Medine.co.uk

Ketofen 10% Solution For Injection

Revised: July 2014

AN: 01491/2013


SUMMARY OF PRODUCT CHARACTERISTICS


NAME OF THE VETERINARY MEDICINAL PRODUCT


Ketofen 10% solution for injection


QUALITATIVE AND QUANTITATIVE COMPOSITION


Active ingredient: Ketoprofen 100mg/ml

Preservative: Benzyl alcohol 10mg/ml


For full list of excipients, see section 6.1.


PHARMACEUTICAL FORM


Solution for injection.


CLINICAL PARTICULARS


Target species


Horses, cattle, pigs.


Indications for use, specifying the target species


In the horse, Ketofen 10% is indicated for:



In cattle, Ketofen 10% is indicated for:


the supportive treatment of parturient paresis associated with calving;


In pigs, Ketofen 10% is indicated for:



Contra-indications


Do not administer to horses, cattle or pigs that have previously shown a hypersensitivity to ketoprofen.


Do not administer other non-steroidal anti-inflammatory drugs (NSAIDs) concurrently or within 24 hours of each other.


Use is contraindicated in animals suffering from cardiac, hepatic or renal disease, where there is the possibility of gastro-intestinal ulceration or bleeding, where there is evidence of a blood dyscrasia or hypersensitivity to the product.


Special warnings for each target species


Use in any animal less than 6 weeks of age or in aged animals may involve additional risk. If such use cannot be avoided animals may require a reduced dosage and careful management.


Avoid use in any dehydrated, hypovolaemic or hypotensive animals as there is a potential risk of increased renal toxicity.


Special precautions for use


Special precautions for use in animals


Avoid intra-arterial injection.

Do not exceed the stated dose or duration of treatment.


Special precautions to be taken by the person administering the medicinal product to the animals


In case of accidental self-injection seek medical advice.

Wash hands after use.

Avoid splashes on the skin and eyes. Irrigate thoroughly with water should this occur. If irritation persists seek medical advice.


Adverse reactions (frequency and seriousness)


In common with all NSAIDs, due to their action of inhibition of prostaglandin synthesis, there can be the possibility in certain individuals of gastric or renal intolerance.


Use during pregnancy, lactation or lay


As the effects of ketoprofen on fertility, pregnancy or foetal health of horses have not been determined, KETOFEN 10% should not be administered to pregnant mares. KETOFEN 10% may be given to pregnant and lactating cattle. It is indicated for use in lactating sows.

Interaction with other medicinal products and other forms of interaction


Some NSAIDs may be highly bound to plasma proteins and compete with other highly bound drugs which can lead to toxic effects.


Concurrent administration with nephrotoxic drugs should be avoided.


Amounts to be administered and administration route


Horse:


For use in musculo-skeletal conditions, the recommended dosage is 2.2mg ketoprofen/kg i.e. 1ml of KETOFEN 10%/45kg bodyweight, administered by intravenous injection once daily for up to 3 to 5 days.


For use in equine colic, the recommended dosage is 2.2mg/kg (1ml/45kg) bodyweight, given by intravenous injection for immediate effect. A second injection may be given if colic recurs.


Cattle:


The recommended dose is 3mg ketoprofen/kg bodyweight, i.e. 1ml of KETOFEN 10%/33kg bodyweight, administered by intravenous or deep intramuscular injection once daily for up to 3 days.


Pigs:


The recommended dose is 3mg ketoprofen/kg bodyweight, i.e. 1ml of KETOFEN 10%/33kg bodyweight, administered once by deep intramuscular injection.


Overdose (symptoms, emergency procedures, antidotes), if necessary


No clinical signs were observed when KETOFEN 10% was administered to horses at 5 times the recommended dose for 15 days, to cattle at 5 times the recommended dose for 5 days, or to pigs at 3 times the recommended dose for 3 days.


Horses have been found to tolerate intravenous dosages of ketoprofen of 2.2, 6.6 and 11.0 mg/kg once daily for 15 consecutive days (i.e. up to 5 times the recommended dose for three times the recommended duration) with no evidence of toxic effects.


Ketoprofen is similarly well-tolerated in cattle, where doses of up to 15mg/kg/day (5 times recommended dose) for 5 consecutive days have been given without significant adverse effects. The product has been safely given to calves as young as 3 days of age, and to pregnant and lactating cattle.

Ketoprofen is well tolerated in pigs. Doses of 9mg/kg/day (3 times the recommended dose) for 3 consecutive days have been given with no significant adverse effects.

Withdrawal periods


Horses, cattle and pigs must not be slaughtered for human consumption during treatment. Animals may be slaughtered for human consumption only after the following periods from the last treatment:


Horses – 1 day

Cattle – following intravenous administration: 1 day

– following intramuscular administration: 4 days

Pigs – 4 days


There is no withholding period necessary for the milk of treated cattle.


PHARMACOLOGICAL PROPERTIES


ATCVet Code: QM01AE03


Pharmacodynamic properties


Ketoprofen is a derivative of phenylpropionic acid, and belongs to the non-steroidal anti-inflammatory group of drugs. Like all such substances, its principal pharmacological actions are anti-inflammatory, analgesic and anti-pyretic. The mechanism of action is related to the ability of ketoprofen to interfere with the synthesis of prostaglandins from precursors such as arachidonic acid.


Following intravenous injection in the horse, the onset of musculo-skeletal anti-inflammatory activity occurs by 2 hours, and reaches a peak at about 12 hours. It is still measurable 24 hours after each dose.


PHARMACEUTICAL PARTICULARS


List of excipients


L Arginine

Benzyl Alcohol

Citric Acid Monohydrate

Water for Injections


Major incompatibilities


None known.


Shelf-life


2 years.

Following withdrawal of the first dose, use the product within 28 days.

Special precautions for storage


Do not store above 25°C.

Protect from light.

Discard unused material safely.


Nature and composition of immediate packaging


Bottles of 10, 50, 100 and 250ml capacity made of Type II brown glass, fitted with chlorobutyl stopper and aluminium cap.


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


Any unused veterinary medicinal product or waste materials derived from such veterinary medicinal products should be disposed of in accordance with local requirements.


MARKETING AUTHORISATION HOLDER


Merial Animal Health Limited

PO Box 327

Sandringham House

Sandringham Avenue

Harlow Business Park

Harlow

Essex

CM19 5TG


MARKETING AUTHORISATION NUMBER


Vm:08327/4067


DATE OF FIRST AUTHORISATION


Date: 12 February 1992


DATE OF REVISION OF THE TEXT


Date: July 2014


ANY OTHER INFORMATION REQUIRED BY THE SECRETARY OF STATE


Not applicable.


01 July 2014

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