Land: Vereinigte Staaten
Sprache: Englisch
Quelle: NLM (National Library of Medicine)
FLUNIXIN MEGLUMINE (UNII: 8Y3JK0JW3U) (FLUNIXIN - UNII:356IB1O400)
COVETRUS
INTRAVENOUS
PRESCRIPTION
Horse: Flunixin meglumine injectable solution is recommended for the alleviation of inflammation and pain associated with muscoskeletall disorders in the horse. It is also recommended for the alleviation of visceral pain associated with colic in the horse. Cattle: Flunixin meglumine injectable solution is indicated for the control of pyrexia associated with bovine respiratory disease, endotoxemia and acute bovine mastitis. Flunixin meglumine injectable solution is also indicated for the control of inflammation in endotoxemia. CONTRAINDICATIONS Horse: There are no known contraindications to this drug when used as directed. Intra-arterial injection should be avoided. Horses inadvertently injected intra-arterially can show adverse reactions. Signs can be ataxia, incoordination, hyperventilation, hysteria, and muscle weakness. Signs are transient and disappear without antidotal medication within a few minutes. Do not use in horses showing hypersensitivity to flunixin meglumine. Cattle: NSAIDs inhibit production of prostaglandins which are important in signaling the initiation of parturition. The use of flunixin can delay parturition and prolong labor which may increase the risk of stillbirth. Do not use flunixin meglumine injectable solution within 48 hours of expected parturition. Do not use in animals showing hypersensitivity to flunixin meglumine. Use judiciously when renal impairment or gastric ulceration are suspected. SAFETY Horse: A 3-fold intramuscular dose of 1.5 mg/lb of body weight daily for 10 consecutive days was safe. No changes were observed in hematology, serum chemistry, or urinalysis values. Intravenous dosages of 0.5 mg/lb daily for 15 days; 1.5 mg/lb daily for 10 days; and 2.5 mg/lb daily for 5 days produced no changes in blood or urine parameters. No injection site irritation was observed following intramuscular injection of the 0.5 mg/lb recommended dose. Some irritation was observed following a 3-fold dose administered intramuscularly. Cattle: No flunixin-related changes (adverse reactions) were noted in cattle administered a 1X (2.2 mg/kg; 1.0 mg/lb) dose for 9 days (three times the maximum clinical duration). Minimal toxicity manifested itself at moderately elevated doses (3X and 5X) when flunixin was administered daily for 9 days, with occasional findings of blood in the feces and/or urine. Discontinue use if hematuria or fecal blood are observed.
HOW SUPPLIED Flunixin meglumine injectable solution, 50 mg/mL, is available in 100 mL and 250 mL multi-dose vials.
Abbreviated New Animal Drug Application
FLUNIXIN MEGLUMINE INJECTABLE SOLUTION- FLUNIXIN MEGLUMINE INJECTION COVETRUS ---------- ANADA #200-387, APPROVED BY FDA FLUNIXIN MEGLUMINE INJECTABLE SOLUTION 50 MG/ML STERILE SOLUTION, MULTI-DOSE VIAL, VETERINARY NOT FOR USE IN HUMANS KEEP OUT OF REACH OF CHILDREN FOR INTRAVENOUS OR INTRAMUSCULAR USE IN HORSES AND FOR INTRAVENOUS USE IN BEEF AND DAIRY CATTLE. NOT FOR USE IN DRY DAIRY COWS AND VEAL CALVES. CAUTION Federal law restricts this drug to use by or on the order of a licensed veterinarian. DESCRIPTION Each milliliter of flunixin meglumine injectable solution contains flunixin meglumine equivalent to 50 mg flunixin, 0.1 mg edetate disodium, 2.2 mg sodium formaldehyde sulfoxylate, 4.0 mg diethanolamine, 207.2 mg propylene glycol, 5.0 mg phenol as preservative, hydrochloric acid, water for injection q.s. PHARMACOLOGY Flunixin meglumine is a potent, non-narcotic, nonsteroidal, analgesic agent with anti- inflammatory and antipyretic activity. It is significantly more potent than pentazocine, meperidine, and codeine as an analgesic in the rat yeast paw test. HORSE: Flunixin is four times as potent on a mg-per-mg basis as phenylbutazone as measured by the reduction in lameness and swelling in the horse. Plasma half-life in horse serum is 1.6 hours following a single dose of 1.1 mg/kg. Measurable amounts are detectable in horse plasma at 8 hours postinjection. CATTLE: Flunixin meglumine is a weak acid (pKa=5.82) which exhibits a high degree of plasma protein binding (approximately 99 percent). However, free (unbound) drug appears to readily partition into body tissues (V prediction range from 297 to 782 mL/kg. Total body water is approximately equal to 570 mL/kg). In cattle, elimination occurs primarily through biliary excretion. This may, at least in part, explain the presence of multiple peaks in the blood concentration/time profile following IV administration. In healthy cattle, total body clearance has been reported to range from 90 to 151 mL/kg/hr. These studies also report a large discrepancy between Lesen Sie das vollständige Dokument