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Date: Thursday, April 25, 2024 14:37

Description: MSD-AH
Release 2.49
Dimazon® 50 mg/ml Solution for Injection
 
Species: Cats, Cattle, Dogs, Horses and other equidae
Therapeutic indication: Pharmaceuticals: Diuretics
Active ingredient: Frusemide (Furosemide)
Product:Dimazon® 50 mg/ml Solution for Injection
Product index: Dimazon® 50 mg/ml
Cattle - milk: 24 hours
Cattle - meat: 28 days
Withdrawal notes: Not to be used in horses intended for human consumption - see data sheet
Incorporating:
Qualitative and quantitative composition
Each ml contains:
Active substance:
Furosemide 50.0 mg
(as monoethanolamine salt)
Excipients:
Benzyl alcohol 15.0 mg
Disodium edetate 1.0 mg
Sodium sulfite anhydrous 1.8 mg
For the full list of excipients, see section “Pharmaceutical particulars”.
Pharmaceutical form
Solution for injection. A clear, yellowish fluid.
Clinical particulars
Target Species
Cattle, horses, cats and dogs.
Indications for use
A potent saluretic type of diuretic for parenteral administration to cattle, horses, cats and dogs. Dimazon is indicated in the treatment of oedemata associated with cardiac insufficiency, renal dysfunction, trauma and parasitic disease. It is also recommended for the treatment of mammary oedema and limb oedemata.
The product gives rapid onset of diuretic action with increased sodium and water excretion. It is even effective where glomerular filtration is impaired.
Contraindications
Do not use in cases of acute glomerular nephritis renal failure with anuria, electrolyte deficiency disease or overdosage with digitalis.
Do not use concurrently with aminoglycoside antibiotic treatment.
The therapeutic effect may be impaired by increased intake of drinking water. So far as the patient's condition allows, the amount of drinking water should be restricted.
Do not use in cases of hypersensitivity to the active substance or to any of the excipients.
Special warnings for each target species
Clinical experience with dogs indicates that improved results can frequently be achieved by supplementary administration of corticosteroids
Special precautions for use
In pulmonary oedema of cardiac origin, combined therapy with cardiac glycosides is advisable. Only during prolonged treatment is it necessary to monitor potassium balance. Potassium supplements may be necessary.
Operator warnings
Care should be taken to avoid accidental self-injection. If irritation occurs, seek medical attention, showing the product label to a doctor. Following skin/eye contamination, wash/irrigate area with clean, running water immediately. Wash hands after use.
Adverse Reactions
Too rapid injection in dogs may cause staggering and vomiting.
Use during pregnancy or lactation
Can be used during pregnancy and lactation.
Interactions
Potential interactions with other drugs include ototoxicity with aminoglycosides and nephrotoxicity with cephalosporins.
Use in combination with sulphonamide treatment may lead to sulphonamide allergy.
Amounts to be administered and administration route
Species
Dosage mg active/kg bodyweight
ml of 50 mg/ml solution
Administration
Horse
0.5-1.0 i.v.
1-2 ml per 100 kg
1-2 times/day at intervals of 6-8 hours
Cattle
0.5-1.0 i.v.
1-2 ml per 100 kg
At intervals of 12-14 hours
Dog/Cat
2.5-5.0 i.m./ i.v.
0.25-0.5 (per 5kg bodyweight)
First dose 5mg/kg reduced to 1-2mg/kg for maintenance at 6-8 hours intervals.
In severe or refractory cases, the dose may be doubled on a single occasion in the horse or cow.
The product may be administered observing aseptic precautions:
- by intravenous injection only in cattle and horses.
- by intramuscular or intravenous injection only in cats and dogs.
Onset and Duration of Action
Species
Route
Time of onset
Duration
Dog
i.v or i.m
after 10-15 minutes
2-3 hours
Overdose
Doses higher than recommended may cause transitory deafness.
Cardiovascular side effects may be observed in weak and old patients following overdosage.
Withdrawal periods
Cattle:
Meat and offal: 28 days.
Milk: 24 hours.
Horses:
Not to be used in horses intended for human consumption.
Treated horses may never be slaughtered for human consumption.
The horse must have been declared as not intended for human consumption under national horse passport legislation.
