Target species
Horses.
Indications for use for each target species
For the treatment of lameness in horses due to non-infectious inflammation of joints
Contraindications
None known
Special warnings
This product does not contain an antimicrobial preservative. Any solution remaining in the vial following withdrawal of the required dose should be discarded.
Special precautions for use
Special precautions for safe use in the target species:
See below under "Amounts to be administered and administration route" regarding special precautions in administration.
Special precautions to be taken by the person administering the veterinary medicinal product to animals:
Not applicable.
Special precautions for the protection of the environment:
Not applicable.
Adverse events
Horses:
Very rare (<1 animal / 10 000 animals treated, including isolated reports): | Injection site joint reaction1 (e.g. injection site swelling2) |
1 After intraarticular injection.
2 Diffuse swelling lasting 23-48 hours resulting from irritation by the needle while in the joint space. These may be acute but will generally resolve without sequelae within a few days.
Reporting adverse events is important. It allows continuous safety monitoring of a veterinary medicinal product. Reports should be sent, preferably via a veterinarian, to either the marketing authorisation holder or its local representative or the national competent authority via the national reporting system. See the package leaflet for respective contact details.
Use during pregnancy, lactation or lay
Pregnancy and lactation
Can be used during pregnancy and lactation.
Interaction with other medicinal products and other forms of interaction
None known.
Administration routes and dosage
Intravenous or intraarticular use.
The recommended dose is:
•Intravenous administration: 4 ml (corresponding to 40 mg sodium hyaluronate)
•Intra-articular administration: 2 ml (corresponding to 20 mg sodium hyaluronate)
Three treatments at weekly intervals. Fewer treatments may be required if early improvement is observed.
Strict aseptic technique should be observed when injecting the veterinary medicinal product. As with any intraarticular procedure, proper injection site disinfection and animal restraint are very important. Excess synovial fluid should be aseptically removed prior to injection. Care should be taken not to scratch the cartilage surface with the point of the injection needle.
For best results, the horse should be given three days stable rest after intraarticular treatment before gradually resuming normal activity.
Symptoms of overdose (and where applicable, emergency procedures and antidotes)
None.
Special restrictions for use and special conditions for use, including restrictions on the use of antimicrobial and antiparasitic veterinary medicinal products in order to limit the risk of development of resistance
For administration by a veterinarian or under their direct supervision.
Withdrawal periods
Meat: zero days.
Milk: Not authorised for use in animals producing milk for human consumption.