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Ibaflin - patient leaflet, side effects, dosage

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Patient leaflet - Ibaflin

1. NAME OF THE VETERINARY MEDICINAL PRODUCT

Ibaflin 30 mg tablets for dogs

Ibaflin 150 mg tablets for dogs

Ibaflin 300 mg tablets for dogs

Ibaflin 900 mg tablets for dogs

2. QUALITATIVE AND QUANTITATIVE COMPOSITION

Each tablet of Ibaflin contains:

Active substance(s)

Ibafloxacin 30 mg



Ibafloxacin 150 mg

Ibafloxacin 300 mg

Ibafloxacin 900 mg

Excipients

For a full list of excipients, see section 6.1.

3. PHARMACEUTICAL FORM

Tablet



4. CLINICAL PARTICULARS


4.1 Target species


Dogs


4.2 Indications for use


Ibaflin is indicated for the treat Dermal infections (pyoderma



of Staphylococci, E. coli, Acute, uncomplicated uri spp., Enterobacter spp., E Respiratory tract infectio Klebsiella spp.


ent of the following conditions in dogs:

uperficial and deep, wounds, abscesses) caused by susceptible strains teus mirabilis.

ct infections, caused by susceptible strains of Staphylococci, Proteus


oli and Klebsiella spp.

(upper tract) caused by susceptible strains of Staphylococci, E. coli, and


4.3 Contraindi­cations


Do not use in dogs during the period of growth as articular cartilage may be affected. This period depends on the breed. For the majority of breeds the use of ibafloxacin is contra-indicated in dogs less than 8 months of age and in giant breeds less than 18 months.

Do not use in combination with non-steroidal anti-inflammatory drugs (NSAIDs) in dogs with a history of seizures.


ecial warnings for each target species



not use in dogs with known quinolone hypersensitivity.


  • 4.5 Special precautions for use

    uld

    erlying


Heavy reliance on a single class of antibiotic may result in the induction of resistance in a bac population. It is prudent to reserve the fluoroquinolones for the treatment of clinical conditions w have responded poorly, or are expected to respond poorly, to other classes of antibiotic. Ibaflin only be used based on susceptibility testing.

Special precautions for use in animals

Pyoderma is mostly secondary to an underlying disease. It is advisable to determi cause and to treat the animal accordingly.

Special precautions to be taken by the person administering the product

Persons with known hypersensitivity to quinolones should avoid any contact wi Medicinal advice should be sought in the event of accidental ingestion, particul

roduct. a child.


4.6 Adverse reactions (frequency and seriousness)

Diarrhoea, soft faeces, vomiting, dullness and anorexia have been obse effects were mild and transient.


ith low frequency. These


4.7 Use during pregnancy, lactation or lay

Can be used during pregnancy. The safety of the veterinary medicinal product has not been established during lactation.

The influence on fertility in male breeding dogs has not been studied.

4.8 Interaction with other medicinal products and other forms of interaction

Fluoroquinolones should not be used in combination with non-steroidal anti-inflammatory drugs (NSAIDs) in dogs with a history of seizures. Antacids can interfere with gastro-intestinal absorption of quinolones. Antagonism may be observed with nitrofurantoin.

Oral use, 15 mg ibafloxacin severity of the infection and sufficient. If necessary and de


response is considered t improvement in the clini improvement is not seen af reconsidered.

To ensure a correct dosag underdosing. The following


4.9 Posology and method of admini


dequate. The treatment should be reconsidered if at 5 days no

ondition is observed. If in cases of deep pyoderma, sufficient er a treatment course of 21 days, it is recommended that the treatment is

e body weight should be determined as accurately as possible to avoid dosage scheme is advised:

Body weight (kg)"

posage (number of tablets)

mg

administered

Ibaflin 30 mg

Ibaflin 150 mg

Ibaflin

300mg

Ibaflin 900 mg

1

0.5

15

Jb2 C >

1

30

1.5

45

2

60

b^f

0.5

75

1/6–10

1

150

I 11–15

1.5

225

16–20

1

300

21–30

0.5

450

31–40

2

600 «

41–60

1

900 £

4.10 Overdose (symptoms, emergency procedures, antidotes), if necessary



Target animal safety studies in dogs of 8 months of age demonstrated that, when administ 45 mg/kg/day (three times the recommended dose) for a period of 90 days, ibafloxaci observable adverse effects.

No specific antidotes for ibafloxacin (or other quinolones) are known, therefore, in case of overdosage symptomatic treatment should be given.



ally at duced no


4.11 Withdrawal periods


Not applicable.


5. PHARMACOLOGICAL PARTICULARS


Pharmacodynamic properties



Pharmacotherapeutic group: antibacterial quinolone ATCvet co Ibaflin contains ibafloxacin as active ingredient. Ibafloxacin i the fluoroquinolo­ne class.

Ibafloxacin is a broad spectrum, bactericidal antibiotic. Its ac


QJ 01 MA

synthetic antimicrobial substance of


tion results from inhibition of bacterial


DNA gyrase. The most abundant metabolite is 8-hydroxy-ibafloxacin, which is also microbiologically active. Ibafloxacin and 8-hydroxy-ibafloxacin act synergystically. For ibafloxacin (parent compound), MIC values ranging from 0.032 – 0.5 ^g/ml are^bserved for canine isolates of E. coli, Staphylococcus spp., Proteus mirabilis, strains of Pasteurella spp. and Salmonella spp.

A strain which is resistant to a fluoroquinolone will also be resistant to other members of the class of fluoroquinolones.


