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Panacur 18.75% Oral Paste

1 NAME OFthe VETERINARY MEDICINAL PRODUCT FOLLOWED BY THE STRENGTH AND THE PHARMACEUTICAL FORM


Panacur 18.75% Oral Paste


2 NAME AND PROPORTION OF EACH ACTIVE SUBSTANCE, AND OF ANY EXCIPIENT, IF KNOWLEDGE OF THE EXCIPIENT IS NEEDED FOR SAFETY REASONS


Active substance: %w/w


Fenbendazole 18.75


Other substances:


Methyl hydroxybenzoate 0.17

Propyl hydroxybenzoate 0.016


For full list of excipients, see section 6.1


3 PHARMACEUTICAL FORM


Oral paste


4 CLINICAL PARTICULARS


4.1 Target species


Domestic dogs, cats, puppies and kittens.


4.2 Indications for use, specifying the target species


A broad spectrum anthelmintic for the treatment of domestic dogs and cats infected with immature and mature stages of nematodes of the gastro-intestinal and respiratory tracts. Panacur also has an ovicidal effect on nematode eggs.


Adult dogs and cats: For the treatment of adult dogs and cats infected with gastro-intestinal nematodes and cestodes:

Ascarid spp (Toxocara canis, Toxocara cati and Toxascaris leonina)

Ancylostoma spp

Trichuris spp

Uncinaria spp

Taenia spp


Puppies and kittens: For the treatment of puppies and kittens infected with gastro-intestinal nematodes and puppies infected with protozoa (Giardia spp).


Also for the treatment of dogs infected with lungworm Oslerus (Filaroides) osleri or protozoa Giardia spp and cats infected with lungworm Aelurostrongylus abstrusus.


4.3 Contra-indications


None


4.4 Special warning for each target species


None


4.5 Special precautions for use


(i) Special precautions for use in animals

Assess bodyweight as accurately as possible before calculating the dosage.


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

Direct contact with the skin should be kept to a minimum.

Wear impermeable rubber gloves while administering the product

Wash hands after use.


4.6 Adverse reactions (frequency and seriousness)


None known


4.7 Use during pregnancy, lactation or lay


Pregnant females may be safely treated with fenbendazole at therapeutic dosage levels. Owing to the reduced dose rate for treatment of pregnant dogs (25 mg fenbendazole/kg bodyweight daily) which can not accurately be attained when using the Panacur Paste 5 g syringe, it is recommended that alternative formulations of fenbendazole be used.


4.8 Interaction with other medicinal products and other forms of interaction


None known


4.9 Amounts to be administered and administration route


Panacur Paste should be administered orally by squeezing the paste from the syringe onto the back of the tongue after feeding.


Adult Cats and Dogs

Orally administer 2 syringe graduations per 1 kg bodyweight as a single dose (= 100 mg fenbendazole/kg bodyweight). Each 5 g syringe is sufficient to dose up to 9 kg bodyweight as a single dose.

Practical dosage recommendations:

Up to 1kg 2 syringe graduations

1.1 to 2 kg 4 syringe graduations

2.1 to 3 kg 6 syringe graduations

3.1 to 4 kg 8 syringe graduations

4.1 to 5 kg 10 syringe graduations

5.1 to 6 kg 12 syringe graduations

6.1 to 7 kg 14 syringe graduations

7.1 to 8 kg 16 syringe graduations

8.1 to 9 kg 18 syringe graduations


Additional syringes are required for dogs and cats weighing over 9kg. For dogs and cats weighing over 9 kg, two extra syringe graduations are required for each additional 1 kg bodyweight as a single dose.


Treatment should be repeated when natural re-infection with parasitic worms occurs. Routine treatment of adult animals with minimal exposure to infection is advisable 2 to 4 times per year. More frequent treatment at 6 to 8 weekly intervals is advisable for dogs in kennels and cats in catteries or a breeders premises.


Puppies and kittens under 6 months of age

Orally administer 1 syringe graduation per 1 kg bodyweight daily for 3 consecutive days (= 50 mg fenbendazole/kg bodyweight daily for 3 consecutive days). Each 5 g syringe is sufficient to dose up to 6 kg bodyweight for 3 consecutive days.


