Sheep
Medicines
Imperative to a successful sheep farming business is the
control of disease and for efficient lamb production animal health and welfare
are both essential. Treatment of
disease is not as effective or economical as prevention.
Poor health status and subclinical disease can be a major
cause of financial losses on many sheep farms. The impact of many diseases can be avoided or minimised by reducing
exposure to disease pathogens (effective biosecurity) and implementing
effective vaccination and parasite
control programmes. These programmes will be designed for each individual
sheep farm and included in the flock health plan by the farmer’s veterinary
practitioner.
When treatments are necessary there is a joint
responsibility between the veterinary surgeon and the farmer to ensure that all
drugs, but especially all antimicrobial drugs, are used correctly and
responsibly such that all legal requirements are met.
Prescribing
Categories
Under 2005 legislation the categories for medicine prescribed
for sheep are…
·
Prescription Only Medicine-Veterinarian (POM-V)
·
Prescription Only Medicine-Veterinarian,
Pharmacist,
Suitably Qualified Person (POM-VPS)
·
Authorised Veterinary Medicine-General Sales
List (AVM-GSL)
·
Non-Food Animal-Veterinarian, Pharmacist,
Suitably Qualified Person (NFA-VPS)
POM-V
POM-Vs can only be
prescribed by vet surgeons for administration to animals under their care of a vet surgeon. The
RVC require a number of criteria to be met…
- The vet surgeon should have been given responsibility for the animal’s health by its owner or guardian.
- The vet surgeon should have performed a clinical examination of the animal for the purpose of diagnoses or prescription, or have visited the premises in which the animal is kept sufficiently often and recently enough to have sufficient personal knowledge to make a diagnosis and prescribe for the animal in question.
- The vet surgeon should have been given responsibility for the animal’s health by its owner or guardian.
- The vet surgeon should have performed a clinical examination of the animal for the purpose of diagnoses or prescription, or have visited the premises in which the animal is kept sufficiently often and recently enough to have sufficient personal knowledge to make a diagnosis and prescribe for the animal in question.
POM-VPS
POM-VPS do not necessarily require clinical assessment prior
to prescription. This category corresponds closely to the former PML (Pharmacy
Merchants List) group of medicines. Medicines in this category can only be
prescribed by a registered qualified person (RQP), which is:
-Registered Vet Surgeon
-Registered Pharmacist
-Registered Suitably Qualified Person (SQP).
-Registered Vet Surgeon
-Registered Pharmacist
-Registered Suitably Qualified Person (SQP).
AVM-GSL
Medicine products under this category may be supplied by any
retailers (including supermarkets and pet shops) with no restrictions on
supply.
Health and Safety
In addition to the considerations above, medicines are also
controlled by the Control of Substances Hazardous
to Health (COSHH) Regulations 2002. These regulations control and restrict
the use of veterinary medicines in
order to prevent damage to human health.
Other substances produced by animals (blood,
tissue, urine, faeces) are also considered under this act the employer must
prevent or control exposure of employees to these substances by information,
instruction and training.
Withdrawal Periods
for Drugs
The Animals, Meat and
Meat Products (Examination for Residues and Maximum Residue Limits) Regulations 1997 control residues of
animal medicines in food producing animals. Maximum Residue Limits (MRL) is set which aim to avoid toxicity in
man and technical problems for the food producing industries.
EU legislation defines MRL as:
-Maximum concentration of residue that results from administration of an animal medicine which is legally permitted in the community or recognised as acceptable in or on a food.
-Maximum concentration of residue that results from administration of an animal medicine which is legally permitted in the community or recognised as acceptable in or on a food.
Withdrawal Periods are defined as:
-The time between the last doses given to the animal and the time when the level of residues in the tissues (muscle, liver, kidney, and skin/fat) or products (milk, eggs, honey) is lower than or equal to the MRL.
-The time between the last doses given to the animal and the time when the level of residues in the tissues (muscle, liver, kidney, and skin/fat) or products (milk, eggs, honey) is lower than or equal to the MRL.
Withdrawal periods are given for time after administration
to slaughter (meat production).
Where a withdrawal period is
not given
for a species a minimum of the following “standard”
withdrawal periods should be adopted. 28
days for meat. Some organic schemes
require doubling or tripling of the data sheet recommendations for withdrawal.
