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Using Veterinary Feed Directive Drugs in
Aquaculture
Patricia S. Gaunt, DVM, PhD, DABVT
Mississippi State University
College of Veterinary Medicine
Antimicrobial Medicated Feeds
Approved for US Aquaculture
 Terramycin ® (Oxytetracycline)
 Romet ® (Ormetoprim sulfadimethoxine)
 Aquaflor® (Florfenicol)
Aquaflor® Approved as VFD Drug
 Approved by FDA October 2005 under
1st VFD Rule
 First aquatic VFD drug
 Initially for catfish to treat enteric septicemia of
catfish (ESC) only
 Label claim expanded to include many other
bacteria and fish species
VFD Feed: Veterinarian’s Responsibilities
Licensed and maintain valid Veterinarian-
Client-Patient Relationship (VCPR)
1. Knowledge of fish health by recent
examination of fish and/or visit to farm
2. Responsibility for clinical judgement
of fish health
3. Availability for follow-up care
4. Oversight for proper use of medication
• Prompt treatment
• Proper regime
5. Maintenance of medical records
Veterinarian’s Responsibilities (cont’d)
 Issue VFD order in writing with ALL
required information to client
 Maintain electronic or original
order and available for FDA
inspection for 2 years
Some states require medical records
retention for >2 years
 Provide electronic or hardcopy to
producer and distributor
VFD feed: Producer’s (Client’s)
Responsibilities
 Cooperate with veterinarian
to maintain valid VCPR
 Follow dose rate, duration,
expiration date, and withdrawal
time
 Maintain electronic or hard
copy of VFD orders for FDA
inspection for 2 years
 If in agreement with
veterinarian, present copy
of VFD order to distributor
Highlights of New (Second) VFD Rule
 New (Second) VFD Rule in effect
 Aquaflor ® (10/01/2015); Terramycin® and Romet ® (01/01/2017)
 VFD expiration date can be extended up to 6 months by veterinarian
 Order forms require production class and approximate number of fish rather
than biomass
 Producer and distributor calculate feed quantity
 Extra-label use of VFD drugs not approved
 FDA using enforcement discretion for ELDU
What’s New in the New VFD Rule?
(21 CFR 558.6(b))
 Expiration date:
 2nd (New) VFD Rule: VFD order expires when veterinarian deems: ≤ 6 months from date of
issuance
• In effect for Aquaflor® 10/1/2015
• In effect for Romet® and Terramycin® 1/1/2017
 Duration of use (not new):
 Part of label claim: Part of approval, conditional approval or index listing
 e.g. 1x/day for 10 days
 If VFD order expires prior to completing duration of use, veterinarian must issue a new VFD
order
 Refills
 No refills allowed with VFD aquaculture drugs
Example: VFD Orders and Expiration Date
 May 1: Pond 1 is stocked with catfish fingerlings and breaks with enteric
septicemia of catfish (ESC)
 Ponds 2, 3, 4, and 5 are adjacent fingerling catfish ponds
 Producer needs VFD drug with 10 day duration of use to treat ESC in
Pond 1. He expects fish in ponds 2, 3, 4, and 5 to break with ESC also
and requests a VFD order with a 10 week expiration date to cover fish in
ponds 1-5
 No refills: If pond 1 breaks with ESC again (after May 1-10, a new VFD
order must be issued for it)
1 2 3 4 5
May 1-10 May 20 -29 May 21- 30 June 11- 20 June 25 -July 4
Extra-label Use of Medicated Feeds
 The statement: “Extra-label drug use (ELDU) of VFD drugs is
strictly prohibited” is required on the VFD drug order
 Few drugs available for aquaculture, FDA CVM will use
enforcement discretion for extra-label use under New VFD Rule
(CPG 615.115)
 Must have a valid VCPR, follow duration of use, withdrawal times,
proper regime, maintenance of records
VFD ELDU: Additional Information on VFD Forms
Required Under “Special instructions”
 VFD issued in accordance with
CPG 615.115
 Species/indication for which being issued (
different)
 Withdrawal time (if different)
Contained, Traceable fish
Same rules on VFD orders apply as with
approved VFD label claims
Thanks for Your Attention!

