Veterinary Medicine Outlook: 5 Changes and Trends Impacting Veterinary Practices

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It was a busy first six months of 2023 for veterinary professionals and practices, and the rest of the year isn’t likely to slow down. With the tradeshow circuit back to pre-pandemic attendance and new regulations going into effect, veterinary professionals have had to manage far more than just patient care.

With the year a little more than halfway over, we’re taking a quick “paws” to review some of the major changes that have already gone into effect, ones still to come, and ways you can prepare your practice for success in the second half of the year. Here are the top five changes and trends we’re keeping an eye on.

1. Implementation of GFI #256

Earlier this year, the FDA finalized regulatory guidance for compounded medications, known as GFI #256. The new guidance affects both office stock in veterinary practices and individual animal-patient prescriptions. However, it does not include cGMP products from 503B outsourcing facilities, like Epicur Pharma.

Some of the biggest changes that GFI #256 brings include:

Although veterinary professionals were aware of the impending changes with GFI for months, many have been left scrambling since it went into effect in April. If GFI is affecting your practice’s ability to get compounded medications for office use, partnering with a trusted 503B outsourcing facility can help you eliminate risks of limited ordering.

Because 503B outsourcing facilities aren’t included in the GFI changes, partners like Epicur Pharma can ensure your practice stays stocked with high quality, manufactured medications and help streamline ordering processes with our iFill ordering system. The system lists what you can order for office stock and will provide the documentation necessary for patient-specific orders if the guidance requires it.

Our team is dedicated to helping you stay up to date on regulation changes.

We partner with experts to offer educational webinars that ensure you understand the impact on your practice. Watch our most recent on-demand GFI webinar with Nicole Clausen, What Every Inventory Manager Needs to Know About Compounded Medications.

2. Impending USP Guidelines on Beyond-Use Dates

Coming in late 2023, new USP guidelines will limit Beyond-Use Dates (BUDs) on drugs from 503A compounding pharmacies. The changes will shorten the BUDs of compounded 503A products and will not allow pharmacies to establish longer dates, even with sufficient evidence to support or prove their cause.

The new guidelines will only affect BUDs and not expiration dates because drugs can only be assigned with an expiration date after the completion of extensive testing, which 503Bs are required to follow.

As with GFI, this USP guideline will not affect 503B products because they have longer/proven expiration dates validated by cGMP. This impending change is another reason why having a 503B partner is critical to your practice and patient care.

Want to learn more about Beyond-Use Dates vs Expiration Dates?
Read our blog!

Switching to a 503B partner now will not only alleviate any challenges you’ve had since GFI went into place, but it will also ensure you can order with ease as the impending USP guidelines of BUDs goes into effect!

3. Continued Burnout and Veterinary Staff Shortages

Unemployment rates continue to affect the veterinary industry, with estimates that by 2030 there will be a shortage of 15,000 veterinarians, making the demand for more workers increasingly urgent.

Veterinarians and staff alike struggle to cope with the challenges they face in their daily work environments. As a result, many dedicated professionals are turning away from veterinary medicine, exacerbating the current staff shortages. It is now more important than ever to be aware of the signs and symptoms of burnout so you can properly address them within your work environment.

Although it can be difficult to see, there are some ways you can help find solutions within your practice. It often starts with communication. Make sure you check in with colleagues, notice signs of stress, and offer help. Small changes within your work environment can help relieve the daily non-stop work, like setting a proper lunch break time. You can also automate processes where it makes sense and enhances your practice, such as online ordering and inventory management systems, to give time back to staff.

Need support? Many veterinary professionals are in crisis. Not One More Vet (NOMV) provides the necessary support to all members of veterinary teams and students who are struggling. Contact them today.

4. Prioritizing Client and Patient Relations

In the evolving veterinary industry, prioritizing client and patient relationships remains essential to ensuring the highest possible level of care, especially when transitioning to a service-based model. With this shift, clients often seek a personalized experience knowing you value their pet’s health and well-being as if it were your own.

Did you know?

All Epicur Pharma drugs are ready to ship same business day with 1-2 days in transit. Order today!

Often, veterinary hospital visits can be stressful for both the patient and the client. Creating an environment to keep everyone comfortable and educated throughout the visit can build trust with patients and clients.

Establishing trust with pet owners fosters a positive customer experience and nurtures long-lasting loyalty. This can be achieved by creating opportunities to share your knowledge with clients. Whether it’s tips on proper medication usage and storage, guidance on applying medications, reminders of seasonal factors such as ticks or high heat, sharing your expertise helps build a strong relationship with pet owners. To make the client’s time at your practice convenient, you can also stay regularly stocked on compounded medications approved for dispensing through a 503B outsourcing facility like Epicur Pharma.

5. Product Shortages

Product shortages are inevitable and variable, stemming from product recalls, labor shortages, unavailability of necessary packaging, or active pharmaceutical ingredients (APIs). Recent compounded medication shortages from some suppliers have included Buprenorphine Injection, Tacrolimus AQ, and Gabapentin – leaving offices out of stock and unable to have the necessary medications readily available in case of patient emergencies. Keep in mind that for compounded medication, another supplier will be able to help you. The uncertainty of this makes it especially important to have a veterinary pharmacy that you can rely on to inform you of product changes and availability.

