Pharmacy practice in a veterinary hospital: development and application of a tool for inspection of medication labeling and packaging
DOI:
https://doi.org/10.30968/jhphs.2025.164.1289Abstract
Objectives: This study aimed to develop and apply a tool to guide the inspection of technical parameters of medications used in veterinary health services, supporting practices that contribute to animal patient safety in accordance with current regulations. Methods: The Inspection Guide for Technical Aspects of Labeling of Medicines for Veterinary Use (RIATREvet) was designed from Brazilian regulations issued by Anvisa and MAPA, the agencies responsible for human and veterinary drug control, respectively. The tool was implemented at the veterinary hospital of the Federal University of Goiás, central-west region of Brazil, to assess compliance with medications used in animal care. Results: The RIATREvet covered three domains and 16 items. It was applied to 67 medications (58.2% human, 41.8% veterinary). Human drugs achieved near-total regulatory compliance (≥98%). Conversely, veterinary drugs exhibited significantly lower compliance, notably in primary packaging (Domain 1: 71.4%) and secondary packaging (Domains 1 and 2: ≤84%). The most frequent non-conformity was Item 3.3 (“Customer Service Phone Number”), with veterinary drugs showing a significantly higher failure rate (64.3%, p<0.001). High-risk APINCH medications (52.2% of the sample) showed high non-compliance, particularly for primary packaging (65.7%), increasing the risk of medication errors. Conclusion: The RIATREvet tool effectively guides veterinarians and pharmacists in evaluating medication labeling and packaging, thereby contributing to safer medication use in veterinary healthcare services.
Downloads
References
1. Lopes DM, Néri ED, Madeira LS, et al. Análise da rotulagem de medicamentos semelhantes: potenciais erros de medicação. Rev Assoc Med Bras (1992). 2012;58(1):95-103.
2. Moura CM, Carvalho, ACB, Falcão, DP. Rotulagem de medicamentos fitoterápicos industrializados: está adequada às diretrizes legais? Vigil Sanit Debate. 2014;2(2):60-66. doi:10.3395/vd.v2n2.140
3. Caon S. Pictogramas em embalagens de medicamentos - estratégia para a segurança do paciente [tese de doutorado]. Porto alegre: Universidade Federal do Rio Grande do Sul; 2019.
4. Novaes MFB. Avaliação das Normas Regulatórias sobre rotulagem e embalagem de produtos farmacêuticos. Rev Cient Multidiscip Núcleo Conhecimento. 2020;6(1):44-64.
5. Lombardo M. Rotulagem de medicamentos industrializados: uma análise das diretrizes legais brasileiras e contribuições para a qualidade de produtos. Rev Adm Saúde. 2020;20(81):1. doi:10.23973/ras.81.225
6. Rath S, Mejia, MJM, Schroder CHK. Guia de validação e controle de qualidade analítica: fármacos em produtos para alimentação animal e medicamentos veterinários. Quim Nova. 2015;38(5):697-708.
7. Thomazini VC, Lima RA, Vilela LC, et al. Inconsistencies in the quality of the information on package inserts for veterinary medicines in Brazil. Braz J Pharm Sci. 2024;60:e22180. doi:10.1590/s2175-97902024000222180
8. Pinho RH, Magalhães E, Zambelli AB, et al. Medication errors in veterinary anesthesia: a literature review. Vet Anaesth Analg. 2024;51(2):123-133. doi:10.1016/j.vaa.2024.01.003
9. Barazowski JA, Pinard CL, Hess RS. Assessment and categorization of medication errors in a veterinary teaching hospital. J Vet Intern Med. 2024;38(4):1393-1402. doi:10.1111/jvim.17896
10. Sanches NHC. Cuidado farmacêutico no uso de medicamentos em animais domésticos [trabalho de conclusão de curso]. São Paulo: Universidade São Judas Tadeu; 2023.
11. Grundy SJ, Kemmis, S. Educational action research in Australia: the state of the art. Geelong. New York: Routledge;1997.
