Guidelines for Prescribing, Authorising and Dispensing - Australian ...
Guidelines for Prescribing, Authorising and Dispensing - Australian ...
Guidelines for Prescribing, Authorising and Dispensing - Australian ...
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If a client wishes to purchase drugs on the internet, a veterinarian may choose (or<br />
not) to write a prescription. The prescription should refer to a particular animal(s)<br />
<strong>and</strong> satisfy the PAD checklist criteria. However, the client <strong>and</strong> veterinarian may<br />
have to consider several important issues, including:<br />
� While there is some ‘mutual recognition’ <strong>for</strong> prescriptions across state borders,<br />
an <strong>Australian</strong> prescription might not be valid overseas.<br />
� The drug requested on the internet may not be available under the same br<strong>and</strong><br />
or composition as registered <strong>for</strong> use in Australia.<br />
� A person must not import an unregistered veterinary chemical product into<br />
Australia, without written permission of the APVMA.<br />
� <strong>Australian</strong> Customs’ import restrictions often require permits <strong>and</strong> payment of<br />
duties when goods arrive.<br />
� Health officials may intercept the consignment, to determine the type of<br />
medication <strong>and</strong> its possible uses.<br />
� An overseas product may not have passed the stringent assessment <strong>and</strong><br />
registration procedures required by the APVMA.<br />
While a registered veterinarian has the authority to obtain <strong>and</strong> supply restricted<br />
substances, the Commonwealth Agricultural <strong>and</strong> Veterinary Chemicals<br />
(Administration) Act 1992 <strong>and</strong> the Therapeutic Goods Act 1989 require that permits<br />
be obtained to import most chemical products, animal or human. Again, the above<br />
points are relevant.<br />
It is unacceptable <strong>for</strong> a veterinarian to write a prescription (to be filled on the<br />
internet) <strong>for</strong> food producing animals, unless it can be guaranteed that the product is<br />
to be supplied from within Australia. Otherwise, it may not be possible to provide<br />
appropriate advice regarding withholding periods etc, if the exact product<br />
specifications are not known.<br />
The use of the internet <strong>for</strong> advertising or wholesaling drugs is a strictly regulated<br />
area, <strong>and</strong> veterinarians are advised to exercise caution. Advertising about<br />
veterinary medicines may contravene the Agricultural <strong>and</strong> Veterinary Chemicals<br />
Code Act 1994. Advertising of PARs to anyone other than veterinarians is<br />
prohibited in all jurisdictions – see section 22.8. In all jurisdictions a licence is<br />
required <strong>for</strong> wholesaling, <strong>and</strong> this would be a separate business unrelated to a<br />
veterinary practice - see section 16.<br />
22 Schedule 4 drugs<br />
Schedule 4 drugs bear the manufacturer's label stating "PRESCRIPTION ANIMAL<br />
REMEDY" or “PRESCRIPTION ONLY MEDICINE” (if human drugs). Examples<br />
are: local <strong>and</strong> general anaesthetics, antibiotics, antihypertensive agents,<br />
benzodiazepines, corticosteroids, diuretics, some analgesics, muscle relaxants,<br />
neuroleptics <strong>and</strong> most, but not all, non-steroidal anti-inflammatory drugs (NSAIDs).<br />
22.1 Ordering <strong>and</strong> purchasing<br />
Schedule 4 drugs may only be ordered by <strong>and</strong> supplied to a registered veterinarian<br />
in his or her own name. Payment can be made by an employer but the<br />
veterinarian must be personally responsible <strong>and</strong> accountable <strong>for</strong> the storage <strong>and</strong><br />
use of the drugs.<br />
24<br />
AVA <strong>Prescribing</strong> <strong>and</strong> dispensing guidelines<br />
Version 1.0 February 2005<br />
Updated 02/09/08