Pharmacological particulars
ATCvet code: QC03CA01
Pharmacological properties
Pharmacotherapeutic group
Cardiovascular system, high-ceiling diuretics, sulfonamides, plain; furosemide.
Pharmacodynamic properties
Furosemide is a derivative of sulphamoyl-anthranilic acid and is a rapid onset diuretic used in animals and humans. Furosemide acts on the urine producing regions of the nephron and increases the filtration volume while impairing the re-absorption of sodium, chlorine and water. An isotonic or slightly hypotonic urine with unchanged or slightly acid Ph is produced. Potassium excretion is only significantly increased after large doses.
Pharmacokinetic particulars
Cattle
The absorption of furosemide is rapid but incomplete with maximum plasma levels occurring within 1 hour of dosing depending on the administration route. Furosemide is not accumulated after repeated dosing as evidenced by comparison of plasma profiles and of tissues concentrations.
The volume of distribution is relatively low, indicating limited distribution into tissues (mainly liver and kidney), also reflecting the extensive plasma protein binding. Absorption and tissue distribution are extremely fast in cattle after i.m. administration. In plasma, maximum levels range from 15 minutes to 1.5 hour, and the half-life is 0.22-2.7 hours. Elimination is predominantly renal via urine, and is clearly prolonged after oral and i.m. administration compared to i.v. administration (probably because delayed absorption). Lesser quantities are eliminated via faeces and very little via milk (half-life 3 hours). Only small quantities are excreted in the bile. The majority of the total dose is excreted within 24 hours.
Horse
The apparent volume of distribution is 0.66 L/kg in horses. The elimination half-life is prolonged after i.m. administration compared with i.v. administration (65-86 vs 25-39 minutes, respectively), probably on account of delayed absorption. The half-life of 7.6 hours from the urine points to a distribution to poorly perfused tissues. The total clearance is about 12 mL/kg/min and the renal excretion accounts for 60% in unmetabolised form. Plasma protein binding of furosemide in horses in about 95%. Up to 60% of the amount of furosemide injected i.v. is rapidly excreted unchanged in the urine, and furosemide is still detectable in urine for about 12 hours.
Dog and cat
Following parenteral administration, furosemide is rapidly absorbed with maximum plasma levels occurring within 10-15 minutes. It is not accumulated after repeated dosing. Plasma half-lives are similar across species after i.v. administration (dog 12-24 minutes). Elimination is rapid and predominantly via the kidneys in the urine. The majority of the total dose is excreted within the first 24 hours (after i.v. injection in dogs, about 44-56% of the dose are excreted in the urine within one hour and 55-69% within 24 hours). The faeces contain 17-39% of the dose. Plasma protein binding of furosemide is 91% and estimated distribution volume is 0,52 L/kg. Furosemide metabolizes in very small amounts (main metabolite: 4-chloro-5-sulfamoyl-anthranilic-acid, no diuretic activity).
Pharmaceutical particulars
Excipients
Benzyl Alcohol
Disodium edetate
Sodium sulfite anhydrous
Ethanolamine
Sodium chloride
Water for Injections
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: 3 years.
Shelf life after first opening the immediate packaging: 28 days.
Special precautions for storage
Do not store above 25 oC.
Keep the container in the outer carton in order to protect from light.
If the product is stored for a prolonged period below +18oC, crystalline precipitation may occur. Do not use the product whilst these crystals are present. The crystals may be re-dissolved by shaking the vial and then storing it for 24 hours at 30oC – 40oC. Once the crystals are re-dissolved, the product may be used.
Following withdrawal of the first dose, use the product within 28 days. Discard unused material.
Immediate packaging
Clear type I tubular glass container sealed with a grey type I bromobutyl rubber stopper and aluminium cap with a filling volume of 10 ml.
Pack sizes:
Cartons of 1 x 10 ml and 5 x 10 ml vials.
Not all pack sizes may be marketed.
Disposal
Any unused veterinary medicinal product or waste materials derived from such veterinary medicinal product should be disposed of in accordance with local requirements.
Marketing Authorisation Holder (if different from distributor)
Marketing Authorisation Number
UK: Vm 01708/4406
Significant changes
Date of the first authorisation or date of renewal
27 April 2005
Date of revision of the text
December 2020.
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:Dimazon 5% 1x10ml:
GTIN:05032984107326