Pharmacokinetic particulars



After oral administration in dog microbiologically active comp life is approximately 4–5 hours.


consequences for efficacy. maximal bioavailability. The main excretory route reached after the first or

enzymes occurs.



ibafloxacin is rapidly absorbed with maximum plasma levels of btained at 1–2 hours after administration. Terminal plasma half-aflin can be administered at any time of the day without , it is preferred to administer the tablet at feeding time to ensure


ia urine and faeces. After multiple oral administration, steady state is econd dosing and no accumulation or induction of biotransformation


6.1 Lis


6. PHAR

UTICAL PARTICULARS


ients


Yeast

Starch


laurylsulphate

Silica

agnesium stearate

6.2 Incompatibilities

Not applicable.

6.3 Shelf-life

150mg and 300mg tablets: 4 years

30mg and 900mg tablets: 3 years

6.4 Special precautions for storage

Do not store above 25°C.

6.5 Nature and contents of container


30 mg tablets:

150 mg tablets:


300 mg tablets:


900 mg tablets:


  • – Carton box with 20 or 100 tablets in PVC/aluminium heat sealed blisters

  • – Carton box with 10, 20 or 100 tablets in PVC/aluminium heat sealed blisters

  • – Carton box with 10, 20 or 100 tablets in PVC/PVDC/aluminium blisters

  • – Carton box with 8, 16 or 80 tablets in PVC/aluminium heat sealed blisters

  • – Carton box with 8, 16 or 80 tablets in PVC/PVDC/aluminium blisters

  • – Carton box with 5, 25 or 50 tablets in PVC/aluminium heat sealed blisters.


6.6 Special precautions for the disposal of unused medicinal product or waste materials, if any

Any unused veterinary medicinal product or waste materials derived from such veterinary medicinal products should be disposed of in accordance with local requirements.

7. MARKETING AUTHORISATION HO


Intervet International B.V.

Wim de Körverstraat 35 5831 AN Boxmeer The Netherlands

8. Marketing Authorisati


EU/2/00/022/001–008

EU/2/00/022/013–017


9. Date of first a


08.07.2005 /



isation/renewal of the authorisation


10.   Date of revision of the text

26.05.2

Detailed information on this product is available on the website of the European Medicines Agency


Prohibition of sale, supply and/or use

ot applicable.


1. NAME OF THE VETERINARY MEDICINAL PRODUCT


Ibaflin 3% oral gel for dogs and cats

Ibaflin 7.5% oral gel for dogs


2. QUALITATIVE AND QUANTITATIVE COMPOSITION


Each (pre-filled syringe of) Ibaflin Oral Gel contains:


Active substance(s)


Ibaflin 3% Oral Gel: 30 mg of ibafloxacin per g of gel (equivalent to 30.9 mg/ml);

Ibaflin 7.5% Oral Gel: 75 mg of ibafloxacin per g of gel (equivalent to 78.8 mg/ml


Excipients


Methyl parahydroxybenzoate (0.125%)


For a full list of excipients, see section 6.1.


3. PHARMACEUTICAL FORM


Oral gel


4. CLINICAL PARTICULARS


Target species


Dogs and cats


4.2 Indications for use



Ibaflin gel is indicated in dogs for the treatment of the following conditions:


Dermal infections (pyoderm pathogens such as Staphylo



perficial and deep, wounds, abscesses) caused by susceptible spp, E. coli and Proteus mirabilis.


Ibaflin gel is indicated in cats for treatment of the following conditions:


Dermal infectio as Staphylococc


: tissue infections – wounds, abscesses) caused by susceptible pathogens such E. coli, Proteus spp. and Pasteurella spp.


Upper respiratory tract infections caused by susceptible pathogens such as Staphylococcus spp, E. coli, Klebsiella spp. and Pasteurella spp.


4.3 Contraindications



No information is available on the influence of ibafloxacin on developing articular cartilage in the cat during the period of rapid growth as articular cartilage may be affected. Therefore, ibafloxacin should used in cats aged less than 8 months. In dogs, this period depends on the breed. For the majority ds, the use of ibafloxacin is contra-indicated in dogs less than 8 months of age and in giant s less than 18 months old.


aflin 7.5% Oral Gel should not be used in cats.


  • 4.4 Special warnings for each target species

    terial


Pyoderma is mostly secondary to an underlying disease. It is advisable to determine the underlying ca and treat the animal accordingly.

The influence on fertility in male breeding animals has not been investigated.

4.5 Special precautions for use

Heavy reliance on a single class of antibiotic may result in the induction of resistanc population. It is prudent to reserve the fluoroquinolones for the treatment of clinical ons that have responded poorly, or are expected to respond poorly, to other classes of antibiotic. Ibaflin gel should only be used based on susceptibility testing. Do not use in dogs and cats with known quinolone hypersensitivity.


Special precautions for use in animals

In order to avoid any cross contamination, the same syringe should not be used for different animals. Once a syringe is opened it should only be used to continue the treatment course in the same animal.


Special precautions to be taken by the person administering the pr

Persons with known hypersensitivity to quinolones should avoid contact with the veterinary medicinal product.

were observed with low frequency.


4.6 Adverse reactions (frequency and seriousness)

Diarrhoea, soft faeces, vomiting, dullness, anorexia an These effects were mild and transient.

  • 4.7 Use during pregnancy, lactation or lay


Can be used during pregnancy in dogs. The safety of the veterinary medicinal product has not been established in pregnant cats and in lactating dogs and cats.

  • 4.8 Interaction with other me

    cts and other forms of interaction


Fluoroquinolones should not be used in combination with non-steroidal anti-inflammatory drugs (NSAIDs) in dogs with a history of seizures. Anti-acids can interfere with gastro-intestinal absorption of quinolones. Antagonism may be observed with nitrofurantoin.

4.9 Posology and method of administration

Oral use, 15 mg ibafloxaci

dyweight once daily.