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Dr. Patricia S. Gaunt - Discussion on the Veterinary Feed Directive Integration in Aquaculture

  • 1. Using Veterinary Feed Directive Drugs in Aquaculture Patricia S. Gaunt, DVM, PhD, DABVT Mississippi State University College of Veterinary Medicine
  • 2. Antimicrobial Medicated Feeds Approved for US Aquaculture  Terramycin ® (Oxytetracycline)  Romet ® (Ormetoprim sulfadimethoxine)  Aquaflor® (Florfenicol)
  • 3. Aquaflor® Approved as VFD Drug  Approved by FDA October 2005 under 1st VFD Rule  First aquatic VFD drug  Initially for catfish to treat enteric septicemia of catfish (ESC) only  Label claim expanded to include many other bacteria and fish species
  • 4. VFD Feed: Veterinarian’s Responsibilities Licensed and maintain valid Veterinarian- Client-Patient Relationship (VCPR) 1. Knowledge of fish health by recent examination of fish and/or visit to farm 2. Responsibility for clinical judgement of fish health 3. Availability for follow-up care 4. Oversight for proper use of medication • Prompt treatment • Proper regime 5. Maintenance of medical records
  • 5. Veterinarian’s Responsibilities (cont’d)  Issue VFD order in writing with ALL required information to client  Maintain electronic or original order and available for FDA inspection for 2 years Some states require medical records retention for >2 years  Provide electronic or hardcopy to producer and distributor
  • 6. VFD feed: Producer’s (Client’s) Responsibilities  Cooperate with veterinarian to maintain valid VCPR  Follow dose rate, duration, expiration date, and withdrawal time  Maintain electronic or hard copy of VFD orders for FDA inspection for 2 years  If in agreement with veterinarian, present copy of VFD order to distributor
  • 7. Highlights of New (Second) VFD Rule  New (Second) VFD Rule in effect  Aquaflor ® (10/01/2015); Terramycin® and Romet ® (01/01/2017)  VFD expiration date can be extended up to 6 months by veterinarian  Order forms require production class and approximate number of fish rather than biomass  Producer and distributor calculate feed quantity  Extra-label use of VFD drugs not approved  FDA using enforcement discretion for ELDU
  • 8. What’s New in the New VFD Rule? (21 CFR 558.6(b))  Expiration date:  2nd (New) VFD Rule: VFD order expires when veterinarian deems: ≤ 6 months from date of issuance • In effect for Aquaflor® 10/1/2015 • In effect for Romet® and Terramycin® 1/1/2017  Duration of use (not new):  Part of label claim: Part of approval, conditional approval or index listing  e.g. 1x/day for 10 days  If VFD order expires prior to completing duration of use, veterinarian must issue a new VFD order  Refills  No refills allowed with VFD aquaculture drugs
  • 9. Example: VFD Orders and Expiration Date  May 1: Pond 1 is stocked with catfish fingerlings and breaks with enteric septicemia of catfish (ESC)  Ponds 2, 3, 4, and 5 are adjacent fingerling catfish ponds  Producer needs VFD drug with 10 day duration of use to treat ESC in Pond 1. He expects fish in ponds 2, 3, 4, and 5 to break with ESC also and requests a VFD order with a 10 week expiration date to cover fish in ponds 1-5  No refills: If pond 1 breaks with ESC again (after May 1-10, a new VFD order must be issued for it) 1 2 3 4 5 May 1-10 May 20 -29 May 21- 30 June 11- 20 June 25 -July 4
  • 10. Extra-label Use of Medicated Feeds  The statement: “Extra-label drug use (ELDU) of VFD drugs is strictly prohibited” is required on the VFD drug order  Few drugs available for aquaculture, FDA CVM will use enforcement discretion for extra-label use under New VFD Rule (CPG 615.115)  Must have a valid VCPR, follow duration of use, withdrawal times, proper regime, maintenance of records
  • 11.
  • 12. VFD ELDU: Additional Information on VFD Forms Required Under “Special instructions”  VFD issued in accordance with CPG 615.115  Species/indication for which being issued ( different)  Withdrawal time (if different) Contained, Traceable fish Same rules on VFD orders apply as with approved VFD label claims
  • 13. Thanks for Your Attention!