12. Bezerra TM, Filho, NAM. Soler O. Regulatory frameworks and the role of the pharmacist in the veterinary drug market for companion animals: integrative review. Rev Biotecnol Cienc. 2022;11(4):e2760. doi:10.33448/rsd-v11i4.27604
13. Martins MR. Thomaz DV, Silvério RM. Avaliação das prescrições medicamentosas de um hospital veterinário: uma contribuição dos serviços clínicos farmacêuticos. Rev Biotecnol Cienc. 2017:6(2):38-45.
14. Lima TM, Magalhães VS, Dewulf NLS, et al. Perspectivas da atuação do farmacêutico hospitalar no âmbito veterinário. Braz J Health Pharm. 2021;3(4):10-17.
15. Castro PIM. Estudo sobre medicamentos humanos utilizados em prescrição veterinária [trabalho de conclusão de curso]. Natal: Universidade do Rio Grande do Norte; 2019.
16. Ferreira JPA, Santos AS, Fonseca BCO. Guia farmacoterapêutico HV/UFG. Goiânia: Brazil Publishing; 2020. doi:10.31012/978-65-86854-11-4
17. Low R, Wu AW. Veterinary healthcare needs to talk more about error: for the wellbeing of our patients and medical teams. J Vet Intern Med. 2022;36(6):2199-2202. doi:10.1111/jvim.16554
18. Karapinar-Çarkit F, van den Bemt PMLA, Sadik M. Opportunities for changes in the drug product design to enhance medication safety in older people: evaluation of a national public portal for medication incidents. Br J Clin Pharmacol. 2020;86(10):1946-1957. doi:10.1111/bcp.14392
19. Pons EDS, Moraes CG, Falavigna M, et al. Users’ preferences and perceptions of the comprehensibility and readability of medication labels. PLoS One. 2019;14(2):e0212173. doi:10.1371/journal.pone.0212173
20. Anacleto TA, Perini E, Rosa MB, et al. Medication errors and drug-dispensing systems in a hospital pharmacy. Clinics (Sao Paulo). 2005;60(4):325-332. doi:10.1590/s1807-59322005000400011
21. Carvalho VT, Cassiani SHDB, Chiericato C, et al. Erros mais comuns e fatores de risco na administração de medicamentos em unidades básicas de saúde. Rev Latino-Am Enfermagem. 1999;7(5):67-76. doi:10.1590/S0104-11691999000500009
22. Gimenes FRE, Marques TC, Teixeira TCA, et al. Medication wrong-route administrations in relation to medical prescriptions. Rev Latino-Am Enfermagem. 2011;19(1):11-17. doi:10.1590/S0104-11692011000100003
23. Associação Nacional de Farmacêuticos Magistrais. Dicas Farmacotécnicas: Manipulação Veterinária. Assoc Nac Farm Magistrais. 2019;(116):1-9.
24. Heinemann L, Braune K, Carter A, et al. Insulin Storage: A Critical Reappraisal. J Diabetes Sci Technol. 2021;15(1):147-159. doi:10.1177/1932296819900258
25. Oliveira Fonseca BC, Forgerini M, Dias Zorzin LC, et al. Uso de ferramenta de gatilho para identificação de eventos adversos a medicamentos em cães. Rev Bras Med Vet. 2020;42(1):e109720. doi:10.29374/2527-2179.bjvm109720
26. Aspden P, Wolcott J, Bootman JL, et al. Preventing medication errors. Washington, DC: National Academies Press; 2006.
27. Institute for Safe Medication Practices Canada. Good Label and Package Practices Guide for Prescription Drugs. Ottawa: ISMP Canada; 2019.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Authors

This work is licensed under a Creative Commons Attribution 4.0 International License.
The authors hereby transfer, assign, or otherwise convey to JHPHS : (1) the right to grant permission to republish or reprint the stated material, in whole or in part, without a fee; (2) the right to print republish copies for free distribution or sale; and (3) the right to republish the stated material in any format (electronic or printed). In addition, the undersigned affirms that the article described above has not previously been published, in whole or part, is not subject to copyright or other rights except by the author(s), and has not been submitted for publication elsewhere, except as communicated in writing to JHPHS with this document.
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC-BY) that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Serlf-archiving policy
This journal permits and encourages authors to post and archive the final pdf of the articles submitted to the journal on personal websites or institutional repositories after publication, while providing bibliographic details that credit its publication in this journal.



