Medine.co.uk

Paramove, 49.5% W/W Hydrogen Peroxide Concentrate For Solution For Fish Treatment

Revised: August 2015

AN: 00471/2015

SUMMARY OF PRODUCTS CHARACTERISTICS

1.

NAME OF THE VETERINARY MEDICINAL PRODUCT


Paramove, 49.5% w/w Hydrogen Peroxide concentrate for solution for fish treatment.

2.

QUALITATIVE AND QUANTITATIVE COMPOSITION


Active Substance


49.5% w/w Hydrogen Peroxide


Excipients


Disodium dihydrogen diphosphate

Nitric Acid

Demineralised Water

3.

PHARMACEUTICAL FORM


Concentrate for solution for fish treatment.

The product is a clear, colourless liquid.

4.

CLINICAL PARTICULARS

4.1

Target species


Atlantic Salmon

4.2

Indications for use, specifying the target species


For the treatment of salmon suffering from infestation with motile (pre-adult to adult) sea lice, Lepeophtheirus salmonis or Caligus spp, prior to the stage where serious tissue damage occurs.

4.3

Contraindications


Do not exceed the recommended concentration of hydrogen peroxide.


Do not use at high water temperatures.


Extreme care should be taken if using hydrogen peroxide at water temperatures above 14°C. If treatment is unavoidable, hydrogen peroxide concentration and contact time should be reduced. If signs of atypical behaviour, e.g. fish losing equilibrium or hyperactivity are observed, treatment should be stopped immediately.


Do not use in fish with a mean weight of less than 200g.


Do not treat fish which are showing clinical signs of previous gill damage. If signs of atypical behaviour, e.g. fish losing equilibrium or hyperactivity are observed, treatment should be stopped immediately. An assessment of gill condition and the possibility of other stressors e.g. algal blooms should be made before commencement of treatments.


Do not use in stressed fish.

4.4

Special warnings


Repeated use of the same chemotherapeutic agent may encourage the development of resistance to the agent.


4.5

Special precautions for use

i.

Special precautions for use in animals


If problems occur when raising nets or setting the tarpaulin extending the time that fish are constricted within the treatment bath, extra care should be taken as fish may be unduly stressed prior to hydrogen peroxide addition.


In the event that fish begin to lose their equilibrium and possibly begin to sink during treatment with hydrogen peroxide, tarpaulins must be removed immediately. Residual hydrogen peroxide should be flushed from the cage using the wash from a boat.


Oxygen sparges should remain in the cage even if they are not used during the treatment. This provides the ability to agitate moribund fish preventing them settling on the floor of the net. Affected fish should recover after a short period when nets may be dropped to their full extent.


If during treatment with hydrogen peroxide fish become hyperactive, this may be indicative of increased hydrogen peroxide concentrations or that fish have become unduly stressed.


Hydrogen peroxide concentration may be tested using the Solvay test method and dissolved oxygen should be monitored to prevent an oxygen crash occurring. In the event that the hydrogen peroxide and dissolved oxygen concentration are normal but hyperactivity persists, treatment should be stopped. This should prevent a subsequent oxygen crash and minimise scaling of fish.


The nets should be partially lowered to increase the volume of water available

to the fish and hydrogen peroxide residuals should be flushed away using the

wash from a boat. These actions should relieve any undue stress to the fish.

The activity of the fish should be allowed to return to normal before the nets are completely dropped.

ii.

Special precautions for the person administering the veterinary medicinal product to animals




Xn HARMFUL


Oxidising Agent



Corrosive


Do not attempt to administer the product unless you have been fully trained to handle and use the product, and are fully aware of operational and safety procedures.


This product can cause skin, eye and respiratory irritation.


Avoid breathing in product fumes, and avoid contact with skin and eyes.


Wear personal protective equipment whilst handling this product, consisting of chemically resistant headgear, face shield or safety goggles, chemically resistant PVC acid suit / oilskins, chemically resistant PVC gloves (with cuff under suit) and safety rubber wellington boots (with suit over boots).


