Prescription writing Flashcards

1
Q

What is the acronym for diagnosis

A

Dx

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2
Q

What is the acronym for prescription

A

Px

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3
Q

What is the acronym for treatment

A

Tx

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4
Q

What is the acronym for adverse event

A

AE

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5
Q

What is the acronym for adverse reaction

A

AR

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6
Q

What is the acronym for suspected adverse reaction

A

SAR

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7
Q

What is SQP/RQP

A

suitably/registered qualified person

Trained by AMTRA to dispense some medication

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8
Q

What is VMD & NOAH

A

VMD = Veterinary Medicines Directorate
NOAH = National Office of Animal Health

VMD sets legal rules & requirements – regulations for vets

NOAH is subdivision of VMD – has data sheets, most things will be in NOAH but not everything

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9
Q

What does COPC stand for?

A

RCVS Code of Professional Conduct

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10
Q

Define veterinary prescription

A

‘any prescription for a veterinary medicinal product issued by a professional person qualified to do so in accordance with applicable national law’.

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11
Q

What are the key regulations governing veterinary prescriptions in the UK?

A

Veterinary Surgeons Act.

Veterinary Medicines Regulations (amended in 2024).

Misuse of Drugs Act.

RCVS Code of Professional Conduct.

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12
Q

How has the guidance on prescribing and the Cascade changed recently?

A

Promoting illegal Cascade use (e.g., recommending unlicensed drugs when licensed options exist) is now a criminal offense.

Emergency exceptions allow vets to recommend medicines already at home but not to advise purchasing them illegally.

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13
Q

What is a clinical assessment?

A

Assessment providing enough information to diagnose & prescribe safely, including:
- Physical examination (required for notifiable diseases, controlled drugs, antibiotics, antifungals, antivirals, or antiparasitics).
- Consideration of species-specific requirements.

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14
Q

What is AVM-GSL medicine

A

Authorized Veterinary Medicine – General Sale List.

These are “over-the-counter” medicines with no prescription or legal restrictions.

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15
Q

What is a POM-VPS medicine, and how is it prescribed?

A

Prescribed by any Registered Qualified Person (Vet, Pharmacist, SQP).

No clinical assessment or animal care requirement.

Examples: Flea and worm products sold in stores.

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16
Q

What is a POM-V medicine, and how is it prescribed?

A

Prescribed only by a veterinary surgeon.

Requires a clinical assessment.

animal must be under vet’s care

17
Q

What are Small Animal Exemption Scheme (SAES) medicines?

A

Medications exempt from marketing authorization for small non-food animals (e.g., cage birds, rabbits).

Only used under veterinary supervision and with clinical assessment.

18
Q

What are the key points for prescribing antiparasitics?

A

Prescriptions should ensure effective control while minimizing risk of resistance.

Follow regulatory guidelines & use licensed products where possible.

19
Q

What are the restrictions for prescribing antibiotics?

A
  1. Can’t be used routinely or to compensate for poor husbandry.
  2. Prophylactic use is restricted to exceptional circumstances.
  3. Prescribe for shortest duration necessary.
20
Q

How should chronic conditions be managed with installment prescriptions?

A

For long-term conditions, prescribe minimum amount for treatment.

Installment prescriptions specify exact dates & quantities for dispensing.

21
Q

What are the key elements for writing a prescription?

A
  1. Record reasons for prescription
  2. Print/Write legibly in ink, include date, and sign.
  3. Use full drug names, no abbreviations.
  4. State dosage, route, and treatment duration.
  5. write out microgram/nanogram - no abbreviations
  6. always put 0 before initial decimal point
  7. alterations invalidate the prescription - rewrite
  8. prescription not repeated more than 3x without re-checking patient
  9. Include for animal use only
22
Q

What are the requirements for prescribing controlled drugs?

A
  1. Prescriptions for Schedules 2-3 must be handwritten and are valid for 28 days.
  2. Repeat prescriptions not allowed.
  3. Controlled drugs must be stored securely (e.g., locked cabinet).
23
Q

What are the health and safety aspects of prescribing

A

Follow the Cascade.

Ensure safe administration and provide warnings.

Prescribe the minimum amount necessary for treatment.

24
Q

What is the cascade

A

The Cascade is a legal framework that allows the use of medicines not specifically licensed for a species or condition if no suitable licensed product is available. Misuse or illegal promotion of the Cascade is a criminal offense.

25
Q

What is an adverse event?

A

Any observation in animals,
whether or not considered to be product-related,
that is unfavourable & unintended & that occurs after any use of a veterinary medicine (off-label and on-label uses).

Included are events related to a suspected lack of expected efficacy or noxious reactions in humans after being exposed to a veterinary medicine.

26
Q

What are the types of adverse events?

A

Lack of expected efficacy = If during use, intended beneficial effects have not been observed this is suspected lack of expected efficacy (SLEE)

Unexpected AE = If nature, severity or outcome of observed AE is not described in SPC that event is unexpected

Serious AE = AE results in death, or increased rates of death in species for which there is expected death rate; life-threatening clinical signs; significant disability or incapacity; congenital anomalies or birth defects, or permanent or prolonged signs.

Non–serious AE = all other adverse reactions of lack of efficacy following treatment with a veterinary medicine are non-serious

27
Q

What is an adverse reaction

A

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

28
Q

What is the process for reporting adverse reactions?

A

Record detailed observations.

Report serious AEs to VMD within 15 days.

Use Veterinary Medicines Directorate Digital Services (VMDS) for submissions.