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Date: Sunday, May 26, 2024 21:53

Description: Animalcare_UK_2SpotCol_RGB_vertical_Logo
Release 2.132
Buprecare 0.3mg/ml Injection
 
Species: Cats, Dogs
Therapeutic indication: Pharmaceuticals: Neurological preparations: Analgesics
Active ingredient: Buprenorphine
Product:Buprecare 0.3mg/ml Injection
Product index: Buprecare 0.3mg/ml Injection
Incorporating:Buprecare 0.3mg/ml ampoules
Buprecare 0.3mg/ml multi-dose vial
Qualitative and quantitative composition
Buprecare 0.3 mg/ml Solution for Injection for Dogs and Cats
Each ampoule contains:
Buprenorphine 0.3 mg/ml as buprenorphine hydrochloride.
For a full list of excipients, see pharmaceutical particulars
Buprecare Multidose 0.3 mg/ml Solution for Injection for Dogs and Cats
Each ml contains:
Active substance:
Buprenorphine (as buprenorphine hydrochloride) 0.3 mg
Excipients
Chlorocresol 1.35 mg
For the full list of excipients, see pharmaceutical particulars
Pharmaceutical form
Solution for injection.
Clear, colourless solution.
Clinical particulars
Target species
Dogs and cats
Indications for use, specifying the target species
Dog ; Post-operative analgesia. Potentiation of the sedative effects of centrally-acting agents.
Cat; Post-operative analgesia.
Contraindications
The product should not be used pre-operatively for caesarean section.
Do not use in case of hypersensitivity to the active substance or to any of the excipients.
Do not administer Buprecare Multidose 0.3 mg/ml Solution by the intrathecal or peridural route.
Special warnings for each target species
None.
Special precautions for use
Special precautions for use in animals
Use of the veterinary medicinal product in the below circumstances should only be in accordance with the benefit/risk assessment by the responsible veterinarian. Buprenorphine may occasionally cause significant respiratory depression and, as with other opioid drugs, care should be taken when treating animals with impaired respiratory function or animals that are receiving drugs that can cause respiratory depression. Buprenorphine should be used with caution in animals with impaired liver function, especially biliary tract disease, as the substance is metabolised by the liver and its intensity and duration of action may be affected in some animals. In case of renal, cardiac or hepatic dysfunction, or shock, there may be greater risk associated with the use of the product. The benefit:risk ratio for using the product should be made by the attending vet. Safety has not been fully evaluated in clinically compromised cats. The safety of buprenorphine has not been demonstrated in animals less than 7 weeks of age, therefore use in such animals should be based on the benefit:risk assessment by the veterinarian. Repeated administration earlier than the recommended repeat interval is not recommended. The effect of an opioid on head injury is dependent on the type and severity of the injury and the respiratory support supplied. The product should be used in accordance with the benefit:risk assessment of the attending veterinarian. Long-term safety of buprenorphine in cats has not been investigated beyond 5 consecutive days of administration.
Special precautions to be taken by the person administering the veterinary medicinal product to animals
Wash hands/affected area thoroughly after any accidental spillage. As buprenorphine has opioid-like activity care should be taken to avoid accidental self-injection. In case of accidental self-injection or ingestion, seek medical advice immediately and show the package leaflet or the label to the physician. Naloxone should be available in case of accidental parenteral exposure. Following eye contamination or skin contact, wash thoroughly with cold running water, seek medical advice if irritation persists.
Adverse reactions (frequency and seriousness)
Salivation, bradycardia, hypothermia, agitation, dehydration and miosis can occur in the dog, and rarely hypertension and tachycardia.
Mydriasis and signs of euphoria (excessive purring, pacing, rubbing) commonly occur in cats, and will usually resolve within 24 hours.
Buprenorphine may occasionally cause significant respiratory depression.
When used to provide analgesia, sedation is rarely seen, but may occur at dose levels higher than those recommended.
Use during pregnancy, lactation or lay
Pregnancy: Laboratory studies in rats have not produced any evidence of a teratogenic effect. However, these studies have shown post-implantation losses and early foetal deaths. As reproductive toxicity studies have not been conducted in the target species, use only according to the benefit:risk assessment by the responsible veterinarian. The product should not be used pre-operatively in cases of caesarean section, due to the risk of respiratory depression in the offspring periparturiently, and should only be used post-operatively with special care (see section on lactation below).
Lactation: Studies in lactating rats have shown that, after intramuscular administration of buprenorphine, concentrations of unchanged buprenorphine in the milk equalled or exceeded that in the plasma. As it is likely that buprenorphine will be excreted in the milk of other species, use is not recommended during lactation. Use only accordingly to benefit:risk assessment by the responsible veterinarian.
Interaction with other medicinal products and other forms of interaction
Buprenorphine may cause some drowsiness, which may be potentiated by other centrally-acting agents, including tranquillisers, sedatives and hypnotics.
