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Vet answers questions on FDA                                                                The Midwest Cattleman · March 30, 2023 · P7

      antibiotic prescription requirement


         OTC  sales of  antibiotics      the label change?
      are set to end; veterinary pre-       FDA intends to allow exist-
      scriptions are required start-     ing stocks of OTC antibiotics
      ing June 11.                       to be depleted, and a prescrip-
         Veterinarians are getting       tion will not be required for
      their prescription pads ready      use. However, if the antibiotic
      as farmers will need them          is being used extra-label (in a
      for several antibiotics used       manner that is not in accor-
      to treat livestock starting in     dance with the approved label
      mid-June.
         The final phase of the Food                  continued on page 17
      and  Drug Administration’s
      efforts will bring all medical-
      ly important antibiotics ap-
      proved for animals under vet-          PARAMOUNT
      erinary oversight.
         “This will end over-the-
      counter sales of antibiotics,
      and livestock owners will need
      a prescription from a veteri-           Elevate to a more valuable female.
      narian if they want to contin-
      ue to have access,” says Craig
      Payne, University of Missouri                                                               For over a decade, Red Angus females have
      Extension veterinarian.                                                                  commanded more at auction than all other breeds,
         While     antibiotics   won’t                                                       including Angus. According to Superior Livestock data,
      necessarily need to be pur-                                                               Red Angus heifers brought nearly $17/cwt more –
      chased from a veterinarian, a
      prescription will be required                                                                  that equates to a $92/head premium
      regardless of where they are                                                                    on a weaned replacement female.
      purchased.
         Many      antibiotics    went
      through a similar transition                                                                      To learn more about
      in 2017, when FDA focused                                                                           industry-leading
      on feed antibiotics and OTC
      antibiotics  delivered in the                                                                       stayability, visit
      water. However, Payne says,                                                                            RedAngus.org
      some antibiotics remained
      available OTC in the form of
      injectables,    intramammary
      tubes and boluses.
         FDA’s Guidance for Indus-
      try 263 specifically addresses
      those OTC antibiotics, and by
      June 11, they must display
      the following language on the
      label:  “Caution: Federal law
      restricts  this  drug  to  use by
      or on the order of a licensed
      veterinarian.” Once antibiot-
      ics have this revised labeling,
      they will require a prescrip-
      tion.
         Considering the impact
      of these changes, Payne an-
      swers  a  few  of the questions
      livestock producers may have
      about  the latest antibiotic
      guidance from the FDA:
         Which antibiotics will
      be affected?
         See Chart - Top Right
         For a complete list of anti-
      biotics impacted by GFI 263,
      visit the FDA website.
         After June 11, will I need
      a prescription to use anti-
      biotics purchased before
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