Before commencing handling of this product ensure a supply of fresh water and preferably eye wash solutions are available.


Wash hands after use.


In case of accidental exposure to the product, immediately soak all clothing with copious volumes of water, from a water supply, remove any contaminated clothing and thoroughly clean the contaminated clothing before re-using.


In case of accidental contact with eyes, rinse immediately with plenty of clean running water and seek medical advice.


After contact with skin, wash immediately with plenty of water.



In case of accident or if you feel unwell, seek medical advice immediately (show the label where possible).


In case of accidental ingestion of the product, seek medical attention immediately showing the physician the product label.

iii

Other precautions


Depending on regional requirements, the user may need to apply for and obtain consent for discharge. Check with the relevant regional legislative body e.g. SEPA in Scotland.


The most important mechanism for removal of hydrogen peroxide in coastal waters is dilution and degradation which are increased by water movements including the flushing effects in sea lochs. Do not use at times of slack water as poor dilution and dissociation of residuals may occur. After treatment care should be taken to provide sufficient water exchange through the net to dilute residual hydrogen peroxide. The wash from a boat’s propeller may be used to increase water exchange in cases where low water exchange rates cannot be avoided. These measures will help to prevent possible adverse effects on aquatic life.


Do not allow concentrated product to contaminate wood, paper, grass or any other combustible materials as this may cause fire.


A water hose or other plentiful water supply should be available to dilute any spills and leaks of the product.


Do not return any product to original container.

Use clean and vented containers to retain any spilled product.

4.6

Adverse reactions (frequency and seriousness)


Adverse reactions with the product are rare.


Any cellular damage to the gill during treatment is transient and reparable. See Section 4.3.


However, common signs that an adverse reaction is occurring include: fish losing equilibrium and possibly sinking, and fish becoming hyperactive which may as a result of increased Hydrogen Peroxide concentrations or increasing fish stress levels.


Measures to treat fish undergoing adverse reactions are detailed in section 4.5.

4.7

Use during pregnancy, lactation or lay


Not applicable.




4.8

Interaction with other medicinal products and other forms of interaction


Hydrogen peroxide should not interact with other medicaments as it is not systemic and is purely a physical treatment. If fish are stressed due to over handling or disease, any form of lice treatment would produce further stress. However, this may be less detrimental than the lice burden.


Where medicaments have been given and gill function may be compromised, hydrogen peroxide should not be administered.


Refer to section 4.5 for further information.

4.9

Amount(s) to be administered and administration route


For external use only.


As the volume of water enclosed within the tarpaulin, temperature and duration of treatment impact on efficacy, the dosing instructions and regimen should be adhered to.


By total enclosure method at a concentration of approximately 1500 mgl-1 as hydrogen peroxide for a maximum of 20 minutes contact.


Infested fish should be bathed in 1500 mgl-1 hydrogen peroxide for a period of between 15 and 20 minutes. The contact time being dependent on the final concentration of hydrogen peroxide. The contact time should be decreased as water temperature exceeds 14°C.


The product is administered by the total enclosure method in which the fish cage net is raised to an approximate depth, e.g. 2 m. Then a tarpaulin is drawn beneath the net to produce the treatment bath. When this procedure has been accomplished, checks should be made to ensure that fish do not become trapped within folds of the net. Sufficient oxygen diffusers should be placed in the treatment enclosure to support the number and size of fish present. Oxygen should now be applied to the system.


Care should be taken when setting the tarpaulin so as not to unduly reduce the volume of the treatment bath. If fish treatment densities are too high, scaling and hyperactivity may occur. A suggested maximum treatment density would be 150 kgm-3 but this would be dependent on fish size, year class etc. Fish must not be fed for at least 24 hours prior to treatment.


If nets are heavily fouled, care should be taken when using hydrogen peroxide. Bottle weights should be applied around the periphery of the treatment bath to prevent flotation of the net. These should be applied before commencing treatment.


