propoclear

Re: propoclear

Aimee Barber — Thu, 08 Sep 2011 13:19:32 GMT

at my old practice we trialed propoclear. found it did hurt when injecting, even through a catheter. also we had a few reactions of swollen paws/legs, mainly in cats but also in some dogs. i think it was well they jumped and a bit went around the vein.

love propofol, there are lots of different companies that make various versions vetofol/propofol/rapinovet so im not too worried just yet.

ive also used alfaxan and found it worked well.

Re: propoclear

wendy mcadam — Thu, 08 Sep 2011 12:33:19 GMT

We changed from propoclear to vetofol my boss ordered loads few months ago and have had no problems with It, pretty much identical in dose to rapinovet.

Re: propoclear

daisy — Thu, 08 Sep 2011 10:25:40 GMT

oh i see reactions on a daily basis with Propoclear, but the Vet im working with at the moment just whacks it in!!! the poor animals really suffer but he just wont slow down his induction, he also tubes then far too soon, sometimes they are wide awake and he's trying to stick a bloody tube down their throat!!

Re: propoclear

Ceri — Sun, 17 Jul 2011 11:57:11 GMT

It’s great that a there is a new propofol solution on the market in order to support vet nurses and veterinarians.

It's fairly expensive though and I think it's better to go with what we all know in ops. I have memorised the dosages.

I'm keen to stick with Norbrook's Vetofol as during the recent shortage they did have the guaranteed supply, also I've heard that Vetofol can be used in very young cats and dogs and for C-sections unlike the new Abbotts porduct

I have enough to worry about in ops without having to try and find out what I can and can't use the Abbots product for.

Re: propoclear

Michelle Jones — Wed, 09 Feb 2011 12:47:02 GMT

Hey

I know a couple of you have mentioned it but I can confirm that there are no stock issues with Vetofol and Norbrook are able to supply. Production has been increased to meet demands for Vetofol during this time where we appear to be the only propofol available.

Details of vetofol are available from the norbrook sales team or in our compendium. We aren't in the Noah compendium but have our own which is available from the sales team as well.

Hope that helps.

Thanks, Michelle x

Re: propoclear

staceyvn — Tue, 08 Feb 2011 18:49:40 GMT

thanks to all for input, the info propofol is out did come from practice mgr so may not have been 100% accurate

Re: propoclear

Sal the 1st — Thu, 03 Feb 2011 09:51:18 GMT

re propofol

http://www.vetnurse.co.uk/forums/p/4119/103882.aspx#103882

check my post from 12th Dec last year - this is not new news!

and to add to that if I knew about this so must have the companies selling it - and yet there were still the offers in place (not just one company) encouraging people to buy in bulk and get a discount or receive free product. Had those offers been suspended as soon as they became aware of the situation and people had not been encouraged to bulk order then the situation may not be so bad now? - but I suppose business is business and maybe the information hadnt been filtered down to the reps?

Re: propoclear

Deemus — Thu, 03 Feb 2011 06:21:25 GMT

Just to throw a spanner in the works, we had a letter yesterday stating that Rapinovet was also going to be withdrawn. I can't remember the details but that was the gist of it.

There was a warning that other manufacturers may also be out of stock soon due to high demand.

I can try and get details later to day if anybody wants them.

With major changes to ACP and Propofol, I think it's time for new anaesthesia protocols!

Re: propoclear

Philippa — Wed, 02 Feb 2011 20:12:02 GMT

We use Vetofol aswell and not heard about any problems. Our vet didn't even know about Propoclear being discontinued - thank goodness for forums.

Re: propoclear

Nicola Smith — Wed, 02 Feb 2011 19:46:32 GMT

I spoke to Norbrook today who have been increasing their production so they said as long as noone panic buys thy can supply demand for all thier customers and the others that will need supplies. If it is out of stock with wholesaler should be in soon as they dont have any supply issues at present and will just be because of panic

Re: propoclear

Steph Worsley — Wed, 02 Feb 2011 18:23:25 GMT

Ok Spoke to my friendly Abbot rep re propoflo the main manufacturers are having probs so stocks will be depleting of ANY propofol from any company as far as they are aware, so think alfaxan will be the best option for everybody for the near future!!!!

Re: propoclear

kittyjo — Wed, 02 Feb 2011 15:58:29 GMT

We couldnt recommend Alfaxan enough! We are a cat-only clinic and get plenty of fractious and scared cats in. Alfaxan has been extremely good. We had used Propofol and even went into Propoclear but both still had that problem of the hyper phase if induction wasnt smooth and still obviously very stingy for the cats.

Alfaxan seems much smoother, much better recovery and much larger window for error. They seem to come round from GA's very nicely and no stingy affect.

Still get the odd cat that jumps but I feel a bit of intubeaze sprayed onto the area before the needle does wonders!