Cats and dogs

jlfn^/o Oral Gel

0.5 ml of gel per kg body weight

Dogs

4baf]]n 7.5% Oral Gel

1 ml of gel per 5 kg body weight.

To ensure a correct dosage body weight should be determined as accurately as possible to avoid underdosing. The syringe should be adjusted to the calculated dosage by setting the ring on the appropriate place on the plunger (steps of 0.5 ml for the 15 ml syringe and 1.0 ml for the 30 ml syringe).

The gel should be administered at the time of feeding.

The duration of treatment depends on the nature and severity of the infection and on the response seen. In most cases, a 10-day treatment course will be sufficient. If necessary and depending on the clinical response, treatment can be continued until the response is considered to be adequate. The treatment should be reconsidered if after 5 days no improvement in the clinical condition is observed.

f in cases of deep pyoderma, sufficient improvement is not seen after a treatment course of 21 days, it s recommended that the treatment is reconsidered.


4.10 Overdose (symptoms, emergency procedures, antidotes), if necessary


bial substance


When administered orally at 75 mg/kg/day (five times the recommended dose) for a period of 90 d in dogs, ibafloxacin was well tolerated. When administered over a period of 30 days to healthy cat Ibaflin oral gel produced vomiting/regur­gitation and salivation at doses of 15 to 75 mg/kg.


4.11 Withdrawal periods


Not applicable.


5. PHARMACOLOGICAL PARTICULARS


Ibaflin gel contains ibafloxacin as active ingredient. Ibafloxacin is a of the fluoroquinolo­ne class.


Pharmacodynamic properties


Pharmacotherapeutic group: antibacterial quinolone ATCvet code:

Ibafloxacin is a broad spectrum antibiotic with bactericidal action ing from inhibition of bacterial DNA gyrase. The most abundant metabolite is 8-hydroxy-ibafloxac ch is also microbiologically

active. lbafloxacin and 8-hydroxy-ibafloxacin act synergistically. r ibafloxacin (parent compound), MIC values ranging from 0.032 – 0.5 p g/ml are observed for canine isolates of E. coli, Staphylococcus spp. and Proteus mirabilis. In cats, relevant susceptible micro-organisms are E.coli, Staphylococcus spp., Pasteurella spp., Proteus spp. and llg ibafloxacin/ml).


Pharmacokinetic particulars



After oral administration to cats, ibafloxacin is rap sorbed with maximal plasma levels observed at 1 hour when administered without food and 2 hours when administered with food. In dogs the maximum plasma levels were observed at 2 hours when administered with or without food. Terminal


plasma half-life is approximately 3–5 ho administered with food. The main excret After repeated oral administration, steady occurs in dogs whereas-modest accumulai



The overall absorption was higher in dogs and cats when outes are via urine and faeces.

e is reached after the first dosing and no accumulation is observed in cats.


  • 6. PHARMACEUTICAL


ICULARS


6.1 List of excipients

Methyl parahydroxybenzoate (0.12 Potassium dihydrogen phophate

Disodium hydrogen phosph Carbomer (carbopol 974 PN Sodium hydroxide solution Water for injections

ate dihydrate


6.2

tibilities

Not

Shelf-life


s

helf-life after first opening: 8 weeks

6.4 Special precautions for storage

Do not store above 25°C.


Any syringes containing unused product should be disposed of once a course of treatment has been completed.

6.5 Nature and contents of container

White adjustable multidose pre-filled syringe consisting of high density polyethylene ( plunger and ring) and low density polyethylene (LDPE, cap and seal).

carton box with 1 × 15 ml (0.5 ml steps) pre-filled syringe (Ibaflin 3% Oral Gel carton box with 5 × 15 ml (0.5 ml steps) pre-filled syringes (Ibaflin 3% Oral Ge carton box with 1 × 30 ml (1 ml steps) pre-filled syringe (Ibaflin 7.5% Oral Gel carton box with 5 × 30 ml (1 ml steps) pre-filled syringes (Ibaflin 7.5% Oral Ge

6.6 Special precautions for the disposal of unused medicinal pro

aste materials, if any


Any unused veterinary product or waste materials derived from such veterinary medicinal products should be disposed of in accordance with local requirements.


7. MARKETING AUTHORISATION HOLDER

Intervet International B.V. Wim de Körverstraat 35 5831 AN Boxmeer The Netherlands

8. Marketing Authorisation number(s)

EU/2/00/022/09–12



9. Date of first authorisati


l of the authorisation


08.07.2005 / 26.05.2010



10. Date of revision of the text


26.05.2010



Detailed information on this product is available on the website of the European Medicines Agency (EMA)


Prohibi


sale, supply and/or use


Not applica


A.


MANUFACTURING AUTHORISATIO RELEASE


B.




ANNEX II


LDER RESPONSIBLE FOR BATCH


CONDITIONS OF THE MARKET UTHORISATION INCLUDING RESTRICTIONS REGARDING SUPPLY AND USE


PROHIBITION OF SALE, SUPPLY AND/OR USE


C.

STATEMENT OF THE

D.



A. MANUFACTURING AUTHORISATION HOLDER RESPONSIBLE FOR BATCH RELEASE

Tablets

Intervet GesmbH

Siemensstrasse 107

A-1210 Wien

Austria

Oral Gel

Intervet Productions S.A.

Rue de Lyons

27460 Igoville

France

Intervet International B.V.

Wim de Korverstraat 35 5831 AN Boxmeer The Netherlands

B. CONDITIONS OF THE MARKETING AUTHORISATION INCLUDING RESTRICTIONS REGARDING SUPPLY AND

Commission about the marketing


Veterinary medicinal product subject to prescription.

