Do you think one can get cascade prescription if Apibioxal glues up vaping equipment?
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Yes but it's a little bit of a grey area. The argument for not using apibioxal would have to hinge around supply issues.
I have in the past argued the following way for some medications- for example, if wanting to prescribe paracetamol for a dog when there is a licenced version which is combined with codeine (basically dog co-codamol), I argued that I did not want to use/prescribe the codeine component in the case at that time thus there was an argument to prescribe on the cascade as there wasn't a suitable licenced paracetamol-only formulation.
However, I'm not sure the above could be applied to apibioxal although if so the argument is going to have to tie in to the formulation... As mentioned in posts above, there is a licenced version in another country this should be prescribed - if available - before reaching for the unlicensed plain OA crystals.
Realistically our best bet is the group approach to get a generic version approved through VMD (Would make a great news story!). I'd suggest that if we consider this, any markup is slight enough to merely cover handing costs plus a couple of pence- those involved in the effort either then getting it at cost price with others paying slightly more or all paying with a slight markup so, in time, those involved get paid back.
I'll email VMD to see if I'd be able to apply the cascade here anyway, if so I'll then check whether I can prescribe without coming and checking everyone's bees as RCVS regs on prescribing also factor in here. If it's doable we may have a workaround...
