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2016-03-13T00:00:00.000Z

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Dr. James Morehead P.

Equine Medical Associates LLC

HQ Phone: (859) 255-9233

Email: j***@***.com

Equine Medical Associates LLC

996 Nandino Blvd

Lexington, Kentucky 40511

United States

Company Description

We strive to provide quality and efficient equine veterinary care to all clients, large or small, in a professional and economical manner. The practice has developed professional liaisons with all of the local referral hospitals to ensure the best care fo ... more

Find other employees at this company (11)

Background Information

Education

DVM

Web References (10 Total References)


According to James P. ...

www.chronofhorse.com [cached]

According to James P. Morehead, DVM, drug manufacturing comes under the authority of the FDA and includes strict requirements related to Good Laboratory Practices, Good Manufacturing Practices, data demonstrating safety, efficacy and other parameters.

"Under strict interpretation of the law, all compounding is illegal," said Morehead, of Equine Medical Associates in Lexington, Ky., and a member of the American Association of Equine Practitioners Professional Conduct and Ethics Committee.
...
"Therefore the FDA recognizes the need for compounded products in specific situations, in both human and animal medicine, and has published some guidelines for compounding," said Morehead.
...
"The way the FDA regulates compounding is to say it is all illegal, but that they will allow certain things," said Morehead.
...
As explained by Morehead, "A veterinarian should only order the specific amount of product needed for that particular animal, at the time it is needed.
...
"If an approved product is available and appropriate for that specific condition, then we are required to use it," said Morehead.
A case in point is oral altrenogest (known as Regu-Mate, to suppress estrus in mares), which is commercially available; it's an FDA-approved product, to be administered daily.
"Even though a client may consider daily dosing inconvenient, this does not count as a reason to compound a long-acting injectable product," he explained.
Another example: it's not legal to compound phenylbutazone paste "to make it apple flavored or twice the concentration of the commercial paste, because it's already available as an FDA-approved product," said Morehead.
...
If there is a problem with a compounded drug, "the liability falls solely on the prescribing veterinarian," said Morehead.
...
"There are no requirements for stability or potency testing of compounded products," said Morehead.
...
"The use of compounded medications should be on an as-needed basis, keeping on hand only what is needed now, or what you would normally expect to be needed in the short-term care for your patients," said Morehead.
...
"In other words, if you have a compounded product that is to be used on a horse for 30 days, at the conclusion of those 30 days the product has expired," said Morehead.
"The common practice of saving whatever prescription is left over is not a good practice. We know the expiration dates of drugs that have gone through the FDA approval process, but we don't have any idea on the compounded drugs," Morehead added.
...
Morehead believes it is not a good idea, however, for pharmacies to compound a product and keep it on their shelves before sending it out as a prescription.
"FDA does not allow compounding of drugs to make money, or to substitute a compounded product at a cheaper price than an approved drug. Veterinarians cannot use compounded drugs to merely save money over FDA-approved available products," said Morehead.


According to James P. ...

www.chronofhorse.com [cached]

According to James P. Morehead, DVM, drug manufacturing comes under the authority of the FDA and includes strict requirements related to Good Laboratory Practices, Good Manufacturing Practices, data demonstrating safety, efficacy and other parameters.

"Under strict interpretation of the law, all compounding is illegal," said Morehead, of Equine Medical Associates in Lexington, Ky., and a member of the American Association of Equine Practitioners Professional Conduct and Ethics Committee.
...
"Therefore the FDA recognizes the need for compounded products in specific situations, in both human and animal medicine, and has published some guidelines for compounding," said Morehead.


TheHorse.com: Endoscopic Exams Indicate Racing Potential

www.thehorse.com [cached]

"If you can't gain any prognostic information from endoscopic exams, then we shouldn't be doing them," said Dr. Jim Morehead of Equine Medical Associates in Lexington, Ky., one of the investigators in the study.

...
Assisting Morehead, Peloso, and Stick in the research were Michigan State University investigators Dr. Frederik J. Derksen, chair of the Department of Large Animal Clinical Sciences, Dr. James Lloyd, and Dr. Pawin Padungtod, who worked to help extract the significance of the racing data collected.


DVM - AAEP taskforce to confront compounding

www.dvmnewsmagazine.com [cached]

Chaired by Dr. Jim Morehead of Equine Medical Associates in Lexington, the five-member taskforce, comprised of industry, private practice and academic leaders, is designed to tread on territory that's becoming all too familiar to equine practitioners from Maine to Montana.

"Drug compounding has become a common practice," Morehead says.
...
Veterinarians need access to compounded pharmaceuticals but there are very well spelled-out guides as to how you can and can't do it," Morehead explains.
Educate first >
...
But if all compounders were playing by the rules, Morehead says there'd be no need for such an AAEP taskforce.
"There is no doubt some who have pushed the limit," Morehead says.


Horse Racing and Breeding Information from The Blood-Horse

www.bloodhorse.com [cached]

"If you can't gain any prognostic information from endoscopic exams, then we shouldn't be doing them," said Dr. Jim Morehead of Equine Medical Associates in Lexington, Ky., one of the investigators in the study.

But the researchers discovered that these exams are, indeed, worthwhile.
As air moves through the larynx when the horse breathes, the arytenoid cartilages move.Some horses (coined "roarers," for the whistling sound they make) have nerve dysfunction in their larynx, preventing one of the arytenoid cartilages (usually on the left) from moving properly.
The movement of the arytenoid cartilages were graded from one to four, with conditions in each grade specifically defined: one is normal (both open maximally and concurrently); two indicates asymmetry (both open maximally, but not concurrently); three means the horse can't get the left arytenoid completely out of the airway (does not open maximally), and maintain it in the normal position; and four means the horse has one completely paralyzed arytenoid cartilage (which does not move).
...
Assisting Morehead, Peloso, and Stick in the research were Michigan State University investigators Dr. Frederik J. Derksen, chair of the Department of Large Animal Clinical Sciences, Dr. James Lloyd, and Dr. Pawin Padungtod, who worked to help extract the significance of the racing data collected.

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