Extemporaneous compounding in veterinary practice: A New Zealand perspective

Gargiulo, Derryn; Chemal, C; Joda, L; Yj, Lee; Pilkington, Megan; Haywood, Alison; Garg, Sanjay

doi:10.1080/00480169.2013.773853

Cited by 6 publications

(7 citation statements)

References 7 publications

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“…That is why veterinarians rely on compounding to achieve an adequate dosage of chemotherapy for their patients. One widely shared concern is that the potency and stability of compounded chemotherapeutics may not be as reliable as that of Food and Drug Administration (FDA) approved formulations . The aim of our study was to obtain pilot data on a commonly compounded chemotherapeutic agent, cyclophosphamide, comparing potency between five different pharmacies and stability overtime.…”

Section: Introductionmentioning

confidence: 58%

Potency and stability of compounded cyclophosphamide: a pilot study

Robat

Budde

2016

Vet Comparative Oncology

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Compounding of drugs for use in veterinary oncology is becoming increasingly common. We obtained 15 mg cyclophosphamide capsules from five different compounding pharmacies and performed potency analyses at two time points, as well as stability at 60 days. Potency results for four out of five and zero out of five (4/10) samples analysed were inadequate. Stability at 60 days was acceptable for all but one sample. This pilot study raises several important points of concern when compounding chemotherapy in dogs and cats. Further studies are necessary to solidify this data. Collaboration between pharmacists, veterinarians and regulatory bodies is needed to ensure safe and accurate delivery of compounded drugs to client-owned animals.

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Section: Introductionmentioning

confidence: 58%

Potency and stability of compounded cyclophosphamide: a pilot study

Robat

Budde

2016

Vet Comparative Oncology

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“…The veterinarians interview in the present study commented that the area of their practice where they were least confident is compounding pharmaceutical products. In New Zealand, in a survey of veterinarians who worked with pharmacists to undertake extemporaneous compounding of veterinary medicines, the majority reported that the relationship was beneficial [ 5 ]. It was reported in the same study that 33% of veterinarian respondents had worked with pharmacists in the preceding year and all said that they would continue that working relationship [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…Many veterinarians are now writing prescriptions for their patients instead of dispensing medicines in their practice. This has been driven by the increasing costs of medicines and the increasing use of common human medicines in animal care [ 5 ]. Veterinarians are also choosing to write prescriptions because they require drugs that they do not have in their practices in the appropriate strength or in a suitable formulation for their animal patients [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Veterinary Pharmaceutics: An Opportunity for Interprofessional Education in New Zealand?

et al. 2017

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Globally pharmacists are becoming increasingly involved in veterinary medicine; however, little is known about the level of interest for pharmacists playing a larger role in animal treatment in New Zealand. A key stakeholder in any progression of pharmacists becoming more involved in the practice of veterinary pharmacy is the veterinary profession. The aim of this study was to investigate views of veterinarians and veterinary students on the role of pharmacists supporting veterinarians with advice on animal medicines. Open interviews were conducted with veterinarians in Dunedin, New Zealand. Veterinary students at Massey University completed an online survey. Most veterinarians do not have regular communication with pharmacists regarding animal care, but believe it may be beneficial. In order to support veterinarians, pharmacists would need further education in veterinary medicine. Veterinary students believe there is opportunity for collaboration between professions provided that pharmacists have a better working knowledge of animal treatment. Most of the veterinary students surveyed perceive a gap in their knowledge concerning animal medicines, specifically pharmacology and compounding. While there is support for pharmacists contributing to veterinary medicine, particularly in the area of pharmaceutics, this is currently limited in New Zealand due to a lack of specialized education opportunities.

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“… 3 Compounding also has a place in veterinary practice, where medicines may be altered to suit drug absorption, metabolism, and swallowing abilities of different species. 7 …”

Section: Introductionmentioning

confidence: 99%

“…While the importance of compounding is well established 1 , 2 , 7 , 8 , 10 , 12 and past studies have demonstrated the benefits of IPL, 14 , 17 – 19 , 26 – 28 there is no evidence of such interprofessional compounding workshops having taken place. This study is novel in that it undertakes to investigate students’ understanding of the importance of multidisciplinary teams in regards to compounding in a rural and remote setting.…”

Section: Introductionmentioning

confidence: 99%

Compounding medications in a rural setting: an interprofessional perspective

Taylor¹,

Hays²,

Glass³

2018

JMDH

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BackgroundInterprofessional learning (IPL) which focuses on the pharmacist’s role in specialty practices as part of a multidisciplinary health care team has not been explored. This study aimed to determine health care students’ understanding of the role of the pharmacist in compounding medications to optimize health outcomes for patients in rural and remote health care services.MethodsFour workshops followed by focus group interviews were conducted with undergraduate pharmacy, medical, nursing, physiotherapy, dentistry, Aboriginal public health, and speech pathology students (n=15). After an introductory lecture, students working in multidisciplinary teams undertook to compound three products. Focus groups were held at the end of the compounding workshops to explore students’ understanding and perceptions of these compounding activities. Thematic analysis was undertaken on the qualitative data obtained from the focus groups.ResultsStudent participants responded positively both to the opportunity to undertake a compounding exercise and being part of an interprofessional team, perceiving benefit for their future rural and remote health practice. Four major themes emerged from the qualitative analysis: improved knowledge and understanding; application to practice; interprofessional collaboration; and rural, remote, and Indigenous context. Students acknowledged that the workshops improved their understanding of the role of the pharmacist in compounding and how they, as part of a multidisciplinary team, could deliver better health outcomes for patients with special needs, especially in a rural and remote context.ConclusionThis study highlights that workshops of this nature have a role to play in developing collaborative interprofessional practice and increasing awareness of pharmaceutical services among undergraduate health students. However, further evidence is needed to assess whether positive perceptions of specialty practice IPL workshops will translate into improved patient outcomes in practice.

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Extemporaneous compounding in veterinary practice: A New Zealand perspective

Abstract: This study provides new information regarding extemporaneous compounding for veterinary patients in New Zealand.

Cited by 6 publications

References 7 publications

Potency and stability of compounded cyclophosphamide: a pilot study

Potency and stability of compounded cyclophosphamide: a pilot study

Veterinary Pharmaceutics: An Opportunity for Interprofessional Education in New Zealand?

Compounding medications in a rural setting: an interprofessional perspective

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