Arkansas Administrative Code
Agency 092 - Arkansas State Veterinary Medical Examining Board
Rule 092.00.18-002 - Prescribing Controlled Substances
Universal Citation: AR Admin Rules 092.00.18-002
Current through Register Vol. 49, No. 9, September, 2024
092.00.1-13. PRESCRIBING CONTROLLED SUBSTANCES
(Adopted 09/21/2018)
25. A controlled substance will mean a
Schedule II-V drug as defined in the Prescription Drug Monitoring Program Act.
A. Examination of the patient and need for
prescribing a controlled substance.
(1)
Nonpharmacologic treatment or drugs that are not classified as a controlled
substance will be given consideration prior to treatment with controlled
substances. Prior to initiating treatment with a controlled substance, the
licensed veterinarian will perform a history and physical examination
appropriate to the presenting complaint and conduct an assessment of the
patient's history as part of the initial examination.
(2) The medical record for prescribing
controlled substances will include signs or presentation of the pain or
condition, a presumptive diagnosis for the origin of the pain or condition, a
physical examination appropriate to the presenting complaint, a treatment plan,
and the medications prescribed to include the date, type, dosage, and quantity
prescribed.
(3) If a controlled
substance is necessary for treatment, the licensed veterinarian will prescribe
it in the lowest effective dose appropriate to the size and species of the
animal for the least amount of time.
(4) If the prescribing is within the accepted
standard of care, a licensed veterinarian may prescribe a controlled substance
for the management of behavioral disorders, neurological disorders, acute pain,
chronic pain, terminal illnesses, or other chronic conditions.
B. For prescribing an opioid, the
initial dose will not exceed a ten (10) day supply.
(1) For prescribing an opioid for the
management of pain after the initial ten (10) day supply, the patient will be
seen and evaluated for the continued need for an opioid.
(2) For any prescribing of an opioid beyond
ten (10) days, the licensed veterinarian will develop a treatment plan for the
patient, which will include measures to be used to determine progress in
treatment, further diagnostic evaluations or modalities that might be
necessary, and the extent to which the disorder, pain, or condition is
associated with physical impairment.
(3) For the continued prescribing of an
opioid, the patient will be seen and reevaluated at least every six (6) months.
The justification for such prescribing will be documented in the patient
record.
C. Prior to
prescribing or dispensing a controlled substance, the licensed veterinarian
will document a discussion with the owner about the known risks and benefits of
treatment with a controlled substance, the responsibility for the security of
the drug, and proper disposal of any unused drug.
D. Continuation of treatment with controlled
substances will be supported by documentation of the continued benefit from the
prescribing. For the continued prescribing of controlled substances that are
not opioids, the patient will be seen and reevaluated at least every twelve
(12) months. If the patient's progress is unsatisfactory, the licensed
veterinarian will assess the appropriateness of the continued use of the
current treatment plan and consider the use of other therapeutic
modalities.
Disclaimer: These regulations may not be the most recent version. Arkansas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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