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A business unit of Dechra Pharmaceuticals PLC - Dechra-US.com

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<strong>Dechra</strong> Veterinary Products<br />

Limited<br />

(A <strong>business</strong> <strong>unit</strong> <strong>of</strong> <strong>Dechra</strong><br />

<strong>Pharmaceuticals</strong> <strong>PLC</strong>)<br />

Sansaw Business Park<br />

Hadnall, Shrewsbury<br />

Shropshire SY4 4AS<br />

Tel: 01939 211200 Fax: 01939 211201<br />

Email: info.uk@dechra.<strong>com</strong><br />

Website: www.dechra.<strong>com</strong><br />

ATIPAM® 5.0 MG/ML SOLUTION FOR INJECTION<br />

FOR CATS AND DOGS<br />

Presentation 1 ml contains: Active substance:<br />

Atipamezole hydrochloride 5.0 mg (equivalent to<br />

4.27 mg atipamezole base)<br />

Excipient: Methyl parahydroxybenzoate (E218) 1.0<br />

mg. Also contains sodium chloride, sodium hydroxide<br />

(for pH adjustment), hydrochloric acid (for pH<br />

adjustment), water for injections.<br />

Clear and colourless, sterile, aqueous solution for<br />

injection.<br />

Uses Atipamezole hydrochloride is a selective<br />

alpha2-antagonist and is indicated for reversal <strong>of</strong> the<br />

sedative effects <strong>of</strong> medetomidine and dexmedetomidine<br />

in cats and dogs.<br />

Dosage and administration For single intramuscular<br />

injection in cats and dogs. Use <strong>of</strong> an appropriately<br />

graduated syringe is re<strong>com</strong>mended to ensure accurate<br />

dosing when administering small volumes. Atipamezole<br />

is generally administered 15-60 minutes<br />

after the medetomidine or dexmedetomidine injection.<br />

Dogs: The atipamezole hydrochloride dose (in μg<br />

(micrograms)) is five times that <strong>of</strong> the previous<br />

medetomidine hydrochloride dose or ten times that<br />

<strong>of</strong> the dexmedetomidine hydrochloride dose. Due to<br />

the 5-fold higher concentration <strong>of</strong> the active ingredient<br />

(atipamezole hydrochloride) in this product <strong>com</strong>pared<br />

to that <strong>of</strong> preparations containing 1 mg<br />

medetomidine hydrochloride per ml, and the 10-fold<br />

higher concentration <strong>com</strong>pared to that <strong>of</strong> preparations<br />

containing 0.5 mg dexmedetomidine hydrochloride,<br />

an equal volume <strong>of</strong> each preparation is<br />

required.<br />

Dosage example dogs:<br />

Medetomidine 1.0 mg/ml<br />

solution for injection<br />

Dosage:<br />

0.04 ml/kg body weight, i.e.<br />

40 μg/kg body weight<br />

Dexmedetomidine 0.5 mg/<br />

ml solution for injection<br />

Dosage:<br />

0.04 ml/kg body weight, i.e.<br />

20 μg/kg body weight<br />

Atipam 5.0 mg/ml solution<br />

for injection<br />

Dosage:<br />

0.04 ml/kg body weight, i.e.<br />

200 μg/kg body weight<br />

Atipam 5.0 mg/ml solution<br />

for injection<br />

Dosage:<br />

0.04 ml/kg body weight, i.e.<br />

200 μg/kg body weight<br />

Cats: The atipamezole hydrochloride dose (in μg<br />

(micrograms)) is 2.5 times that <strong>of</strong> the previous<br />

medetomidine hydrochloride dose, or 5 times that <strong>of</strong><br />

the dexmedetomidine hydrochloride dose. Due to the<br />

5-fold higher concentration <strong>of</strong> the active ingredient<br />

(atipamezole hydrochloride) in this product <strong>com</strong>pared<br />

to that <strong>of</strong> preparations containing 1 mg medetomidine<br />

hydrochloride per ml, and the 10-fold higher<br />

concentration <strong>com</strong>pared to that <strong>of</strong> preparations containing<br />

0.5 mg dexmedetomidine hydrochloride, half<br />

the volume <strong>of</strong> the product to that <strong>of</strong> the previously<br />

administered medetomidine or dexmedetomidine<br />

should be given.<br />

Dosage example cats:<br />

Medetomidine 1.0 mg/ml<br />

solution for injection<br />

Dosage:<br />

0.08 ml/kg body weight, i.e.<br />

80 μg/kg body weight<br />

Dexmedetomidine 0.5 mg/<br />

ml solution for injection<br />

Dosage:<br />

0.08 ml/kg body weight, i.e.<br />

40 μg/kg body weight<br />

Atipam 5.0 mg/ml solution<br />

for injection<br />

Dosage:<br />

0.04 ml/kg body weight, i.e.<br />

200 μg/kg body weight<br />

Atipam 5.0 mg/ml solution<br />

for injection<br />

Dosage:<br />

0.04 ml/kg body weight, i.e.<br />

200 μg/kg body weight<br />

The recovery time is shortened to approximately 5<br />

minutes. Animals be<strong>com</strong>e mobile after approximately<br />

10 minutes after administration <strong>of</strong> the product.


