Medine.co.uk

Endofluke 100 Mg/Ml Oral Suspension

Revised: September 2016

AN: 00404/2016


Summary of Product Characteristics


1. NAME OF THE VETERINARY MEDICINAL PRODUCT


Endofluke 100 mg/ml Oral Suspension


2. QUALITATIVE AND QUANTITATIVE COMPOSITION


Active substance : per ml


Triclabendazole 100mg


Excipients:


Methyl Parahydroxybenzoate (E218) 2mg (preservative)

Propyl Parahydroxybenzoate (E216) 0.2mg (preservative)


For the full list of excipients, see section 6.1.


3. PHARMACEUTICAL FORM


Oral Suspension.

A white to off-white suspension.



4. CLINICAL PARTICULARS


4.1 Target species

Cattle & Sheep


4.2 Indications for use, specifying the target species


For the treatment of adult, immature and early immature stages of liver fluke (Fasciola hepatica) susceptible to triclabendazole.


4.3 Contraindications


Do not use in animals known to be hypersensitive to the active substance .


4.4 Special warnings for each target species


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.
- Under dosing, 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.

Resistance to triclabendazole has been reported in Fasciola hepatica in cattle and sheep. Therefore, the use of this product should be based on local (regional/farm) epidemiological information about susceptibility of the Fasciola hepatica 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

Care should be taken when dosing animals to avoid causing injury to the mouth and pharynx.


ii) Special Precautions to be taken by the person administering the product to animals


When using, do not eat, drink or smoke.

Wash splashes from eyes and skin immediately.

Take off immediately any contaminated clothing.

Wash hands and exposed skin before meals and after use.


iii) Other precautions


The use of this product may have harmful effects on fish and aquatic invertebrates. Cattle and sheep must not have any access to the surface water such as streams, ponds or ditches within 7 days after treatment. When spreading manure from treated animals on arable lands, a safety distance of 10m to adjacent surface waters must be kept.


4.6 Adverse reactions (frequency and seriousness)


Occasionally, inflammation of the unpigmented skin, including the udder and the teats may occur after treatment in cattle exposed to intense sunshine.


4.7 Use during pregnancy, lactation or lay


The product is safe for use during pregnancy and lactation. However, the product is not permitted for use during lactation in animals producing milk for human consumption (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


For single oral administration only using properly calibrated dosing equipment. The product is suitable for most types of automatic drenching guns.

Shake the container before use.

Use unaltered from original container.

Clean drenching equipment before and after use.


Dosage:

Endofluke 100 mg/ml is given as an oral drench and is suitable for most types of automatic drenching guns.

The recommended dose rate is 12mg triclabendazole per kg bodyweight in cattle and 10mg triclabendazole per kg bodyweight in sheep.


Practical Dosage Guide: Cattle: 6 ml per 50kg bodyweight


Animal Weight

Dose of product

50kg

6ml

100kg

12ml

150kg

18ml

200kg

24ml

250kg

30ml

300kg

36ml

350kg

42ml

400kg

48ml

For each additional 50kg

6ml



Sheep: 1 ml per 10kg bodyweight


Animal Weight

Dose of product

10kg

1ml

20kg

2ml

30kg

3ml

40kg

4ml

50kg

5ml

60kg

6ml

For each additional 10kg

1ml


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 overdosing.

The timing for re-treatment should be based on epidemiological risk patterns and should be customised for each individual farm.


To avoid the potential for the accumulation of residues following repeat administration of the product; animals should not be treated with a frequency of less than 10 weeks.


4.10 Overdose


A single oral dose of 150-200 mg triclabendazole/kg of live bodyweight may lead to side effects such as unsteady gait, dullness and reduced appetite. These side effects are slight and last 1 to 5 days. An antidote is not known.


4.11 Withdrawal period(s)


Cattle ( meat and offal): 56 days


Milk:

Cattle (milk): Milk for human consumption may only be taken from 48 hours after calving. Not intended for use within 45 days of calving. Should a cow calve earlier than 45 days after the last treatment, milk for human consumption may only be taken from 45 days + 48 hours (47 days) after the last treatment.


Sheep (meat & offal): 56 days


Sheep (milk): Not authorised for use in ewes producing milk for human consumption including during the dry period. Do not use within 1 year prior to the first lambing in ewes intended to produce milk for human consumption.


5. <PHARMACOLOGICAL><IMMUNOLOGICAL> PROPERTIES


Pharmacotherapeutic group: anthelmintics; benzimidazoles and related substances.

ATCvet code: QP52ACO1


5.1 Pharmacodynamic properties


Triclabendazole differs from other benzimidazoles in that it is a narrow spectrum anthelmintic. The drug accumulates significantly in both immature and adult stages of Fasciola hepatica and stimulates the major routes of the parasite’s energy generating system, as demonstrated by glucose derived acetate and propionate formation. However, under these conditions the parasite’s motility decreased, indicating that the drug is not associated with inhibition of the energy generating pathways. Triclabendazole inhibits colchicine binding to microtubular proteins suggesting interference of the drug with microtubular structure and function. The drug strongly inhibits the release of proteolytic enzymes in immature and adult parasites, a process dependant on microtubular functions. The precise molecular mode of action of this fasciolicidal drug remains to be elucidated.


5.2 Pharmacokinetic particulars


50-75% of the orally administered dose of triclabendazole is absorbed from the gastrointestinal tract. Very rapidly, absorbed triclabendazole is almost completely oxidised to its sulfoxide and sulfone. In cattle triclabendazole sulfoxide reaches peak concentrations approximately 27 hours after administration of the product and the sulfone reaches peak concentrations 64 to 72 hours after administration. In sheep triclabendazole sulfoxide reaches peak concentrations approximately 20 hours after administration of the product and the sulfone reaches peak concentrations 30 to 32 hours after administration. Both metabolites bind strongly to plasma proteins, particularly albumin. Metabolites are excreted via the bile mainly as conjugates. More than 90%- 95% of the total dose of triclabendazole is excreted in the faeces, about 2% in the urine and less than 1% in the milk. The elimination is virtually complete by 10 days after administration.



6. PHARMACEUTICAL PARTICULARS


6.1 List of excipients


Xanthan Gum
Methyl Parahydroxybenzoate
Propyl Parahydroxybenzoate
Citric Acid Anhydrous
Sodium Citrate
Polysorbate 80
Silica Colloidal
Anhydrous Simethicone Emulsion
Water, purified


6.2 Incompatibilities


None known.


6.3 Shelf life


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


6.4. Special precautions for storage


Protect from frost.


6.5 Nature and composition of immediate packaging


1 litre, 2.5 litre, 5 litre and (3x5 litre) high-density polyethylene flat bottom backpack containers containing a white to off-white smooth suspension. The closures used for all pack sizes are 38 mm propylene standard caps with an induction heat seal liner. A 38 mm polypropylene spouted cap is also provided with each pack size for dispensing purposes.


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


The product may have toxic effects on fish and aquatic invertebrates. Any unused product or waste material must not enter surface water and should be disposed of in accordance with national requirements.


7. Marketing Authorisation Holder

Cross Vetpharm Group Ltd

Broomhill Road

Tallaght

Dublin 24

Ireland


8. Marketing Authorisation Number


Vm 12597/4037



9. Date of First Authorisation

20 February 2003



10. Date of Revision of the Text

September 2016


PROHIBITION OF SALE, SUPPLY AND/OR USE


Not applicable.




Approved: 02 September 2016



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