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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

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