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Small Animal Clinical Pharmacology - CYF MEDICAL DISTRIBUTION

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EXTERNAL PARASITICIDES<br />

an acute oral LD 50 in the dog of more than 10,000 mg/<br />

kg. Efficacy and safety are improved if coadministered<br />

with food and efficacy is further enhanced if the drug is<br />

micronized.<br />

Use in cats is not advised, with vomiting, inappetence<br />

and posterior paresis being reported.<br />

EXTERNAL PARASITICIDES<br />

Perhaps because of the visibility of external parasites<br />

and their effects (both psychological and physical) on<br />

humans in close contact, external parasiticides are<br />

among the most widely used and misused drugs in dogs<br />

and cats. Without professional advice from veterinarians<br />

concerning the most appropriate treatment and<br />

control programs, continued failures of long-term management<br />

can be expected. External parasiticides alone<br />

can never be expected to completely control infection<br />

as they must be combined with measures to ensure that<br />

sources of reinfection are eliminated.<br />

Typical claims are summarized in Table 10.5. It<br />

should be emphasized that label directions take priority<br />

and must be followed. In many countries (e.g. Australia<br />

and the USA) most external parasiticides must be used<br />

only as labeled; even veterinarians are not permitted by<br />

law to deviate from labeled directions.<br />

Contraindications and precautions<br />

While warnings and precautions vary between countries<br />

and labeled statements must be observed, typical considerations<br />

that may apply are presented below.<br />

● Concurrent treatments. Other insecticides and<br />

acaricides that could interact should be used<br />

carefully or avoided.<br />

● Sick and convalescing animals. Use should be<br />

avoided or particular care taken.<br />

● Lactating animals. Use should be avoided or<br />

particular care taken.<br />

● Pregnant animals. Use should be avoided or<br />

particular care taken.<br />

● Young animals. Use of organophosphates in<br />

animals less than 3–6 months is usually avoided.<br />

● Paralysis tick. Where complete efficacy is necessary<br />

(e.g. with Ixodes holocyclus control) parasiticide<br />

treatment should be supplemented with thorough<br />

daily searching of the coat.<br />

● Human safety:<br />

– Do not permit children access to pesticide<br />

formulations.<br />

– Keep away from food.<br />

– Wash hands thoroughly with soap and water<br />

after handling.<br />

– Protective clothing may be necessary.<br />

Formulations and dose rates<br />

While some dosage forms for external parasite control<br />

are available for oral administration or injection, most<br />

are administered externally. Some of the features of<br />

these formulations are described below.<br />

Collars<br />

A description of typically available collars is presented<br />

in Table 10.5.<br />

Table 10.5 Ectoparasiticide dosage forms<br />

Dosage<br />

form<br />

Active constituent Use rate Species Indication and typical duration of action<br />

Ticks 1 Ix. holocyclus Fleas Other<br />

Collars<br />

g/kg collar<br />

FORM Amitraz 90 D 2 m 2 m<br />

OP Chlorpyrifos 80/40 D/C 5/4 m 9/8 m<br />

SP Deltamethrin 40 D 5–6 m 6 m Ph 5–6 m<br />

OP Diazinon 150 D,C 5 m 9 m<br />

SP<br />

Flumethrin<br />

22.5<br />

D 5 m 6 w 5 m<br />

[<br />

CARB<br />

+ propoxur<br />

100<br />

OP Naled 150/100 D/C 1 m 4 m<br />

BOT<br />

Pennyroyal oil +<br />

40<br />

D,C<br />

10 w<br />

[<br />

BOT<br />

eucalyptus oil<br />

10<br />

SP Permethrin 80 D,C 4 m 4 m<br />

CARB Propoxur 100 D,C 5 m<br />

IGR Pyriproxifen 5 C 13 m<br />

IGR<br />

Pyriproxifen<br />

2.5<br />

D,C 5 m 5 m<br />

[<br />

OP<br />

+ diazinon<br />

150<br />

IGR S-methoprene 10/20 D/C 6 m<br />

221

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