Practical dosage recommendations:

Up to 1 kg 1 syringe graduation daily for 3 days

1.1 to 2 kg 2 syringe graduations daily for 3 days

2.1 to 3 kg 3 syringe graduations daily for 3 days

3.1 to 4 kg 4 syringe graduations daily for 3 days

4.1 to 5 kg 5 syringe graduations daily for 3 days

5.1 to 6 kg 6 syringe graduations daily for 3 days

Additional syringes are required for puppies under 6 months, weighing over 6 kg. For puppies weighing over 6 kg, an extra syringe graduation is required daily for each additional 1 kg bodyweight.


Puppies and kittens should be treated at 2 weeks of age, 5 weeks of age and again before leaving the breeder’s premises. Treatment may also be required at 8 and 12 weeks of age. Thereafter, frequency of treatment can be reduced unless the puppies and kittens remain in kennels or kittens remain in catteries /breeders premises where reinfection occurs more readily.

Pregnant dogs

Owing to the reduced dose rate for treatment of pregnant dogs (25 mg fenbendazole/kg bodyweight daily) which can not accurately be attained when using the Panacur Paste 5 g syringe, it is recommended that alternative formulations of fenbendazole be used.

Pregnant cats

Pregnant cats can be safely treated with Panacur Paste but only require a single treatment at the routine adult dose rate. Orally administer 2 syringe graduations per 1 kg bodyweight as a single dose (= 100 mg fenbendazole/kg bodyweight). Each 5 g syringe is sufficient to dose up to 9 kg bodyweight as a single dose.


Increased dosing for specific infections

For the treatment of clinical worm infestations in adult dogs and cats or Giardia spp. infections in dogs and puppies, orally administer 1 syringe graduation per 1 kg bodyweight daily for 3 consecutive days (= 50 mg fenbendazole/kg bodyweight daily for 3 days).


For the control of lungworm Oslerus (Filaroides) osleri in dogs administer 1 syringe graduation per 1 kg bodyweight for 7 consecutive days (= 50 mg fenbendazole/kg bodyweight daily for 7 days). A repeat course of treatment may be required in some cases.


For the control of lungworm Aelurostrongylus abstrusus in cats administer 1 syringe graduation per 1 kg bodyweight for 3 consecutive days (= 50 mg fenbendazole/kg bodyweight daily for 3 days).


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


Benzimidazoles have a high margin of safety.


4.11 Withdrawal periods for the various foodstuffs, including those for which the withdrawal period is zero


Not applicable


5. PHARMACOLOGICAL PROPERTIES


5.1 Pharmacodynamic properties


Fenbendazole is an anthelmintic belonging to the benzimidazole carbamates group. It acts by interfering in the energy metabolism of the nematode. The anthelmintic efficacy is based on inhibition of the polymerisation of tubulin to microtubuli. The anthelmintic affects both adult and immature stages of gastro-intestinal and respiratory nematodes.


Fenbendazole is metabolised to its sulphoxide, then to sulphone and amines.


ATC Vet Code: QP52AC13


5.2 Pharmacokinetic particulars


Fenbendazole is only partly absorbed after oral administration and is then metabolised in the liver. Fenbendazole and its metabolites are distributed throughout the body and high concentrations can be found in the liver. The elimination of fenbendazole and its metabolites occurs primarily via the faeces (>90%) and to a smaller extent in the urine and milk.

6 PHARMACEUTICAL PARTICULARS


List of excipients


Propyl hydroxy benzoate

Methyl hydroxybenzoate

Carbomer

Propylene Glycol

Glycerol

Sorbitol

Sodium Hydroxide

Purified water


6.2 Major incompatibilities


None


6.3 Shelf life, when necessary after reconstitution of the medicinal products or when the immediate packaging is opened for the first time


3 years


6.4 Special precautions for storage


Do not store above 25C.


6.5 Nature and composition of immediate packaging


White syringe impervious to light made of high density polyethylene, containing 5g paste. The adjustable injector is sealed with a high density polyethylene cap.


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


Any unused product, or waste material should be disposed of in accordance with national requirements.


7. MARKETING AUTHORISATION HOLDER


Intervet UK Ltd.

Walton

Milton Keynes, Bucks.

MK7 7AJ


8. MARKETING AUTHORISATION Number


Vm 01708/4448

9. Date of first AUTHORISation or date of renewal of the authorisation


14 April 2003

10. Date of Revision of text


June 2006


11. Any other information required by the Secretary of State