2 DECHRA VETERINARY PRODUCTS LIMITED<br />

Contraindications, warnings, etc The product<br />

should not be used in:<br />

Breeding animals.<br />

Animals suffering from liver or renal diseases.<br />

See also Use during pregnancy and lactation section.<br />

Special precautions for use in animals: After administration<br />

<strong>of</strong> the product, the animal should be allowed<br />

to rest in a quiet place. During recovery time the<br />

animal should not be left unattended.<br />

Due to different dosing re<strong>com</strong>mendations caution<br />

should be taken if using the product <strong>of</strong>f-label in<br />

animals other than the target species.<br />

If sedatives other than (dex)medetomidine are<br />

given, it must be kept in mind that the effects <strong>of</strong> those<br />

other agents may persist after reversal <strong>of</strong><br />

(dex)medetomidine.<br />

Atipamezole does not reverse the effect <strong>of</strong> ketamine,<br />

which may cause seizures in dogs and elicit<br />

cramps in cats when used alone. Do not administer<br />

atipamezole within 30-40 minutes <strong>of</strong> prior administration<br />

<strong>of</strong> ketamine.<br />

Special precautions to be taken by the person<br />

administering the veterinary medicinal product to<br />

animals: Due to the potent pharmacological activity<br />

<strong>of</strong> atipamezole, skin, eye and mucous membrane<br />

contact with this product should be avoided. In case<br />

<strong>of</strong> accidental contact <strong>of</strong> the product with skin or eyes<br />

rinse abundantly with fresh water. Seek medical<br />

attention if irritation persists. Remove contaminated<br />

clothes that are in direct contact with the skin. Care<br />

should be taken to avoid accidental ingestion or selfinjection.<br />

In case <strong>of</strong> accidental oral intake or selfinjection,<br />

seek medical advice immediately and show<br />

the data sheet to the physician.<br />

Adverse reactions: A transient hypotensive effect<br />

has been observed during the first 10 minutes postinjection<br />

<strong>of</strong> atipamezole hydrochloride. In rare cases<br />

hyperactivity, tachycardia, salivation, atypical vocalisation,<br />

muscle tremor, vomiting, increased respiratory<br />

rate, uncontrolled urination and uncontrolled<br />

defecation may occur. In very rare cases recurrence<br />

<strong>of</strong> sedation may occur or the recovery time may not<br />

be shortened after administration <strong>of</strong> atipamezole.<br />

In cats, when using low doses to partially reverse<br />

the effects <strong>of</strong> medetomidine or dexmedetomidine,<br />

the possibility <strong>of</strong> hypothermia (even when aroused<br />

from sedation) should be guarded against.<br />

Use during pregnancy and lactation: The safety <strong>of</strong><br />

the product has not been documented adequately<br />

during pregnancy and lactation. Therefore use is not<br />

re<strong>com</strong>mended during pregnancy and lactation.<br />

Interactions: A simultaneous administration <strong>of</strong> atipamezole<br />

with other centrally acting medicinal products,<br />

such as diazepam, acepromazine or opiates is<br />

not re<strong>com</strong>mended.<br />

Overdose: Overdose <strong>of</strong> atipamezole hydrochloride<br />

may result in transient tachycardia and over-alertness<br />

(hyperactivity, muscle tremor). If necessary, these<br />

symptoms may be reversed by a medetomidine<br />

hydrochloride dose which is lower than the usual<br />

clinical dose.<br />

If atipamezole hydrochloride is inadvertently administered<br />

to an animal not previously treated with<br />

(dex)medetomidine hydrochloride, hyperactivity and<br />

muscle tremor may occur. These effects may persist<br />

for about 15 minutes.<br />

In<strong>com</strong>patibilities: In the absence <strong>of</strong> <strong>com</strong>patibility<br />

studies, this veterinary medicinal product must not<br />

be mixed with other veterinary medicinal products in<br />

the same syringe.<br />

Pharmaceutical precautions This veterinary medicinal<br />

product does not require any special storage<br />

conditions. Do not use after the expiry date stated on<br />

the label after EXP.<br />

Shelf life <strong>of</strong> the veterinary medicinal product as<br />

packaged for sale: 3 years<br />

Shelf life after first opening the container: 28 days.<br />

Any remaining content <strong>of</strong> the product should be<br />

disposed <strong>of</strong> after this period.<br />

Disposal: Any unused veterinary medicinal product<br />

or waste materials derived from such veterinary<br />

medicinal products should be disposed <strong>of</strong> in accordance<br />

with local requirements.<br />

Legal category POM-V<br />

Packaging quantities Cardboard box with 1 clear<br />

glass type I vial <strong>of</strong> 5, 10 or 20 ml, with a teflon coated<br />

halogenated rubber stopper and aluminium cap. Not<br />

all pack sizes may be marketed.<br />

Further information For animal treatment only.<br />

Keep out <strong>of</strong> the reach and sight <strong>of</strong> children.<br />

