*DISCLAIMER: Pre-mixing controlled drugs as cocktails is considered compounding. Please refer to CFR Title 21, Chapter 2 to ensure you are DEA compliant. VetSnap is a logging platform only, and is not liable for the misuse of controlled drugs*


Creating and managing cocktail mixtures (e.g., DKT) in your controlled inventory requires several steps to ensure accurate tracking and compliance. Here's a step-by-step guide:

Step 1: Create the Cocktail Inventory Item

  • Navigate to Create Inventory.

  • If your PIMS already has an inventory item for the cocktail, "Create Controlled Inventory Item" and search for the cocktail name. If it does not:

  • Select "Create Controlled Inventory Item", then click "Add Item Manually".

  • Name the inventory item after the cocktail (e.g., "DKT").



Step 2: Account for Each Controlled Drug Used in the Cocktail

For each individual drug used in the cocktail (e.g., Ketamine, Butorphanol, Dexmedetomidine):

  • Go to Manage Containers under the drug’s inventory entry.

  • Find the container you're using and Select Adjust Balance.

  • Adjust the balance down by the amount used (e.g., 10 mL).

  • In the Comment field, enter:
    "Used to create DKT container #___"

  • Repeat these steps for each ingredient used.

    • If an entire container is used, update its status to "Finished" under Manage Containers.



Step 3: Restock the Cocktail Inventory Item

  • Go to Manage Inventory and select Restock for the cocktail (e.g., DKT).

  • Enter the total volume of the cocktail.
    (Example: 10 mL Ketamine + 10 mL Dexmedetomidine + 10 mL Butorphanol = 30 mL total)

  • Assign a container number.

  • Enter "N/A" for:

    • Lot number

    • Invoice number

    • NDC number

  • In the Comment field, document the source:
    "House-made DKT bottle created from Ketamine container #___, Butorphanol container #___, etc."

Step 4: Use and Log the Cocktail

  • When using the cocktail, open the container and create log entries under the cocktail’s inventory item (e.g., "DKT") for the volume withdrawn.

Important notes if you do not invoice for the cocktail, invoice as separate line items

  • Manual Archiving: All log entries made under a cocktail item must be manually archived.

  • Invoicing: Any invoices related to the cocktail must be manually ignored, unless the entire cocktail quantity is invoiced as-is.



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