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Date: Friday, May 3, 2024 14:02

Release 3.48
Nuflor® 300 mg/ml solution for injection for cattle and sheep
 
Species: Cattle, Sheep
Therapeutic indication: Pharmaceuticals: Antimicrobials: Injections
Active ingredient: Florfenicol
Product:Nuflor® 300 mg/ml solution for injection for cattle and sheep
Product index: Nuflor® 300 mg/ml solution
Cattle - milk: See note
Cattle - meat: 30 days/44 days See datasheet
Sheep - meat: 39 days
Withdrawal notes: Milk: Not permitted for use in lactating animals producing milk for human consumption including pregnant animals intended to produce milk for human consumption.
Incorporating:
Qualitative and quantitative composition
Each ml contains:
Active substance: Florfenicol 300 mg.
Excipient(s): N-methyl-2-pyrrolidone 250 mg
For the full list of excipients, see section Pharmaceutical particulars.
Pharmaceutical form
Solution for injection.
Clear, light yellow to straw-coloured, somewhat viscous solution.
Clinical particulars
Target species
Cattle and sheep.
Indications for use
Cattle:
Diseases caused by florfenicol susceptible bacteria.
Metaphylactic and therapeutic treatment of respiratory tract infections in cattle due to Mannheimia haemolytica, Pasteurella multocida and Histophilus somni. The presence of the disease in the herd should be established before metaphylactic treatment.
Sheep:
Treatment of ovine respiratory tract infections due to M. haemolytica and P. multocida susceptible to florfenicol.
Contraindications
Do not use in adult bulls and rams intended for breeding purposes.
Do not use in the case of known hypersensitivity to the active substance or to any of the excipients.
Special warnings for each target species
None.
Special precautions for use
The product should be used in conjunction with susceptibility testing and take into account official and local antimicrobial policies.
The safety of the product has not been established in sheep younger than 7 weeks of age.
Operator warnings
People with known hypersensitivity to propylene glycol and polyethylene glycols should avoid contact with the veterinary medicinal product. In case of accidental contact with skin or eyes, rinse immediately with plenty of water.
In case of accidental self-injection, seek medical advice immediately and show the package leaflet or label to the physician.
Laboratory studies in rabbits and rats with the excipient N-methyl pyrrolidone have shown evidence of fetotoxic effects. Women of childbearing age, pregnant women or women suspected of being pregnant should use the veterinary medicinal product with serious caution to avoid accidental self-injection.
Adverse reactions
Cattle:
A decrease in food consumption and transient softening of the faeces may occur during the treatment period. The treated animals recover quickly and completely upon termination of treatment.
Intramuscular and subcutaneous administration may cause inflammatory lesions at the injection site which may persist for 14 days.
In very rare cases, anaphylactic shock has been reported in cattle.
Sheep:
A decrease in food consumption may occur during the treatment period. The treated animals recover quickly and completely upon termination of treatment.
Intramuscular administration may cause inflammatory lesions at the injection site which may persist up to 28 days. Typically, these are mild and transient.
Use during pregnancy or lactation
The safety of the veterinary medicinal product has not been established in cattle and sheep during pregnancy, lactation or in animals intended for breeding. Laboratory studies in rabbits and rats with the excipient N-methyl pyrrolidone have shown evidence of foetotoxic effects. Use only according to the benefit-risk assessment by the responsible veterinarian.
Interactions
No data available.
Amounts to be administered and administration route
Swab septum before removing each dose. Use a dry sterile needle and syringe.
To ensure a correct dosage body weight should be determined as accurately as possible to avoid underdosing.
The vials should not be broached more than 20 times. User should therefore select the most appropriate vial size according to the target species to be treated.
When treating groups of animals at the same time, use of a draw-off needle in the vial stopper is recommended to avoid excess stopper broaching. The draw-off needle should be removed after treatment.
For treatment
Cattle:
Intramuscular use: 20 mg/kg bodyweight (1ml/15kg) to be administered twice 48 hours apart using a 16 gauge needle.
Subcutaneous use: 40 mg/kg bodyweight (2ml/15kg) to be administered once only using a 16 gauge needle. The dose volume given at any one injection site should not exceed 10 ml.
The injection should only be given in the neck.
Sheep:
Intramuscular use: 20 mg florfenicol/kg bodyweight (1 ml/15 kg) to be administered daily for three consecutive days. The volume administered per injection site should not exceed 4 ml.
Pharmacokinetic studies showed that mean plasma concentrations remain above MIC90 (1 μg/ml) for up to 18 hours after administration of the product at the recommended treatment dose. The pre-clinical data supported the recommended treatment interval (24 hours) for target pathogens with MIC up to 1 μg/ml.
