Medine.co.uk

Rimadyl Small Animal Solution For Injection 50 Mg/Ml

Issued: August 2013

AN: 00540/2013


SUMMARY OF PRODUCT CHARACTERISTICS


1. NAME OF THE VETERINARY MEDICINAL PRODUCT


Rimadyl Small Animal Solution for Injection 50 mg/ml


2. QUALITATIVE AND QUANTITATIVE COMPOSITION


Active Ingredient: mg/ml

Carprofen 50.0


Preservative:

Benzyl Alcohol 10.0


For the full list of all other excipients see section 6.1


3. PHARMACEUTICAL FORM


Solution for injection.


4. CLINICAL PARTICULARS


4.1 Target species


Canine and feline.


4.2 Indications for use, specifying the target species


Dogs: For the control of post-operative pain and inflammation following orthopaedic and soft tissue (including intra-ocular) surgery.

Cats: For the control of post-operative pain following surgery.


4.3 Contraindications


Do not administer by intra-muscular injection.

Do notexceed the stated dose or the duration of treatment.

Do not use in animals suffering from cardiac, hepatic or renal disease, where there is a possibility of gastro-intestinal ulceration or bleeding hypersensitivity to the product. As with other NSAIDs there is a risk of rare idiosyncratic renal or hepatic adverse events.

Do not administer other NSAIDs concurrently or within 24 hours of each other. Some NSAIDs may be highly bound to plasma proteins and compete with other highly bound drugs, which can lead to toxic effects.



Special warnings for each target species


None.


4.5 Special precautions for use

Special precautions for use in animals

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

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

Concurrent administration of potential nephrotoxic drugs should be avoided.

NSAID’s can cause inhibition of phagocytosis and hence in the treatment of inflammatory conditions associated with bacterial infection, appropriate concurrent antimicrobial therapy should be instigated.

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


Avoid contact with skin and eyes. Wash off any splashes immediately with clean, running water. Seek medical attention if irritation persists.

Care should be taken to avoid self-injection. If accidental self-injection occurs, seek medical attention immediately.


4.6 Adverse reactions (frequency and seriousness)


None.


Use during pregnancy, lactation or lay


In the absence of any specific studies in pregnant target animals, such use is not indicated.


4.8 Interaction with other medicinal products and other forms of interaction


No significant druginteractions have been reported for carprofen. The acute toxicity of carprofen in animals was not significantly affected in tests with fifteen commonly used (or commonly available) drugs. These were acetylsalicylic acid, amphetamine, atropine, chlorpromazine, diazepam, diphenhydramine, ethyl alcohol, hydrochlorothiazide, imipramine, meperidine, propoxyphene, penobarbital, sulfisoxazole, tetracycline and tolbutamide. (Jeunet, 1982).

Rimadyl Small Animal Solution for Injection should not be administered concurrently, or within 24 hours of another NSAID, or in conjunction with glucocorticosteroids.

Whilst carprofen and warfarin may both be bound to plasma proteins, they may be used concurrently provided the clinical situation is carefully monitored since it has been shown that they bind to two distinct sites on human and bovine serum albumin [Sudlow et al (1976), Crouthamel and Popick (1979) and Jeunet (1982)].


4.9 Amounts to be administered and administration route

Dogs: The recommended dosage is 4.0 mg/kg bodyweight (1 ml/12.5kg bodyweight), by intravenous or subcutaneous injection, best given pre- operatively, either at the time of premedication or induction of anaesthesia. To extend analgesic and anti-inflammatory cover post-operatively, parenteral therapy may be followed with Rimadyl tablets at 4mg/kg/day for up to 5 days.

Cats: The recommended dosage is 4 mg/kg (0.24ml/3.0kg bodyweight) by subcutaneous or intravenous injection, best given pre-operatively at the time of induction of anaesthesia. Due to the longer half life in cats and narrower therapeutic index particular care should be taken not to exceed the recommended dose and the use of a 1 ml graduated syringe is recommended to measure the dose accurately.

Clinical trial evidence in dogs and cats suggests only a single dose of carprofen is required in the first 24 hours peri-operatively; if further analgesia is required within this period, a single half dose (2 mg/kg) of carprofen may be given to dogs (but not cats) as necessary.


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


There is no specific antidote for carprofen overdosage but general supportive therapy, as applied to clinical overdosage with NSAID’s, should be applied.


Withdrawal period(s)


Not applicable.


5. PHARMACOLOGICAL PROPERTIES


Mechanism of Action

Carprofen is a member of the 2-arylpropionic acid group of non-steroidal anti-inflammatory drugs (NSAIDs), and possesses anti-inflammatory, analgesic and antipyretic activity.

Carprofen, like most other NSAIDs is an inhibitor of the enzyme cyclo-oxygenase of the arachidonic acid cascade. However, the inhibition of prostaglandin synthesis by carprofen is slight in relation to its anti-inflammatory and analgesic potency. At therapeutic doses in the dog, horse and cat, inhibition of the products of cyclo-oxygenase (prostaglandins and thromboxanes) or lipoxygenase (leucotrienes) has been absent or slight.

Since prostaglandin inhibition is thought to underlie the principal toxic side effects of NSAIDs, lack of cyclo-oxygenase inhibition may explain the excellent gastro-intestinal and renal tolerance of carprofen seen in these species. The precise mode of action of carprofen has not yet been fully elucidated.


6. PHARMACEUTICAL PARTICULARS


6.1 List of excipients


L Arginine

Glycocholic Acid

Lecithin (soya)

Sodium Hydroxide Pellets

Sodium Hydroxide

Benzyl Alcohol

Hydrochloric Acid

Water for Injections


6.2 Incompatibilities


None known.


6.3 Shelf-life


3 years.

In use shelf life: 28 days.


6.4. Special precautions for storage


Store in a refrigerator (2 to 8oC). Do not freeze. Once broached, the product is stable at temperatures up to 25oC for 28 days. Following withdrawal of the first dose, the product should be used within 28 days or discarded.


Nature and composition of immediate packaging


20ml multidose amber (Type 1) vial of approximately 20mm diameter, capped with a grey butyl rubber stopper and aluminium seal.


6.6 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 material derived from such veterinary medicinal products should be disposed of in accordance with local requirements.


7. MARKETING AUTHORISATION HOLDER


Zoetis UK Limited

5thFloor, 6 St. Andrew Street

London

EC4A 3AE


8. MARKETING AUTHORISATION NUMBER


Vm42058/4123


9. DATE OF THE FIRST AUTHORISATION


Date: 4thFebruary 1999


10. DATE OF REVISION OF THE TEXT


Date: August 2013


Approved:30/08/2013


Page 5 of 5