualification
  2. Prescribing, dispensing and supply of veterinary medicines
  3. Testing, inspection and investigation
  4. Post-marketing authorisation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is an SQP and what can they do

A

Suitably Qualified Person
Can supply some medicines, work in accordance with the VMD code of practice
Must have training and have passed exams

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is a POM-V medicine

A

Prescription-only medicine from a Vet
Must be prescribed by a veterinary surgeon following a clinical exam of the animal, which must be under their care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

When can POM-V medicines be prescribed

A

Must be prescribed by a veterinary surgeon following a clinical exam of the animal, which must be under their care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

When is a medicine classed as POM-V (x4)

A
  1. It requires a strict limitation on its use for specific safety reasons
  2. It requires the specialised knowledge of a veterinary surgeon for its use/application
  3. It has a narrow safety margin requiring above-average care in its use
  4. It is government policy to demand professional control at a high level
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is a POM-VPS medicine

A

Prescription-only medicine from a vet, pharmacist or SQP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Can a POM-VPS medicine be prescribed without a clinical assessment of an animal

A

Yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What must the prescriber do before prescribing a POM-VPS

A
  1. Be satisfied the person who administers the medicine is competent to do so
  2. Advise on warnings/contraindications and safe administration
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

When is a medicine classified as a POM-VPS

A

When used to reduce or prevent the effects of endemic disease in herds, flocks or in individual animals e.g. antiparasitic drugs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is a NFA-VPS drug

A

Non-Food Animal medicines which can be prescribed by a vet, pharmacist or SQP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

When is a medicine classed as a NFA-VPS

A

It is indicated for use only in non-food animals with no requirement for a prescription-only status
It is used routinely to prevent or limit the effects of endemic disease in non-food animals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the Small Animal Exemption Scheme (SAES)

A

Medicines for use in certain pet species the active ingredient of which has been declared by the Secretary of State as not requiring veterinary control
they are exempt from the requirement for a marketing authorisation
Pet species - fish, cage birds, ferrets, rabbits, small rodents

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is an AVM-GSL medication and what does it mean

A

Authorised Veterinary Medicine – General Sales List
No legal restrictions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How many schedules of controlled drugs are there

A

5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What 4 things should be taken into account when prescribing a medication

A
  1. The circumstances of the animal being treated
  2. The available authorised vet medicines
  3. The need for responsible use of medicines
  4. The competence of the person who is administering the product
18
Q

How many years must records of drugs be kept for

A

5 years

19
Q

What are the requirements for the premises where medicines are stored/supplied

A

Listed on a register as a Veterinary Practice Premises (VPP)
Premises must be in a permanent and secure building
The building must not allow the entrance of birds or vermin

20
Q

List the drug distribution categories

A

POM-V
POM-VPS
NFA-VPS
AVM-GSL

21
Q

What 3 laws regulate prescriptions

A

Vet surgeons act
Veterinary medicines regulation
Misuse of drugs act

22
Q

What are the 5 schedules of controlled drugs and what controls are they subject to

A

Schedule 1 - possession requires a home office licence
Schedule 2 - drugs obtained and supplied must be recorded in a register
Schedule 2 and 3 - prescriptions are subject to additional requirements
Schedule 4 and 5 - have fewer controls

23
Q

Define “under your care” when talking about POM-V prescriptions

A

The veterinary surgeon must have been given the responsibility for the health of the animal or herd by the owner or the owner’s agent
Veterinary surgeon must maintain clinical records of the animal

24
Q

What things must someone who is prescribing medicines do before prescribing

A
  1. the person using the product is competent
  2. advise safe administration
  3. advise on any warnings or contraindications
  4. Do not prescribe more than the minimum quantity required for the treatment
25
Q

Who do you report a prescription misuse to

A

Veterinary Medicines Directorate (VMD)

26
Q

Define an Adverse Event

A

Any observation in animals, whether or not considered to be product-related, that is unfavourable and unintended and that occurs after any use of a veterinary medicine
Includes lack of efficacy

27
Q

Name the 4 types of adverse events

A
  1. Lack of expected efficacy
  2. Unexpected AE
  3. Serious AE
  4. Non-serious AE
28
Q

What is an unexpected adverse event

A

If the nature, severity or outcome of an observed AE is not described in the SPC = unexpected

29
Q

What is a serious adverse event

A

Results in death, or increased rates of death in a species for which there is an expected death rate
Life-threatening clinical signs
Significant disability or incapacity
Congenital anomalies or birth defects
Permanent or prolonged signs.

30
Q

Define an Adverse Reaction to a drug

A

A reaction to veterinary medicine which is harmful and unintended and which occurs at doses normally used in animals for the prophylaxis, diagnosis or treatment of disease or to restore, correct or modify a physiological function.

31
Q

What are the characteristics of the drugs in each of the 5 controlled drug schedules

A

1 - no current therapeutic use
2 - have therapeutic use but are highly addictive
3 - misuse may lead to low or moderate physical dependence or high psychological dependence
4 - misuse may lead to limited physical dependence or psychological dependence
5 - potential for abuse is extremely low

32
Q

Give examples of schedule 2 drugs used in veterinary medicine (x6)

A

Methadone
Morphine
Fentanyl
Ketamine
Pethidine
Quinalbbarbitone

33
Q

Give examples of schedule 3 drugs used in veterinary medicine (x5)

A

Buprenorphine
Tramdol
Gabapentin
Midazolam
Pentobarbitone

34
Q

Give examples of schedule 4 drugs used in veterinary medicine

A

Part 1 - diazepam, alprazolam
Part 2 - Nandrolone, clenbuterol, somatotropin

35
Q

Give an example of a schedule 5 drugs used in veterinary medicine

A

Paracetamol with codeine (Pardale)

36
Q

What does procurement of schedule 2 and 3 drugs require

A

A requisition form

37
Q

How are schedule 2 drugs stored

A

Kept in a locked cabinet
Recorded in Register

38
Q

Which schedule 3 drugs must be kept in a locked cabinet (x4)

A

Buprenorphine, Diethylpropion, flunitrazepam and temazepam

39
Q

If being kept in a vehicle, how are schedule 2 and 3 drugs stored

A

In a locked box which must be secured to the vehicle itself

40
Q

Who can prescribe a controlled drug

A

An MRCVS

41
Q

How are controlled drugs disposed of

A

Must be made irretrievable before disposal
- denaturing kits
- soap for tablets
- cat litter

42
Q

What are the requirements when destructing a schedule 2 drug

A

Witnessed by
- Veterinary Medicines Regulations (VMR) inspector
- Controlled Drug Liaison Officer (CDLO)
- Independent MRCVS
Must be recorded in CDR (controlled drugs register)