aavpt biennial symposium: “a veterinary practitioner’s view of compounding.”

AAVPT BIENNIAL SYMPOSIUM: “A VETERINARY PRACTITIONER’S VIEW

OF COMPOUNDING.”

Dennis A. Feinberg, DVMAAVPT 14th Biennial Symposium, May 16-17, 2005, Rockville, MD

Pg. 231-252 (Slide#1-22)

Dennis Feinberg, DVMPresident, American Animal Hospital

Association &Owner, Charles Towne Veterinary Clinic

850 Savannah HwyCharleston, South Carolina, 29407-7216

Telephone: (843) 571-4291E-mail: CTVC@aol.com

DISCLAIMER: DOES NOT REPRESENT

THE VIEWS OF THE AMERICAN ANIMAL

HOSPITAL ASSOCIATION

My Educational Story—How I Got Started

RESOURCES

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

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

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

Resources

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

ISSUES

PROBLEMS

Piracy Veterinarians Pharmacy Quantitative Assessment of Compounded

Drugs Research

Evidence Based Medicine Manufacturer Incentive for New Drug

Production FDA (CVM) FDA Lawsuit

• BET Pharm Litigation (Kentucky)

• Midland Compounding Litigation

PROBLEMS CONTINUED

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 FDA (CVM)

• New CPG

• Sensitized to needs of profession

• Negative list vs. Positive List

Wish List 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 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