Medine.co.uk

Marbosyva 100 Mg/Ml Solution For Injection For Cattle And Pigs (Sows)

Issued: December 2012

AN. 01830/2011


SUMMARY OF PRODUCT CHARACTERISTICS


1. NAME OF THE VETERINARY MEDICINAL PRODUCT


Marbosyva 100 mg/ml solution for injection for cattle and pigs (sows)


2. QUALITATIVE AND QUANTITATIVE COMPOSITION


1 ml contains:

Active substance:

Marbofloxacin 100 mg


Excipients:

Metacresol 2 mg

Monothioglycerol 1 mg

Disodium edetate 0.1 mg


For a full list of excipients, see section 6.1.


3. PHARMACEUTICAL FORM


Solution for injection

Clear, yellowish solution


4. CLINICAL PARTICULARS


4.1 Target species


Cattle and pigs (sows).


4.2 Indications for use, specifying the target species


In cattle:

- Treatment of respiratory infections caused by susceptible strains of Histophilus somni, Mannheimia haemolytica,Pasteurella multocida and Mycoplasma bovis.

- Treatment of acute forms of mastitis induced by marbofloxacin-susceptible Escherichia colistrains, during lactation.


In pigs (sows):

- Treatment of Postpartum Dysgalactiae Syndrome, PDS (Metritis Mastitis Agalactia Syndrome) caused by marbofloxacin-susceptible bacterial strains.


4.3 Contraindications


Do not use in cases where the pathogen involved is resistant to other fluoroquinolones (cross resistance

Do not use in animals with known hypersensitivity to the active substance or to any other quinolone or to any of the excipients.


4.4 Special warnings for each target species


None.


4.5 Special precautions for use


Special precautions for use in animals


Official and local antimicrobial policies should be taken into account when the product is used.

Fluoroquinolones should be reserved for the treatment of clinical conditions which have responded poorly, or are expected to respond poorly, to other classes of antimicrobials.

Whenever possible, fluoroquinolones should only be used based on susceptibility testing.

Use of the product deviating from the instructions given in the SPC may increase the prevalence of bacteria resistant to the fluoroquinolones and may decrease the effectiveness of treatment with other quinolones due to the potential for cross resistance.


The efficacy data showed that the product has insufficient efficacy for the treatment of acute forms of mastitis induced by gram-positive bacteria.


Special precautions to be taken by the person administering the veterinary medicinal product to animals


People with known hypersensitivity to (fluoro)quinolones should avoid contact with the product.

Care should be taken to avoid accidental self injection, it can induce a slight irritation.

In case of accidental self injection, seek medical advice and show the package leaflet or the label to the physician.

In case of contact with skin or eyes, rinse with plenty of water.


Wash hands after use.


4.6 Adverse reactions (frequency and seriousness)


Transitory inflammatory lesions can occur at the injection site, without clinical impact, when administered via the intramuscular or subcutaneous route.

Administration by the intramuscular route may cause transient local reactions such as pain and swelling at the injection site, and inflammatory lesions, which may persist, for at least 12 days after injection.

However, in cattle, subcutaneous route was shown to be better tolerated locally than intramuscular route. Therefore, the subcutaneous route is recommended in heavy cattle.


4.7 Use during pregnancy, lactation or lay


Laboratory studies in rats and rabbits have not produced any evidence of teratogenic, foetotoxic or maternotoxic effects.


Dose of 2 mg/kg bodyweight:

Can be used during pregnancy and lactation.

The safety of the veterinary medicinal product has been established in cow during gestation and suckling pigs and calves when used in cow and sow.


Dose of 8 mg/kg bodyweight:

The safety of the veterinary medicinal product has not been established in pregnant cow or in suckling calves when used in cow. Therefore, this dose regimen should be use only accordingly to the benefit/risk assessment by the responsible veterinarian.


In case of use in lactating cow, see section 4.11


4.8 Interaction with other medicinal products and other forms of interaction


None known.


4.9 Amounts to be administered and administration route


Cattle:

Respiratoryinfections:

The recommended dosage is 8 mg/kg body weight (2 ml /25 kg BW) in a single injection by intramuscular route. If the volume to be injected is more than 20 ml, it should be divided between two or more injection sites.

In cases of respiratory infections caused by Mycoplasma bovis ,the recommended dose is 2 mg/kg body weight (1 ml/50 kg BW), in a single daily injection for 3 to 5 consecutive days, by intramuscular or subcutaneous route. The first injection may be given by the intravenous route.


Acutemastitis:

The recommended dosage is 2 mg/kg bodyweight (1 ml/50 kg BW) in a single daily injection, by subcutaneous or intramuscular route, for 3 consecutive days. The first injection may be given by the intravenous route.


Pigs (sows):

The recommended dosage is 2 mg/kg bodyweight (1 ml/50 kg BW) in a single daily injection by the intramuscular route, for 3 consecutive days.


In cattle and pigs, the preferred injection site is the neck area.