The holder of this marketing authorisation must in plans for the medicinal product authorised by this

C. PROHIBITION OF SALE, SUPPLY AND/OR USE

Not applicable

Not applicable

D. STATEMENT OF TH


20 tablets / 100 tablets

10 tablets / 20 tablets / 100 tablets

8 tablets /16 tablets / 80 tablets

5 tablets /25 tablets / 50 tablets


Dogs


Pyoderma (superficial an upper respiratory tract i

6. INDICATIONS

5. TARGET SPECIES

ounds, abscesses, acute uncomplicated urinary tract infections and

UTE(S) OF ADMINISTRATION


7. METH


Oral use, 15 mg per kg bodyweight once daily. Read the package insert before use.

cable.

DRAWAL PERIOD


9. SPECIAL WARNING(S), IF NECESSARY


Do not use during the period of growth or in combination with nonsteroidal anti-inflammatory d (NSAIDs) in dogs with a history of seizures. Do not use in dogs with a weight of less than 3 kg. Ib should only be used based on susceptibility testing. Do not use in dogs with known quinolone hypersensitivity.

Read the package insert before use.



10. EXPIRY DATE


(Month/year)


11. SPECIAL STORAGE CONDITIONS


Do not store above 25°C.


12. SPECIAL PRECAUTIONS FOR THE DISPOSAL O MATERIAL, IF ANY


PRODUCT OR WASTE


Any unused veterinary product or waste material derived fro be disposed of in accordance with local requirements.


veterinary medicinal products should


13. THE WORDS "FOR ANIMAL TREATM RESTRICTIONS REGARDING SUPP


For animal treatment only. Veterinary medicinal pr


NLY" AND CONDITIONS OR USE



uct subject to prescription.


14. THE WORDS "KEEP OUT OF TH E REACH AND SIGHT OF CHILDREN


Keep out of the reach and sight of ildren.


15. NAME AND ADD

Name and address of the

Intervet International B.V.

Wim de Korverstraat

5831 AN Boxmeer

The Netherl



THE MARKETING AUTHORISATION HOLDER


eting Authorisation Holder


16. MA


EU/2/00

EU/2/00


G AUTHORISATION NUMBER(S)


001–008

2/013–017



MANUFACTURER'S BAT­CH NUMBER

PARTICULARS TO APPEAR ON THE OUTER PACKAGE


box containing 5 adjustable pre-filled


C ARTON B OX FOR 1 SYRINGE I BAFLIN 3% ORAL GEL / C ARTON B OX FOR 5 SYRINGES I BAFLIN 3

ORAL GEL


  • 1. NAME OF THE VETERINARY MEDICINAL PRODUCT


Ibaflin 3% oral gel for dogs and cats.


  • 2. STATEMENT OF ACTIVE AND OTHER SUBSTANCES


Ibafloxacin


3. PHARMACEUTICAL FORM


Oral gel


  • 4. PACKAGE SIZE


1 adjustable pre-filled multidose syringe, containing 15 multidose syringes, each containing 15 ml Ibaflin 3% oral gel.


5. TARGET SPECIES


Dogs and cats


6. INDICATIONS


Ibaflin gel is indicated in dogs


ent of the following conditions:


Dermal infections (pyoderma— su perficial and deep, wounds, abscesses) caused by susceptible pathogens such as Staphylococcus spp., E. coli and Proteus mirabilis.

Ibaflin gel is indicated i

or treatment of the following conditions:


Dermal infcctionS(so^ tissue infections – wounds, abscesses) caused by susceptible pathogens such as Staphylococcus spp., E. coli, Proteus spp. and Pasteurella spp.

Upper respiratory tract infections caused by susceptible pathogens such as Staphylococcus spp., E. coli, Klebsiella spp. and Pasteurella spp.

MTHOD AND ROUTE(S) of administration

15 mg per kg bodyweight once daily.

kg bodyweight = 0.5 ml of gel per kg bodyweight the package insert before use.


8. WITHDRAWAL PERIOD


Not applicable.


9. SPECIAL WARNING(S), IF NECESSARY


Do not use during the period of growth. Ibaflin gel should be used based on susceptibility use in dogs and cats with known quinolone hypersensitivity.

Read the package insert before use.


10. EXPIRY DATE



m such veterinary medicinal products should


Any unused veterinary product or waste material be disposed of in accordance with local requirem



13. THE WORDS "FOR ANIMAL RESTRICTIONS REGARDIN


ATMENT ONLY" AND CONDITIONS OR Y AND USE


Keep out of the reach an

children.


For animal treatment only. Veterinary


icinal product subject to prescription.


14. THE WORDS "KEEP


F THE REACH AND SIGHT OF CHILDREN


15. NAME AND


SS OF THE MARKETING AUTHORISATION HOLDER

Name and address of the Marketing Authorisation Holder Intervet International B.V.

Wim de Korvelstiat 35

5831 AN The Neth


eer


2/00/022/09

U/2/00/022/10


ARKETING AUTHORISATION NUMBER(S)

PARTICULARS TO APPEAR ON THE OUTER PACKAGE


ntaining 30 ml Ibaflin 7.5% oral gel. /


C ARTON B OX FOR 1 SYRINGE I BAFLIN 7.5% ORAL GEL / C ARTON BOX FOR 5 SYRINGES I BAFLIN 7.5% ORAL GEL


1. NAME OF THE VETERINARY MEDICINAL PRODUCT


Ibaflin 7.5% oral gel for dogs.


2. STATEMENT OF ACTIVE AND OTHER SUBSTANCES


Ibafloxacin


3. PHARMACEUTICAL FORM


Oral gel


4. PACKAGE SIZE


Carton box containing 1 adjustable pre-filled multidose s


Carton box containing 5 adjustable pre-filled multidose syringes, containing 30 ml Ibaflin 7.5% oral gel.


