Carprox Vet 20 Mg Tablets For Dogs
Revised: August 2015
SUMMARY OF PRODUCT CHARACTERISTICS
1. NAME OF THE VETERINARY MEDICINAL PRODUCT
Carprox vet 20 mg tablets for dogs (Belgium, Portugal, Ireland, Italy, Germany, Spain, France, United Kingdom, Netherlands)
Rycarfa Flavour 20 mg tablets for dogs (Czech Republic, Estonia, Hungary, Latvia, Lithuania, Poland, Romania, Slovak Republic, Slovenia)
2. QUALITATIVE AND QUANTITATIVE COMPOSITION
Each tablet contains:
Carprofen 20 mg
Ferric oxide red (E172) 0.61 mg
Ferric oxide black (E172) 0.38 mg
For the full list of excipients, see section 6.1.
3. PHARMACEUTICAL FORM
Round, dark brown, marbled tablets with visible darker spots, one-side scored and bevel-edged.
The tablets can be divided into two equal parts.
4. CLINICAL PARTICULARS
4.1 Target species
4.2 Indications for use, specifying the target species
Reduction of inflammation and pain caused by musculoskeletal disorders and degenerative joint disease. As a follow up to parenteral analgesia in the management of post operative pain.
Do not use in cats.
Do not use in pregnant or lactating bitches.
Do not use in dogs less than 4 months of age.
Do not use in case of hypersensitivity to active substance or to any of the excipients.
Do not use in dogs suffering from cardiac, hepatic or renal disease, where there is a possibility of gastrointestinal ulceration or bleeding, or where there is evidence of a blood dyscrasia.
4.4 Special warnings for each target species
Refer to Sections 4.3 and 4.5.
4.5 Special precautions for use
Special precautions for use in animals
Use in aged dogs may involve additional risk. If such a use cannot be avoided, dogs may require careful clinical management.
Avoid use in any dehydrated, hypovolaemic or hypotensive dog, as there is a potential risk of increased renal toxicity.
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 animals
In the event of accidental ingestion of the tablets, seek medical advice and show the doctor the package leaflet. Wash hands after handling the product.
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.
4.7 Use during pregnancy, lactation or lay
Studies in laboratory species (rat and 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 pregnant or lactating bitches.
4.8 Interaction with other medicinal products and other forms of interaction
Do not administer other NSAIDs and glucocorticoids concurrently or within 24 hours of administration of the product. Carprofen is highly bound to plasma proteins and may compete with other highly bound drugs, which can lead to toxic effects.
Concurrent administration of potential nephrotoxic drugs should be avoided.
4.9 Amounts to be administered and administration route
For oral administration.
An initial dose of 2 to 4 mg carprofen per kg bodyweight per day is recommended to be given as a single or in two equally divided doses. Subject to clinical response, the dose may be reduced after 7 days to 2 mg carprofen/kg bodyweight/day given as a single dose.
To extend analgesic cover post-operatively, parenteral therapy with solution for injection may be followed with tablets at 4 mg/kg/day for up to 5 days.
Duration of treatment will be dependent upon the response seen, but the dog’s condition should be re-appraised by the veterinary surgeon after 14 days therapy.
4.10 Overdose (symptoms, emergency procedures, antidotes), if necessary
Although studies investigating the safety of carprofen at overdose have been performed, no signs of toxicity appeared when dogs were treated with carprofen at levels up to 6 mg/kg twice daily for 7 days (3 times the recommended dose rate of 4mg/kg) and 6mg/kg once daily for a further 7 days. (1.5 times the recommended dose rate of 4 mg/kg).
There is no specific antidote for carprofen overdosage but general supportive therapy, as applied to clinical overdosage with NSAIDs should be applied.
4.11 Withdrawal period(s)
5. PHARMACOLOGICAL PROPERTIES
Pharmacotherapeutic group:Antiinflammatory and antirheumatic products, non-steroids, propionic acid derivatives
ATCvet code: QM01AE91
5.1 Pharmacodynamic properties
Carprofen possesses anti-inflammatory, analgesic and antipyretic activity. Like most other NSAID’s, carprofen is an inhibitor of the enzyme cyclo-oxygenase of the arachidonic acid cascade.
However, the inhibition of prostaglandin synthesis by carprofen is slight in relation to its anti-inflammatory and analgesic potency. The precise mode of action of carprofen is not clear.
Carprofen is a chiral drug with the S(+) enantiomer being more active than the R(-) enantiomer. There is no chiral inversion between the enantiomers in-vivo.
5.2 Pharmacokinetic particulars
Carprofen is well absorbed after oral administration (>90%) and is highly protein bound. Peak plasma concentrations are achieved between 1 h and 3 h after administration.
Carprofen is characterized by a half-life of approximately 10 hours in dogs.
Carprofen is eliminated in dogs primarily by means of biotransformation in the liver, followed by rapid excretion of the resulting metabolites in feces (70-80%) and urine (10-20%). Some enterohepatic circulation has been detected.
6. PHARMACEUTICAL PARTICULARS
6.1 List of excipients
Ferric oxide red (E172)
Ferric oxide black (E172)
Sodium starch glycolate, type A
Colloidal anhydrous silica
Meat flavour 10022
6.3 Shelf life
Shelf-life of the veterinary medicinal product as packaged for sale: 3 years.
Return any halved tablet to the opened blister and use within 24 hours.
6.4. Special precautions for storage
Do not store above 25C.
Keep the blister in the outer cartonin order to protect from light and moisture.
6.5 Nature and composition of immediate packaging
Blister (OPA/Al/PVC-Al): 20, 50, 100 or 500 tablets (10 tablets/blister) in a box.
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 product should be disposed of in accordance with local requirements.
7. MARKETING AUTHORISATION HOLDER
KRKA, d.d., Novo mesto
Šmarješka cesta 6
8501 Novo mesto
8. MARKETING AUTHORISATION NUMBER
9. DATE OF FIRST AUTHORISATION
19 November 2010
10. DATE OF REVISION OF THE TEXT
Approved: 06 August 2015
Page 5 of 5