There is evidence in humans to indicate that therapeutic doses of buprenorphine do not reduce the analgesic efficacy of standard doses of an opioid agonist, and that when buprenorphine is employed within the normal therapeutic range, standard doses of opioid agonist may be administered before the effects of the former have ended without compromising analgesia. However, it is recommended that buprenorphine is not used in conjunction with morphine or other opioid-type analgesics, e.g. etorphine, fentanyl, pethidine, methadone, papaveretum or butorphanol.
Buprenorphine has been used with acepromazine, alphaxalone/alphadalone, atropine, dexmedetomidine, halothane, isoflurane, ketamine, medetomidine, propofol, sevoflurane, thiopentone and xylazine. When used in combination with sedatives, depressive effects on heart rate and respiration may be augmented.
Amounts to be administered and administration route
Buprecare 0.3 mg/ml Solution for Injection for Dogs and Cats
For intramuscular use.
Species
Post-Operative Analgesia
Sedation
Dog
10-20 microgram per kg (0.3-0.6 ml per 10 kg) repeated if necessary after 3-4 hours with 10 microgram doses.
10-20 microgram per kg (0.3-0.6 ml per 10 kg)
Cat
10-20 microgram per kg (0.3-0.6 ml per 10 kg), repeated if necessary, once, after 2 hours.
While sedative effects are present by 15 minutes after administration, analgesic activity becomes apparent after approximately 30 minutes. To ensure that analgesia is present during surgery and immediately on recovery, the product should be administered pre-operatively as part of premedication.
When administered for potentiation of sedation or as part of premedication, the dose of other centrally-acting agents, such as acepromazine or medetomidine, should be reduced. The reduction will depend on the degree of sedation required, the individual animal, the type of other agents included in premedication and how anaesthesia is to be induced and maintained. It may also be possible to reduce the amount of inhalational anaesthetic used.
Animals administered opioids possessing sedative and analgesic properties may show variable responses. Therefore, the responses of individual animals should be monitored and subsequent doses should be adjusted accordingly. In some cases repeat doses may fail to provide additional analgesia. In these cases, consideration should be given to using a suitable injectable NSAID.
An appropriately graduated syringe must be used to allow accurate dosing.
Buprecare Multidose 0.3 mg/ml Solution for Injection for dogs and Cats
Administration:
Dog: Intramuscular or intravenous injection
Cat: Intramuscular or intravenous injection
Before administration, the weight of the animal should be accurately determined.
Species
Post-Operative Analgesia
Potentiation of Sedation
Dog
10 μg per kg (0.3-0.6 ml per 10 kg). For further pain relief, repeat if necessary after 3-4 hours with 10 μg per kg or 5-6 hours with 20 μg per kg.
10-20 μg per kg (0.3-0.6 ml per 10 kg).
Cat
10-20 μg per kg (0.3-0.6 ml per 10 kg), repeated if necessary, once after 1-2 hours.
While sedative effects are present by 15 minutes after administration, analgesic activity becomes apparent after approximately 30 minutes. To ensure that analgesia is present during surgery and immediately on recovery, the product should be administered pre-operatively as part of premedication.
When administered for potentiation of sedation or as part of premedication, the dose of other centrally-acting agents, such as acepromazine or medetomidine, should be reduced. The reduction will depend on the degree of sedation required, the individual animal, the type of other agents included in premedication and how anaesthesia is to be induced and maintained. It may also be possible to reduce the amount of inhalational anaesthetic used.
Animals administered opioids possessing sedative and analgesic properties may show variable responses. Therefore, the responses of individual animals should be monitored and subsequent doses should be adjusted accordingly. In some cases repeat doses may fail to provide additional analgesia. In these cases, consideration should be given to using a suitable injectable NSAID.
An appropriately graduated syringe must be used to allow accurate administration of the required dose volume. This is particularly important when injecting small volumes.
The vial seal may be punctured up to a maximum of 30 times.
Overdose (symptoms, emergency procedures, antidotes), if necessary
In case of over dosage, supportive measures should be instituted and if appropriate, naloxone or respiratory stimulants may be used.
When administered at overdose to dogs, buprenorphine may cause lethargy. At very high doses, bradycardia and miosis may be observed.
In toxicological studies of buprenorphine hydrochloride in dogs, biliary hyperplasia was observed after oral administration for one year at dose levels of 3.5 mg/kg/day and above. Biliary hyperplasia was not observed following daily intramuscular injection of dose levels up to 2.5 mg/kg/day for 3 months. This is well in excess of any clinical dose regimen in the dog.
Naloxone may be of benefit in reversing reduced respiratory rate and respiratory stimulants such as doxapram are also effective in man. Because of the prolonged duration of effect of buprenorphine in comparison to such drugs, they may need to be administered repeatedly or by continuous infusion. Volunteer studies in man have indicated that opiate antagonists may not fully reverse the effects of buprenorphine.
Withdrawal period(s)
Not applicable.
Pharmacological particulars
Pharmacotherapeutic group: Opioid analgesics, oripavine derivatives
ATCvet code: QN02AE01
Pharmacodynamic properties
In summary buprenorphine is a potent, long-acting analgesic acting at opiate receptors in the central nervous system. Buprenorphine can potentiate the effects of other centrally-acting agents, but unlike most opiates, buprenorphine has, at clinical doses, only a limited sedative effect of its own.