Hope that helps a bit

Re: propoclear

rachel w — Wed, 02 Feb 2011 15:44:39 GMT

we've only got 6 boxes of propoflo left and are starting to worry boss will not allow rapinovet to be ordered as expensive and hvn said that nvs are out of vetofol i ordered some today just two boxes and nvs havent said that its out of stock so hoping it comes tomorrow, our practice seems to think that if u bury your head then nothing will change really hope it comes tomorrow

Re: propoclear

Royalsuper_fairy — Wed, 02 Feb 2011 12:08:56 GMT

We've been using Vetofol since we've not been able to get hold of Propoflo. Not sure if we are getting on with it very well. It could be a coincedence but don't seem to be having the best anaesthetics, we are having to maintain on a higher percentage. As I said could be a pure coincendance. Any one else noticing any problems?

Re: propoclear

Kim Buckley — Wed, 02 Feb 2011 10:20:15 GMT

My old practice tried propoclear and we found a lot of animals reacted to it. It was given off the needle but so was propofol and we never saw that much reaction.

Re: propoclear

Vicky RVN — Wed, 02 Feb 2011 10:12:00 GMT

We've had very little problem with it to be honest. 95% of our inductions are via I/V cath, which is flushed with hep so know in place. The pain reactions we've had have been from animals who've had cath in for a while (2 or 3 days). These have been in place, they are generally on fluids so we know for def in.

Re: propoclear

Lorena Williamson — Wed, 02 Feb 2011 08:31:41 GMT

Pfizer have withdrawn Propoclear voluntarily in response to some reports on pain reaction after IV administration.

We have also been told by our head office that Abbott are experiencing manufacturing problems with Propoflo and that wholesalers are expected to go out of stock shortly.

We are now (once remaining stocks have been used) using Vetofol from Norbrook. they have told us they expect no problems with manufacture of supply. They seem to only come in small quantities though (20mls as opposed to the usual 50ml/100ml of Propoclear).

Hope this helps :)

Re: propoclear

Juliet Drummond DAVN (med) RVN D32/33 — Tue, 01 Feb 2011 22:37:09 GMT

[quote user="Susan Jackson RVN MBVNA"]

Propoclear is being discontinued (apparently due to pain reactions) and I believe propofol is on shortage at the NHS so they get priority.

Had a message that went round at work something like 'Vetfol' will be available. Sorry can't remember the correct name.

[/quote]

we use 'vetofol' made by norbrook - have sent back all our propoclear. not hear of any issue with white propofol.

Re: propoclear

BengalcatRVN — Tue, 01 Feb 2011 21:57:24 GMT

[quote user="Susan Jackson RVN MBVNA"]

Propoclear is being discontinued (apparently due to pain reactions)

[/quote]

I rarely have seen this in animals, had 1 today tho, complete with IV line (was on fluids). Not a very busy clinic, but even then....had anyone else seen it sting? Seen Alafxen used a couple of times at another clinic, used in cat spays, no pre-med used (apparently you don't have to with it? That's what the vet said) didn't like the wake up, never seen animals shake so bad for years! However, I might of been having a "bad nursing" day as I was like a fish outa water (working at an unfamilier clinic) and their way of doing things was very different to the way I was used to!

Re: propoclear

Susan Jackson — Tue, 01 Feb 2011 21:16:37 GMT

Propoclear is being discontinued (apparently due to pain reactions) and I believe propofol is on shortage at the NHS so they get priority.

Had a message that went round at work something like 'Vetfol' will be available. Sorry can't remember the correct name.

Re: propoclear

sarahjune84 — Tue, 01 Feb 2011 20:41:38 GMT

we use propofol made by abbott and they've had manufacturing problem and supplies are very low, cant order it from nvs. found all this out last week when propofol didnt arrive in the order. We've changed to a different supplier and using rapinovet now.

Re: propoclear

Phrin Vernon RVN — Tue, 01 Feb 2011 20:16:59 GMT

Thanks Sisterscope - there seems to be a lot of confusion though? My boss has been speaking to reps and NVS today, and from what I can gather from a half remembered, overheard, one-sided conversation (Not the best source admittedly!!), they were agreeing with what I posted above, which is what said boss told us when he got off the phone.

So who knows what's going on! Perhaps the reps are us confused as us....

(well, I'm certainly confused, but then it doesn't take much )

Re: propoclear

sisterscope1 — Tue, 01 Feb 2011 20:07:11 GMT

The manufacturer Teva has suspended all propofol production since March 2010, this company supplies the human market primarily in US. As far as I'm aware, European production is not affected.

Propoclear, a non-emulsion formulation of propofol has been temporarily withdrawn pending further investigation of adverse patient reactions - presumably to the excipients rather than propofol itself.

Re: propoclear

Phrin Vernon RVN — Tue, 01 Feb 2011 19:49:11 GMT

My boss has had word that it is the active ingredient of propofol itself which is having problems, and the human market is getting preference obviously.

Apparently what the veterinary wholesalers have in at the moment, is all they're gonna get for a few months! Boss has spent most of the afternoon sorting out a bulk order!

Re: propoclear

Heidi O'Toole — Tue, 01 Feb 2011 18:56:37 GMT

you can still get propoFLO (milky coloured, no preservative) -

Alfaxan would be a good alternative! love that stuff! lovely anaesthetics! Think its far more expensive than the alternatives though..