ProMeris Duo - summary of medicine characteristics

1. NAME OF THE VETERINARY MEDICINAL PRODUCT

2. QUALITATIVE AND QUANTITATIVE COMPOSITION

Each ml contains 150 mg metaflumizone and 150 mg amitraz.

3. PHARMACEUTICAL FORM

4. CLINICAL PARTICULARS

4.2 Indications for use, specifying the target species ♦

4.3 Contraindications

4.4 Special warnings

Avoid contact with the eyes of the dog and avoid oral ingestion by the dog.

The veterinary medicinal product remains effective if the animal becomes wet. However, prolonged, intense exposure to water should be avoided. Dogs should be prevented from accessing streams and rivers for the 24-hour period following treatment. In cases of frequent water exposure the duration of activity may be reduced. In these cases do not treat more frequently than once a fortnight. If the dog requires shampooing, it is better to do so before applying the veterinary medicinal product.

♦

For optimum control of flea problems in a multi-pet household, all pets in the household should be treated with a suitable insecticide. In addition it is recommended to treat the environment with a suitable insecticide.

4.5 Special precautions for use

For use only under the supervision of a veterinary surgeon.

This veterinary medicinal product is for spot-on application only. Do not administer orally or via any other route.

It is important to apply the dose to an area where the animal cannot lick it off and to make sure that animals do not lick each other following treatment.

Do not allow puppies to lick the application site of their mothers when it is still wet.

Care should be taken to ensure that the content of the pipette or the applied dose does not come into contact with the eyes or mouth of the recipient and/or other animals.

Keep out of reach and sight of children. Stored pipettes must be kept in the intact foil package. This product should not be administered by children.

This product contains amitraz, which can lead to adverse neurological effects in humans and especially in children. Children should not have access to used pipettes. Used pipettes should be disposed of immediately.

Amitraz is a monoamine oxidase inhibitor (MOAI); therefore, people taking MOAI-containing medication should take particular care when handling this product.

Avoid direct contact with treated animals until the application site is dry. Children should not be allowed to have contact with treated animals until the application site is dry. Recently treated animals should not be allowed to sleep with the owners, especially children.

The solvent in ProMeris Duo may stain certain materials including leather, fabrics, plastics and finished surfaces. Allow the application site to dry before permitting contact with such materials. ProMeris Duo contains components that, on very rare occasions, can cause respiratory irritation in certain people. To minimise the potential for inhalation, it is recommended that the product is applied in open air or in well ventilated rooms.

This product may cause skin sensitisation and allergic reactions in humans. Dermal exposure to the product should therefore be avoided. The use of protective gloves while handling the product is recommended.

If ill effects are noted following exposure to the product, seek immediate medical assistance, and show the product packaging to the physician.

Wash hands thoroughly after use. In case of accidental spillage onto skin, wash off immediately with

soap and water.

This product may cause mild eye irritation. If the product accidentally gets into eyes, they should be

thoroughly flushed with water.

Do not smoke, drink or eat while handling the product.

4.6 Adverse reactions (frequency* and seriousness)

Hypersalivation may occur if the animal licks the application site immediately after treatment. This is not a sign of intoxication and disappears within minutes without treatment. Correct application will minimise licking of the application site.

The application of the veterinary medicinal product may produce a local, temporary oily appearance and clumping or spiking of the hair at the application site. A dry residue may also be observed. This is normal and will generally resolve within a few days after administration, though may persist longer on rare occasions. These changes do not affect the safety or efficacy of the veterinary medicinal product. In rare cases, transient irritation may occur at the site of product application. In very rare cases temporary local hair loss may occur. In very rare cases, pemphigus foliaceous-like cutaneous signs have been reported. If pemphigus-like signs occur, further use of the product should be avoided. These signs are transient and reversible if prompt and appropriate treatment is administered.

• * – Very common (more than 1 in 10 animals displaying adverse reaction(s) during the course of one treatment)

• – Common (more than 1 but less than 10 animals in 100 animals)

• – Uncommon (more than 1 but less than 10 animals in 1,000 animals )

• – Rare (more than 1 but less than 10 animals in 10,000 animals)

• – Very rare (less than 1 animal in 10,000 animals, including isolated reports).

4.7 Use during pregnancy, lactation or lay

Can be used during pregnancy and lactation.

4.8 Interaction with other medicinal products and other forms of interaction

None known.

Treatment with other prod ucts containing amitraz is not recommended whilst the dog is being treated with ProMeris Duo Spot-On for Dogs.

4.9 Amounts to be administered and administration route

Dosage:

The recommended minimum dose is 20 mg/kg bodyweight for each of metaflumizone and amitraz, equivalent to 0.133ml/kg bodyweight. The following table defines the size of pipette to be used according to the weight of the dog.

For dogs more than 50 kg, use a combination of two pipettes that most closely matches the body weight.

