Supply of Intermittent Catheters

See link - PM USA Catheter Information, regarding the supply of Intermittent Catheters. Some patients have been told that these are not available and, in some cases, have gone without.  Peak Medical have advised the Medicine Management Team there has never been a supply issue with their product.

The flyer above has contact numbers if you are experiencing ordering or dispensing issues.

New Brand of Standard Release Tacrolimus

See the Adoport Information Sheet for more information

Oxypro Switch 

Please find here an Oxypro prescribing update.  This communicates a change in NHS Fife's preferred brand of oxycodone prolonged release tablets to Oxypro from 1st February 2021.  Also here is a sheet of Oxypro prescription cards which can be printed out and attached to prescription bags, you may wish to use these as a prompt to have a discussion with patients about the switch.

Veterinary medicines 

There has been a couple of queries regarding supply of veterinary medicines recently, we have shared them with answers below. More detail can be found in the Royal Pharmaceutical societies Medicine Ethics and Practice

Can I supply Medicines to a Veterinary practice? 

Only the manufacturer of a veterinary medicine or a holder of a wholesale dealer’s authorisation (WDA) may routinely supply authorised retailers with veterinary medicines.

Can I supply a human medicine for an animal? 

A veterinary medicine with a UK marketing authorisation must be prescribed and supplied where one exists and is clinically appropriate.  If an equivalent human medicine , which is more cost effective is requested,  the prescriber should be reminded that a veterinary medicine must always be supplied where one exists.

The Cascade exemption within the Veterinary Medicines Regulations allows the supply of medicines that are not licensed for animals. It is unlawful to supply a human medicine against a veterinary prescription unless it is prescribed by a veterinary surgeon and specifically states that it is ‘for administration under the Cascade’, or other wording to this effect

It is unlawful to sell or supply unauthorised veterinary medicines (medicines not licensed as veterinary medicines), including human medicines such as GSL and P medicines, for an animal unless this takes place under the veterinary Cascade. This applies even if a veterinary surgeon asks the animal owner verbally to purchase an over-the counter human product from a pharmacy.

Is there a standardised form for private veterinary prescriptions for CDs ? 

Standardised forms are not required for veterinary prescriptions; however, a statement that the medicines are ‘prescribed for the treatment of an animal or herd under my care’ is required for Schedule 2 and 3 CD. Veterinary prescriptions should be retained for five years.

Where Schedule 2 or 3 CDs have been prescribed, the Royal College of Veterinary Surgeons (RCVS) registration number of the prescriber must be included -usual CDs prescription requirements apply .

 Any concerns re prescribing of Controlled drugs please contact fife.cd@nhs.scot or Pharmacy services on 01383 565351