14.01.2013 Views

Guidelines for Prescribing, Authorising and Dispensing - Australian ...

Guidelines for Prescribing, Authorising and Dispensing - Australian ...

Guidelines for Prescribing, Authorising and Dispensing - Australian ...

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

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

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!