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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23.2 <strong>Prescribing</strong> <strong>and</strong> dispensing<br />
<strong>Dispensing</strong> or prescription of Schedule 8 drugs should be done only in conjunction<br />
with a fully-documented clinical examination on each occasion.<br />
The amount of Schedule 8 drugs dispensed or prescribed should be sufficient only<br />
<strong>for</strong> the immediate clinical requirement. If a circumstance arises where the<br />
veterinarian considers it is possible that the animal may require further supply <strong>for</strong><br />
the condition, eg. colic in a horse, strong consideration should be given to<br />
arranging to re-visit the animal or have the animal brought to a facility <strong>for</strong><br />
monitoring <strong>and</strong> medication.<br />
It should be noted that the poisons classification of ketamine has recently been<br />
reviewed <strong>and</strong> is being changed to Schedule 8 in all jurisdictions during 2005.<br />
There is no legitimate therapeutic reason <strong>for</strong> dispensing ketamine in any quantity to<br />
any person.<br />
23.3 Records<br />
A separate record book, Dangerous Drugs Book or Drugs of Addiction Register,<br />
must be kept which records all transactions <strong>and</strong> uses <strong>and</strong> shows the accurate<br />
balance. The name of the veterinarian carrying out each transaction must be<br />
clearly recorded. The record must be in a <strong>for</strong>m that cannot be altered, obliterated,<br />
deleted or removed without detection. The person carrying out each transaction<br />
must be an authorised person under the drugs <strong>and</strong> poisons legislation <strong>and</strong> sign the<br />
entry with their usual signature.<br />
In addition detailed clinical records should be kept, as described <strong>for</strong> Schedule 4<br />
drugs above.<br />
24 Other restricted drugs<br />
There are differences between jurisdictions in regard to other controls imposed <strong>for</strong><br />
specific hazardous drugs <strong>and</strong> poisons. In most jurisdictions, injectable anabolic<br />
steroids are specifically restricted from supply to clients. In Victoria ketamine <strong>and</strong><br />
anabolic/<strong>and</strong>rogenic steroids are presently classified in a special Schedule 11. The<br />
effect of these is to provide <strong>for</strong> a greater range of law en<strong>for</strong>cement tools to be used<br />
in investigating their misuse, <strong>and</strong> to provide penalties appropriate to trafficking<br />
offences. Severe penalties apply to the misuse or unlawful supply of anabolic<br />
steroids <strong>and</strong> Schedule 11 substances.<br />
Storage, use, dispensing <strong>and</strong> recording of other scheduled drugs<br />
Generally these drugs may be stored in normal Schedule 4 storage facilities, but<br />
they may also be stored in a facility <strong>for</strong>merly reserved solely <strong>for</strong> the storage of<br />
Schedule 8 drugs.<br />
In most jurisdictions there is no compulsory specific recording of such drug use or<br />
supply except <strong>for</strong> Schedule 4 ‘D’ drugs such as anabolic steroids or the<br />
amphetamines. The use, dispensing <strong>and</strong> recording of these drugs should be<br />
recorded in the normal clinical records in the same manner as <strong>for</strong> other Schedule 4<br />
drugs.<br />
AVA <strong>Prescribing</strong> <strong>and</strong> dispensing guidelines<br />
Version 1.0 February 2005<br />
Updated 02/09/08<br />
32