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Prednisolone ad us. vet. - Veyx-Pharma GmbH

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� Excellent gluconeogenetic effect<br />

� Antiphlogistic<br />

� Antiallergic<br />

<strong>Prednisolone</strong><br />

<strong>ad</strong> <strong>us</strong>. <strong>vet</strong>.<br />

10 mg/ml s<strong>us</strong>pension for injection<br />

Active substance: prednisolone<br />

F 2.6<br />

<strong>Prednisolone</strong> is a synthetic glucocorticoid with a medium term effect. <strong>Prednisolone</strong><br />

promotes the gluconeogenesis and th<strong>us</strong> it induces a rapid increase in the blood<br />

glucose level and the glycogen content in the liver. In particular, this effect is<br />

<strong>us</strong>ed therapeutically for metabolic disorders (e.g. ketosis). Furthermore,<br />

prednisolone is effective as an antiphlogistic, anti-proliferative and antiallergic.<br />

The antiphlogistic and antiallergic effect is based on inhibiting inflammatory<br />

tissue reactions, as well as preventing the release of histamine. Moreover,<br />

prednisolone inhibits the formation of mediators of inflammation from the<br />

arachidonic acid casc<strong>ad</strong>e, and also, in fact, the products of cyclooxygenesis<br />

(prostaglandins) as well as the lipoxygenesis (leukotrienes).<br />

Name and <strong>ad</strong>dress of the marketing authorization holder and of the<br />

manufacturing authorisation holder responsible for batch release<br />

<strong>Veyx</strong>-<strong>Pharma</strong> <strong>GmbH</strong><br />

Soehreweg 6<br />

34639 Schwarzenborn, Germany<br />

Name of the <strong>vet</strong>erinary medicinal product:<br />

<strong>Prednisolone</strong> <strong>ad</strong> <strong>us</strong>. <strong>vet</strong>.<br />

10 mg/ml s<strong>us</strong>pension for injection for cattle, horses, dogs and cats<br />

Active substance: prednisolone<br />

Statement of the active substance and other ingredients<br />

1 ml contains:<br />

Active substance:<br />

<strong>Prednisolone</strong> 10.0 mg<br />

Excipients:<br />

Benzyl alcohol 20.0 mg<br />

Indications<br />

<strong>Prednisolone</strong> <strong>ad</strong> <strong>us</strong>. <strong>vet</strong>. is effective palliatively (supportively) in the therapy of<br />

the following diseases:<br />

For intram<strong>us</strong>cular and subcutaneo<strong>us</strong> <strong>us</strong>e for primary ketosis in cattle, for allergies,<br />

in case of noninfectio<strong>us</strong> traumatic or degenerative inflammations, for sterile<br />

inflammatory processes and for a complementary therapy in noninfectio<strong>us</strong> skin<br />

diseases. For intra-articular application in case of acute non-infectio<strong>us</strong> arthritis,<br />

bursitis and tendovaginitis.<br />

With the application of prednisolone, the indication is always to be checked<br />

thoroughly.<br />

Contraindications<br />

<strong>Prednisolone</strong> <strong>ad</strong> <strong>us</strong>. <strong>vet</strong>. is not be <strong>us</strong>ed for:<br />

– Existing gastrointestinal ulcera, poorly healing wounds and abscesses, fractures<br />

– Aseptic bone necrosis (intra-articular <strong>us</strong>e)<br />

– Septic processes in the joint region (intra-articular <strong>us</strong>e)<br />

– Viral infections, systemic mycosis<br />

– Generally immune deficiency<br />

– Glaucoma, cataract<br />

– Osteoporosis, hypocalcaemia<br />

– Hyper<strong>ad</strong>renocorticism<br />

– Hypertension<br />

– Pancreatitis<br />

– In cattle during the final third of gestation<br />

– In food-producing horses.<br />

Existing bacterial and parasitic infections m<strong>us</strong>t be eliminated in the first instance<br />

<strong>us</strong>ing an appropriate treatment prior to the commencement of the therapy with<br />

<strong>Prednisolone</strong> <strong>ad</strong> <strong>us</strong>. <strong>vet</strong>.<br />

