Roadrunner Express Spring 2014 Roadrunner Pharmacy 711 E. Carefree Hwy. Suite 140, Phoenix, AZ 85085 • 877-518-4589 Periodontal Gel Oti-Packs™ Periodontal gel was requested by practitioners who wanted a dental gel containing doxycycline and clindamycin. Formulated as a liquid when cold, it quickly transforms into a tenacious gel when applied to warm areas. Available in packs of four 0.25 ml syringes with special delivery tips. Oti-Pack™ C (Chloramphenicol 1%, Ketoconazole 1%, Betamethasone Dip 0.05%) Oti-Pack™ E (Enrofloxacin 0.23%, Ketoconazole 1%, Triamcinolone 0.1%) Oti-Pack™ A (Amikacin 0.67%, Ketoconazole 1%, Triamcinolone 0.1%) Oti-Pack™ G (Gentamicin 0.3%, Ketoconazole 1%, Triamcinolone 0.1%) Oti-Pack™ M (Mupirocin 1%, Ketoconazole 1%, Triamcinolone 0.1%) Oti-Pack™ T (Ticarcillin 1.67%, Ketoconazole 1%, Triamcinolone 0.1%) Anal Sac Roadrunner Pharmacy is your partner for compounded single application medication options! Anal Sac Ointment (ASO), is packaged in Enrofloxacin/Ketoconazole/Triamcinolone 1ml luer-lock syringes and dispensed with combination (ASO-E) specialized applicator tips to facilitate OR Gentamicin/Ketoconazole/Triamcinolone administration. combination (ASO-G) Six-month dating. Ointment The information contained is intended for use as an informational aid. It does not cover all possible uses, actions, precautions, side effects, or interactions of the preparations shown, nor is the information intended as medical advice or diagnosis for individual health problems or for making an evaluation as to the risks and benefits of using a particular preparation. Information and statements have not been evaluated by the Food and Drug Administration (FDA), nor has the FDA approved the preparations to diagnose, cure or prevent disease. Roadrunner Pharmacy compounded veterinary preparations are medications prepared at the direction of a veterinarian and are not intended for use in food and food-producing animals. Page 1 Clinic-Stocked Compounded Medications are ESSENTIAL Fortunately, our federal government exempted veterinary medicine from the increased FDA scrutiny contained in their most recent compounding pharmacy legislation. However, many states have not taken the same approach, and instead have become increasingly more restrictive regarding clinic use of compounded medications. At this writing, at least NINETEEN states (AR, CO, GA, HI, IA, ID, KS, MA, ME, MD, MI, MN, MO, MT, NY, OH, OR, SD, VT) insist that pet names be included on ALL compounded medication. Regulations like these may have merit in the practice of human medicine but fall very short in the veterinary community. Very effective drugs for in-clinic use are no longer commercially available. Many of these drugs must be replaced by compounds and are critical for emergency care. It is absurd to think that practitioners would wait for a pet-specific order of apomorphine. While it is acceptable for clinics to have commercial products for in-house use for administration in this era of backordered/unavailable commercial drugs, no provision is made for compounded alternatives. Pet names on diazepam, atropine, glycopyrrolate injections? Most every practice realizes that their specialized veterinary medications are not available from the pharmacy down the street and many try to maintain an adequate stock of select drugs to ensure emergent care begins ASAP. As a result of these shortages, we are close to a time in which procedures may have to be postponed until suitable drugs become available. Imagine your outrage when your own care is impaired or delayed for want of a drug in short supply! Compounding pharmacy has had the ability for decades to fill in these deficiencies but, because they are compounds, many states prohibit this. More than 90% of Americans consider their pet as part of the family. Why do we tolerate such restrictions which are often detrimental to animal health and a huge frustration to veterinarians and pet owners? Thanks to your efforts, petitioning such grievances has made a massive impact with the federal government. Roadrunner Pharmacy is taking an active role in calling for state boards of pharmacy AND state legislators to permit compounded drugs for clinic stock. There are valid needs in many clinics for compounded medications - for in-clinic administration, for acute therapeutic needs and for the initiation of therapy until definitive supplies can be obtained from a dispensing pharmacy to the pet owner. We understand the regulatory concerns with wholesaling compounded medication - permitting more than one week’s supply is generally unnecessary with today’s faster shipping options. That said, we also understand veterinary medicine and some of the unique hardships you face every hour of every day. Contact your state regulators - the petition only takes a few minutes! If you practice in one of these more restrictive states and would like to let those state regulators know how you feel, then petition for change by going to http://VetPetition.RoadrunnerPharmacy.com or scan the QR code at right. Feel free to use our text or modify it to meet your needs. Most importantly - tell someone! The practice of human medicine is different than veterinary medicine. Our leaders and our regulators need to hear from you regarding your hardships and the unnecessary constraints you encounter while trying to preserve animal health. Page 2 