Storage of Veterinary
Medicines
The main points are:
·
Store in accordance
with manufacturer’s instruction
·
Refrigeration
must be available and maintained between 2-8*C.
·
Should not
be accessible to the public.
·
Storage areas should be kept clean and should be well ventilated. Eating/drinking forbidden.
·
Dates
of delivery should be logged and market on products and for multi-use products
date of first use should
be marked.
Veterinary
Medicines Regulations 2009 / Part 3 – Records
The keeper of a food producing animal must keep records of proof of acquisition of the
medicine.
A veterinary surgeon who administers a vet medicinal product
to a food producing animal must
either enter the following information personally in the keeper’s records or
give it in writing for the keeper to input themselves. The information must
include:
(a) The name of the vet surgeon
(b) The name of the product and batch number
(c) The date of administration of the product
(d) The amount of the product administered
(e) The identification of the animals treated
(f) The withdrawal period
(a) The name of the vet surgeon
(b) The name of the product and batch number
(c) The date of administration of the product
(d) The amount of the product administered
(e) The identification of the animals treated
(f) The withdrawal period
Parenteral
Administration of Medicines
Medicines should be administered by intravenous, intramuscular and subcutaneous
injection. A new sterile needle
and syringe should be used on every occasion.
The only exception to single syringe/needle use is the admin
of a vaccine to a number of sheep using an automatic
syringe. In this situation it is also essential that the fleece is clean, free from contamination and dry.
Vaccination of dirty or wet sheep should be delayed until the fleece is
suitable; otherwise there is a risk of introduction of bacteria with the vaccine and the development of an abscess at the site of injection. A maximum of 20 – 25 sheep should be
injected before the needle is changed; often the volume of the bottle corresponds
to this amount.
For each weight of sheep there is a different type of hypodermic needles needed…
Lambs less than 10kg 21 gauge 5/8 inch
Lambs 10 – 20kg 20 gauge 1 inch
Lambs 20 – 40kg 19 gauge 1 inch
Adult sheep 18 gauge 1 inch
Lambs less than 10kg 21 gauge 5/8 inch
Lambs 10 – 20kg 20 gauge 1 inch
Lambs 20 – 40kg 19 gauge 1 inch
Adult sheep 18 gauge 1 inch
Subcutaneous and
Intramuscular injections
Sub-c injections are administered in areas where the skin is loose; mainly on the side of the neck or behind the shoulder.
To perform this type of injection, grasp a fold of skin and
slide the needle through the skin, holding the needle at parallel the animal’s
neck trunk. This method will avoid
penetration of underlying muscle or injection into the chest cavity. The needle should be inserted several inches from the operator’s hand
to avoid accidental self-injection. To ensure that the needle is not located in
a blood vessel, pull back the plunger to check for any blood intake. Ensure
that the needle point does not emerge from the other side of the skin fold.
Slight resistance when depressing the syringe plunger will indicate that the
solution is being injected under the skin and not through the fold and onto the
skin surface.
Intra-m injections involve injecting a medicine directly
into the muscle mass of the animal;
the main site for this is usually the mass
of the neck or the hind leg.
Insert the needle connected to the syringe into the muscle
with a sharp action, not using too much power but ensuring a swift and sharp
motion. Draw back and check for any blood, slowly inject the substance over 10
seconds. Do not inject too quickly as this may cause pain to the animal.
Intravenous
injection
This is the fastest
route for drug administration, bypassing absorption and is commonly used by vets. However, rapid injection
of a drug solution may cause adverse reactions, such as collapse. Drugs
administered intra-v includes some antimicrobials,
NSAIDs and mineral solutions (e.g. Calcium Borogluconate). The jugular vein in the neck is the common
site. Extravascular injection can lead to severe local tissue reaction overlying the site of injection. The use of
dirty injection equipment introduces infection directly into the blood stream
and can cause septicaemia with fatal consequences.
Drenching
Small volumes of
liquid (less than 30mls) are frequently administered by mouth using a drenching gun (ie.
Anthelminitcs/Anti-worming and flukicides and some trace element drenches). The
animal is suitable restrained with the hind quarters secured (to prevent them
moving away) and the head is tilted upwards by the chin, the gun placed into
the mouth and aimed down the throat and the solution released. The head should
be let go once the sheep has swallowed the solution.
Larger volumes can be administered by stomach
tube (orogastric tube), most commonly to lambs.
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