Method of administration:

For cutaneous use only. Spot-on use.

Remove the pipette from the package. Hold the pipette upright, bend the tip of the pipette to break the tip along the scored line. The top of the tip will fold back against the pipette.

Part the hair and apply the contents of the pipette to a single spot on the skin of the dog at the base of the skull.

Place the tip of the pipette on the skin and squeeze the pipette to empty the entire contents.

Do not apply the veterinary medicinal product to the surface of the dog’s hair coat.

Treatment schedule:

For optimal control of flea and/or tick infestation the product should be administered at monthly intervals throughout the flea and/or tick season, or the treatment schedule can be based on the local epidemiological situation. Kills most ticks within 48 hours. For treatment of biting lice a single dose should be sufficient. Most lice are killed within 7 days.

For treatment of demodicosis, the product should be administered at monthly intervals until clinical signs resolve. Where possible, treatment should not be discontinued until skin scrapings are negative on at least two monthly occasions. As demodicosis is a multi-factorial disease, where possible, it is advisable to also treat any underlying disease appropriately.

The veterinary medicinal product will prevent flea infestation for up to 6 weeks and tick infestation for 4 weeks following a single administration.

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

No adverse effects were observed in healthy dogs and puppies aged 8 weeks and older treated 7 times at two-week intervals with 3–5 times the recommended dose. The risk of experiencing adverse effects may however increase when overdosing, so animals should always be treated with the correct pipette size according to body weight.

Known side-effects of amitraz and metabolites are sedation, lethargy, CNS depres hyperglycaemia, bradycardia and slow, shallow breathing. Most of these signs are due to alpha-2-adreno-receptor agonist effects. Signs are usually transitory and generally resolved without treatment within 24 hours. If symptoms are severe or persist the alpha-2-adreno-receptor antagonist atipamezole hydrochloride may be used at a dose of 0.2 mg/kg bodyweight by intramuscular injection to reverse

these side-effects.

4.11 Withdrawal period(s)

Not applicable.

5. PHARMACOLOGICAL PROPERTIES5.1 Pharmacodynamic properties

Pharmacotherapeutic group: Ectoparasiticides for topical use, ATC Vet Code QP 53AD51

Metaflumizone is an insecticide belonging to the semicarbazone group of compounds. Metaflumizone is a sodium channel antagonist and disrupts nerve function resulting in paralysis and death of insects. Amitraz is a formamidine acaricide. It acts at octopamine receptor sites in ectoparasites giving rise to increased nervous activity and death of insects.

Metaflumizone and amitraz are combined in the final formulation to provide a broad spectrum of activity against both fleas and ticks, respectively, due to non-systemic exposure of the parasites on the skin and hair. Maximum efficacy is achieved within 48 hours.

• 5.2 Pharmacoki­netic particulars

After topical administration at a single site at the base of the skull, both metaflumizone and amitraz were rapidly distributed throughout the surface of the skin. Maximum concentrations in the hair were generally reached between 2 to 7 days post treatment and gradually declined through 56 days post treatment. Both components were still measurable in the hair 56 days following treatment.

After topical administration at a single site at the base of the skull, both metaflumizone and amitraz levels in plasma were too low to allow the calculation of standard pharmacokinetic parameters.

5.3 Environmental properties

See section 6.6

6. PHARMACEUTICAL PARTICULARS6.1 List of excipients

N, N-Diethyl-m-toluamide 1-Methoxy-2-propyl-acetate

Dimethyl sulfoxide

1, 8-Cineole

Gamma-hexalactone

6.2 Incompatibilities

None known.

6.3 Shelf life

Shelf life of the veterinary medicinal product as package for sale:2 years.

6.4 Special precautions for storage

Do not store above 25 °C

6.5 Nature and composition of immediate packaging

The veterinary medicinal product is packaged in individual-dose transparent plastic pipettes over packed in an aluminium foil package. It is supplied in units of 3 pipettes per cardboard card and one or two cards per cardboard box.

All blisters in a box are the same size.

Box of 1 or 2 blister card of 3 × 0.67 ml pipettes

Box of 1 or 2 blister card of 3 × 1.33 ml pipette

Box of 1 or 2 blister card of 3 × 3.33 ml pipettes

Box of 1 or 2 blister card of 3 × 5.33 ml pipettes

Box of 1 or 2 blister card of 3 × 6.66 ml pipettes

Not all pack sizes may be marketed.

6.6 Special precautions for the disposal of unused veterinary medicinal product or waste

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

The veterinary medicinal product should not enter watercourses, as this may be dangerous for fish and other aquatic organisms. Carefully dispose of used pipettes immediately after use.

7. MARKETING AUTHORISATION HOLDER

8. MARKETING AUTHORISATION NUMBER(S)

9. DATE OF FIRST AUTHORISATION/RENEWAL OF THE AUTHORISATION