veterinary medicine Flashcards
what is vetinary medicine?
“Any substance or combination of substances presented as having properties for treating or preventing disease in animals”
what does Veterinary Surgeons Act 1966 show?
Defines who can diagnose and treat animals
Defines veterinary terms
who are the regulatory bodies
Royal College of Veterinary Surgeons (RCVS)
Animal Medicines Training Regulatory Authority
what does royal college veterinary surgeons (RCVC) do?
statutory regulator for UK veterinary professions
- maintain a register of veterinary surgeons eligible for practice in the UK
what does animal medicine training regulatory authority do?
independent regulatory body
keep a register of suitably qualified persons (SQP)
To ensure prescription and supply of vet/pharmacist/suitably qualified person (VPS) animal medicines in the UK is undertaken in a responsible manner
what does suitably qualified person (SQP) mean?
Professionally qualified animal medicine advisors who are entitled to prescribe and/or supply certain veterinary medicines in the UK.
- pet shops
- agriculture
- veterinary practice
- sports (stables)
veterinary medicine legislation-evolution?
Medicines Act 1968
Veterinary Medicines regulations 2005
Veterinary Medicines Regulation 2013
Medicines Act 1968: all medicines, including POMs could previously only be supplied or prescribed by veterinary surgeons for animals under their care
Veterinary Medicines regulations 2005:reclassified veterinary medicines, updated rules on record keeping
Veterinary Medicines Regulation 2013: set out UK controls on veterinary medicines, including their manufacture, advertising, marketing, supply and administration
what does veterinary medicine directorate mean (VMD) ?
PROMOTES and PROTECT animal health, public health and the environment, by assuring the safety, quality and efficacy of veterinary medicines.
what is veterinary product committee (VPC)
Was set up in 1970 as an advisory body to the Department for Environmental, Food and Rural Affairs (DEFRA)
Provides scientific advice on any aspect of veterinary medicinal products and specified feed additives
Provides advice on specific issues relating to marketing authorisations
Considers reports of suspected adverse reactions to veterinary medicines
what are the categories for veterinary medicine?
- POM-V (Prescription only medicines-vet)
- POM-VPS (Prescription only medicines-vet, pharmacist, SQP)
- NFS-VPS (Non-food producing animal-vet, pharmacist, SQP)
- AVM-GSL (Authorised veterinary medicine-general sales list)
- SAES (Small animal exemption scheme)
- Unauthorised Veterinary medicine
what does POM- V?
POMs that can only be prescribed by a veterinary surgeon
Can be supplied by a veterinary surgeon or a pharmacist with a written prescription
For CDs, must carry a declaration by the vet stating that the medicine is prescribed for an animal or herd under his/her care
what is POM-VPS?
POMs that can be prescribed and supplied by a vet, pharmacist or suitably qualified person
Prescriber can give an oral or written prescription before supplying the product
Written prescription is only required if the supplier is not the prescriber
what is NFA- VPS?
Medicines for non-food animals that can be supplied by a vet, pharmacist or SQP
A written prescription is NOT required
Good practice requirement to keep records or medicines received or supplied
what is AVM-GSL?
May be supplied by any retailer without any restrictions, or prevision or advice
Pet shops, supermarkets and online
Exempt medicines under SAES
Medicines for the following species are exempt provided the animals are kept exclusively as pets and are not intended to produce food for human consumption:
aquarium animals, (including only fish kept in closed water systems)
cage birds (birds kept in cages or aviaries)
homing pigeons (pigeons kept for racing or exhibition)
terrarium animals (reptiles, amphibians and arthropods kept in tanks and cages – including animals free-living in domestic gardens)
small rodents (domestic mammals of the order rodentia)
ferrets
rabbits
what is unauthourised veterinary medicine?
when there is no suitable liciensed vetinary medicine on the market
Unlawful to supply a human medicine against a veterinary prescription unless:
Prescribed using the veterinary cascade by a veterinary surgeon
Specifically states that it is “for administration under the Cascade” or similar
what are the legal requirements for sale of NFA-VPS and POM-VPS
Legal requirement for pharmacists supplying NFA-VPS medicines or prescribing POM-VPS medicines to:
Advise on the safe use of the product
Advise on any warnings or contra-indications
Be satisfied that the person using it is competent to use it and intends to use it for an authorised use
Not supply more than the minimum amount needed for treatment
does a pharmacist need to be present when supplying POM-VPS, POM-V, NFA-VPS
yes
Unless the transaction has been individually authorised in advanced by a pharmacist and the person handing out the medicine is judged to be competent
Supply of the product must be from a registered pharmacy premises or premises which are registered under the latest Veterinary Medicines Regulations
The veterinary cascade
Where available it is legal requirement to:
Supply a veterinary medicine with GB or UK wide marketing authorisation (MA) for the species and condition indicated
Only when the above is not possible
Supply a veterinary medicine with a Northern Ireland (NI) MA for the species and condition indicated
Only when the above is not possible
Supply a of GB, NI or UK wide veterinary medicine licensed for ANOTHER species or DIFFERENT CONDITION can be considered
Only when the above is not possible
Supply a GB, NI or UK wide licensed HUMAN MEDICINE OR a veterinary medicine authorized OUTSIDE the UK
Only when the above is not possible
An extemporaneous or a specially manufactured medicine can be considered
what are the requirements for prescription for vet - POM- V and POM-VPS
Name and address of the owner
Identification and species of the animal and its address (if different from the owners)
Date: Rx valid for 6 months (28 days for schedule 2, 3 and 4 CDs)
Name, quantity, dose and administration instructions (must be specific) of the required medicines
Any necessary warnings and if relevant the withdrawal period
Where appropriate, a statement highlighting that the medicine is prescribed under the veterinary cascade
Name, address, telephone number, qualification and signature of the prescriber
what are the requirements for vet CD - 2 + 3
For Schedule 2 or 3 Controlled Drugs, must include the vets’ RCVS registration number, a declaration that “item has been prescribed for an animal or herd under their care”, and the usual CD prescription requirements apply
28 days for schedule 2, 3 and 4 CDs - Rx valid
do you need a dispensing label for vet medicine
If the medicine is not prescribed under the Cascade, no dispensing label is required. However, it is good practice to generate a dispensing label
what should the dispensing label consists off
Name of prescribing veterinary surgeon
Name and address of the animal owner
Name and address of the pharmacy
Identification and species of the animal
Date of supply
Expiry date of the product - found in spc
The name of the product or the active ingredients
Product content quantity
Dosage and administration instructions
Appropriate, special storage instructions
Any necessary warnings (e.g. administration, disposal, target species etc.)
Any applicable withdrawal period (The time between when the animal receives a medicine and when it can be safely used for food)
The words: “For animal treatment only”
The words: “Keep out of reach of children
what is the record keeping requirements for POM-V and POM-VPS
A record must be kept for receipts and supplies of POM-V and POM-VPS, and show:
Name of the medicine
Date of the receipt or supply
Batch number
Quantity
Name and address of the supplier or recipient
Name and address of the prescriber (if there is a written Rx)
- Entry must be made on the same day that the sale or supply takes place
- Records and documents kept for at least 5 years
what is the requirements of record keeping under cascade
Make record as for a private prescription (legal)
Date Date on script Name and address of prescriber and recipient Name of drug (strength and form) Quantity
Good practice
Batch number
Directions
Species and identity of animal
Reference number and price