Carprofelican 50 Mg/Ml Solution For Injection For Dogs And Cats
Revised: August 2015
SUMMARY OF PRODUCT CHARACTERISTICS
1. NAME OF THE VETERINARY MEDICINAL PRODUCT
Carprofelican 50 mg/ml solution for injection for dogs and cats
2. QUALITATIVE AND QUANTITATIVE COMPOSITION
Each ml contains:
Carprofen 50.0 mg
Benzyl alcohol (E1519) 15.0 mg
For full list of excipients, see section 6.1.
3. PHARMACEUTICAL FORM
Solution for injection.
4. CLINICAL PARTICULARS
4.1 Target species
4.2 Indications for use, specifying the target species
Dog: for the control of post-operative pain and inflammation following orthopaedic and soft tissue (including intra-ocular) surgery.
Cat: for the control of post-operative pain following surgery.
Do not use in animals suffering from cardiac, hepatic or renal disease or gastrointestinal problems, where there is a possibility of gastrointestinal ulceration or bleeding, or hypersensitivity to carprofen or any other NSAIDs or any excipients of this product.
Do not administer by intramuscular injection.
Do not use after surgery which was associated with considerable blood loss.
Do not use in cats on repeated occasions.
Do not use in cats less than 5 months of age.
Do not use in dogs less than 10 weeks of age.
See also section 4.7, as the product is contraindicated during pregnancy and lactation.
4.4 Special warnings for each target species
4.5 Special precautions for use
Special precautions for use in animals
Do not exceed the recommended dose or duration of treatment.
Use in aged dogs and cats, may involve additional risk. If such use cannot be avoided, such animals may require a reduced dosage and careful clinical management.
Avoid use in dehydrated, hypovolaemic or hypotensive animal, as there is a potential risk of increased renal toxicity.
Concurrent administration of potential nephrotoxic drugs should be avoided.
NSAIDs can cause inhibition of phagocytosis and hence in the treatment of inflammatory conditions associated with bacterial infection, appropriate concurrent antimicrobial therapy should be instigated.
Special precautions to be taken by the person administering the veterinary medicinal product to the animals
Persons with known hypersensitivity to the active substance should avoid contact with the product.
Care should be taken to avoid accidental self-injection. In case of accidental self-injection seek medical advice immediately and show the package leaflet or the label to the physician.
Avoid contact with skin and eyes. Wash off any splashes immediately with clean, running water.
Seek medical attention if irritation persists.
Carprofen, in common with other NSAIDs, has been shown to exhibit photosensitising potential in laboratory studies.
4.6 Adverse reactions (frequency and seriousness)
Typical undesirable effects associated with NSAIDs such as vomiting, soft faeces/diarrhoea, faecal occult blood, loss of appetite and lethargy have been reported. These adverse reactions occur generally within the first treatment week and are in most cases transient and disappear following termination of the treatment but in very rare cases may be serious or fatal.
If adverse reactions occur, use of the product should be stopped and the advice of a veterinarian should be sought.
As with other NSAIDs there is a risk of rare renal or idiosyncratic hepatic adverse events.
Occasionally reactions at the injection site may be observed following subcutaneous injection.
4.7 Use during pregnancy, lactation or lay
Laboratory studies in laboratory animals (rat, rabbit) have shown evidence of foetotoxic effects of carprofen at doses close to the therapeutic dose.
The safety of the veterinary medicinal product has not been established during pregnancy and lactation. Do not use in dogs or cats during pregnancy or lactation.
4.8 Interaction with other medicinal products and other forms of interaction
Carprofen should not be administered concurrently, or within 24 hours of another NSAID, or in conjunction with glucocorticosteroids. Carprofen is highly bound to plasma proteins and may compete with other highly bound drugs which can lead to toxic effects. Hence, concurrent administration with potentially nephrotoxic drugs should be avoided.
4.9 Amounts to be administered and administration route
4 mg/kg (1 ml/12.5 kg) bodyweight, by intravenous or subcutaneous injection, best given pre-operatively, either at the time of premedication or induction of anaesthesia.
To extend analgesic and anti-inflammatory cover post-operatively, parenteral therapy may be followed with Carprofen tablets at 4 mg/kg/day for up to 5 days.
4 mg/kg (0.08 ml/1.0 kg) bodyweight by intravenous or subcutaneous injection, best given pre-operatively, either at the time of premedication or induction of anaesthesia. Due to the longer half life in cats and narrower therapeutic index particular care should be taken not to exceed or repeat the recommended dose and the use of a 1 ml graduated syringe is recommended to measure the dose accurately. The parenteral therapy may not be followed with Carprofen tablets.
The stopper should not be punctured more than 20 times.
4.10 Overdose (symptoms, emergency procedures, antidotes), if necessary
There is no specific antidote for carprofen overdosage. General symptomatic treatment, as is usual for clinical overdosage with NSAIDs, should be applied.
4.11 Withdrawal period(s)
5. PHARMACOLOGICAL PROPERTIES
Pharmacotherapeutic group:Anti-inflammatory and anti-rheumatic products, non-steroids
5.1 Pharmacodynamic properties
Carprofen is a member of the 2-arylpropionic acid group of non-steroidal anti-inflammatory drugs (NSAIDs), and possesses anti-inflammatory, analgesic and antipyretic properties.
As with most other NSAIDs, carprofen is an inhibitor of the enzyme cyclo-oxygenase of the arachidonic acid cascade. However, the inhibition of prostaglandin synthesis by carprofen is slight compared to its anti-inflammatory and analgesic properties. At therapeutic doses in the dog and cat, inhibition of the products of cyclo-oxygenase (prostaglandins and thromboxanes) or lipoxygenase (leucotrienes) has been absent or slight.
5.2 Pharmacokinetic particulars
Following a single subcutaneous dose of 4 mg carprofen/kg in dogs, the maximum plasma concentration (Cmax)of16.0µg/ml was reached after(Tmax)4-5 hours.
In cats the maximum plasma concentration (Cmax)of26.0µg/ml was reached afterapproximately (Tmax)3-4 hours.
The bioavailability is 85% in dogs and more than 90% in cats.
Carprofen has a plasma elimination half-life of 10 hours in dogs and 20 hours in cats.
6. PHARMACEUTICAL PARTICULARS
6.1 List of excipients
Benzyl alcohol (E1519)
Sodium hydroxide (for pH adjustment)
Hydrochloric acid 10% (for pH adjustment)
Water for injections
In the absence of compatibility studies, this veterinary medicinal product must not be mixed with other veterinary medicinal products.
6.3 Shelf life
Shelf lifeof the veterinarymedicinal product as packaged for sale:24 months.
Shelf lifeafter first opening the immediate packaging:28 days.
6.4 Special precautions for storage
Store in a refrigerator (2C - 8C). Do not freeze.
Keep thebottleinthe outer carton in order to protect from light.
6.5 Nature and composition of immediate packaging
20 ml amber glass bottles (Type I) with bromobutylrubberstopper,covered withanaluminumcap.
The vials are packed singly in a cardboard box.
Multi-packs of 5 x 20 ml and 10 x 20 ml.
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 productor waste materials derived from such veterinary medicinal products should be disposed of in accordance with local requirements.
7. MARKETING AUTHORISATION HOLDER
Le Vet Beheer B.V.
3421 TV Oudewater
8. MARKETING AUTHORISATION NUMBER
9. DATE OF FIRST AUTHORISATION
16 August 2013
10. DATE OF REVISION OF THE TEXT
Approved: 27 August 2015
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