skinnydipper
Well-Known Member
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Prescription changes from 1.9.23
- Thread starter skinnydipper
- Start date
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Clodagh
Well-Known Member
I saw that, my vet shared it. If it stops people polluting everywhere with unnecessary chemicals it’s not altogether a bad idea.
Mind you it’s easy for me I seem to go to the vets every 5 minutes anyway.
Mind you it’s easy for me I seem to go to the vets every 5 minutes anyway.
skinnydipper
Well-Known Member
My vets have a "healthcare plan" that includes flea, tick and worm treatment whether it is needed or not.
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Clodagh
Well-Known Member
I hear a lot of that. I do it when it is needed, but people trust their vets and just dump chemicals left right and centre.
Jenko109
Well-Known Member
I don't entirely understand.
I thought they only gave these medications to animals who they had seen anyway?
Or are they now saying that they need to have seen them within a shorter time span?
Will we still be able to order stuff like drontal online? Or will all of it now require a prescription? Surely not.
I thought they only gave these medications to animals who they had seen anyway?
Or are they now saying that they need to have seen them within a shorter time span?
Will we still be able to order stuff like drontal online? Or will all of it now require a prescription? Surely not.
skinnydipper
Well-Known Member
It looks as if prescriptions for anti parasitics are going to be authorised for 12 months* with repeat prescriptions issued every 3 or 6 months. To cut down on vet visits when you take your dog in for annual lepto you could ask for a medication review then.
*clinical assessment required.
I’m personally not a fan of routine use of anti-parasitics and would only use if I had evidence they were required
*clinical assessment required.
I’m personally not a fan of routine use of anti-parasitics and would only use if I had evidence they were required
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MereChristmas
riding reluctantly into the sunset
I wondered why I hadn’t seen this anywhere so I rang my agricultural supplier. (England)
I have been buying horse wormers there for years. I was told it was fake news.
Is it only for dogs?
I have been buying horse wormers there for years. I was told it was fake news.
Is it only for dogs?
skinnydipper
Well-Known Member
9. In respect of paragraph 6(b) above, and given the importance of minimising the development of resistance to antimicrobials and anthelmintics, and minimising the potential negative environmental impact of antimicrobials and antiparasitics:
a. A physical examination is required at the time of prescription in all but exceptional circumstances where a veterinary surgeon prescribes antibiotics, antifungals, antiparasitics or antivirals for an individual animal or group of animals that are not production animals, farmed aquatic animals or game.
www.rcvs.org.uk
a. A physical examination is required at the time of prescription in all but exceptional circumstances where a veterinary surgeon prescribes antibiotics, antifungals, antiparasitics or antivirals for an individual animal or group of animals that are not production animals, farmed aquatic animals or game.
'Under care' - new guidance
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MereChristmas
riding reluctantly into the sunset
I am confused.
The shop says nothing has changed.
My vets say they have received no information on changes but there are some wormers that are prescription only depending on the drug involved.
The shop says nothing has changed.
My vets say they have received no information on changes but there are some wormers that are prescription only depending on the drug involved.
blackcob
🖖
Bearing in mind I’ve only had an initial briefing on this (and for software update purposes, not clinical!)…
It’s for POM-Vs, it does not affect POM-VPS and NFA-VPS (which will be your ‘over the counter’ horse and dog wormers etc.) - they can be prescribed by an SQP and don’t require a clinical examination. So it won’t affect your agricultural supplier.
In a nutshell - historically an animal has only been considered under the care of a veterinary surgeon if a physical examination has taken place. From 1st Sept, the guidance on what constitutes an appropriate clinical assessment is changing and some remote prescribing can now be appropriate. However, the exceptions to this are controlled drugs and anti-microbials (including POM-V anti-parasitics).
There is something of an allowance for ‘contingent’ prescriptions and so for most clients nothing will change, so long as your animal continues to be examined every year, for example at booster time.
Morwenna
Well-Known Member
Mine has this and I signed up to the plan as it gives me a discount on spaying but I’ll cancel after that. I’m offered flea and tick treatment every month but don’t take it. I give these more over the summer, especially as we go mantrailing through nice habitats for ticks and I’m a bit paranoid about them having had Lyme disease. I don’t like giving these treatments if they’re not needed so just don’t order the tablets when I get the text reminders. My vet is fairly sensible and is happy with what I do.
Clodagh
Well-Known Member
I think if you use over the counter stuff you can carry on. I assume vet prescribed is better.
Jenko109
Well-Known Member
My dogs have never had fleas. I have never used a preventative flea treatment on them.
I use drontal for worming which is not a prescription product, so sounds like nothing will change for me.
