Zermex 0.5% W/V Pour-On Solution For Cattle
Revised: November
2011
AN: 00877/2011
SUMMARY OF PRODUCT CHARACTERISTICS
1. NAME OF THE VETERINARY MEDICINAL PRODUCT
Zermex 0.5% w/v Pour-On Solution for Cattle
2. QUALITATIVE AND QUANTITATIVE COMPOSITION
Active substance:
Moxidectin 0.5 % w/v
Excipient(s):
Butylated hydroxyanisole (E320) 0.010 % w/v
Tert butyl hydroquinone 0.003 % w/v
For a full list of excipients, see section 6.1.
3. PHARMACEUTICAL FORM
Pour-on solution
Pale yellow oily solution.
4. CLINICAL PARTICULARS
4.1 Target species
Cattle
4.2 Indications for use, specifying the target species
Infections of cattle with parasites sensitive to moxidectin.
For the treatment of infections caused by:
- Adult and larval gastro-intestinal nematodes:
Haemonchus placei
Ostertagia ostertagi (including inhibited larvae)
Trichostrongylus axei
Nematodirus helvetianus
Cooperia oncophora
Cooperia punctata (adults)
Oesophagostomum radiatum (adults)
Bunostomum phlebotomum (adults)
- Adult respiratory tract nematode
Dictyocaulus viviparus
- Warbles (migrating larvae)
Hypoderma bovis
Hypoderma lineatum
- Lice
Linognathus vituli
Haematopinus eurysternus
Solenopotes capillatus
Bovicola bovis (Damalinia bovis)
- Mange Mites
Sarcoptes scabiei
Psoroptes ovis
Chorioptes bovis
- Horn Flies
Haematobia irritans
In cattle it has a persistent effect in preventing against reinfection by:
Ostertagia ostertagi for 5 weeks
Dictyocaulus viviparusfor 6 weeks.
4.3 Contraindications
None
4.4 Special warnings
Care should be taken to avoid the following practices because they increase the risk of development of resistance and could ultimately result in ineffective therapy:
Too frequent and repeated use of anthelmintics from the same class, over an extended period of time.
Underdosing, which may be due to underestimation of bodyweight, misadministration of the product, or lack of calibration of the dosing device (if any).
Suspected clinical cases of resistance to anthelmintics should be further investigated using appropriate tests (e.g. Faecal Egg Count Reduction Test). Where the results of the test(s) strongly suggest resistance to a particular anthelmintic, an anthelmintic belonging to another pharmacological class and having a different mode of action should be used.
To date, no resistance to moxidectin in cattle parasites has been reported. The use of this product should be based on local (regional, farm) epidemiological information about susceptibility of the nematodes and recommendations on how to limit further selection for resistance to anthelmintics.
4.5 Special precautions for use
i. Special precautions for use in animals
All animals in a group should be treated.
To avoid secondary reactions due to the death of Hypoderma larvae in the oesophagus or the spine, it is recommended to administer the product at the end of the period of fly activity and before the larvae reach their resting sites: consult the veterinarian to know the correct treatment period.
For external use only.
For topical application only.
ii. Special precautions to be taken by the person administering the veterinary medicinal product to animals
Avoid direct contact with skin and eyes.
If splashed in the eye or on the skin, wash with plenty of clean, running water immediately.
Seek medical advice if irritation persists.
Wear protective clothes and impermeable gloves when applying the product.
Do not eat, drink or smoke whilst handling the product.
Wash hands after use.
4.6 Adverse reactions (frequency and seriousness)
None known.
4.7 Use during pregnancy, lactation or lay
Moxidectin has been shown to be safe for use in pregnant and lactating animals and breeding bulls.
4.8 Interaction with other medicinal products and other forms of interaction
None known.
4.9 Amounts to be administered and administration route
500 µg moxidectin/kg body weight (1 ml for 10 kg) as a single topical application.
To be administered along the midline of the back of the animal from the withers to the tailhead.
Apply to clean healthy skin.
To ensure administration of a correct dose, bodyweight should be determined as accurately as possible; accuracy of the dosing device should be checked.
If animals are to be treated collectively rather than individually, they should be grouped according to their bodyweight and dosed accordingly, in order to avoid under or over dosing.
4.10 Overdose (symptoms, emergency procedures, antidotes), if necessary
No symptoms of overdosage have been observed with the product given at ten times the recommended dose.
They are manifested as transient salivation, depression, drowsiness and ataxia. There is no specific antidote.
4.11 Withdrawal period(s)
Meat and offal: 14 days.
Milk: 6 days (144 hours).
5. PHARMACOLOGICAL PROPERTIES
ATC Vet Code: QP54AB02
5.1 Pharmacodynamic properties
Moxidectin is a parasiticide active against a wide range of important internal and external parasites. It is a second generation macrocyclic lactone of the milbemycin family. Its principal mode of action is interference with the GABA (gamma amino butyric acid) receptors involved with neuromuscular transmission.
Moxidectin stimulates the release of GABA and increases its binding to the postsynaptic receptors. The net effect is to open the chloride channels on the postsynaptic junction to allow the inflow of chloride ions and induce an irreversible resting state. This results in flaccid paralysis and eventual death of parasites exposed to the drug.
5.2 Pharmacokinetic particulars
Following pour-on application, the drug is distributed throughout the body tissues (except muscle) but due to its lipophilicity the concentrations in fat are 5-15 times those in other tissues.
Moxidectin undergoes partial biotransformation by hydroxylation in the body and the only significant route of excretion is the faeces, where the parent compound accounts for approximately 50%.
6. PHARMACEUTICAL PARTICULARS
6.1 List of excipients
Butylated hydroxyanisole (E320)
Tert butyl hydroquinone
Solvesso 100
Myristyl Propoxylate Propionic Ester
Polybutene Polymer
Propylene Glycol
Citric Acid Monohydrate
Fractionated Coconut Oil
6.2 Incompatibilities
None known.
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: 6 months.
6.4. Special precautions for storage
Do not store above 25°C.
Keep the container in the outer carton.
Protect from light.
If accidentally frozen, shake vigorously before use.
6.5 Nature and composition of immediate packaging
Fluorinatedhigh-density polyethylene containers, in pack sizes of 500 ml and 1 litre squeeze-measure-pour system or 2.5 and 5 litre backpacks.
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
Dangerous to fish and aquatic life. Do not contaminate ponds, waterways or ditches with the product or empty container.
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
Zoetis UK Limited
5th Floor, 6 St. Andrew Street
London
EC4A 3AE
8. MARKETING AUTHORISATION NUMBER
Vm42058/4170
9. DATE OF FIRST AUTHORISATION
Date:02-Feb-2000
10. DATE OF REVISION OF THE TEXT
Date:July 2013
Approved: 01/08/2013
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