Transcript COMPOUNDING Rx SYMPOSIUM: “COMPOUNDING IN CLINICAL

AAVPT BIENNIAL SYMPOSIUM: “A
VETERINARY PRACTITIONER’S
VIEW OF COMPOUNDING.”
Dennis A. Feinberg, DVM
AAVPT 14th Biennial Symposium, May 16-17, 2005, Rockville, MD
Pg. 231-252 (Slide#1-22)
Dennis Feinberg, DVM
President, American Animal Hospital Association &
Owner, Charles Towne Veterinary Clinic
850 Savannah Hwy
Charleston, South Carolina, 29407-7216
Telephone: (843) 571-4291
E-mail: [email protected]
DISCLAIMER: DOES NOT
REPRESENT THE VIEWS OF THE
AMERICAN ANIMAL HOSPITAL
ASSOCIATION
My Educational Story—
How I Got Started
RESOURCES

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Dr.Gigi Davidson, RPh, DICVP, Director of
Clinical Pharmacy Services North Carolina
State College of Veterinary Medicine
Dr. Dawn Boothe, Diplomate, American
College of Veterinary Internal Medicine,
American College of Veterinary Clinical
Pharmacology
Resources
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Dr. Neal Bataller, ME, DVM, Veterinary Medical
Officer FDA/Center for Veterinary Medicine
Dr. Lauren Trepanier, Diplomate, American
College of Veterinary Internal Medicine,
American College of Veterinary Clinical
Pharmacology
Dr. Elizabeth Curry-Galvin, Assistant Director,
Scientific Activities Division American
Veterinary Medical Association
Resources
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Dr. Doug Kemp, RPh, PharmD, University of
Georgia School of Veterinary Medicine
Dr. Steve Marks, Diplomate, American College
of Veterinary Internal Medicine
Dr. Katrina Mealey, Diplomate, American
College of Veterinary Internal Medicine,
American College of Veterinary Clinical
Pharmacology
ISSUES
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Quality Veterinary Medicine
Balancing Technology and Therapeutics
DVM’s Decision: Best Patient Treatment
Legend Drugs in Therapeutic Form and
Dose
Media Drug Scrutiny
• USA Today March 2005
• Primetime April 2005
PROBLEMS
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Piracy
Veterinarians
Pharmacy
Quantitative Assessment of Compounded
Drugs
Research
PROBLEMS CONTINUED
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Evidence Based Medicine
Manufacturer Incentive for New Drug
Production
FDA (CVM)
FDA Lawsuit
• BET Pharm Litigation (Kentucky)
• Midland Compounding Litigation
SOLUTIONS


Ban Piracy
Veterinary Education
• Groups that need education
• AVMA Website: www.avma.org/compounding
• Animal Health Institute’s Veterinary
•
Compounding Brochure
AAEP Compounding Guidelines
Solutions Continued

Pharmacists and Pharmacies
• Raise the Bar
• Voluntary site accreditation process
• Board certification in veterinary
•
•
pharmacotherapy
Continuing education in veterinary pharmacy
Education of veterinary and pharmacy
students.
Solutions
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FDA (CVM)
• New CPG
• Sensitized to needs of profession
• Negative list vs. Positive List
Wish List
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Legend drugs in form & dose
Quality control: safety & efficacy
Compounding pharmacies serving as
invaluable resource
Checks & balances: accountability
Advocate for “best care” & “Standards”
Continued incentive for R & D:
manufactures
Closing Comments
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Knowledge base of Practicing DVM
Messenger to “Potential Change
Makers”
“Vacuum” mentality
Coalitions creating an educational wave
Coalitions
“The future is about us; the present
and the future and how we
navigate through the opportunities
and challenges.”
“You can’t solve
tomorrow’s problems
with today’s
solutions”
-John Maxwell
“You can do what I can’t do. I
can do what you can’t do.
Together we can do
wonderful things.”
Mother Teresa