5. TARGET SPECIES


Dogs


6. INDICATIONS


Ibaflin gel is indicated in dogs



ment of the following conditions:


Dermal infections (pyodermO ^jUperficial and deep, wounds, abscesses) caused by susceptible pathogens such as Staphylococcus spp., E. coli and Proteus mirabilis.


7. METHOD A

TE(S) OF ADMINISTRATION


Oral use, 15 mg per kg bodyweight once daily.

15 mg per kg bodyweight = 1 ml of gel per 5 kg bodyweight Read the package insert before use.

8.

No

DRAWAL PERIOD

able.


9. SPECIAL WARNING(S), IF NECESSARY


Do not use in cats.


USED PRODUCT OR WASTE


Do not use during the period of growth. Ibaflin gel should be used based on susceptibility testing. use in dogs with known quinolone hypersensitivity.

Read the package insert before use.


10. EXPIRY DATE


(Month/year)

Once opened use within 8 weeks.


11. SPECIAL STORAGE CONDITIONS


Do not store above 25°C.


12. SPECIAL PRECAUTIONS FOR THE DISPOSAL MATERIAL, IF ANY


Any unused veterinary product or waste material derived from such veterinary medicinal products should be disposed of in accordance with local requirements.


13. THE WORDS "FOR ANIMAL TREATMENT ONLY" AND CONDITIONS OR RESTRICTIONS REGARDING SUPPLY AND USE


Keep out of the reach and sight


Intervet Internat

Wim de Ko 5831 AN Bo

The Net


For animal treatment only. Veterinary

Name and address

15. NAME AND A

14. THE WORDS "KEEP

product subject to prescription.

Marketing Authorisation Holder

5


HE REACH AND SIGHT OF CHILDREN


SS OF THE MARKETING AUTHORISATION HOLDER


16.

e

s

0/022/11

0/022/12


RKETING AUTHORISATION NUMBER(S)



30 mg of ibafloxacin per tablet 150 mg of ibafloxacin per tablet 300 mg of ibafloxacin per tablet 900 mg of ibafloxacin per tablet


3. CONTENTS BY WEIGHT, BY VOLUME OR NUMBER OF DOSES

10, 20 or 100 tablets

8, 16 or 80 tablets

5, 25 or 50 tablets


Batch


7. EXP


4. ROUTE(S) OF ADMINISTRATI

5. WITHDRAWAL PERIO

Oral use, 15 mg per kg bodyweight on Read the package insert before use.

Not applicable.

6. BATCH NUM


EXP {month/year}


E WORDS "FOR ANIMAL TREATMENT ONLY


r animal treatment only.


kg body weight).


MINIMUM PARTICULARS TO APPEAR ON SMALL IMMEDIATE PACKAGING UNITS


I BAFLIN 3% ORAL GEL ADJUSTABLE MULTIDOSE SYRINGE


1. NAME OF THE VETERINARY MEDICINAL PRODUCT


Ibaflin 3% oral gel for dogs and cats


2. QUANTITY OF THE ACTIVE SUBSTANCE(S)


30 mg of ibafloxacin per ml of gel


3. CONTENTS BY WEIGHT, BY VOLUME OR NUMBER OF D


15 ml


4. ROUTE(S) OF ADMINISTRATION


Oral use, 15 mg per kg bodyweight once daily (i.e. 0.5 Read the package insert before use.


5. WITHDRAWAL PERIOD


Batch


Not applicable.

6. BATCH NUMBER

7. EXPIRY DATE

EXP {month/ Once opened

eks.

FOR ANIMAL TREATMENT ONLY


8. THE WO


For animal t


nt only.


I BAFLIN 7.5% ORAL GEL ADJUSTABLE MULTIDOSE SYRINGE

1. NAME OF THE VETERINARY MEDICINAL PRODUCT

Ibaflin 7.5% oral gel for dogs

2. QUANTITY OF THE ACTIVE SUBSTANCE(S)

75 mg of ibafloxacin per ml of gel

3. CONTENTS BY WEIGHT, BY VOLUME OR NUMBER OF DO

30 ml

4. ROUTE(S) OF ADMINISTRATION

5. WITHDRAWAL PERIOD

Not applicable.

6. BATCH NUMBER

Batch

7. EXPIRY DATE

8. THE W

For animal t

EXP {month/year}> Once opened use withi

kg body weight).

NIMAL TREATMENT ONLY


Oral use, 15 mg per kg bodyweight once daily (i.e. 1 ml of g Read the package insert before use.


P ackage insert for inclusion with the I baflin T ablets


1. NAME AND ADDRESS OF THE MARKETING AUTHORISATION HOLDER AND OF THE MANUFACTURING AUTHROISATION HOLDER RESPONSIBLE FOR BATCH RELEASE, IF DIFFERENT

Name and address of the Marketing Authorisation Holder Intervet International B.V.

Wim de Körverstraat 35

5831 AN Boxmeer

The Netherlands

Name and address of the Manufacturing Authorisation Holder responsible for batch release

Intervet GesmbH. Siemensstraße 107 1210 Vienna

Austria

2. NAME OF THE VETERINARY MEDICINAL PROD


Ibaflin 30 mg tablets for dogs

Ibaflin 150 mg tablets for dogs

Ibaflin 300 mg tablets for dogs

Ibaflin 900 mg tablets for dogs

SUBSTANCE(S)


3. sTATEMENT oF THE AcTiVE AND

Ibaflin 30 mg: ibafloxacin 30 mg

Ibaflin 150 mg: ibafloxacin 150 mg

Ibaflin 300 mg: ibafloxacin 300 mg

Ibaflin 900 mg: ibafloxacin 900 mg

4. iNDicATioNs



Ibaflin is indicated for the t Dermal infections (py such as Staphylococci, Acute, uncomplicat Proteus spp., Entero



tment of the following conditions in dogs:

^Superficial and deep, wounds, abscesses) caused by susceptible strains Proteus mirabilis.

ary tract infections, caused by susceptible strains such as Staphylococci, spp., E. coli and Klebsiella spp.