Relative contraindications that demand special preventive measures are:<br />

– Diabetes mellit<strong>us</strong> (controlling blood values and where appropriate increasing<br />

the insulin dosage)<br />

– Congestive cardiac insufficiency (careful monitoring)<br />

– Chronic kidney insufficiency (careful monitoring)<br />

– Epilepsy (avoidance of long-term therapy)


The application of glucocorticoids should only occur after strict positioning<br />

of the indication in:<br />

– Growing animals and old animals<br />

– Suckling animals<br />

– Gestating animals, beca<strong>us</strong>e of the in<strong>ad</strong>equately clarified potentially<br />

teratogenic effects of prednisolone<br />

– Equines, as glucocorticoid induced laminitis can occur as a complication.<br />

With vaccinations, an appropriate time interval should be maintained for a<br />

therapy with glucocorticoids. An active immunisation should not be carried<br />

out during and for 2 weeks after a glucocorticoid therapy. The development<br />

of an <strong>ad</strong>equate immunity through a protective vaccination that was carried<br />

out up to 8 weeks prior to the commencement of therapy can be affected.<br />

Adverse reactions<br />

– ACTH suppression, reversible dis<strong>us</strong>e atrophy of the <strong>ad</strong>renal cortex<br />

– Immunosuppression with elevated risk of infection and negative outcomes<br />

for the course of infections<br />

– Delayed healing of wounds and bones, osteoporosis, arthropathy, m<strong>us</strong>cular<br />

atrophy, retarded growth with disturbed bone growth and damage of the<br />

bone matrix in young animals<br />

– Diabetogenic effect with reduced glucose tolerance, steroid induced diabetes<br />

mellit<strong>us</strong> and worsening of an existing diabetes mellit<strong>us</strong><br />

– C<strong>us</strong>hing-syndrome<br />

– Pancreatitis<br />

– Degr<strong>ad</strong>ation of the myoclonic threshold, manifestation of a latent epilepsy,<br />

euphoriant effect, states of excitement, spor<strong>ad</strong>ic depression in cats, in<br />

dogs – spor<strong>ad</strong>ic depression and aggressivity<br />

– Atrophoderma<br />

– Glaucoma, cataract<br />

– Polydipsia, polyphagia, polyuria<br />

– Gastrointestinal ulcers<br />

– Reversible hepatopathy<br />

– Thrombotic tendency<br />

– Hypertension<br />

– Sodium retention with oedema formation, hypokaliaemia, hypocalcaemia<br />

– Induction of parturition in cattle in the final third of gestation, subsequently<br />

increased retained placenta<br />

– Temporary reduction in milk yield in cattle<br />

– Laminitis in horses<br />

If you notice any serio<strong>us</strong> effects or other effects not mentioned in this leaflet,<br />

please inform your <strong>vet</strong>erinary surgeon or pharmacist.<br />

Target species<br />

Horse, cattle, dog, cat<br />

Dosage for each species, routes and method of <strong>ad</strong>ministration<br />

For intram<strong>us</strong>cular, subcutaneo<strong>us</strong> and intra-articular injection.<br />

For single application.<br />

Horse: 0.5 to 1.0 mg prednisolone per kg body weight i.m./s.c.,<br />

equivalent to<br />

0.05 to 0.1 ml <strong>Prednisolone</strong> <strong>ad</strong> <strong>us</strong>. <strong>vet</strong>. per kg body weight.<br />

5 to 250 mg prednisolone per joint intra-articular,<br />

equivalent to<br />

0.5 to 25 ml <strong>Prednisolone</strong> <strong>ad</strong> <strong>us</strong>. <strong>vet</strong>. per joint.<br />

Cattle: 0.2 to 0.5 mg prednisolone per kg body weight i.m./s.c.,<br />

equivalent to<br />

0.02 to 0.05 ml <strong>Prednisolone</strong> <strong>ad</strong> <strong>us</strong>. <strong>vet</strong>. per kg body weight<br />

