#VetPharma1 #Pharmacology #Prescription
In this educational clip, Patricia Yvonne Presbetero, Angel Rose Jose, Jaime James Camillo, and Gerald Glenna Ramiro, 3-DVM students discuss the requisites of a prescription in the veterinary practice.
A prescription is a written order or other order, which is promptly reduced to writing for a controlled substance or for a preparation, combination, or mixture thereof, issued by a practitioner who is licensed in his state to administer and prescribe drugs in the course of his professional practice. A prescription does not include an order entered in a chart or other medical record for drugs administered.
The following are the requirements for writing a prescription for noncontrolled substances:
1. Printed or stamped name, address, and telephone number of the licensed practitioner
2. Legal signature of the licensed practitioner
3. Name and strength of the drug
4. Directions for use
5. Full name and address of the client
6. Animal identification (name and/or species)
7. Cautionary statements including, if applicable, withdrawal times for food animals
8. Number of refills, if any
The following are the requirements for writing a prescription for controlled substances:
1. Printed or stamped name, address, and telephone number of the licensed practitioner
2. DEA registration number of the licensed practitioner
3. Legal signature of the licensed practitioner followed by the printed name of the practitioner
4. Name and strength of the drug
5. Directions for use
6. Full name and address of the client
7. Animal identification (name and/or species)
8. Cautionary statements including, if applicable, withdrawal times for food animals
Classification of Drugs
Legend (“Prescription”) Drugs
Prescription drugs are limited to dispensing by or upon the order of a licensed prescriber (“prescription”) because they are habit-forming, are toxic, or have the potential for harm. These drug labels contain the following warnings identifying them as legend drugs:
1. Veterinary Legend: “Caution: Federal law restricts this drug to use by or on the order of a licensed veterinarian.”
2. Human Legend: “Rx only.”
Legend (prescription) drugs cannot be dispensed without a prescription and may only be prescribed and dispensed within the confines of a valid veterinarian-client-patient relationship (VCPR). Because of the requirement of a valid VCPR, if a veterinarian has not examined the animal, he/she cannot prescribe legend drugs for use in that animal. Likewise, a veterinarian cannot “fill a prescription” for an animal unless he/she has a valid VCPR with that animal. Veterinarians filling prescriptions for other veterinarians are considered to be practicing “pharmacy” and are subsequently subject to action by state pharmacy regulatory boards.
Over-The-Counter (“Nonprescription”) Drugs
Over-the-counter (OTC) drugs are also considered “nonprescription” drugs. These are familiar to veterinarians and pet owners because they are available for human use in retail outlets such as pharmacies, markets, and grocery stores. Such OTC products can also be found for animals in the same retail outlets as for humans as well as in pet and feed stores. These drugs have been recognized by experts as safe and effective and bear extensive labeling that renders them safe for use by laypersons and is sold “over the counter,” without a prescription.
All OTC products must be used precisely as labeled just as legend drugs. Use outside of these specifications constitutes extra-label use and the aforementioned guidelines should govern this use. Pharmacists must not make recommendations for use of human OTC drugs in animals unless so directed by a veterinarian. Veterinarians should avoid repackaging OTC medications for dispensing because reproducing the required labeling that is comprehensive enough for safe use by a layperson is difficult and dangerous.
Controlled Substances
Controlled substances (“narcotics”) are defined and monitored by the Drug Enforcement Authority (under the jurisdiction of the Controlled Substances Act of 1970) and are divided into five schedules according to the potential for abuse. These drugs are strictly controlled by federal and state law and specific requirements for administering, dispensing, and prescribing are addressed in Section Prescribing Controlled Substances. Individual states are allowed to have more strict requirements than the federal (DEA) scheduling.
Source: https://veteriankey.com/veterinary-pharmacy/
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