Indupart 75 Micrograms/Ml Solution For Injection For Cattle, Pigs And Horses
Revised: July 2015
AN: 00435/2015
SUMMARY OF PRODUCT CHARACTERISTICS
1. NAME OF THE VETERINARY MEDICINAL PRODUCT
INDUPART 75 micrograms /mL solution for injection for cattle, pigs and horses [AT / BG / CZ / DE / ES / HU / / LT / LV / PT / SK / RO/BE/ IE/LU/ NL/ UK]
INDUPART [DK]
GANAPAR75 micrograms /mL solution for injectionfor cattle, pigs and horses[PL / EE]
2. QUALITATIVE AND QUANTITATIVE COMPOSITION
Each ml contains:
Active substance:
D-Cloprostenol (as D-cloprostenol sodium) 75µg
Excipients:
Chlorocresol 1.0 mg
For the full list of excipients, see section6.1.
3. PHARMACEUTICAL FORM
Solution for injection
Clear colourless solution
4. CLINICAL PARTICULARS
4.1 Target species
Cattle (cows), pigs (sows) and horses (mares)
4.2 Indications for use,specifying the target species
Cattle:
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Synchronisation or induction of oestrus
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Induction of parturition ;
-
Ovarian dysfunction (persistent corpus luteum, luteal cyst);
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Endometritis/pyometra;
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Delayed uterine involution;
-
Induction of abortion in the first half of pregnancy
-
Expulsion of mummified foetuses;
Pigs:
Induction of parturition.
Horses:
Induction of luteolysis in mares with a functional corpus luteum.
4.3
Contraindications
Do not use in pregnant females, unless it is desirable to induce parturition or induction of abortion.
Do not administer intravenously.
Do not use in animals with cardiovascular, gastro-intestinal or respiratory problems.
Do not administer to induce parturition in sows and cows with suspected dystocia due to mechanical obstruction or if problems are expected because of an abnormal position of the foetus.
4.4 Special warnings for each target species
None.
4.5 Special precautions for use
Special precautions for use in animals
- Induction of parturition and abortion may increase the risk of complications, retained placenta, foetal death and metritis.
- To reduce the risk of anaerobic infections, which might be related to the pharmacological properties of prostaglandins, care should be taken to avoid injection through contaminated areas of skin. Clean and disinfect injection sites thoroughly beforeadministration.
- In case of oestrus induction in cows: from the 2ndday after injection, adequate heat detection is necessary.
- Induction of parturition in sows before day 114 of gestation may result in an increased risk of stillbirths and the need for manual assistance at farrowing.
Special precautions to be taken by the person administering the veterinary medicinal product to animals
Prostaglandins of the F2αtype can be absorbed through the skin and may cause bronchospasm or miscarriage.
Care should be taken when handling the product to avoid self-injection or skin contact.
Women of child-bearing age, asthmatics and people with bronchial or other respiratory problems, should avoid contact with, or wear disposable imperviousgloves when administering the product.
Accidental spillage on the skin should be washed off immediately with soap and water.
In case of accidental self-injection seek medical advice and show the label to the physician.
Should shortness of breath result from accidental inhalation or injection, seek medical advice immediately and show the package leaflet or label to the physician.
Do not eat, drink or smoke while handling the product.
4.6 Adverse reactions (frequency and seriousness)
Occurrence of bacterial infection is likely if anaerobic bacteria penetrate the tissue of the injection site. This applies in particular to cows.
Typical local reactions due to anaerobic infection are swelling and crepitus at the injection site.
When used in cows for induction of parturition and dependent on the time of treatment relative to the date of conception, the incidence of retained placenta may be increased.
Behavioural changes in sows seen after treatment for induction of farrowing are similar to those changes associated with natural farrowing and usually cease within 1 hour.
4.7 Use during pregnancy, lactation or lay
The use in gestating animals produces abortion.
4.8 Interaction with other medicinal products and other forms of interaction
Do not administer the product together with non-steroidal anti-inflammatory drugs since they inhibit endogenous prostaglandin synthesis.
The activity of other oxytocic agents can be increased after the administration of cloprostenol.
4.9 Amounts to be administered and administration route
Only for intramuscular use.
Cows:Administer 2 ml of the product, equivalent to 150µg of active substance:
Synchronisation of oestrus: administer the product twice, with an interval of 11 days between each dose. Proceed therefore with two artificial inseminations at intervals of 72 and 96 hours from the second injection.
-
Induction of oestrus (also in cows showing weak or silent heat): administer veterinary medicinal product after having established the presence of a corpus luteum (6-18th day of the cycle); heat usually appears within 48-60 hours. Proceed, therefore, with insemination 72-96 hours after injection. If oestrus is not evident, administration of the product needs to be repeated 11 days after the first injection.
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Induction of parturitionafter day 270 of gestation: administer the product after 270 days of pregnancy. Birth usually results within 30-60 hours of treatment.