Respiratory tract infections (upper tract) caused by susceptible strains of Staphylococci, E. coli, and Klebsiella spp.


Do on


5. CO

NDICATIONS



not use in dogs during the period of growth as articular cartilage may be affected. This period depends the breed. For the majority of breeds the use of ibafloxacin is contra-indicated in dogs less than 8 nths of age, and in giant breeds less than 18 months.

not use in combination with nonsteroidal anti-inflammatory drugs (NSAIDs) in dogs with a history of ures.


  • 6. UNDESIRABLE EFFECTS

    TION

    ature and severity


Diarrhoea, soft faeces, vomiting, dullness and anorexia have been observed with low frequency. Thes effects are mild and transient.

If you notice any other side effects, please inform your veterinary surgeon.

7. TARGET SPECIES

Dog

8. DOSAGE FOR EACH SPECIES, ROUTE(S) AND METHOD OF AD

Oral use, 15 mg ibafloxacin/kg once daily. The duration of treatment depends on of the infection and on the response. In most cases, a 10-day treatment course will be sufficient. If necessary and depending on the clinical response, treatment can be continued until the response is considered to be adequate. The treatment should be re-considered if at 5 days no improvement in the clinical condition is observed.

If, in cases of deep pyoderma, sufficient improvement is not seen after a treatment course of 21 days, it is recommended that the treatment is reconsidered.

To ensure a correct dosage body weight should be determined as accurately as possible to avoid underdosing. The following dosage scheme is advised:

Body weight (kg)

Dosage (number of tab|etl^

J

mg. administered

Ibaflin 30 mg

Ibaflin

150 mg

Ibafl in omg

Ibaflin 900 mg

1

0.5

15

2

1

4

30

3

1.5

45

4

2

60

5

0fV

75

6–10

o

150

11–15

225

16–20

1

300

21–30

0.5

450

31–40

2

600

41–60

1

900

9. ADVICE ON CO

Ibaflin can be adminis


T ADMINISTRATION

at any time of the day without consequences for efficacy. However, it is preferred to administer the tablet at feeding time to ensure maximal bioavailability.


o not store above 25°C.

eep out of the reach and sight of children.


12. SPECIAL WARNING(S)


Persons with known hypersensitivity to quinolones should avoid any contact with the product. Th influence on fertility in male breeding dogs has not been studied.

Heavy reliance on a single class of antibiotic may result in the induction of resistance in a ba population. It is prudent to reserve the fluoroquinolones for the treatment of clinical conditio have responded poorly, or are expected to respond poorly, to other classes of antibiotic. Ibafl only be used based on susceptibility testing.

Do not use in dogs with known quinolone hypersensitivity.


should



rial


Pyoderma is mostly secondary to an underlying disease. It is advisable to determine th and to treat the animal accordingly.

Antiacids can interfere with gastro-intestinal absorption of quinolones. Antagonism nitrofurantoin.

The safety of the veterinary medicinal product has not been established used during pregnancy.


derlying cause


13. SPECIAL PRECAUTIONS FOR THE DISPOSAL OF UNUS MATERIAL, IF ANY


Any unused veterinary medicinal product or waste materials derived products should be disposed of in accordance with the local requirem


bserved with

. Ibaflin can be

h veterinary medicinal


UCT OR WASTE


T REVISED


  • 14. DATE ON WHICH THE PACKAGE INSERT 26.05.2010

15. OTHER INFORMATION

Medicinal advice should be sought in the event of accidental ingestion, particularly by a child.

Ibafloxacin is a broad spectrum bacterici


ibiotic from the quinolone group. Its action results from

inhibition of bacterial DNA gyrase.

After oral administration in dogs, ibafloxacin is rapidly absorbed with maximum plasma levels of microbiologically active compounds obtained at 1–2 hours after administration. Terminal plasma half-life is approximately 4- 5 hours. The main excretory route is via urine and faeces. After multiple oral administration, steady state is reached after the first or second dosing and no accumulation or induction of biotransformation enzymes occurs.

Target animal safety studies in beagle dogs of 8 months of age demonstrated that, when administered orally at 45 mg/kg/day (three times the recommended dose) for a period of 90 days, ibafloxacin produced no observable adverse effects.


P ackage insert for inclusion with the 3% oral gel syringe packages


1. NAME AND ADDREss oF THE MARKETiNG AUTHoRisATioN HoLDER AND oF THE MANUFAcTURiNG AUTHRoisATioN HoLDER REsPoNsiBLE FoR BATcH RELEAsE, iF DiFFERENT


Name and address of the Marketing Authorisation Holder Intervet International B.V.

Wim de Korverstraat 35

5831 AN Boxmeer

The Netherlands



Name and address of the Manufacturing Authorisation Holder responsible for batch release


Intervet Productions S.A.

Rue de Lyons 27460 Igoville France

Intervet International B.V.

