Marfloquin 20 Mg Tablets For Dogs
SUMMARY OF PRODUCT CHARACTERISTICS
1. NAME OF THE VETERINARY MEDICINAL PRODUCT
Marfloquin 20 mg tablets for dogs
2. QUALITATIVE AND QUANTITATIVE COMPOSITION
Each tablet contains:
Active substance:
Marbofloxacin…….20 mg
Excipients:
For a full list of excipients, see section 6.1.
3. PHARMACEUTICAL FORM
Tablets.
Light brownish yellow, round, biconvex, marble tablets with bevelled edges and with possible dark and white spots, scored on one side.
The tablets can be divided into halves.
4. CLINICAL PARTICULARS
4.1 Target species
Dogs.
4.2 Indications for use, specifying the target species
Treatment of infections caused by strains of microorganisms susceptible to marbofloxacin in dogs:
-
skin and soft tissue infections (skinfold pyoderma, impetigo, folliculitis, furunculosis, cellulitis);
-
urinary tract infections (UTI) associated or not with prostatitis or epididymitis;
-
respiratory tract infections.
4.3 Contraindications
Do not use in dogs aged less than 12 months, or less than 18 months for exceptionally large breeds of dogs, such as Great Danes, Briard, Bernese, Bouvier and Mastiffs, with a longer growth period.
Do not use in cats. For the treatment of this species, a 5 mg tablet is available.
Do not use in animals with known hypersensitivity to marbofloxacin or other (fluoro)quinolones or to any of the excipients of the product.
4.4 Special warnings for each target species
A low urinary pH could have an inhibitory effect on the activity of marbofloxacin. Pyoderma occurs mostly secondary to an underlying disease, thus, it is advisable to determine the underlying cause and to treat the animal accordingly.
4.5 Special precautions for use
Special precautions for use in animals
High doses of some fluoroquinolones may have epileptogenic potential. Cautious use is recommended in dogs diagnosed as suffering from epilepsy. However, at the therapeutic recommended dosage, no severe side-effects are to be expected in dogs. In particular, no lesions of the articular joints were encountered in clinical studies at the recommended dose rate.
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, use of fluoroquinolones should be 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 (fluoro)quinolones and may decrease effectiveness of treatment with other quinolones due to the potential for cross-resistance.
Special precautions to be taken by the person administering the veterinary medicinal product to animals
People with known hypersensitivity to (fluoro)quinolones should avoid using this product.
In case of accidental ingestion seek medical attention and show product label and/or package leaflet to the doctor.
Wash hands after use.
4.6 Adverse reactions (frequency and seriousness)
Mild side effects such as vomiting, softening of faeces, modification of thirst or transient increase in activity may occasionally occur. These signs cease spontaneously after treatment and do not necessitate cessation of treatment.
4.7 Use during pregnancy, lactation or lay
Studies in laboratory animals (rat, rabbit) showed no embryotoxicity, teratogenicity and maternotoxicity with marbofloxacin at therapeutic doses. However no specific studies have been carried out in pregnant or lactating cats and dogs. Therefore, in these classes of animals, use only according to the benefit/risk assessment by the responsible veterinarian.
4.8 Interaction with other medicinal products and other forms of interaction
Fluoroquinolones are known to interact with orally administered cations (Aluminium, Calcium, Magnesium, Iron). In such cases, the bioavailability of marbofloxacin may be reduced. Concurrent administration of theophylline products may be followed by inhibited theophylline clearance.
4.9 Amounts to be administered and administration route
For oral administration.
The recommended dose rate is 2 mg/kg/day (1 tablet for 10 kg per day) in single daily administration.
Where appropriate, the use of combinations of whole or half tablets of different strengths (5 mg, 20 mg or 80 mg) will allow accurate dosing.