To be supplied only on veterinary prescription.<br />

Manufacturer responsible for batch release: Eurovet<br />

Animal Health BV, Handelsweg 25, 5531 AE<br />

Bladel, The Netherlands.<br />

Date <strong>of</strong> last review: June 2013<br />

Marketing authorisation holder (if different from<br />

distributor) Eurovet Animal Health BV, Handelsweg<br />

25, 5531 AE Bladel, The Netherlands.<br />

Marketing authorisation number Vm 16849/4011<br />

GTIN (Global Trade Item No)<br />

Atipam 5.0 mg/ml Solution for Injection for Dogs and<br />

Cats 5 ml: 08714225151776<br />

Atipam 5.0 mg/ml Solution for Injection for Dogs and<br />

Cats 10 ml: 08714225151783<br />

Requested by: kate.gittins@dechra.<strong>com</strong><br />

Creation date: 10/7/2013 10:58:45 (UK)<br />

Approved datasheets found: 1<br />

Approved for book but not on website: 0<br />

Datasheets marked as draft (ignored): 0


❚❚❚ WITHDRAWAL PERIODS FOR ANIMAL MEDICINES WITHDRAWAL PERIODS FOR ANIMAL MEDICINES ❚❚❚<br />

Product Company Cattle<br />

Milk<br />

Cattle<br />

Meat<br />

Sheep<br />

Meat<br />

Pigs<br />

Meat<br />

Poultry<br />

Meat<br />

Poultry<br />

Eggs<br />

Fish<br />

Meat<br />

Notes<br />

Atipam 5.0 mg/ml Solution for Injection for Cats<br />

and Dogs<br />

<strong>Dechra</strong> Veterinary Products<br />

Limited<br />

- - - - - - - -


Directory <strong>of</strong> participants<br />

page<br />

<strong>Dechra</strong> Veterinary Products<br />

Limited<br />

(A <strong>business</strong> <strong>unit</strong> <strong>of</strong> <strong>Dechra</strong><br />

<strong>Pharmaceuticals</strong> <strong>PLC</strong>)<br />

Sansaw Business Park<br />

Hadnall, Shrewsbury<br />

Shropshire SY4 4AS<br />

Tel: 01939 211200<br />

Fax: 01939 211201<br />

email: info.uk@dechra.<strong>com</strong><br />

www.dechra.<strong>com</strong> 000


LIST OF PRODUCTS BY THERAPEUTIC INDICATION 5<br />

List <strong>of</strong> Products by Therapeutic Indication<br />

PHARMACEUTICALS<br />

Neurological preparations<br />

Others<br />

Atipam 5.0 mg/ml Solution for Injection for<br />

Cats and Dogs 1<br />

THERAPEUTIC


6 LIST OF PRODUCTS BY SPECIES<br />

List <strong>of</strong> Products by Species<br />

Please note that a species in brackets after a product name may not necessarily be a part <strong>of</strong> that product name<br />

but is intended to make the index easier to use.<br />

Cats<br />

Atipam 5.0 mg/ml Solution for Injection for Cats and<br />

Dogs 1<br />

Dogs<br />

Atipam 5.0 mg/ml Solution for Injection for Cats and<br />

Dogs 1<br />

SPECIES


LIST OF PRODUCTS BY ACTIVE INGREDIENTS 7<br />

List <strong>of</strong> Products by Active Ingredients<br />

This index <strong>of</strong> non-proprietary names (active ingredients) is provided to enable users <strong>of</strong> the Compendium to<br />

identify the brand names <strong>of</strong> relevant products when only the non-proprietary names are known.<br />

It should be noted that although different products may contain the same active ingredient this does not imply<br />

that they are equivalent in regard to bioavailability or therapeutic activity.<br />

Some products contain a number <strong>of</strong> ingredients and it has not been possible in every instance to identify such<br />

products by a reference in this index to each ingredient.<br />

Key<br />

Non-proprietary name in bold type. Proprietary name in ordinary type.<br />

Atipamezole Hydrochloride<br />

Atipam 5.0 mg/ml Solution for Injection for Cats<br />

and Dogs 1<br />

ACTIVE INGREDIENTS


Alphabetical Index <strong>of</strong> Products<br />

Atipam 5.0 mg/ml Solution for<br />

Injection for Cats and Dogs 1<br />

ALPHABETICAL

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