For metaphylaxis
Cattle:
Subcutaneous use: 40 mg/kg bodyweight (2 ml/15 kg) to be administered once only using a 16 gauge needle. The dose volume given at any one injection site should not exceed 10 ml.
The injection should only be given in the neck.
Overdose
Cattle:
No symptoms other than those described under Adverse reactions above. In cattle, a decrease in food consumption and transient softening of the faeces may occur during the treatment period. The treated animals recover quickly and completely upon termination of treatment.
Sheep:
After administration of 3 times the recommended dose or more a transient reduction in feed and water consumption has been observed. Additional effects included an increased incidence of lethargy, emaciation and loose faeces. Head tilt was seen after administration of 5 times the recommended dose and was considered most likely a result of irritation at the injection site.
Withdrawal period
Meat and offal:
Cattle: IM use (20 mg/kg bodyweight, twice): 30 days.
SC use (40 mg/kg bodyweight, once): 44 days.
Sheep: 39 days.
Milk:
Not authorised for use in animals producing milk for human consumption including pregnant animals intended to produce milk for human consumption.
Pharmacological particulars
ATCVet code: QJ01BA90.
Pharmacotherapeutic group
Antibacterial for systemic use (Amphenicols).
Pharmacodynamic properties
Florfenicol is a synthetic broad spectrum antibiotic effective against most Gram-positive and Gram-negative bacteria isolated from domestic animals. Florfenicol acts by inhibiting protein synthesis at the ribosomal level and is bacteriostatic. Laboratory tests have shown that florfenicol is active against the most commonly isolated bacterial pathogens involved in ovine and bovine respiratory disease which include M. haemolytica, P. multocida, and, for cattle H. somni. Florfenicol is considered to be a bacteriostatic agent, but in vitro studies of florfenicol demonstrate bactericidal activity against M. haemolytica, P. multocida and H. somni.
MIC data for the target pathogens are presented in the table below:
Species
Range (µg/ml)
MIC50 (µg/ml)
MIC90 (µg/ml)
M. haemolytica (n=151)
0.25-2
1
1
P. multocida (n=88)
0.25-0.5
0.5
0.5
Strains were isolated from sheep suffering from respiratory tract infection in Germany, United Kingdom, Spain and France between 2006 and 2010.
Pharmacokinetic properties
Cattle:
Intramuscular administration at the recommended dose of 20 mg/kg maintains efficacious blood levels in cattle for 48 hours. Maximum mean serum concentration (Cmax) of 3.37 µg/ml occurs at 3.3 hours (tmax) after dosing.
The mean serum concentration 24 hours after dosing was 0.77 µg/ml.
Subcutaneous administration at the recommended dose of 40 mg/kg maintains efficacious blood levels in cattle (ie above the MIC90 of the main respiratory pathogens) for 63 hours. Maximum serum concentration (Cmax) of approximately 5 µg/ml occurs approximately 5.3 hours (tmax) after dosing. The mean serum concentration 24 hours after dosing is approximately 2 µg/ml.
The harmonic mean elimination half-life was 18.3 hours.
Sheep:
After initial intramuscular administration of florfenicol (20 mg/kg), the mean maximum serum concentration of 10.0 μg/ml is reached after 1 hour. Following the third intramuscular administration, the maximum serum concentration of 11.3 μg/ml is reached after 1.5 hours. The elimination half-life was estimated to be 13.76 + 6.42h. Bioavailability is about 90 %.
Pharmaceutical particulars
Excipients
N-methyl-2-pyrollidone , Propylene glycol and Macrogol 300.
Major incompatibilities
In the absence of compatibility studies, this veterinary medicinal product must not be mixed with other veterinary medicinal products.
Shelf-life
Shelf-life of the veterinary medicinal product as packaged for sale: 2 years.
Shelf life after first opening the immediate packaging: 28 days.
Special precautions for storage
Do not store above 25°C. Do not refrigerate. Protect from frost.
Immediate packaging
50, 100 and 250 ml colourless Type I glass vials closed with bromobutyl rubber stoppers with aluminium seals.
Not all pack sizes may be marketed.
Disposal
Any unused veterinary medicinal product or waste materials derived from such veterinary medicinal products should be disposed of in accordance with local requirements.
Marketing Authorisation Number
UK: Vm 01708/4574
Significant changes
Date of the first authorisation or date of renewal
25 February 2013.
Date of revision of the text
March 2024.
Any other information
For animal treatment only. Keep out of the sight and reach of children.
Legal category
Legal category: POM-V
GTIN
GTIN description:Nuflor 300mg/ml 1x100ml:
GTIN:08713184123336,
GTIN description:Nuflor 300mg/ml 1x250ml:
GTIN:08713184123305