With Epicur, consistent and reliable 503B manufactured products are our standard every time. We offer one of the largest selections of 503B manufactured drugs that are traditionally compounded for animal health among currently registered facilities nationwide, with most of our products not having a backorder or shortage in years! 

Partner with a pharmacy you trust—explore our available medications.

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Easing Pet Anxiety and Empowering Owners

Imagine a dog trembling at the sound of thunder or a cat hiding for hours after a trip to the vet. These aren’t just quirks, they’re signs of anxiety, a condition that affects countless pets and often leaves their owners feeling helpless. Whether it’s separation stress, loud noises, or unfamiliar environments, anxiety can disrupt a pet’s well-being and strain the bond between animal and human. Advancing the standard of care for animals doesn’t just happen in veterinary practices; informed ownership leads to better care all around. By getting to the root of pet anxiety and educating on effective responses, veterinary professionals can empower and ease pet owners and their pets alike. Getting to the root of a pet’s anxiety Anxiety manifests in humans through rapid heart rate, rapid breathing, sweating, trembling, feeling weak, restlessness, nervousness, paranoia, and more. Animals are no different. Pets experience anxiety from the anticipation of a fear-inducing stimulus. It can be situational or related to specific triggers such as being left alone, a visit to the vet, or fireworks during holidays. The most common forms of pet anxiety are: Separation Anxiety – when pets get nervous or uncomfortable when they are alone or separated from their family. Fear-Related Anxiety – stems from several factors, including early life experiences, environmental influences, or even genetics. Examples of triggers are loud noises, specific situations, and unfamiliar people/animals. Age-Related Anxiety – often associated with older dogs with cognitive dysfunction syndrome (CDS), where memory, learning, perception, and awareness can decline and lead to confusion/anxiety. Helping pet owners understand the root of their pets’ anxiety can also help them understand the symptoms can show in many different forms, including but not limited to: Destructive Behavior Restlessness Hiding Loss of Appetite Clinginess Excessive Vocalization Urination or Defecation Aggression Empowering pet owners through education Pet anxiety doesn’t just affect the animal; it deeply impacts the owner’s emotional well-being and confidence in caregiving. When owners understand the signs of anxiety and the science behind it, they’re better equipped to respond with empathy and effectiveness. Education can foster trust between veterinarians and pet parents, creating a collaborative approach to care. It also helps demystify behaviors that might otherwise be misinterpreted as disobedience. For example, a dog chewing holes in the carpet when left alone can be sign of separation anxiety rather than the pet acting out. As a veterinary professional, you play a vital role in this learning process. By offering clear explanations, personalized guidance, and evidence-based resources, you empower owners to take proactive steps. This includes recognizing early warning signs, implementing calming strategies, and knowing when to seek medical support. When pet parents feel empowered, they become active participants in their pet’s healing journey, reducing stress for everyone involved—and most likely making visits to your practice much simpler in many cases! How pet owners can ease pet anxiety Managing pet anxiety requires a blend of behavioral techniques, environmental adjustments, and sometimes medical intervention. Here are some proven strategies to share with your clients: Create a Safe Space: Designate a quiet, cozy area where their pet can retreat during stressful moments. Familiar blankets, toys, and scents can help soothe them. Desensitization and Counterconditioning: Gradually expose pets to anxiety triggers in a controlled way with professional guidance from a certified behaviorist or trainer, pairing the experience with positive reinforcement. Routine and Predictability: Pets thrive on consistency. Regular feeding, walking, and play schedules can reduce uncertainty and stress. In severe cases, you may recommend anti-anxiety medications based on the short-term or long-term needs of a pet. For example, short-term medications can help pets relax when they come to your practice for a visit, making their appointment as stress-free as possible Common pet anxiety medications include: Fluoxetine – a selective serotonin reuptake inhibitor (SSRI) often used for long-term anxiety management. Trazodone – frequently prescribed for situational anxiety, such as vet visits or travel. Clomipramine – a tricyclic antidepressant used for separation anxiety. Gabapentin – often used in both dogs and cats to reduce fear and anxiety, particularly during veterinary visits. Benzodiazepines (e.g., alprazolam, diazepam, lorazepam) – short-acting medications used for acute stress events or predictable triggers such as fireworks or thunderstorms. Buspirone – sometimes prescribed, particularly in cats, for generalized anxiety. These medications help regulate mood and reduce fear responses, but they work best when paired with behavior modification techniques. It’s important to talk through all the symptoms and options with your clients to determine the right medication and dosage for each pet’s unique needs. Office-Use Medications for Your Practice & Patients Our team knows that quality and consistency are non-negotiable when it comes to pet health. That’s why we proudly manufacture gabapentin, fluoxetine, and other essential medications to FDA standards, ensuring safety and efficacy in every dose. Learn more about our veterinary medication portfolio! View our Products Stokes Pharmacy also compounds many of these other drugs for individual patient prescriptions! Pet anxiety is more than a behavioral issue. It’s a health concern that can affect the entire household. For veterinary professionals, recognizing the signs of anxiety is just the beginning. The real impact comes from guiding pet owners with clarity, empathy, and evidence-based solutions. Veterinarians are uniquely positioned to transform fear into comfort and confusion into clarity. Through thoughtful education, personalized care plans, and access to trusted medications, you empower owners to become confident caregivers. We believe that every pet deserves peace of mind and every owner deserves the tools to provide it. 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