Animal body weight (kg) |
Number of tablets (20 mg + 5 mg strengths) |
Approx. dosage range (mg/kg) |
4 – 6 |
0.5 + 0.5 |
2.1 – 3.1 |
>6 – 9 |
1 |
2.0 – 3.3 |
>9 – 11 |
1 + 1 |
2.3 – 2.8 |
>11 – 15 |
1.5 |
2.0 – 2.7 |
>15 – 20 |
2 |
2.0 – 2.7 |
>20 – 25 |
2.5 |
2.0 – 2.5 |
>25 – 30 |
3 |
2.0 – 2.4 |
>30 – 35 |
3.5 |
2.0 – 2.3 |
To ensure a correct dosage body weight should be determined as accurately as possible to avoid underdosing.
Duration of treatment:
-
in skin and soft tissue infections, treatment duration is at least 5 days and depending on the course of the disease, it may be extended up to 40 days.
-
in urinary tract infections, treatment duration is at least 10 days and depending on the course of the disease, it may be extended up to 28 days.
-
in respiratory infections, treatment duration is at least 7 days and depending on the course of the disease, it may be extended up to 21 days.
4.10 Overdose (symptoms, emergency procedures, antidotes), if necessary
Overdosage may cause acute signs in the form of neurological disorders, which should be treated symptomatically.
4.11 Withdrawal period(s)
Not applicable.
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 and of topoisomerase IV. It is effective against a wide range of Gram positive bacteria (including Streptococciand in particular Staphylococci) and Gram negative bacteria (Escherichia coli, Citrobacter freundii, Proteus spp., Klebsiella spp, Shigella spp., Pasteurella spp., Pseudomonas spp.) as well asMycoplasma spp.
A secondary literature report of microbiological susceptibility data whose source included two European field surveys, each involving hundreds of canine and feline pathogens susceptible to marbofloxacin, was published in 2009.
Microorganism |
MIC (µg/ml) |
Staphylococcus intermedius |
0.23-0.25 |
Escherichia coli |
0.125-0.25 |
Pasteurella multocida |
0.04 |
Pseudomonas aeruginosa |
0.94 |
Susceptibility break points have been determined as ≤1 µg/ml for sensitive, 2 µg/ml for intermediate and ≥4 µg/ml for resistant bacterial strains.
Marbofloxacin is not active against anaerobes, yeast or fungi. Cases of resistance have been observed in Streptococcus.
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 oral administration in dogs at the recommended dose of 2 mg/kg, marbofloxacin is readily absorbed and reaches maximal plasma concentrations of 1.5 µg/ml within 2 hours
Its bioavailability is close to 100%.
It is weakly bound to plasma proteins (less than 10%), extensively distributed and in most tissues (liver, kidney, skin, lung, bladder, digestive tract) it achieves higher concentrations than in plasma. Marbofloxacin is eliminated slowly (t½ß = 14 h in dogs) predominantly in the active form in urine (2/3) and faeces (1/3).
6. PHARMACEUTICAL PARTICULARS
6.1 List of excipients
Lactose monohydrate
Povidone (K 90)
Yeast powder
Meat flavour
Crospovidone
Castor oil, hydrogenated
Silica, Colloidal Anhydrous
Magnesium stearate
6.2 Incompatibilities
Not applicable.
6.3 Shelf life
Shelf-life of the veterinary medicinal product as packaged for sale: 2 years
Shelf life of half-tablets: 5 days.
6.4. Special precautions for storage
Store in the original package in order to protect from light.
This veterinary medicinal product does not require any special temperaturestorage conditions.
6.5 Nature and composition of immediate packaging
Polyvinylchloride-aluminium-oriented polyamide/Aluminium cold formed blister containing 10 tablets.
Boxeswith the instruction leaflet with 10 tabletsand 100 tablets.
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
KRKA, d.d., Novo mesto
Šmarješka cesta 6
8501 Novo mesto
Slovenia
8. MARKETING AUTHORISATION NUMBER
Vm 01656/4048
9. DATE OF FIRST AUTHORISATION
06 March 2013
10. DATE OF REVISION OF THE TEXT
March 2013
PROHIBITION OF SALE, SUPPLY AND/OR USE
Not applicable.
Approved: 06/03/2013
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