I use drontal for worming which is not a prescription product, so sounds like nothing will change for me.
Landcruiser
Well-Known Member
We are gearing up for quite a bit of agro regarding this. (I'm a receptionist at a small animal practice). The main problem is the pet will need to be seen for each DOSE CHANGE" ie weight change or product change. So the vet can write a prescription for a year for a specific product at a specific dose. For a puppy/kitten they can specify dose and include dose changes as puppy passes certain weight boundaries. Obviously adds to vet workload at time of exam.
Then, if, say, the pet changes weight and needs different dose, or that particular product doesn't suit, eg pet won't tolerate, makes pet sick, whatever, then under new rules pet will need to be seen by vet again befor any change can be made - and pay a consult fee for it.
I forsee a lot of angry clients , and I expect we'll take a lot of it on reception. For us, the only saving grace is that it's come from our governing body, and there really is nothing we can do but follow, or risk our licence.
I hope it makes people (including vets) rethink routine dispensing and giving of flea and wormers to animals that don't necessarily need them. I worm my own dogs a couple of times a year, and give flea/tick tabs in summer as we have a lot of ticks round here. Never had an issue with fleas.
Then, if, say, the pet changes weight and needs different dose, or that particular product doesn't suit, eg pet won't tolerate, makes pet sick, whatever, then under new rules pet will need to be seen by vet again befor any change can be made - and pay a consult fee for it.
I forsee a lot of angry clients , and I expect we'll take a lot of it on reception. For us, the only saving grace is that it's come from our governing body, and there really is nothing we can do but follow, or risk our licence.
I hope it makes people (including vets) rethink routine dispensing and giving of flea and wormers to animals that don't necessarily need them. I worm my own dogs a couple of times a year, and give flea/tick tabs in summer as we have a lot of ticks round here. Never had an issue with fleas.
twiggy2
Well-Known Member
On the link it is only given as an RVCS recommendation if it is they really need to stop putting their vets in the firing line like that and issue rules?
I can see why your thinking you will be in the firing line, puppies would be prescribed a flea treatment at 2nd vaccs and would just come in to reception, get the puppy weighed and get the next size up from us behind the desk (as long as there were no issues or concerns), now that won't be possible.
The 6 to 12 monthly check for meds has been a guidline for a long time and it took people a while to stop being so cross about that.
paddy555
Well-Known Member
I think this applies to praziquantal.
paddy555
Well-Known Member
some call it "healthcare" others may call it a regular income for the practice.
Whilst waiting I listened to our practice receptionists phoning clients to sell the plan and get them to sign up..
blackcob
🖖
We have been advised that multiple contingent prescriptions can be made in circumstances like the puppy/kitten example above. We've achieved this (sort of, still fiddling!) by having an autofill function on the practice management software. When the product is booked out it'll generate something along the lines of:
Following today's examination, brand name X, active ingredient(s) Y 10mg and Z 20mg, has been prescribed for 12 months from today's date. Frequency of X, maximum doses X per year. Dosage instructions topical/oral etc.
Based on weight category at the time of dispensing this patient may be dispensed one of:
5-10kg Brand name X, active ingredients Y 20mg and Z 30mg
10-20kg Brand name X, active ingredients Y 30mg and Z 40mg
20-40kg Brand name X, active ingredients Y 40mg and Z 50mg
Etc.
There doesn't appear to be any reason that multiple products can't be included according to the vet's clinical judgement, so while it'll be a huge wall of text in the initial consult, it'll allow for sensible dispensing for that 12 month period.
Following today's examination, brand name X, active ingredient(s) Y 10mg and Z 20mg, has been prescribed for 12 months from today's date. Frequency of X, maximum doses X per year. Dosage instructions topical/oral etc.
Based on weight category at the time of dispensing this patient may be dispensed one of:
5-10kg Brand name X, active ingredients Y 20mg and Z 30mg
10-20kg Brand name X, active ingredients Y 30mg and Z 40mg
20-40kg Brand name X, active ingredients Y 40mg and Z 50mg
Etc.
There doesn't appear to be any reason that multiple products can't be included according to the vet's clinical judgement, so while it'll be a huge wall of text in the initial consult, it'll allow for sensible dispensing for that 12 month period.
Landcruiser
Well-Known Member
My lot are working on something like this too, but it won't be ready by 1/9. It's the only way, they don't get time to write their notes in consult as it is.
twiggy2
Well-Known Member
Looks like a really sensible solution.
I hope our vets stay as they are, they just dispense what we need for worms and ticks as we are in a really high risk tick area and worms are a risk to the lambs.
Would be a real issue to keep taking all the working dogs in, vets are almost an hr away so would take half a day each time they needed to see them all.