5 to 250 mg prednisolone per joint intra-articular, equivalent to<br />

0.5 to 25 ml <strong>Prednisolone</strong> <strong>ad</strong> <strong>us</strong>. <strong>vet</strong>. per joint.<br />

Dog, Cat: 0.2 to 0.5 mg prednisolone per kg body weight i.m./s.c.,<br />

equivalent to<br />

0.02 to 0.05 ml <strong>Prednisolone</strong> <strong>ad</strong> <strong>us</strong>. <strong>vet</strong>. per kg body weight<br />

5 to 20 mg prednisolone per joint intra-articular, equivalent to<br />

0.5 to 2 ml <strong>Prednisolone</strong> <strong>ad</strong> <strong>us</strong>. <strong>vet</strong>. per joint.<br />

Advice on correct <strong>ad</strong>ministration<br />

Care should be taken with intra-articular application that the maximum<br />

systemic dose based on the weight of the animal is not exceeded.<br />

Shake before <strong>us</strong>e.<br />

Withdrawal period<br />

Cattle: Edible tissues: 18 days, Milk: 1 day<br />

Horse: Not applicable<br />

In horses intended for human consumption, following the final treatment a<br />

withdrawal period of 6 months for meat, offal and milk is to be <strong>ad</strong>hered to.<br />

There is a compulsory documentation requirement for pharmaceutical<br />

treatments in the Equine passport (Part III B).<br />

In horses not intended for human consumption, the requirements for a<br />

withdrawal period do not apply and recording in the equine passport is<br />

voluntary (Part III B).<br />

Special storage precautions<br />

Do not store above 25 °C. Keep the vial in the outer carton.<br />

Do not <strong>us</strong>e after the expiry date which is stated on the label and box.<br />

Once broached, <strong>us</strong>e within 28 days.<br />

Special warnings<br />

Special precautions for <strong>us</strong>e in animals:<br />

A severe progression of infections can occur under glucocorticoid therapy,<br />

such as <strong>Prednisolone</strong> <strong>ad</strong> <strong>us</strong>. <strong>vet</strong>. The <strong>vet</strong>erinarian responsible for the therapy<br />

is to be notified where there is an outbreak of infections.<br />

Special precautions to be taken by the person <strong>ad</strong>ministering the <strong>vet</strong>erinary<br />

medicinal product to animals:<br />

Not applicable<br />

Interaction with other medicaments and other forms of interaction:<br />

Mixing with other medicaments is to be avoided beca<strong>us</strong>e of possible<br />

incompatibility.<br />

– Decreased cardiac glycoside tolerance following potassium deficiency<br />

– Intensified potassium losses with simultaneo<strong>us</strong> giving of thiazide and loop<br />

diuretics.<br />

– Increased risk of gastrointestinal ulcers and gastrointestinal bleeding with<br />

simultaneo<strong>us</strong> treatment of nonsteroidal antiphlogistics<br />

– Decreased efficacy of insulin<br />

– Decreased glucocorticoid efficacy with the giving of enzyme inducing<br />

medicaments (e.g. barbiturates)<br />

– Increased intraocular pressure in a combined treatment with anticholinergics<br />

– Decreased efficacy of anticoagulants<br />

– Suppression of skin reactions with intracutaneo<strong>us</strong> allergy tests<br />

Special precautions for the disposal of un<strong>us</strong>ed or waste materials, if any:<br />

Medicines should not be disposed of via wastewater or ho<strong>us</strong>ehold waste. Ask<br />

your <strong>vet</strong>erinary surgeon how to dispose of medicines no longer required.<br />

These measures should help to protect the environment.<br />

Other information<br />

Vial (100 ml)<br />

To be supplied only on <strong>vet</strong>erinary prescription<br />

<strong>Veyx</strong>-<strong>Pharma</strong> is GMP, DIN EN ISO 9001: 2000 and QS certified.<br />

<strong>Veyx</strong>-<strong>Pharma</strong> <strong>GmbH</strong> · Soehreweg 6 · 34639 Schwarzenborn · Germany<br />

Phone 0049 5686 9986-0 · Fax 0049 5686 1489 · E-Mail zentrale@veyx.de<br />

www.veyx.de<br />

06/2009

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