Prescribing Cascade

Question 1

what is the prescription cascade?

Answer 1

a risk-based decision tree

Question 1

what is step one of the cascade?

Answer 1

suitable and authorised veterinary medicine for the condition and species you are treating and indicated in GB

Where there is no suitable veterinary medicine authorised in your territory for the specific condition in the animal being treated, to avoid unacceptable suffering, you are permitted to use your clinical judgement to treat animals under your care in accordance with the cascade.

Question 2

what is step two of the cascade?

Answer 2

A suitable veterinary medicine authorised in NI with import cert

Question 3

what do you need to so with step two of the cascade?

Answer 3

apply fro a special import certificate (SIC), apply online

Question 4

what is step three of the cascade?

Answer 4

A suitable veterinary medicine authorised in NI or UK BUT different species or condition

Question 5

what is step 4 of the cascade?

Answer 5

A Veterinary medicine authorised outside the UK* (if for food producing species, must be autheroised for food producing in the country it is coming from)
OR
A Human medicine authorised in UK / GB / NI (eg gabapentin in canines)

*with certificate

Question 6

what is step five of the cascade?

Answer 6

Extemporaneous preparations (veterinary specials)
- preperation that is created by a vet or pharmacist or person with manufacturers authorisation
- can include mixing of multiple drugs together

Question 7

what is step six of the cascade?

Answer 7

In exceptional circumstances

Human medicines authorised outside the UK