Q.
Why do I have to bring my pet in to get a refill on medications?
A. The
first “rule” of medicine is “Above all,
do no harm.” To Oasis Animal Clinic this
means that we are responsible to make sure that every pet
is getting the best care possible. Part of our treatment
plan usually involves dispensing prescription medicine.
Because they are “prescription”, they generally
have specific uses and actions that require supervision
and evaluation of the progress. Most medications also have
side effects. A prescribed therapy should result in a “cure”
or improvement in symptoms so that the need for the drug
should decrease. Generally, if a refill is requested, it
means that the medication did not give the desired result
or a new condition has arisen.
Some chronic
conditions are not curable, but are treated continuously
or intermittently for the remainder of a pet’s life.
Epilepsy, thyroid disease, arthritis, allergies and heart
conditions are examples of this. These pets will require
medications for the rest of their lives.
The law requires,
and good medicine dictates that we have a CURRENT, personal
knowledge of a condition in order to prescribe a drug. This
means that we have to have seen the pet for the specific
disease we are treating within the past 3 months, in order
to be “current” about the care of that pet.
Most clients understand this and are happy to schedule an
appointment.
So, the bottom
line is that we must see and reevaluate pets regularly in
order to properly treat conditions. If we were to refill
medications without seeing the pet recently for that condition,
we would run the risk of misdiagnosing and mistreating the
disease, overlooking the pet’s improvement and breaking
the law that governs the practice of Veterinary Medicine
in Arizona. We do have policies in place for chronic conditions
like those listed above, whereby we can refill medications
for a long period of time without rechecks. But even those
conditions may require repeated blood work to assure that
the body is handling the medications without developing
adverse reactions.