Veterinary Compounding – A Customized Approach

ACTIVITY DESCRIPTION

Veterinary pharmacy is a well-established niche specialty that is high in demand and diverse in opportunity. Although once dominated by veterinarians, pharmacists now play an essential role in the treatment of animals. Contrary to typical pharmacy for human patients, veterinary pharmacy is uniquely challenged with treating a diverse range of species, on top of individual variations, concerns with patient non-compliance, and limited veterinary drug availability. Addressing these challenges and obstacles requires specialized knowledge in species-specific physiology, pathophysiology, pharmacology, and behavior; much of which exceeds what is taught in pharmacy school. In this live activity, participants will gain a fundamental understanding of veterinary pharmacy and applicable skills in customized medications. To effectively achieve this, this activity is devised into a seminar and laboratory component.

SEMINAR COMPONENT

A 12-hour seminar course where participants will learn about the challenges in veterinary pharmacy (i.e., species-specific pharmacokinetics, drug contraindications, patient compliance, treatment efficacy, and drug availability) and how to circumvent these obstacles through customized pharmacotherapy. From here, participants will interpret and appraise the regulations and recommendations surrounding veterinary compounding and explore compounding opportunities in the form of adjusting dosage strength, customizing dosage forms, and tailoring ingredient selection based on animal specificities and tolerances. Participants will review key compounding principles, including the benefits and risks of different routes of administration, the appropriate application of excipients, and the incorporation of flavoring agents. Opportunities for customization in regards to specific animal disease states (e.g., canine atopic dermatitis, equine corneal ulceration, feline hyperthyroidism, canine epilepsy, feline gastroparesis, etc.) will be discussed. Lastly, participants will be provided with expert marketing strategies needed to initiate or expand their compounding practice. Participants attending the seminar will be kept engaged by employing problem-solving skills in the form of interactive activities, group discussions, and case studies.

LABORATORY COMPONENT

A 4-hour hands-on laboratory course where participants will compound four different dosage forms commonly prescribed to veterinary patients, notably transdermal gels, topical shampoos, oral suspensions, and chewable treats. Participants will learn important pharmaceutical techniques and protocols required for efficacious, effective, and safe compounding, including cleaning and deactivation procedures, balance calibration, standard operating procedures, formulation calculations, qualitative and quantitative verifications, proper geometric addition and trituration, among more. In addition to the hands-on training, participants will review the key concepts of USP , USP , beyond-use dating, and how to interpret a certificate of analysis (COA) and safety data sheet (SDS).

FEATURED FORMULAS

  • Chlorhexidine Gluconate 0.5%, Miconazole Nitrate 2% Topical Shampoo
  • Prednisolone 10 mg/mL Oral Liquid
  • Methimazole 2.5 mg/mL Transdermal PLO Gel

INTENDED AUDIENCE

  • Pharmacists
  • Technicians

WELCOMED AUDIENCE

  • Veterinarians
  • Pharmacy managers

Learning Objectives for Pharmacists

SEMINAR

  • Examine the challenges associated with veterinary pharmacy, including species-specific pharmacokinetics, patient compliance, drug availability, and drug contraindications.
  • Recognize the need for customized medication opportunities for the treatment of veterinary animals with emphasis placed on dogs, cats, and horses.
  • Evaluate the different ways compounding can achieve customization and address the difficulties associated with veterinary pharmacy.
  • Apply skills of reasoning and interpretation in appraising current regulatory standards, recommendations on compounding veterinary drugs, and drug information resources.
  • Investigate the benefits and challenges of various routes of administration and dosage forms.
  • Compare and contrast the advantages of various excipients, species-specific intolerances to certain excipients, and how to correctly use them in compounding.
  • Discuss customization opportunities for the pharmaco-treatment of various animal disease states, including canine dermatitis, feline herpes virus-1, equine corneal ulceration, canine epilepsy, feline hyperthyroidism, feline gastroparesis, and feline urine spraying among more.
  • Acquire marketing tips and skills needed to commence or expand your veterinary pharmacy practice.

LABORATORY

  • Complete a master formulation record (MFR) and apply appropriate beyond-use dating and pharmaceutical calculations, including adjusting for batch size and processing error.
  • Prepare commonly prescribed veterinary dosage forms, including a transdermal gel, a topical shampoo, an oral suspension, and a chewable treat.
  • Develop or enhance non-sterile compounding skills and techniques, including geometric addition, trituration, heating, powder-to-liquid integration, powder-liquid integration into medium, high shear mixing, and mold filling, among others.
  • Evaluate compounded dosage forms through qualitative and quantitative verification protocols.
  • Demonstrate the importance of selecting dispensing devices that will maintain formulation integrity while facilitating proper dosing and ease of administration.