Wim de Körverstraat 35 5831 AN Boxmeer The Netherlands


ODUCT


2. NAME OF THE VETERINARY MEDICIN


Ibaflin 3% oral gel



3. STATEMENT OF THE ACTIVE


THER SUBSTANCE(S)


Excipients


Ibaflin 3% Oral Gel: 30 mg of ibafloxac

Methyl parahydroxybenzoate (

4. INDICATIONS


to 30.9 mg/ml);


Ibaflin gel is indicated in dogs for the treatment of the following conditions:


Dermal infections (pyoderma – superficial and deep, wounds, abscesses) caused by susceptible pathogens such as Staphylococcus spp., E. coli and Proteus mirabilis


Ibaflin gel is indicated in cats for treatment of the following conditions:



Dermhinfections (soft tissue infections – wounds, abscesses) caused by susceptible pathogens such lococcus spp., E. coli, Proteus spp. and Pasteurella spp.


r respiratory tract infections caused by susceptible pathogens such as Staphylococcus spp., E. , Klebsiella spp. and Pasteurella spp.


5. CONTRAINDI­CATIONS


Do not use in cats up to 8 months of age as no information is available on the influence of ibafloxac developing articular cartilage in the cat during the period of rapid growth as articular cartilage ma affected. In dogs, this period depends on the breed. For the majority of breeds, the use of ibafloxac contra-indicated in dogs less than 8 months of age, and in giant breeds less than 18 months.



6. UNDESIRABLE EFFECTS


Diarrhoea, soft faeces, vomiting, dullness, and anorexia were observed with low freque were mild and transient.


e effects


If you notice any other side effect, please inform your veterinary surgeon.


7. TARGET SPECIES


Dogs and cats


8. DOSAGE FOR EACH SPECIES, ROUTE(S) AND M


Oral use, 15 mg ibafloxacin/kg once daily.


15 mg per kg bodyweight = 0.5 ml of gel per kg bodyweigh



ADMINISTRATION


To ensure a correct dosage body weight should be determined as accurately as possible to avoid underdosing. The syringe should be adjusted to the calculated dosage by setting the ring on the appropriate place on the plunger (steps of 0.5 ml for the 15 ml syringe).


The duration of treatment depends on the nature and severity of the infection and on the response seen. In most cases, a 10 day-treatment course will be sufficient. If necessary and depending on the clinical response, treatment can be continued until the response is considered to be adequate. The treatment should be reconsidered if at 5 days no improvement in the clinical condition is observed. If in cases of deep pyoderma, sufficient improvement is not seen after a treatment course of 21 days, it is recommended that the treatment is reconsidered.


It is recommended that the gel is administered at the time of feeding.


In order to avoid any cross contamination, the same syringe should not be used for different animals. Once a syringe is opened it should only be used to continue the treatment course in the same animal.


9. ADVICE ON CORRECT ADMINISTRATION


Pyoderma is and also treat


underlying disease. It is advisable to determine the underlying cause


Quinolo


dog Ant


s should not be used in combination with nonsteroidal anti-inflammatory drugs (NSAID) in a history of seizures. Anti-acids can interfere with gastro-intestinal absorption of quinolones.


onism may be observed with nitrofurantoin.



lin gel can be used during pregnancy in dogs. The safety of the veterinary medicinal product has not established in lactating dogs and in pregnant and lactating cats. The influence on fertility in male ding animals has not been investigated.


10. WITHDRAWAL PERIOD


Not applicable.


11. SPECIAL STORAGE CONDITIONS


Keep out of the reach and sight of children.

Do not store above 25°C.

Do not use after the expiry date stated on the label.

Any syringes containing unused product should be disposed of once a course of t completed.


has been


12. SPECIAL WARNING(S)



Heavy reliance on a single class of antibiotic may result in the induction of resistance in a bacterial population. It is prudent to reserve the fluoroquinolones for the treatment cal conditions which have

responded poorly, or are expected to respond poorly, to other classes o ic. Ibaflin gel should only

be used based on susceptibility testing.


Persons with known hypersensitivity to quinolones should avoid



t with the product.


13. SPECIAL PRECAUTIONS FOR THE DISPO MATERIAL, IF ANY


USED PRODUCT OR WASTE


Any unused veterinary medicinal product or waste material derived from such veterinary medicinal products should be disposed of in accordance with local requirements.


14. DATE ON WHICH THE PACKAGE INSERT WAS LAST REVISED


26.05.2010


Ibafloxacin is a synthet spectrum antibiotic with abundant metabolite i hydroxy-ibafloxacin a


15. OTHER INFORMATI

For animal treatment only.


0.032 – 0.5 p g/m In cats, relevant spp. and Klebsie


l are o


robial substance of the fluoroquinolone class. Ibafloxacin is a broad cidal action resulting from inhibition of bacterial DNA gyrase. The most y-ibafloxacin, which is also microbiologically active. lbafloxacin and 8-ergistically. For ibafloxacin (parent compound), MIC values ranging from ved for canine isolates of E. coli, Staphylococcus spp. and Proteus mirabilis.


sceptible micro-organisms are E.coli, Staphylococcus spp., Pasteurella spp., Proteus p.. (MIC < 0.5 ^g ibafloxacin/ml).


After o 1 hour plasma


nistration in cats, ibafloxacin is rapidly absorbed with maximum plasma levels observed at ministered without food and 2 hours when administered with food. In dogs the maximum ere observed at 2 hours when administered with or without food. Terminal plasma half-

life is approximately 3–5 hours. The overall absorption was higher in dogs and cats when administered with food. The gel should therefore be administered at feeding time to ensure maximal bioavailability. The main excretory routes are via urine and faeces. After multiple oral administration, steady state is eached after the first dosing and no accumulation occurs in dogs whereas modest accumulation is bserved in cats.



When administered orally at 75 mg/kg/day (five times the recommended dose) for a period of 90 days in dogs, ibafloxacin was well tolerated. When administered over a period of 30 days to healthy cats, Ibafli oral gel produced vomiting/regur­gitation and salivation at doses of 15 to 75 mg/kg.



