The two halves of the standard
On this page11
The child half
Child resistant effectiveness of "not less than 85 percent without a demonstration and not less than 80 percent after a demonstration", or "not less than 80 percent" for unit packaging.
The adult half
"Special packaging shall have a senior adult use effectiveness (SAUE) of not less than 90%", measured on "a group of 100 senior adults" aged 50 to 70, in a specified age mix.
And it includes closing it again
Senior adult use effectiveness is "the percentage of adults who both opened the package in the first (5-minute) test period and opened and (if appropriate) properly resecured the package in the 1-minute test period".
Resecured is the word to notice
A package an adult can open and cannot properly close is not special packaging. Which is exactly the failure that produces a child resistant cap sitting loose on a bottle.
Why the adult half exists
Because a package nobody can open gets defeated: decanted into a jar, left open on the counter, or the cap left off. The regulation treats usability as a safety requirement rather than a convenience.
Which is the argument to make to a clinic
Child resistant packaging is not a trade-off between safety and convenience. The standard has usability inside it, and a closure that fails the adult half is not compliant however hard it is for a child.
The age mix is specified
"Twenty five percent of the participants shall be 50-54 years of age, 25% of participants shall be 55-59 years of age, and 50% of the participants shall be 60-70 years old." Half the panel is 60 or over.
Which is the population that owns pets
And the population dispensing the medication at home. The test panel happens to describe the client base of a great many veterinary practices.
Show the client how it works
A closure that passes both halves still has to be understood. Thirty seconds of demonstration at the counter is the cheapest part of this entire system.
And offer the non-child-resistant option deliberately
For a household with no children and a client who struggles, that is a reasoned choice recorded in the notes rather than a default. The decision is what matters.