Medine.co.uk

Levamole 75 Mg/Ml Oral Solution

Revised: April 2014

AN: 01709/2013


SUMMARY OF PRODUCT CHARACTERISTICS


NAME OF THE VETERINARY MEDICINAL PRODUCT


Levamole 75 mg/ml Oral Solution


QUALITATIVE AND QUANTITATIVE COMPOSITION


Levamisole Hydrochloride 7.5% w/v


Excipient(s):

Sodium Metabisulphite 0.1% w/v

Tartazine (E102) 0.00375% w/v


For a full list of excipients, see section 6.1.


PHARMACEUTICAL FORM


Oral solution.

A yellow coloured clear solution.


CLINICAL PARTICULARS


Target species


Cattle and Sheep


Indications for use, specifying the target species


A broad spectrum anthelmintic for the treatment and control of gastro-intestinal and pulmonary nematode infections in cattle and sheep, effective against mature and developing immature stages of the following levamisole-susceptible major nematode worm species:

Gastro-intestinal Worms: Trichostrongylus spp.,Cooperia spp., Ostertagiaspp. (except inhibited Ostertagia larvae in cattle), Haemonchus spp., Nematodirus spp., Bunostomumspp., Oesophagostomum spp., Chabertia spp.

Lungworms: Dictyocaulusspp.

Not effective against Type II winter scour.


Contraindications


Animals should not be treated simultaneously or within 14 days before or after use with Organophosphorous compounds or diethylcarbamazine citrate.


Special warnings for each target species


The product may be given to young, pregnant and lactating animals, but due regard must always be paid to the animals physical condition and the presence of inter-current disease. When a dosing gun is used to administer the product, care should be taken to avoid the occurrence of dosing gun pharyngitis.


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.


Underdosing, which may be due to underestimation of body weight, 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 levamisole has been reported in Teladorsagia, Cooperiaand Trichostrongylusspecies in sheep in a number of countries, including the EU. There are reports of resistance in Haemonchusin sheep in outside the EU.

Resistance to levamisole has been reported in Teladorsagiaspecies in cattle in developed countries such as New Zealand. Therefore the use of this product should be based on local (regional, farm) epidemiological information about susceptibility of nematodes and recommendations on how to limit further selection for resistance to anthelmintics.


Special precautions for use


Care should be taken to accurately estimate the bodyweight of animals to be treated before calculating the dose.


Special precautions for use in animals


For oral use only


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


Levamisole can cause idiosyncratic reactions as well as serious blood disorders in a very small number of people. If symptoms such as dizziness, nausea or vomiting or abdominal discomfort are experienced when using this product, or sore mouth /throat or fever occur shortly afterwards, then medical advice should be sought immediately. Wash hands and exposed skin before meals and after work. Remove immediately any contaminated clothing. Wash splashes from eyes and skin immediately. If irritation persists, consult your doctor. When using do not eat, drink or smoke.


Adverse reactions (frequency and seriousness)


Occasionally at the recommended dose cattle may show signs of lip-licking and slight muscle tremor.


Use during pregnancy, lactation or lay


Can be safely used during pregnancy and lactation.


Interaction with other medicinal products and other forms of interaction


Animals should not be treated simultaneously or within 14 days before or after use with Organophosphorous compounds or diethylcarbamazine citrate.

Amounts to be administered and administration route


The product should only be administered as an oral drench.

The 1L, 2.5L and 5L presentations are for use with conventional dosing gun systems.

To ensure administration of a correct dose, body weight should be determined as accurately as possible; accuracy of the dosing device should be checked.

Do not mix with other products.

Dosing should be carried out, at a dose rate of 7.5 mg Levamisole HCl per kg bodyweight.


Dosage guide:


Cattle: 1 ml/10 kg bodyweight

Bodyweight

Dose (ml)

50 kg (approx. 1 cwt)

5 ml

100 kg (approx. 2 cwt)

10 ml

150 kg (approx. 3 cwt)

15 ml

200 kg (approx. 4 cwt)

20 ml

250 kg (approx. 5 cwt)

25 ml

300 kg (approx. 6 cwt)

30 ml

Cattle over 300 kg should be given a further 1 ml for each additional 10 kg bodyweight


Sheep: 0.5 ml/5 kg bodyweight

Bodyweight

Dose (ml)

10 kg (approx. 22 lb)

1 ml

20 kg (approx. 44 lb)

2 ml

30 kg (approx. 66 lb)

3 ml

40 kg (approx. 88 lb)

4 ml

50 kg (approx. 110 lb)

5 ml

60 kg (approx. 132 lb)

6 ml

Sheep over 60 kg should be given a further 0.5 ml for each additional 5 kg bodyweight


Veterinary advice should be sought:


on appropriate dosing programmes and stock management to achieve adequate parasite control, and to reduce the likelihood of anthelmintic resistance developing.


if the product does not achieve the desired clinical effect, since other diseases, nutritional disturbances or anthelmintic resistance may be involved.


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


At normal therapeutic dosages side effects are rarely seen. Overdose may occasionally result in the appearance of cholinergic-type symptoms such as salivation, muscular tremors and head shaking. They are more likely to be observed in cattle than in sheep.


Withdrawal period


Cattle and sheep

Meat and offal: 20 days

Not for use in animals producing milk for human consumption


PHARMACOLOGICAL PROPERTIES


Pharmacotherapeutic group: Anthelmintic

ATCVet code:QP52AE01


Pharmacodynamic properties


Levamisole is a ganglion stimulant of the nervous system of nematodes causing neuromuscular paralysis of the parasites. Because it acts on the nervous system it is not ovicidal.


PHARMACEUTICAL PARTICULARS


List of excipients


Sodium Metabisulphite

Tartrazine

Disodium Phosphate Dihydrate

Citric Acid Monohydrate

Purified Water


Incompatibilities


None known.


Shelf life


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


Special precautions for storage


Do not store above 25˚C.

Protect from light.


Nature and composition of immediate packaging


1L, 2.5L and 5L high density polythene containers, with polypropylene closures covered with aluminium foil seals.

Not all pack sizes may be marketed.


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 a veterinary medicinal product should be disposed of in accordance with local requirements.


MARKETING AUTHORISATION HOLDER


Chanelle Pharmaceuticals Manufacturing Ltd

Loughrea

Co Galway

Ireland


MARKETING AUTHORISATION NUMBER


Vm08749/4038


DATE OF FIRST AUTHORISATION


Date: 12 September 2007


DATE OF REVISION OF THE TEXT


Date: April 2014


02 April 2014

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