Prescription Cascade And Drug Dose Calcs

Question 1

Uk includes which country’s

Answer 1

Wales, Scotland, England, and NI

Question 2

GB includes which countries

Answer 2

Wales, Scotland and England

Question 3

UK MA

Answer 3

A product that has been approved for use of the whole of the Uk

Question 4

GB MA

Answer 4

A product that has been approved for marketing in GB under the VMR 2013

Question 5

NI MA

Answer 5

A product that has need approved by the EU regulation for marketing in NI only

Question 6

Why might we need to prescribe drugs for an animal that are only licensed in humans

Answer 6

Cost of development
Not economically realistic to have medicines for every species + conditions
2.5% of the size of human pharmaceuticals industry

Question 7

When is the prescribing cascade used

Answer 7

Used when specific drugs are not available for the species/conditions

Question 8

Who can use the prescribing cascade

Answer 8

Only VS regardless of drug category - must get consent from owners

Question 9

Other name for drugs prescribed under the cascade

Answer 9

Unauthorised drugs

Question 10

Why can’t we use all medications for species without needing the cascade

Answer 10

Animals are different from humans
Animals different from each other
Product has to be proven to be safe and effective
,so he same product but formulated differently which effects their absorption +excretion

Question 11

How many steps to the cascade for GB

Answer 11

6

Question 12

Step 1 GB

Answer 12

veterinary medicine with GB or UK MA for the correct species and conditions

Question 13

Step 2 GB

Answer 13

Veterinary medicines with an NI MA for the correct species and condition

Question 14

Step 3 GB

Answer 14

Veterinary medicines with a GB, NI or UK MA for a different species or a different condition

Question 15

Step 4 GB

Answer 15

Human medicines from GB, NI or UK veterinary medicines from outside the UK

Question 16

Step 5 GB

Answer 16

Preparations prepared by the veterinary surgeon, pharmacist or MANSA license person

Question 17

Step 6 GB

Answer 17

Exceptional circumstances - a human medicine may be imported from outside the UK - requires a special import certificate from the VMD

Question 18

How many steps for the NI prescribing cascade

Answer 18

5

Question 19

Step 1 NI

Answer 19

Veterinary medicines with a NI or UK MA for the correct species and condition

Question 20

Step 2 NI

Answer 20

Veterinary medicine with a NI or UK MA for a different species or a different condition

Question 21

Step 3 NI

Answer 21

Human medicines from NI or UK or veterinary medicines from outside the UK

Question 22

Step 4 NI

Answer 22

Preparations prepared by the veterinary surgeon

Question 23

Step 5 NI

Answer 23

Exceptional circumstances - a human medicine may be imported from outside the UK - requires a special import certificate from the VMD

Question 24

Extemporaneous medications or ‘veterinary specials’

Answer 24

Made up of dispensing pharmacist a holder of manufacture specials authorisation (MANSA)
They don’t hold an MA so not authorised but they have been assessed.