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Ovarian dysfunction(persistent corpus luteum, luteal cyst): when the presence of the corpus luteum is determined administer the product, then proceed to inseminate at the first oestrus after injection. If oestrus is not evident, conduct a further gynaecological examination, and repeat the injection 11 days after the first administration. Insemination must always be carried out 72-96 hours after injection.
-
Endometritis, pyometra: administer 1 dose of the veterinary medicinal product. If necessary repeat the treatment after 10days.
-
Induction of abortion in the first half of pregnancy (until day 150 of pregnancy): administer product in the first half of pregnancy.
-
Expulsion of mummified foetus: administer 1 dose of the product. Expulsion of the foetus is observed within 3-4 days after administration of the product.
-
Delayed uterine involution: administer veterinary medicinal product and, if considered necessary, carry out one or two successive treatments at 24 hour intervals.
Sows:Administer 1 ml of the veterinary medicinal product, equivalent to 75 micrograms of d-cloprostenol/animal, by intramuscular route, not earlier than 114days of pregnancy. Repeat after 6 hours. Alternatively, 20 hours after the initial dose, a myometrial stimulant (oxytocin or carazolol) may be administered.
Following the protocol of the double administration, approximately 70-80% of the animals will give birth during the interval between 20 and 30 hours after the first administration.
Mares:Induction of luteolysis in mares with a functional corpus luteum:Administer 1 ml of the veterinary medicinal product equivalent to 75 µg of active substance
4.10 Overdose (symptoms, emergency procedures, antidotes), if necessary
At 10 times the therapeutic dose, no adverse reactions were reported in cows and sows. In general, a large overdose could result in the following symptoms: increased pulse and breathing rate, bronchoconstriction, increased body temperature, increased amounts of loose faeces and urine, salivation and vomiting. As no specific antidote has been identified, in the case of overdose, symptomatic therapy is advisable. An overdose will not accelerate corpus luteum regression.
In mares, moderate sweating and soft faeces was detected when administered 3 times the therapeutic dose.
4.11 Withdrawal period(s)
Cattle: Meat and offal: Zero days
Milk: Zero hours
Pigs: Meat and offal: 1 day
Horses: Meat and offal : 2 days
Milk: Zero hours
5. PHARMACOLOGICALPROPERTIES
Pharmacotherapeutic group: prostaglandins.
ATCvet code: QG02AD90
5.1 Pharmacodynamic properties
The veterinary medicinal productcontains dextrorotatorycloprostenol. Dextrorotatory cloprostenol is a synthetic analogue of the prostaglandin F2.The dextrorotatory enantiomer is the biologically active luteal component of the Cloprostenol.
The product is approximate 3.5 times more potent than similar specialities of racemic cloprostenol. For this reason, it could be used in a proportionally lower dose level.
The veterinary medicinal product is more effective and better tolerated than racemic cloprostenol.
Administered in the luteal phase of the oestrus cycle, D-cloprostenol induces a diminution of the number of the luteinizing hormone (LH) receptors in the ovary, this induces a functional and morphological regression of the corpus luteum (luteolysis) resulting in a sharp fall in progesterone levels. The anterior part of the pituitary gland increases the release of the follicle stimulating hormone (FSH), this induces the follicular maturation followed by signs of oestrus and by ovulation.
5.2 Pharmacokinetic particulars
After intramuscular administration of 75 μg of R-cloprostenol to sows, the maximum concentration of R-cloprostenol in plasma was close to 2 μg/l and occurred between 30 and 80 minutes after injection. The half-life of elimination T1/2β was estimated to be 3 h 10 min.
In cows, after intramuscular administration of 150 μg of R-cloprostenol/cow, the highest plasma concentration of R-cloprostenol was found at 90 minutes after injection (approximately 1.4 μg/l).
6. PHARMACEUTICAL PARTICULARS
6.1 List of excipients
Chlorocresol
Ethanol 96%
Sodium hydroxide (for pH adjustment)
Citric acid anhydrous(for pH adjustment)
Water for injections
6.2 Incompatibilities
In the absence of compatibility studies, this veterinary medicinal product must not be mixed with other veterinary medicinal products
6.3 Shelf life
Shelflife of the veterinary medicinal product as packaged for sale:2 years.
Shelf life after first opening the immediate packaging: 28 days
6.4. Special precautions for storage
This veterinary medicinal product does not require any special temperature storage conditions.
Keep the vial in the outer carton in order to protect from light.
6.5 Nature and composition of immediate packaging
The veterinary medicinal product is packagedin type I colourlessglass vials closed with bromobutyl rubber stopperand sealed with aluminumcap.
1 vial of 20 ml in a cardboard box.
5 vials of 20 ml in a cardboard 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
Vetpharma Animal Health, S.L.
Les Corts, 23
08028 Barcelona
Spain
8. MARKETING AUTHORISATION NUMBER
Vm32509/4018
9. DATE OF FIRST AUTHORISATION
29 July 2014
10. DATE OF REVISION OF THE TEXT
July 2015
PROHIBITION OF SALE, SUPPLY AND/OR USE
To be supplied only on veterinary prescription.
Approved: 04 August 2015
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