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HYPOPHYSIN LA 70MCG/ML INJ 50ML

   Product Ref: APHYP03 Category: H

£ 88.34


Vat Rate: 20%

Prescription Required



Indications for use, specifying the target species Cows: - Uterine atony during the puerperal period - Placental retention as a consequence of uterine atony - Initiation of milk ejection in stress-induced agalactia or in conditions requiring ud-der emptying Sows: - Acceleration or restart of parturition after disruption of uterine contractions (uterine atony or inertia) following the expulsion of at least one piglet - Supportive therapy of mastitis-metritis-agalactia (MMA-) syndrome - Initiation of milk ejection - Shortening of total parturition duration as a component of synchronisation of partu-rition in sows The product may be applied to sows which have previously been administered an appropriate PGF2 or PGF2 analogue (e.g. cloprostenol) not prior to day 114 of pregnancy and have not started farrowing within 24 hours after the PGF2 or PGF2 analogue injection (day 1 of pregnancy is the last day of insemina-tion) 4.3 Contraindications Do not administer to accelerate parturition if cervix is not opened or if there is a me-chanical cause for the delayed parturition such as physical obstruction, positional and postural abnormalities, convulsive labour, threatened rupture of uterus, uterine torsion, relative foetal oversize or deformities of the birth canal. Do not use in cases of hypersensitivity to the active substance or to any of the excip-ients. 4.4 Special warnings for each target species The responsiveness to carbetocin of the myometrium is likely to be close to zero from the 5th to the 11th day post-partum. Therefore, the administration of the veterinary medicinal product during this period is likely to be inefficient and should be avoided. If treatment with carbetocin should fail, then it is advisable to reconsider the aetiolo-gy of the condition, specifically if hypocalcaemia could be a complicating factor. In case of severe septic metritis, appropriate concomitant therapy should be instigat-ed when administering the veterinary medicinal product. 4.5 Special precautions for use Special precautions for use in animals None. Special precautions to be taken by the person administering the veterinary medici-nal product to animals In case of accidental self-injection uterine contractions could be induced in preg-nant women. Pregnant women, women post-partum and breast-feeding women should not ad-minister this product, in order to avoid an accidental exposure. In case of an accidental self-injection of the veterinary medicinal product in non-pregnant women the following effects may occur: facial flushing and warmth, lower abdominal pain. These effects usually disappear within a short span of time. In the case of accidental self-injection, seek medical advice immediately and show the package leaflet or the label to the physician. Personal protective equipment consisting of disposable gloves should be worn when handling the veterinary medicinal product. Carbetocin may be absorbed through the skin. In case of accidental contact with the skin, the corresponding area should be thoroughly cleaned with soap and water. In case of contact with the eyes, they should be thoroughly rinsed with water. People with known hypersensitivity to carbetocin or any of the excipients should avoid contact with the veterinary medicinal product. Women of childbearing age should administer the product with special caution. 4.6 Adverse reactions (frequency and seriousness) In very rare cases carbetocin may have a uterotonic effect in the late pregnancy. The frequency of adverse reactions is defined using the following convention: - very common (more than 1 in 10 animals treated displaying adverse reaction(s)) - common (more than 1 but less than 10 animals in 100 animals treated) - uncommon (more than 1 but less than 10 animals in 1,000 animals treated) - rare (more than 1 but less than 10 animals in 10,000 animals treated) - very rare (less than 1 animal in 10,000 animals treated, including isolated reports). 4.7 Use during pregnancy, lactation or lay The veterinary medicinal product is indicated to induce milk ejection. See also 4.3 Contraindications. 4.8 Interaction with other medicinal products and other forms of interaction The administration of oxytocin after the administration of the veterinary medicinal product is un-necessary. Due to a possible intensification of the effect of oxytocin, undesirable uterine spasms may be induced.
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Category POM-V
Temperature Refrigerated
MA/VM/EU No: 27569/4004
Species
  • cattle
  • pigs
VMD Link https://www.vmd.defra.gov.uk/productinformationdatabase/files/SPC_Documents/SPC_617385.PDF
NOAH Link
Dosage Amounts to be administered and administration route For intramuscular or intravenous use. Cows For all indications: 3.0 – 5.0 ml/animal, corresponding to 210 – 350 µg carbetocin/animal Sows For shortening of total parturition duration as a part of the synchronisation of parturi-tion: 0.5 ml/animal, corresponding to 35 µg carbetocin/animal For acceleration or restart of parturition after disruption of uterine contractions (uter-ine atony or inertia) following the expulsion of at least one piglet: 0.5 -1.0 ml/animal, corresponding to 35 - 70 µg carbetocin/animal For MMA and milk ejection: 1.5 – 3.0 ml/animal, corresponding to 105 – 210 µg carbetocin/animal The dosage requirements can be variable within the indicated limits based on the assessment of the veterinarian. In case of treatment for milk ejection in the cow and sow or supportive therapy in MMA-syndrome in sow, a repeated administration is possible after 1 to 2 days. The interval between two injections should not be shorter than 24 hours. For all other indications stated in section 4.2 [indications] the product should be ad-ministered once. The rubber stopper of the vial may be safely punctured up to 25 times. Otherwise, automatic syringe equipment, or a suitable draw-off needle, should be used for the 20 and 50 ml vials to avoid excessive puncturing of the closure. 4.10 Overdose (symptoms, emergency procedures, antidotes), if necessary An overdosing of more than 400 µg of carbetocin/animal could increase the stillbirth rate in older sows if administered during prolonged parturition. An overdosing of 600 µg of carbetocin/animal may induce profuse lactation in sows that may result in diarrhoea, reduced weight gain and increased mortality in their piglets. Carbetocin is considered as moderately irritant. At the injection sites of treated ani-mals, focal lymphocytic infiltration was observed at higher doses (1000 µg of car-betocin/animal).
Withdrawals Cattle, pigs Meat and offal: Zero days Cattle Milk: Zero hours