To ensure a correct dosage bodyweight should be determined as accurately as possible to avoid underdosing.

In order to reduce the risk of particulate contamination of the product, it is recommended that a draw-off needle be used to reduce the number of times the septum is punctured.

As the vial cannot be broached more than 50 times, the user should choose the most appropriate vial size according to the target species to treat.


4.10 Overdose (symptoms, emergency procedures, antidotes), if necessary


No sign of overdosage has been observed with the product after administration of 3 times the recommended dose.

Signs as neurological disorders may occur when the dose is exceed. Do not exceed the recommended dose. These signs would have to be treated symptomatically.

4.11 Withdrawal periods


Cattle:

Intramuscular use (8 mg/kg single dose):

Meat and offal: 3 days

Milk : 72 hours

Intramuscular or subcutaneous use (2 mg/kg single daily injection, for 3-5 days):

Meat and offal: 6 days

Milk: 36 hours


Pigs (sows):

Intramuscular use:

Meat and offal: 4 days


5. PHARMACOLOGICAL PROPERTIES


Pharmacotherapeutic group: Antibacterials for systemic use, Fluoroquinolones, ATCvet code: QJ01MA93


5.1 Pharmacodynamic properties


Marbofloxacin is a synthetic, bactericidal antimicrobial, belonging to the fluoroquinolone group which acts by inhibition of DNA gyrase. It has a broad-spectrum activity in vitro against Gram-positive bacteria (in particular Staphylococcus), against Gram-negative (E. coli, Histophilus somni, Mannheimia haemolytica and Pasteurella multocida) and against Mycoplasma (Mycoplasma bovis). Resistance to Streptococcusmay occur.


Strains with MIC ≤ 1 µg/ml are susceptible to marbofloxacin whereas strains with MIC ≥ 4 µg/ml are resistant to marbofloxacin.


Resistance to fluoroquinolones occurs by chromosomal mutation with three mechanisms: decrease of the bacterial wall permeability, expression of efflux pump or mutation of enzymes responsible for molecule binding.


5.2 Pharmacokinetic particulars


After subcutaneous or intramuscular administration in cattle and intramuscular administration in pigs at the recommended dose of 2 mg/kg bodyweight, marbofloxacin is readily absorbed and reaches maximal plasma concentrations of 1.5 µg/ml within less than 1 hour. Its bioavailability is close to 100%.


It is weakly bound to plasma proteins (less than 10% in pigs, and 30% in cattle), extensively distributed and in most tissues (liver, kidney, skin, lung, bladder, uterus, digestive tract) it achieves a higher concentration than in plasma.


In cattle, marbofloxacin is eliminated slowly in pre-ruminating calves (t½β = 5-9 h) but faster in ruminant cattle (t½β = 4-7 h) predominantly in the active form in urine (3/4 in pre-ruminating calves, ½ in ruminants) and faeces (1/4 in pre-ruminating calves, ½ in ruminants).


After a single intramuscular administration in cattle at the recommended dose of 8 mg/kg body weight, the maximum plasma concentration of marbofloxacin (Cmax) is 7.3 µg/ml reached in 0.78 hours (tmax). Marbofloxacin is eliminated slowly (t1/2 terminal = 15.60 hours).

In pigs, marbofloxacin is eliminated slowly (t½β = 8-10 h) predominantly in the active form in urine (2/3) and faeces (1/3).


6. PHARMACEUTICAL PARTICULARS


6.1 List of excipients


Metacresol

Monothioglycerol

Glucono-Delta-Lactone

Disodium edetate

Water for injections


6.2 Incompatibilities


In the absence of compatibility studies, this veterinary medicinal product must not be mixed with other veterinary products.


6.3 Shelf life


Shelf-life of the veterinary medicinal product as packaged for sale: 2 years

Shelf-life after first opening the immediate packaging: 28 days


6.4. Special precautions for storage


Keep the vial in the outer carton in order to protect from light.

Do not freeze.


6.5 Nature and composition of immediate packaging


Cardboard box containing one Type II amber glass vial of 50 ml, 100 ml or 250 ml, with a Type I bromobutyl rubber stopper and an aluminium cap.

Not all pack sizes may be marketed.


6.6 Special precautions for the disposal of unused veterinary medicinal product or waste materials derived from the use of such products


Any unused veterinary medicinal product or waste materials derived from such veterinary medicinal products should be disposed of in accordance with local requirements.


7. MARKETING AUTHORISATION HOLDER


Laboratorios SYVA, S.A.U.

Avda. Párroco Pablo Díez, 49-57

24010 – León

SPAIN



8. MARKETING AUTHORISATION NUMBER


Vm 31592/4006


9. DATE OF FIRST AUTHORISATION


21 December 2012


10 DATE OF REVISION OF THE TEXT


December 2012


PROHIBITION OF SALE, SUPPLY AND/OR USE


Not applicable.


Approved: 21/12/2012


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