Task force targets Chinese shipments of meth chemicals

Task force targets Chinese shipments of meth chemicals

Stars and Stripes
September 15, 2012

About 80 percent of the meth in the United States is now made in Mexico mainly using Chinese ingredients shipped across the Pacific, according to the U.S. Drug Enforcement Administration. The DoD task force, which includes ... China has become the top ... 

The CPG applies to all Compounders; Physicians, Veterinarians, and Pharmacists and There is a Great Need to Educated Those Individuals as David Miller Points Out

David G. Miller, RPh, IACP Executive Vice President & CEO recently discussed his presentation about U.S. v. Franck's Lab, Inc. at the annual convention of the American Veterinary Medical Association (AVMA). To read his comments, especially about the need for education, click here.

Recalls, Market Withdrawals, & Safety Alerts Qualitest Issues Voluntary, Nationwide Recall for One Lot of Hydrocodone Bitartrate and Acetaminophen Tablets, USP 10 mg/500 mg Due to the Potential for Oversized Tablets

Recalls, Market Withdrawals, & Safety Alerts Qualitest Issues Voluntary, Nationwide Recall for One Lot of Hydrocodone Bitartrate and Acetaminophen Tablets, USP 10 mg/500 mg Due to the Potential for Oversized Tablets

Indiana Board of Veterinary Examiners Statute and Administrative Rules Regarding Prescrptions

Indiana Board of Veterinary Examiners Statute and Administrative Rules, IC 25-38.1-4-5  Prescriptions,  provides:

     Sec. 5. (a) A licensed veterinarian may write prescriptions. Pharmacists shall give the prescriptions written by a licensed veterinarian the same recognition given the prescriptions of persons holding an unlimited license to practice medicine or osteopathic medicine.
    (b) A valid veterinarian-client-patient relationship must exist before a licensed veterinarian dispenses or prescribes a prescription product.
    (c) Veterinary prescription products, including drugs and immunizing products restricted by state and federal law for use by licensed veterinarians, may not be diverted or transferred to an individual for use on an animal if there is not a current veterinarian-client-patient relationship with the original prescribing veterinarian.
    (d) If a veterinarian prescribes a drug for the client's animal, upon request, the veterinarian shall provide the prescription to the client, unless prohibited by state or federal law or to prevent inappropriate use.
As added by P.L.2-2008, SEC.12. Amended by P.L.58-2008, SEC.40.

To view the entire statute click here.

Rule 5. Standards of Practice

888 IAC 1.1-5-1 Standards of practice

Authority: IC 25-38.1-2-14; IC 25-38.1-2-23

Affected: IC 25-1-9

     Sec. 1. A veterinarian may be found guilty of the incompetent practice of veterinary medicine and may be disciplined under IC 25-1-9 if the veterinarian does any of the following:

          (1) Fails to maintain written animal health records as defined by section 2 of this rule.

          (2) Dispenses or prescribes drugs or therapy unless a veterinarian-client-patient

          relationship has been established.

          (3) Knowingly provides prescription drugs or access to prescription drugs for use other than

          in the proper course of veterinary diagnosis or treatment.

          (4) Performs a treatment or procedure that is beyond the skill or knowledge of the

          practitioner.

          (5) Permits, delegates, or requires an employed veterinarian to:

(A) improperly perform the duties of an accredited veterinarian; or

(B) perform services that would constitute a violation of standards provided by this

section.

(Indiana Board of Veterinary Medical Examiners; 888 IAC 1.1-5-1; filed Apr 26, 1988, 2:10 p.m.: 11 IR 3046; filed Aug 11, 1989, 1:35 p.m.: 13 IR 86; filed Dec 27, 1993, 9:00 a.m.: 17 IR 1003; filed May 2, 2001, 10:05 a.m.: 24 IR 2707; readopted filed Jul 19, 2007, 12:53 p.m.: 20070808-IR-888070070RFA; filed Jul 31, 2009, 8:42 a.m.: 20090826-IR-888080679FRA)

Equine Chronicle » Veterinary Compounding

Equine Chronicle » Veterinary Compounding

Veterinary Compounding

September 15, 2012

By Heather Smith Thomas

Compounding is the manipulation of a drug product to produce a dosage or formulation tailored to meet the needs of a specific patient. This can be done by mixing two drugs together, or creating a more palatable oral product by adding flavoring, creating an oral suspension by crushing tablets and mixing them with fluid, etc. Compounding can be done by a licensed pharmacist on the prescription of a licensed veterinarian, or by the veterinarian.

Scarlet Thomas, director of Pharmacy at Hagyard Equine Medical Institute in Kentucky, says compounding can legally be performed only when there’s no approved drug available in correct dosage, form or concentration to appropriately treat the patient. It is not legal to create something that merely duplicates an already existing product.

“There are a number of instances in which compounding could be beneficial or necessary There are a limited number of drugs commercially available for horses. There are more commercial options for small animals, due to the greater number of cat and dog owners,” explains Thomas.

“When there is not an appropriate commercially available product, or when a certain medication is discontinued or unavailable from pharmaceutical companies, compounding becomes necessary. Some medications get dropped by the manufacturer, perhaps due to profitability issues,” she says.

“When products are pulled off the market, for whatever reason (as long as it’s not a safety issue), this might be an appropriate instance to compound that medication. The owner and veterinarian must have some way to obtain these medications, to continue the therapy,” she explains.

In some instances equine patients are allergic to certain preservatives, dyes, fillers, and carriers that exist in commercially available products, and something else must be used. Some patients require tailored dosage strengths to meet a unique need. “If you’re using a human product or small animal product for a horse, and it’s geared toward a 25 pound dog or a 150 pound human and you are treating a 1300 pound horse, this can be challenging,” says Thomas. Compounding the product to appropriately tailor it for that horse is a logical solution.

“In some instances the horse may not be able ingest the medication in its commercially available form. It may be a human product that is not palatable, or it may not be feasible to give the horse 200 tablets of human medication. In those instances it may be necessary to manipulate the drug into a different formulation or dosage, or add flavoring so it could be given orally.”

Legal compounding requires a valid veterinarian-client-patient relationship. “Veterinarians should limit the use of compounded drugs to specific needs in specific patients, when there is no other method or route of drug delivery that is practical for that patient. If there’s a commercial product available that can be given to that horse, that’s the first choice,” says Thomas.

Compounded medications would be the next option, but require a valid prescription from a veterinarian, and must be patient specific. The veterinarian would have to have seen or know the animal and diagnose the condition to be treated. If there’s nothing commercially available to treat that case or there’s something unique about the patient that makes it impossible for the commercial product to be appropriate, then a compounded product would be considered.

“Talk with your veterinarian if a compounded product is necessary for a certain animal. Ask about the source of that compound, making sure it’s a reputable pharmacy that your veterinarian has confidence in and trusts,” she says. Ask which FDA approved drug(s) will be used to compound the prescribed medication. You want to know that the ingredients and potency of the compounded product are reliable

Commercial products that are already on the market should not be compounded. “If medications are compounded in the same dosage formulation as a patented product, it’s usually not for the health and welfare of the horse, but to offer a less expensive product,” she explains. The horse owner may choose a compounded substitute because it’s cheaper, but may be getting something less effective (or even dangerous) if obtained illegally.

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