Buprenorphine exerts its analgesic effect via high affinity binding to various subclasses of opiate receptors, particularly µ, in the central nervous system. At clinical dose levels for analgesia, buprenorphine binds to opiate receptors with high affinity and high receptor avidity, such that its dissociation from the receptor site is slow, as demonstrated in in vitro studies. This property of buprenorphine could account for its longer duration of activity when compared to morphine. In circumstances where excessive opiate agonist is already bound to opiate receptors, buprenorphine can exert a narcotic antagonistic activity as a consequence of its high-affinity opiate receptor binding, such that an antagonistic effect on morphine equivalent to naloxone has been demonstrated.
Buprenorphine has little effect on gastro-intestinal motility.
Pharmacokinetic particulars
Buprenorphine is rapidly absorbed after intramuscular injection in various animal species and man. The substance is highly lipophilic and the volume of distribution in body compartments is large. Pharmacological effects (e.g. mydriasis) may occur within minutes of administration and signs of sedation normally appear by 15 minutes. Analgesic effects appear around 30 minutes after injection with peak effects usually being observed at about 1–1.5 hours.
Following intramuscular administration to cats, the mean terminal half-life was 6.3 hours and the clearance was 23 ml/kg/min, however, there was considerable inter-cat variability in pharmacokinetic parameters.
Following intravenous administration to dogs at a 20 μg/kg dose, the mean terminal half-life was 9 hours and the mean clearance was 24 ml/kg/min, however there is considerable inter-dog variability in pharmacokinetic parameters.
Combined pharmacokinetic and pharmacodynamic studies have demonstrated a marked delay between plasma concentrations and analgesic effect. Plasma concentrations of buprenorphine should not be used to formulate individual animal dosage regimens, which should be determined by monitoring of the patient’s response.
The major route of excretion in all species except the rabbit (where urinary excretion predominates) is the faeces. Buprenorphine undergoes N-dealkylation and glucuronide conjugation by the intestinal wall and the liver and its metabolites are excreted via the bile into the gastro-intestinal tract.
In tissue distribution studies carried out in rats and rhesus monkeys, the highest concentrations of drug-related material were observed in liver, lung and brain. Peak levels occurred rapidly and declined to low levels by 24 hours after dosing.
Protein binding studies in rats have shown that buprenorphine is highly bound to plasma proteins, principally to alpha and beta globulins.
Pharmaceutical particulars
Buprecare Multidose 0.3 mg/ml Solution for Injection for Dogs and Cats
List of excipients
Chlorocresol, Glucose, anhydrous, Hydrochloric acid (for pH adjustment), Water for injection
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: 18 months. Shelf-life after first opening the vial: 28 days
Special precautions for storage
Do not store above 25°C. Keep the vial in the outer carton in order to protect from light. Do not refrigerate or freeze.
Nature and composition of immediate packaging
Presented in a 10 ml amber Type I glass vial with a bromobutyl rubber stopper and flip-off aluminium cap. Pack size: 1 vial with 10 ml solution for injection
Special precautions for the disposal of unused veterinary medicinal product or waste materials derived from the use of such products
Any unused veterinary medicinal product or waste materials derived from such veterinary medicinal products should be disposed of in accordance with local requirements. Any unused product must be disposed of in accordance with the Misuse of Drugs Regulations 2001 (UK)
Buprecare 0.3 mg/ml Solution for Injection for Dogs and Cats
List of excipients
Glucose, anhydrous, Hydrochloric acid, Water for injection
Incompatibilities
None known.
Shelf life
Shelf-life of the veterinary medicinal product as packaged for sale: 3 years. The product does not contain an antimicrobial preservative. Use immediately after opening the ampoule. Any solution remaining in an ampoule following withdrawal of the required dose should be discarded.
Special precautions for storage
Do not store above 25°C. Protect from light. Do not refrigerate or freeze.
Nature and composition of immediate packaging
Presented in 1 ml clear Type I glass, snap ampoules, in boxes of five.
Special precautions for the disposal of unused veterinary medicinal product or waste materials derived from the use of such products
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 Holder (if different from distributor)
Ecuphar NV
Legeweg 157-i
8020 Oostkamp
Belgium
Marketing Authorisation Number
Buprecare Multidose 0.3 mg/ml Solution for Injection for Dogs and Cats:
UK (GB) Vm 10347/4031
UK (Northern Ireland) Vm 10347/4031
Buprecare 0.3 mg/ml Solution for Injection for Dogs and Cats :
UK (GB) Vm 32742/4024
UK (Northern Ireland) Vm 10347/4024
Significant changes
Date of the first authorisation or date of renewal
Buprecare 0.3 mg/ml Solution for Injection for Dogs and Cats:
28 May 2008
Buprecare Multidose 0.3 mg/ml Solution for Injection for Dogs and Cats:
12 December 2011
Date of revision of the text
October 2018
Any other information
Legal category
Legal category: POM-V
GTIN
GTIN description:Buprecare multidose vial
GTIN:5055037401547
GTIN description:Buprecare 0.3mg/ml Ampoules (120 units)
GTIN:5055037401677