A large animal veterinarian wants to administer flunixin meglumine intramuscularly (IM) to a dairy cow to control her fever. Flunixin meglumine is approved for use intravenously (IV) in beef and dairy cattle to control fever and inflammation. The veterinarian feels that it is easier to give this drug IM versus IV and that the convenience of administration route is a valid reason to use a drug
extra-label. Is the veterinarian correct? Why or why not?
What will be an ideal response?
No, AMDUCA states that extra-label drug use must be for therapeutic reasons only and not for convenience. It is true that drugs are deemed extra-label when they are used in a different species; for a different reason (medical condition); at a different dosage, frequency, or route of administration; or a different withdrawal time is used; however, extralabel drug use must be for therapeutic reasons only. This extra-label use also must not result in drug residues in food-producing animals. Drug residues can be monitored and prevented by proper identification and tracking of food-producing animals and determining an extended period for drug withdrawal before marketing milk, meat, or eggs from treated animals.
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