Prescribing and dispensing veterinary drugs

  1. List sources of information about veterinary drugs
  2. What document does the RCVS produce?
    The guide to professional conduct
  3. What is the Practice Standards Scheme?
    This is a voluntary scheme where practices undergo rigorous auditing of all policies and procedures but especially medicines
  4. Who is responsible for the regulation of controlled drugs in the UK?
    The Home Office
  5. Who does the Home Office Delegate this to for veterinary medicines?
    The veterinary medicines directorate (VMD)
  6. The VMD is a branch of ...?
  7. List some roles of the VMD
    • Monitor the bad effects from veterinary medicines (adverse reactions)
    • Test for residues
    • Authorise companies to sell veterinary medicines in the UK
    • Control how veterinary medicines are made and distributed
    • Advise the government on developing veterinary medicines policy
    • Making, update and enforce UK legislation on veterinary medicine
  8. What are the four classifications of veterinary medicines?
    • AVM - GSL
    • NFA - VPS
    • POM - VPS
    • POM - V
  9. What does AVM - GSL stand for?
    Authorised veterinary medicine - general sales list
  10. Who can supply AVM-GSL drugs?
    Any retailer can supply these drugs to anyone
  11. What is the SAES?
    Small animal exception scheme
  12. What class of drug are drugs under the SAES considered the same as?
    AVM - GSL
  13. What type of animals are SAES drugs for?
    Cage birds, aquarium fish, ferrets, rabbits, rodents, etc
  14. What does NFA-VPS stand for?
    Non-food animal - veterinary surgeon, pharmacist, SQP
  15. What type of animals can have NFA-VPS drugs?
    Companion animals (not horses)
  16. Who can supply NFA-VPS drugs?
    Veterinary surgeon, pharmacist, SQP
  17. Is examination of the animal necessary for NFA-VPS drugs?
  18. What does POM-VPS stand for?
    Prescription only medicine - veterinary surgeon, pharmacist, SQP
  19. Who can prescribe and dispense POM-VPS drugs?
    Veterinary surgeon, pharmacist, SQP
  20. Is a clinical examination of the animal necessary for POM-VPS drugs?
  21. True or false: a written prescription for a POM-VPS drug can be taken elsewhere for dispensing?
  22. What does POM-V stand for?
    Prescription only medicine - veterinary surgeon
  23. Who can prescribe a POM-V medicine?
    A veterinary surgeon
  24. Is a clinical examination necessary for a POM-V medicine?
    Yes - clinical exam i.e. animal is 'under your care'
  25. True or false: a pharmacist can dispense human medicines for use under the cascade without a prescription written by a veterinary surgeon?
    False - a written prescription must be provided
  26. What are extemporaneously prepared medicines?
    Medicines made up that are not available for wholesale e.g. making up smaller doses of tramadol
  27. What is a SQP?
    A suitably qualified person - they must be registered with AMTRA, pass an examination, pay a fee and undergo CPD.
  28. List things needed on a written prescription
    • The name, address, telephone number and qualifications of the person prescribing the product
    • The name and address of the owner or keeper of the animal
    • The identification of the animal or group of animals to be treated
    • The premises at which the animal is kept if this differs from the address of the owner or keeper
    • The date
    • The signature of the prescriber
    • The name and amount of the medicine prescribed
    • The dosage and administration instructions
    • Any necessary warnings
    • If the medicine is prescribed under the cascade then a statement 'prescribed under the cascade' must be included
  29. List things needed on a label
    • The name and address of the pharmacy, veterinary surgery or approved premises to supply the VMP
    • The name of the veterinary surgeon who has prescribed the medicine
    • The name and address of the animal's owner
    • The identification of the animal/group of animals
    • The date of supply
    • The expiry date of the medicines (if applicable)
    • The name or description of the medicine which should include at least the name and quantity of active ingredient
    • The dosage and administration instructions
    • Any special storage precautions
    • Any necessary warnings
    • The words "keep out of reach of children" and "For animal use only"
    • The words "For external use only" on topical preparations
  30. How do you dispose of out of date drugs?
    Remove the outer packaging but dispose of in final packaging
  31. True or false: it is acceptable to place loose tablets, granules, powders or liquids in a pharmaceutical waste bin?
  32. What is an in-use shelf life?
    The time period following the first broaching of a container after which any remaining product in the container should be destroyed
  33. What is the in-use shelf life of most multi-dose parenteral injectables?
    28 days
  34. Can you reuse returned drugs?
    No - they should be disposed of responsibly.  It is an offence to resell returned drugs.
  35. How do you dispose of a syringe and needle together?
    • If completely discharged - orange/yellow sharps bin
    • If incompletely discharged - no official guidance, contact waste contractor
  36. How do you dispose of a separated needle and syringe?
    • Needle - yellow sharps bin
    • Completely discharged syringe - no clear guidance, dependent on waste contractor
    • Incompletely discharged syringe - pharmaceutical waste
  37. How do you dispose of open snap top ampoules?
    • Empty ampoules - orange sharps bin
    • Part used ampoules - no clear guidance
  38. How do you dispose of rubbed topped vials and bottles?
    • Part used - pharmaceutical waste
    • Smashed bottles - dealt with as spillage
  39. How do you dispose of medicated fluid bags?
    • Medicated IV fluids - disposed of as waste medicine
    • IV fluids containing controlled drugs - disposed of as controlled drugs
  40. How do you dispose of non-medicated IV fluids?
    Empty fluid down the drain (do not discard liquids into landfill)
  41. How do we dispose of controlled drugs?
    Controlled drugs must be denatured and rendered irretrievable before they can be disposed of as pharmaceutical waste
  42. What is disposed of in purple sharps bins?
    Needles or sharps containing cytotoxic/cytostatic chemical residues
Card Set
Prescribing and dispensing veterinary drugs
Vet Med - Module 12