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

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or use of drugs, and should comply with all the relevant requirements set out in these guidelines. Special Interest Groups within the AVA, such as the Australian Association of Pig Veterinarians, the Australian Veterinary Poultry Association and Australian Association of Cattle Veterinarians, have produced codes of practice for the use of antibiotics in the relevant industry – see Appendices 2-6. These codes, which detail the responsibilities of veterinarians in the ordering, purchase, supply and use of restricted drugs in the industry, serve as useful guides to practitioners in these industries. 26 Horses and greyhounds The dispensing of drugs by veterinarians for competing animals (horses and greyhounds) should be undertaken with care to ensure that the requirements of the relevant controlling authorities, that animals compete ‘drug free’, are met. This extends to all forms of competition, including eventing and dressage. Under most rules of racing, registered trainers must not have Schedule 4 drugs in their possession unless these have been lawfully dispensed by a registered veterinarian. This places an additional obligation on veterinarians to ensure that any drugs dispensed for racing animals are clearly and properly labelled, and that quantities supplied are limited to that required to meet the immediate therapeutic need. Checks of drugs held at racing stables and kennels are regularly undertaken by racing authorities. The label supplied with Schedule 4 veterinary chemicals dispensed for the treatment of competing animals should contain the normal S4 label information (as in section 22.6) and in addition: � the horse’s/greyhound’s name or an accurate description of the animal to be treated, and � a suitable withholding period prior to competing, as recommended by the relevant authority. See updated information at http://www.racingnsw.com.au/page.asp?parm=vet.main 27 Practices owned by non-veterinarians In some jurisdictions it is possible for an entity, rather than a registered veterinarian, to own a veterinary practice. In this case a nominated registered veterinarian employed by the business is required to purchase and supply any restricted drugs. This registered veterinarian is the ‘responsible person’ and is answerable to the regulatory authority for any breaches of professional conduct in relation to the procurement, storage, use or supply of restricted drugs, and also must comply with all relevant laws in relation to drug use, supply, advertising etc. Registered veterinarians employed in practices not owned by registered veterinarians must not allow commercial pressures from non-veterinary business owners to compromise their professional integrity regarding the possession, supply or use of drugs, and should comply with all the relevant requirements set out in these guidelines. AVA Prescribing and dispensing guidelines Version 1.0 February 2005 Updated 02/09/08 34
28 Supply to persons other than the animal owner The supply of drugs to any person who is not the owner or responsible agent for the animal is not permitted under drugs and poisons legislation. Accordingly, supply of drugs to a third party where the veterinarian has not personally established therapeutic need for the animal(s) intended to receive the treatment could be considered wholesaling. The veterinarian who supplies drugs in such a manner is abrogating his or her responsibility to establish and record therapeutic need, to control the dose and frequency of use of the drug, to provide follow-up and after-care and to ensure correct use of the drug and understanding of its use, and any contraindications, by the end user. Supply to a person who is a ‘proper responsible agent’ for an animal or herd is acceptable provided the standards of the PAD checklist are applied. Examples of this type of situation would be dispensing to a farm manager, racehorse trainer, stud manager, intensive industry serviceman or boarding kennel proprietor for the treatment of an animal(s) under the care of the registered veterinarian. There should be a formal agreement between the owner and the responsible agent. This does not diminish the duty of the veterinarian to be responsible for the diagnosis and establishment of the therapeutic need prior to dispensing. A special situation may exist for livestock consignments, where an accredited stockman or groom can be a ‘proper responsible agent’. In this situation, appropriate drugs can be dispensed as a precautionary measure. For shipments by sea, the type and quantity of drugs should be consistent with ASEL guidelines – see section 13. Where ship-to-shore communications permit, such drugs should only be administered after consultation with the dispensing veterinarian. 29 Tourists and other ‘one-off’ clients It is common for non-local people to request that drugs be supplied for their animal because they are travelling and have either left the animal’s drugs at home or run out of their supply. Supply of a small amount of the drug – up to three days’ supply – generally is acceptable in an emergency situation. A dispensing fee may be charged. Whenever possible, the veterinarian should contact the regular veterinary provider to obtain relevant history of the animal’s medical condition and drug use. In most cases, it will also be necessary to clinically examine the animal. The combination of these two procedures will fulfil the requirement to establish therapeutic need, and create a bona fide relationship. In some circumstances and for particular treatments, eg heart medication, it might be appropriate to dispense a larger quantity of the drug. This should only be done if the animal’s regular veterinarian is contacted to confirm the treatment regimen. In each of these situations it is essential that full clinical records be kept. It is advisable to use, and record the use of, the PAD checklist. A suggested notice for waiting rooms is at Appendix 14. AVA Prescribing and dispensing guidelines Version 1.0 February 2005 Updated 02/09/08 35
Page 1 and 2: Australian Veterinary Association G
Page 3 and 4: Contents Preface...................
Page 5 and 6: APPENDIX 8 Use of Cytotoxic Drugs..
Page 7 and 8: AVA Prescribing and dispensing guid
Page 9 and 10: Contraindication A condition stated
Page 11 and 12: Veterinary medicine (or veterinary
Page 13 and 14: to experienced operators for use in
Page 15 and 16: 6 Veterinarian-client relationship*
Page 17 and 18: 9 Records Adequate clinical records
Page 19 and 20: Important! For ‘off-label’ use
Page 21 and 22: 17 Retailing Sale by retail in a co
Page 23 and 24: There are differences between juris
Page 25 and 26: 22.2 Storage and handling Schedule
Page 27 and 28: [In Queensland, if there is no ‘m
Page 29 and 30: however the dispensing veterinarian
Page 31 and 32: 22.7 Records An accurate record of
Page 33: However all records should be able
Page 37 and 38: It would not be in the animal's bes
Page 39 and 40: Western Australia http://www.slp.wa
Page 41 and 42: APPENDIX 1 Prudent use of antibioti
Page 43 and 44: As long as necessary: Insufficient
Page 45 and 46: � professional responsibilities o
Page 47 and 48: eceived clear instructions, in writ
Page 49 and 50: APPENDIX 3 Use of Veterinary Medici
Page 51 and 52: 2.2.2 When given the responsibility
Page 53 and 54: egularly, and ensuring that no supp
Page 57 and 58: The veterinarian should be aware of
Page 61 and 62: 4 Diseases and conditions where ant
Page 63 and 64: � being satisfied that farm perso
Page 65 and 66: 7 Feed mills Feed mills and premix
Page 67 and 68: • Prevention of drug residues in
Page 69 and 70: Check any warning statements and di
Page 71 and 72: Pesticides Be careful when using pe
Page 73 and 74: Patient waste Generally, patient bo
Page 75 and 76: � Clean area with water and deter
Page 77 and 78: APPENDIX 10 Order for Medicated Fee
Page 79 and 80: APPENDIX 11 Record of use of a Pres
Page 81 and 82: APPENDIX 13 PRODUCTION ANIMAL AUTHO
Page 83 and 84: Appendix 14 TO OUR CLIENTS DISPENSI
Page 85 and 86:
• Antimicrobial drugs (antibiotic
Page 87 and 88:
1. To report adverse experiences to
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