P ackage insert for inclusion with the 7.5 % oral gel syringe packages


  • 1. NAME AND ADDREss oF THE MARKETiNG AUTHoRisATioN HoLDER AND THE MANUFAcTURiNG AUTHRoisATioN HoLDER REsPoNsiBLE FoR BAT RELEAsE, iF DiFFERENT


Name and address of the Marketing Authorisation Holder Intervet International B.V.

Wim de Korverstraat 35

5831 AN Boxmeer

The Netherlands



Name and address of the Manufacturing Authorisation Holder responsible for batch release


Intervet Productions S.A.

Rue de Lyons 27460 Igoville France

Intervet International B.V.

Wim de Körverstraat 35 5831 AN Boxmeer The Netherlands


PRODUCT


2. NAME OF THE VETERINARY MEDICI


Ibaflin 7.5% oral gel



3. STATEMENT OF THE ACTIVE AND OTHER SUBSTANCE(S)


Excipients


Ibaflin 7.5% Oral Gel: 75 mg of ibaflox

Methyl parahydroxybenzoate (

4. INDICATIONS


to 78.8 mg/ml)


Ibaflin gel is indicated in dogs for the treatment of the following conditions:


Dermal infections (pyoderma – superficial and deep, wounds, abscesses) caused by susceptible pathogens such as staphylococci, E. coli and Proteus mirabilis


Iba


5.

INDICATIONS


Oral Gel should not be used in cats.



not use in dogs during the period of growth as articular cartilage may be affected. This period depends he breed. For the majority of breeds the use of ibafloxacin is contra-indicated in dogs less than 8 ths of age, and in giant breeds less than 18 months.

  • 6. ADVERSE REACTIONS

    ISTRATION


Diarrhoea, soft faeces, vomiting, dullness, and anorexia were observed with low frequency. These eff were mild and transient.

If you notice any other side effect, please inform your veterinary surgeon.

7. TARGET SPECIES

Dogs

8. DOSAGE FOR EACH SPECIES, ROUTE(S) AND METHOD OF

Oral use, 15 mg ibafloxacin/kg once daily.

15 mg per kg bodyweight = 1 ml of gel per 5 kg bodyweight


To ensure a correct dosage body weight should be determined as accurately as possible to avoid underdosing. The syringe should be adjusted to the calculated dosage by setting the ring on the appropriate place on the plunger (steps of 1 ml for the 30 ml syringe).

The duration of treatment depends on the nature and severity of the infection and on the response seen. In most cases, a 10 day-treatment course will be sufficient. If necessary and depending on the clinical response, treatment can be continued until the response is considered to be adequate. The treatment should be reconsidered if at 5 days no improvement in the clinical condition is observed. If in cases of deep pyoderma, sufficient improvement is not seen after a treatment course of 21 days, it is recommended that the treatment is reconsidered.

It is recommended that the gel is administered at the time of feeding.

In order to avoid any cross contamination, the same syringe should not be used for different animals. Once a syringe is opened it should only be used to continue the treatment course in the same animal.

9. ADVICE ON CORRE

ISTRATION


Pyoderma is mostly secondary derlying disease. It is advisable to determine the underlying cause and also treat the animal accordingly.

Quinolones should not be used in combination with nonsteroidal anti-inflammatory drugs (NSAID) in dogs with a history of seizures. Anti-acids can interfere with gastro-intestinal absorption of quinolones. Antagonism may be observed with nitrofurantoin.

Ibaflin gel can be used during pregnancy in dogs. The safety of the veterinary medicinal product has not been established in lactating dog. The influence on fertility in male breeding animals has not been investigated.

10. WITHDRAWAL PERIOD

cable.


11. SPECIAL STORAGE CONDITIONS


Keep out of the reach and sight of children.

Do not store above 25°C.

Do not use after the expiry date stated on the label.

Any syringes containing unused product should be disposed of once a course of treatment completed.


12. SPECIAL WARNING(S)



Heavy reliance on a single class of antibiotic may result in the induction of resistance in a bacterial population. It is prudent to reserve the fluoroquinolones for the treatment of clinical conditions which have responded poorly, or are expected to respond poorly, to other classes of antibiotic. Ibaflin gel should only be used based on susceptibility testing.


Persons with known hypersensitivity to quinolones should avoid contact with the product.


13. SPECIAL PRECAUTIONS FOR THE DISPOSAL OF MATERIAL, IF ANY



D PRODUCT OR WASTE


Any unused veterinary medicinal product or waste material derived from such veterinary medicinal products should be disposed of in accordance with local req



14. DATE ON WHICH THE PACKAGE INSERT WAS LAST REVISED


26.05.2010


For animal treatment only.


15. OTHER INFORMATION


Ibafloxacin is a synthetic antimicrobial substance of the fluoroquinolone class. Ibafloxacin is a broad spectrum antibiotic with bactericidal action resulting from inhibition of bacterial DNA gyrase. The most abundant metabolite is 8-hydroxy-ibafloxacin, which is also microbiologically active. lbafloxacin and 8-hydroxy-ibafloxacin act syner cally. For ibafloxacin (parent compound), MIC values ranging from


0.032 – 0.5 p g/ml are obse In dogs the maximum pl Terminal plasma halfadministered with fo bioavailability. The steady state is reached a


d


canine isolates of E. coli, Staphylococcus spp. and Proteus mirabilis. els were observed at 2 hours when administered with or without food.


is approximately 3–5 hours. The overall absorption was higher when gel should therefore be administered at feeding time to ensure maximal xcretory routes are via urine and faeces. After multiple oral administration, the first dosing and no accumulation occurs in dogs.


When admi dogs, ibaflo


orally at 75 mg/kg/day (five times the recommended dose) for a period of 90 days in as well tolerated.



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