Learning Objectives for Technicians

SEMINAR

  • Recognize the drawbacks and limitations of veterinary-labeled products available on the market today.
  • Discuss the need for customized medications to address the challenges of veterinary pharmacy.
  • Apply skills of reasoning and interpretation in appraising current regulatory standards and recommendations for compounding veterinary drugs.
  • Identify the challenges of animal patient compliance and how to address these difficulties with alternate routes of administration, flavoring oral preparations, and applying appropriate dispensing devices.
  • Investigate the benefits and challenges of various routes of administration and dosage forms.
  • Compare and contrast the advantage of various excipients and how to correctly implement them in compounding.
  • Practice customizing formulations.
  • Discuss various veterinary disease states and learn about specific opportunities for customization and compounding.

LABORATORY

  • Review key concepts of USP <795> and USP <800>.
  • Apply information found within a certificate of analysis (COA) and safety data sheet (SDS).
  • Perform common standard operating procedures (SOPs), including garbing, cleaning and deactivation, and balance calibration.
  • Employ good documentation practices and practice pharmaceutical calculations while completing a master formulation record (MFR).
  • Prepare commonly prescribed veterinary dosage forms, including a transdermal gel, a topical shampoo, an oral suspension, and a chewable treat.
  • Develop or enhance skills in non-sterile compounding, including geometric addition, trituration, powder-to-liquid integration, powder-liquid integration into medium, high sheer mixing, mold filling and heating, among others.
  • Perform qualitative and quantitative verification protocols on finished compounded preparations.

EDITORS

SHANNON BELLEVUE, BSc, MSc

Medical Writer, LP3 Network Inc.

PATRICIA ULLMANN, BPharm

Training and Technical Services Manager, MEDISCA Australia

TAMMY NGUYEN, BPharm

Compounding Pharmacist, MEDISCA Australia

FACILITATORS

Lauren Eichstadt Forsythe, PharmD, FSVHP

Clinical Veterinary Pharmacist, University of California - Davis Veterinary Medical Teaching Hospital

Tammy Nguyen, B Pharm

Compounding Pharmacist, MEDISCA Australia

Rebecca O'Grady, B Pharm, GradCertPharmPrac

Technical Support Services Representative, MEDISCA Australia

Patricia Ullmann, B Pharm

Training and Technical Services Manager, MEDISCA Australia

ACCREDITATION

This activity has been accredited for 15 hours of Group-1 CPD (or 15 CPD Credits), suitable for inclusion in an individual pharmacist’s CPD plan, which can be converted to 15 hours of group 2 (or 30 CPD Credits upon successful completion of relevant assessment actitivites).

APC Accredited CPD

A1808MED1: The activity accreditation expires 1 September 2020.

COPYRIGHT

Activity material is Copyright© 2008-2019 LP3 Network Inc.

COMPLETION REQUIREMENTS

Activity participants are required to achieve a 75% passing grade associated with a self-study learning assessment prior to attending the live event. Full attendance and the completion of an activity evaluation and practical skill set competency evaluation are a compulsory requirement to achieve credit for the live event.

DECLARATIONS AND DISCLOSURES

It is a requirement that full disclosure of conflicts of interest be made available to participants. This activity is independent of any known bias, prejudice or commercial interest. Both MEDISCA Australia and LP3 Network Inc. assist with the marketing of this activity. LP3 Network Inc. is an independent corporation. LP3 Network Inc. has an established agreement with MEDISCA Australia ensuring that it has no influence on LP3 Network Inc. as it relates to activity offerings.

FINANCIAL SUPPORT

An unrestricted educational grant for this activity has been provided by MEDISCA Inc.

HOTEL ACCOMMODATIONS

Special rates for hotel accommodations have been arranged for activity participants. Payment for hotel accommodations is at the expense of the activity participant.

FOOD AND BEVERAGE

As a matter of activity programming, meals and refreshments during live activities have been provided by MEDISCA Australia.

CANCELLATION AND REFUND POLICY

A written request must be sent to MEDISCA Australia requesting a ‘cancellation without transfer’ to an alternate live activity event date. If cancellation occurs at greater than or equal to 31 days from the live activity event date, then the registrant will receive a 75% refund; 15- 30 days is a 50% refund; and less than or equal to 14 days will result in no refund.

TRANSFER POLICY

The transfer policy is only in effect if requested greater than or equal to 14 days prior to original live activity event date. Failure to submit the “transfer request” at least 14 days prior to original live activity event date will default to the “cancellation and refund policy”. The transfer policy can only be applied one (1) time. Transfer to a new live activity event date must be within the current calendar year. Failure to attend the new live activity event will result in no refund and will no longer be transferable. Confirmation of the new activity date is subject to approval by MEDISCA Australia based on the number of available seats within the selected live activity event.




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