Friendly pharmacists are standing by! 877-518-4589 Oseltamivir Kit (TAMIFLU) For parvoenteritis and kennel cough, Roadrunner Pharmacy is your partner for medication availability and dosing options. Roadrunner Pharmacy has oseltamivir powder, an emerging oral treatment for both parvoenteritis and kennel cough. Oseltamivir is a neuraminidase inhibitor; neuraminidase is an enzyme produced by both the bacteria and virus that are responsible for cellular infection. Oseltamivir has been used successfully by veterinarians, shelter workers and rescue groups worldwide in the treatment of parvoenteritis. Dr. Jack Broadhurst, DVM, is a pioneer in the use of oseltamivir in the treatment of parvoenteritis. A typical dosing regimen for parvoenteritis is 1 mg/pound every 12 hours for 5 days. The urgent initiation of this drug is critical; significant clinical improvement is often reported when first dosed within 48 hours of the onset of symptoms. We would be happy to fax Dr. Broadhurst’s protocol. Kennel cough can be caused by a variety of organisms; the primary ones include parainfluenza virus, canine adenovirus, canine distemper virus and Bordatella bronchoseptica. A typical dosing regimen of oseltamivir for kennel cough is 1 mg/Kg every 12 hours for 5 consecutive days. Efficacy will depend on the causative organism(s) and the immune function of the dog. According to an article by Dr. Peter Fernandes, DVM, kennel cough symptoms were resolved approximately 2 weeks sooner for dogs treated with oseltamivir. A convenient way to order oseltamivir is in a reconstitutable kit for oral suspension. This Parvo Kit includes dosing and mixing instructions and is designed to enable practitioners to get the drug on board as soon as possible. The kit has a one-year beyond-use-date before mixing. Half Pint Special Pricing Flavored Suspensions with six-month expirations! Medication Strength Quantity Price Dewormer Medications Quantity Price Azithromycin Doxycycline Doxycycline Enrofloxacin Fenbendazole Gabapentin Ivermectin Ivermectin Ivermectin Metronidazole Benzoate Metronidazole Benzoate Metronidazole Benzoate 100 mg/ml 50 mg/ml 100 mg/ml 100mg/ml 100 mg/ml 75 mg/ml 0.1 mg/ml 1 mg/ml 10 mg/ml 50 mg/ml 100 mg/ml 250 mg/ml Canine PP -2 Biwormer Canine PP -2 Triwormer Feline PP - 1 Dewormer Feline PP - 2 Dewormer 240 mL 240 mL 240 mL 240 mL 240 mL 240 mL 240 mL 240 mL 240 mL 240 mL 240 mL 240 mL $149.95 $91.95 $137.95 $112.95 $79.95 $139.95 $88.95 $90.95 $103.95 $57.95 $79.95 $127.95 240 mL 240 mL 240 mL 240 mL $159.95 $159.95 $106.95 $159.95 Our top-grade suspensions are made with stateof-the-art equipment. For a listing of available flavors or to discuss dewormer strength options, call one of our friendly pharmacists today at 877-518-4589! Page 3 Web Accountability: The Good, the Bad and the Ugly! We have all seen it - negative reviews about our practices/businesses. Some of these sources include: • Negative client experiences which you half-way expected to surface through some channel. • Clients who voice an unpleasant experience that surprised you. • Anonymous sources who fear retribution to include those with competitive agendas. • Disgruntled employees with an ax to grind. Well take heart, you are not alone. Every business will experience negative reviews at some point. Do one or two negative reviews severely hurt the business credibility? Probably not. Potential customers/clients reviewing other customers reviews often look for a preponderance of negative experiences before they dismiss the idea of using your practice. Most clients/customers realize that a business has a great number of clients and understand that you can’t please all the people all the time. For example, our pharmacy will fill nearly half a million pet prescriptions this year alone, resulting in a certain number of mishaps and negative reviews. Clients/customers also look for positive responses by the business in the posting and take into account the number of positive reviews listed. Most everyone has come to realize that everything posted on the internet is not true and that there are two sides to every story. While trying to stay on top of negative reviews can be somewhat depressing, occasionally review what others say about you so that you can pick the reviews that need a response. Responding to some of the complaints shows a level of responsibility for the practice even if it sometimes involves an apology! Please Join Us Veterinarian Dinner Talks Week of: April 21 May 6 May 19 June 9 South Carolina Louisiana Wisconsin & Minnesota New York & Connecticut Call for more information 877-518-4589 ext. 513 Page 4 © 2014 Roadrunner Pharmacy all rights reserved. The information contained is intended for use as an informational aid. It does not cover all possible uses, actions, precautions, side effects, or interactions of the preparations shown, nor is the information intended as medical advice or diagnosis for individual health problems or for making an evaluation as to the risks and benefits of using a particular preparation. Information and statements have not been evaluated by the Food and Drug Administration (FDA), nor has the FDA approved the preparations to diagnose, cure or prevent disease. Roadrunner Pharmacy compounded veterinary preparations are medications prepared at the direction of a veterinarian and are not intended for use in food and food-producing animals.