Country: United Kingdom
Language: English
Source: VMD (Veterinary Medicines Directorate)
Colistin Sulphate
Livisto Int'l S.L.
QA07AA10
Colistin Sulphate
Concentrate for oral solution
POM-V - Prescription Only Medicine – Veterinarian
Cattle, Chickens, Pigs, Sheep, Turkeys
Antimicrobial
Authorized
2015-05-06
Revised: October 2020 AN: 00428/2020 Page 1 of 6 SUMMARY OF PRODUCT CHARACTERISTICS 1. NAME OF THE VETERINARY MEDICINAL PRODUCT Colfive 5,000,000 IU/ml Concentrate for Oral Solution for Calves, Pigs, Lambs, Chickens and Turkeys 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Each ml contains: ACTIVE SUBSTANCE: Colistin sulfate 5,000,000 IU EXCIPIENTS: Benzyl alcohol (E1519) 10 mg For the full list of excipients, see section 6.1. 3. PHARMACEUTICAL FORM Concentrate for oral solution Clear orange-brown solution 4. CLINICAL PARTICULARS 4.1 TARGET SPECIES Cattle (calves), pigs, sheep (lambs), chickens and turkeys 4.2 INDICATIONS FOR USE, SPECIFYING THE TARGET SPECIES Calves, lambs, pigs, chickens, turkeys: Treatment and metaphylaxis of enteric infections caused by non-invasive _E. coli_ susceptible to colistin sulfate. The presence of the disease in the herd should be established before metaphylactic treatment. 4.3 CONTRAINDICATIONS Do not use in known cases of hypersensitivity to colistin sulfate or to any of the excipients. Do not use in known cases of resistance to polymyxins. Do not use in horses, particularly in foals, since colistin sulfate, due to a shift in the gastrointestinal microflora balance could lead to the development of antimicrobial associated colitis (Colitis X), typically associated with _Clostridium difficile_, which may be fatal. 4.4 SPECIAL WARNINGS FOR EACH TARGET SPECIES Revised: October 2020 AN: 00428/2020 Page 2 of 6 As an adjunct to treatment, good management and hygiene practices should be introduced in order to reduce the risk of infection and to control the potential build up of resistance. Colistin sulfate exerts concentration-dependent activity against Gram-negative bacteria. Following oral administration high concentrations are achieved in the gastrointestinal tract, i.e. the target site, due to the poor absorption of the substance. These factors indicate that a longer duration of treatment than the one indicated in section 4.9, leading to unnecessary exposure, is not recommended. 4.5 SPE Read the complete document