The estimated volume of the product to produce the treatment concentration of approximately 1500 mgl-1 hydrogen peroxide should now be administered using safe and compatible dosing equipment.


To achieve an effective concentration of 1500 mgl-1 in a cage, you will need approximately 2.6 litres of the product for every metre cube of water to be treated.


The following steps should be followed before any treatment commences.


Assess the water volume to be treated in m3.


Multiply the water volume by 2.55 to obtain the volume in litres of product required to achieve a concentration of 1500 mgl-1 hydrogen peroxide.


Add the product to the cage using the dedicated dosing equipment and the volume scale on the IBC to measure the approximate volume.


Once the addition is complete, a sample of the treated water should be taken and analysed immediately to obtain the confirmation of concentration in the cage.


Samples of water should be taken at several points to assess the concentration of the treatment solution using the simple titration test method provided.


If the treatment concentration is found to be low, sufficient hydrogen peroxide should be added to achieve the treatment concentration.


The required volume of produce to be added may be estimated from the following table:


Locate the concentration as measured on assay in the row across the top.


Proceed down this column to reach the row associated with the initial estimated volume.


The resulting figure gives the additional volume to be added to the pen.


Estimated

water

volume

(m3)

Volume of

Paramove

to add (L)

Estimated

water volume

(m3)

Additional volume Paramove to add in litres if reading is

(mgl-1)




700

800

900

1000

1100

1200

1300

1400

25

64

25

73

56

42

32

23

16

10

5

50

127

50

146

111

85

64

46

32

20

9

75

191

75

218

167

127

95

69

48

29

14

100

255

100

291

223

170

127

93

64

39

18

125

318

125

364

279

212

159

116

80

49

23

150

382

150

437

334

255

191

139

95

59

27

175

446

175

509

390

297

223

162

111

69

32

200

509

200

582

446

340

255

185

127

78

36

225

573

225

655

501

382

286

208

143

88

41

250

637

250

728

557

424

318

231

159

98

45

275

700

275

800

613

467

350

255

175

108

50

300

764

300

873

668

509

382

278

191

118

55

325

828

325

946

724

552

414

301

207

127

59

350

891

350

1019

780

594

446

324

223

137

64

375

955

375

1091

836

637

477

347

239

147

68

400

1019

400

1164

891

679

509

370

255

157

73

425

1082

425

1237

947

722

541

394

271

167

77

450

1146

450

1310

1003

764

573

417

286

176

82

475

1210

475

1382

1058

806

605

440

302

186

86

500

1273

500

1455

1114

849

637

463

318

196

91

750

1910

750

2183

1671

1273

955

694

477

294

136

1000

2546

1000

2910

2228

1698

1273

926

637

392

182

2000

5093

2000

5821

4456

3395

2546

1852

1273

784

364

3000

7639

3000

8731

6684

5093

3820

2778

1910

1175

546

5000

12732

5000

14551

11141

8488

6366

4630

3183

1959

909

If treatment concentration is high, the contact time may be reduced or the tarpaulin should be dropped. A contact time of between 15-20 minutes should prove sufficient for effective removal of lice.


Measurement of the concentration of hydrogen peroxide in solution should be continued during the treatment and after the tarpaulin has been removed to ensure efficient dispersion has occurred.


During the treatment, fish must be observed for any signs of atypical behaviour. If fish appear distressed, e.g. losing equilibrium or becoming hyperactive during the treatment, remove the tarpaulin and lower the net. Reference should be made to section 4.5.


After treatment ensure that residual hydrogen peroxide is dispersed in the local vicinity as quickly as possible, perhaps using the wash of a boat propeller.


Merckoquant 110011 teststicks (Graduations: 0.5-2-5-10-25 mg/l) or Reflectoquant teststicks Merck 116974 (Range 0.2 – 20 mg/l) or similar commercially available test kits may be used to monitor low levels of residual hydrogen peroxide.

