Veterinary medicines Flashcards
What is a NFA-VPS
A category of medicine for non-food animals that can be supplied by a veterinary surgeon , a pharmacist or a suitable qualified person. A written prescription is not required. These medicines should not be accessible by the public in a pharmacy
What is a POM-V
Prescription only medicines that can only be prescribed by a veterinary surgeon and supplied by a veterinary surgeon or pharmacist with a written prescription
What is a POM-VPS
Prescription only medicine that can be prescribed and supplied by a veterinary surgeon, a pharmacist or a suitable qualified person on an oral or written prescription. A written prescription is only required if the supplier is not the prescriber
what is AVM-GSL
An authorised veterinary product that is available on general sale.
What are exempt medicines under schedule 6 of the veterinary medicines regulations - exemptions for small pet animals
an unlicensed veterinary medicine that does not require a marketing authorisation because it meets criteria laid out in schedule 6 of the veterinary medicines regulations- exemptions for SPA
What is an unauthorised veterinary medicine?
An unlicensed medicine that does not have a MA and is not eligible for the exemption through the SAES. It can only be prescribed by a veterinary surgeon under the cascade. This includes any human medicine used for animals.
What are the 9 requirements for veterinary medicines?
- Name, address, telephone number, qualification, reg number and signature of the prescriber if Sch 2 or 3 CD’s have been prescribed.
- Name and address of the owner
- Identification and species of the animal and address (if different from owner)
- Date
- Name quantity, dose and administration instructions
- Any necessary warnings and the withdrawal period
- Where appropriate, a statement saying its prescribed under veterinary cascade
- If repeatbale, the number of times it can be repeated
What must be on Schedule 2 or 3 CD prescriptions for animals?
The item has been prescribed for an animal or herd under the care of the veterinarian
The royal college of veterinary surgeons reg number
How long are prescriptions valid for?
6 months - all repeats must be used by then
For schedule 2 or 3 drugs its 28 days
What are the differences between human and veterinarian CD prescriptions?
- Animal: standardised forms are not required for Sch2/3
Human: Standardised forms are required for Sch 2/3 - Veterinarian Rx’s should be retained for 5 years and not submitted to the relevant NHS agency
Original human private prescriptions for Sch 2/3 CD’s should be submitted to the relevant NHS agency - Vet: It is good practice to not prescribe more than 28 days with of treatment unless long term ongoing issue e.g. epilepsy
Human: Maximum quantity should not exceed 30 days for schedule 2/3 or 4. - Vet: must have reg number of prescriber for sch 2 /3
Human: Must have prescriber identification number for sch 2/3
WHat are the similarities between human and veterinarian CD prescriptions?
Both valid for 28 days
Usual CD prescription requirement (total quantities in word and figures etc)
What is the veterinary cascade
An exemption within the regulations that when a veterinary medicine is not available, another medicine can be considered
What is the ideal number 1 choice for veterinary cascade?
Supple a veterinary medicine with a GB or Uk wide marketing authorisation for the species and condition is indicated
What is the number 2 choice?
A veterinary medicine with a NI marketing authorisation for the species and condition indicated can be supplied
What is the number 3 choice?
A GB, NI or UK wide veterinary medicine licensed for another species or different condition can be considered
What is the number 4 choice - 2 options.
- A GP, NI or UK-wide licensed human medicine
or - A veterinary medicine authorised outside the UK can be used
What is the number 5 choice?
An extemporaneous or a specifically manufactured medicine can be considered
What medications need a special import certificate?
those not authorised in GB or within the UK
What is important about the wording on prescriptions?
It must refelct the regulations its follwoing.
For example if it is being supplied under the cascade then it must state ‘for administration under the cascade’.
However, if it states that wording but actually a licensed veterinary product exists then that product must be supplied.
What is important to know about the sale of veterinary medicines?
It is unlawful to sell or supply unauthorised veterinary medicines including human medicines such as GSL and P medicines for an animal unless this takes place under the veterinary cascade.
This includes if a veterinary surgeon has told an owner to purchase an OTC human product from the pharmacy.
What is the pharmacists responsibility when supplying NFA-VPS or POM-VPS medicines?
- Advise on how to use the product safely
- Advise on any application warnings and contraindications on the packaging or label
- Be satisfied that the recipient intends to use the medication correctly and is competent to do so
- Prescribe or supply the minimum quantity required for treatment
Is the physical presence of the pharmacist required for POM-V or POM-VPS supply?
yes unless the transaction has been individually authorised in advance
What must appear on the dispensing label of veterinary medicines? unless it is already on the packaging
- Name of the 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
- The name or description of the product or its active ingredients and content quantity
- Dosage and administration instructions
- if appropriate, special storage instructions
- Any necessary warnings for the user e.g. relating to administration, disposal, target speciies
- Any applicable withdrawal period ie the time between when an animal recieves a medicine and when it can safely be used for food
- “for animal treatment only”
- “keep out of reach of children”
What veterinary prescriptions must be kept?
POM-V and POM-VPS
What information about the veterinary prescriptions must be kept?
- Name of the medicine
- Date of the supply
- Batch number
- Quantity
- Name and address of the supplier or recipient
- If there is a written prescription record the name and address of the prescriber and keep a copy of the prescription.
How long must veterinary prescriptions be kept for?
At least 5 years
What is a requirement of pharmacies that supply POM-V and POM-VPS prescriptions?
An annual audit
Should animal adverse drug reactions be reported?
Yes
When can an authorised retailer without a wholesaler dealers authorisation supply veterinary medicines?
To relieve a temporary shortage.