Methods of analysis, advice on test kits, dosing equipment and product handling, and Safety Data Sheets for the product are available from the supplier.


A second application may be required (dependent on routine lice monitoring), to ensure the removal of previously surviving chalami, which will have moulted through to pre-adult stages. Care should be taken not to allow a build up of mature lice as resettlement of copepodids could occur.


Where possible, treatments should be conducted during periods of high tidal flow to ensure good dispersal of residual hydrogen peroxide and dislodged lice. This will minimise any possible resettlement of lice.

4.10

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


An overdose situation may occur by two methods:

Addition of too much hydrogen peroxide to the treatment bath producing a higher concentration than recommended.


In this event refer to contraindications and warnings.

Extended contact period above the recommended 15-20 minutes. This may be due to the poor dispersion of hydrogen peroxide after treatment. In this event refer to contraindications and warnings.


Strong solutions of hydrogen peroxide produce irritation and ‘burning’ of skin and

mucous membranes or gills.


Emergency procedures: remove tarpaulins immediately and flush hydrogen peroxide

from the cage using the wash from a boat.

4.11

Withdrawal period(s)


Meat: zero days

5.

PHARMACOLOGICAL PROPERTIES



Pharmacotherapeutic group:



Dermatological; antiseptics and disinfectants



ATC Vet Code:


QD08AX01

5.1

Pharmacodynamic properties


Water containing hydrogen peroxide may diffuse into the body of the lice or be drawn into the gut by normal biological processes, e.g. feeding. Once within the body of the louse, dissociation to of the hydrogen peroxide in to oxygen and water may cause temporary or permanent disruption to internal structures, causing the parasite to detach from the host.


Resistance to hydrogen peroxide has been reported on one farm after fish were treated with hydrogen peroxide regularly (41 treatments) over a 6 year period. The proposed mechanisms of resistance were genetic selection of individuals with a cuticle that provides a barrier to penetration by hydrogen peroxide or the presence of detoxifying enzymes.


5.2

Pharmacokinetic properties


Absorption


As hydrogen peroxide is administered typically as a 20 minute bath treatment, absorption by the host is considered to be negligible.


Distribution


Not applicable.


Biotransformation


The possibility of any biotransformation is small, due to the unlikelihood of absorption occurring, and hydrogen peroxide being broken down by catalase and other enzymes. These may be considered as natural routes of detoxification and would occur very rapidly.


Elimination


As above, break down of any hydrogen peroxide residual would be enzymic. Excretion of hydrogen peroxide would not occur.


5.3


Environmental properties


6.

PHARMACEUTICAL PARTICULARS

6.1

List of excipients


Disodium dihydrogen diphosphate (Na2H2P2O7)

Nitric acid (HNO3)

Demineralised Water

6.2

Incompatibilities


Keep away from acids, alkalis, reducing agents and metal salts.

6.3

Shelf life


10 months


6.4

Special precautions for storage


Store in closed original container.


Do not return product to original container.

Store in a secure place and out of reach of children


Do not store above 25°C. Protect from direct sunlight. Store away from heat sources.


Do not store containers on rafts at sea.

6.5

Nature and composition of immediate packaging


Single use Intermediate Bulk Containers (IBCs) of 1100 Kg.


Reusable stainless steel ISO-containers of 22,900 Kg or 26, 000 Kg.

6.6

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


Harmful to aquatic life. Do not contaminate water courses or confined inlets with concentrated product as high concentrations may be deleterious to some marine species. Any unused veterinary medicinal product or waste materials derived from such veterinary medicinal products should be disposed of in accordance with local requirements.

7

MARKETING AUTHORISATION HOLDER


Solvay Chemicals International S. A.

Rue de Ransbeek 310

B-1120 Brussels

Belgium

8.

MARKETING AUTHORISATION NUMBER


Vm 31011/4000

9.

DATE OF FIRST AUTHORISATION


19 December 2012

10.

DATE OF REVISION OF THE TEXT


August 2015



Approved: 13 August 2015

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