emeprid® solution for injection 0.5 mg/kg/day dosage table · pdf fileno, they are not !...

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Further information is available on request. Ceva Animal Health Ltd • 90 The Broadway • Chesham • Bucks HP5 1EG • Tel: 01494 781510 • Fax: 01494 781519 • www.ceva.com A trusted anti-emetic and pro-kinetic for dogs and cats at a price that won’t turn your stomach! Emeprid® Solution for Injection 5 mg/ml metoclopramide. 10 ml multi-dose bottles. Stable for 28 days once broached. Licensed for dogs and cats. Suitable for subcutaneous, intramuscular and intravenous injection. Dose range: 0.5 – 1 mg/kg per day split into two or three equally divided doses. 0.5 mg/kg/day dosage table Bodyweight (kg) Volume (ml) twice daily Volume (ml) 3 times daily 5 0.25 0.17 10 0.5 0.34 20 1 0.68 30 1.5 1 40 2 1.36 Emeprid® Oral Solution 1 mg/ml metoclopramide. 125 ml bottles. Stable for 6 months once opened. Licensed for dogs and cats. Sweet orange and apricot flavouring. Dose range: 0.5 – 1 mg/kg per day split into two or three equally divided doses. 0.5 mg/kg/day dosage table Bodyweight (kg) Volume (ml) twice daily Volume (ml) 3 times daily 5 1.25 0.85 10 2.5 1.7 20 5 3.4 30 7.5 5.1 40 10 6.8 Emeprid® 5 mg/ml Solution for Injection for Dogs and Cats contains 5 mg/ml metoclopramide. Target species: Dogs and cats. Use: Symptomatic treatment of vomiting and reduced gastro-intestinal motility associated with gastritis, pyloric spasm, chronic nephritis and digestive intolerance to some drugs. Contra-indications: Do not use in cases of gastro-intestinal perforation or obstruction. Special precautions for use in animals: The dosage must be adapted in animals with renal or hepatic insufficiency (due to an increase in the risk of side effects). Avoid administration to animals with epilepsy. The dosage should be carefully observed, especially in cats and small breed dogs. Following prolonged vomiting, consideration should be given to fluid and electrolyte replacement therapy. Operator warning: In case of accidental ingestion, especially by children, seek medical advice immediately and show the package leaflet or the label to the physician. In case of accidental exposure by spillage onto the skin or eyes, wash immediately with abundant water. If adverse effects appear, seek medical advice immediately and show the package leaflet or the label to the physician. Wash hands after administration to the animal. Adverse reactions: In some very rare cases, extrapyramidal effects (agitation, ataxia, abnormal positions and/or movements, prostration, tremors and aggression, vocalisation) have been observed after treatment of dogs and cats. These observed effects are transient and disappear when treatment is stopped. In very rare cases, allergic reactions may occur. Use during pregnancy, lactation or lay: Laboratory studies in laboratory animals have not produced any evidence of teratogenic or foetotoxic effects. However, studies on laboratory animals are limited and the safety of the active substance has not been evaluated in the target species. The use of the product during pregnancy and lactation must be made according to the benefit/risk assessment carried out by the veterinarian. Interaction with other medicinal products and other forms of interaction: In cases of gastritis, avoid the co-administration of anticholinergic drugs (atropine) as they may counteract the effects of metoclopramide on gastrointestinal motility. In cases of simultaneous diarrhoea, there is no contra-indication to the use of anticholinergic drugs. Concurrent use of metoclopramide with neuroleptics derivated from phenothiazine (acepromazine) and butyrophenones increases the risk of extrapyramidal effects. Metoclopramide can potentiate the action of central nervous system depressants. If used concurrently, it is advised to use the lowest dosage of metoclopramide to avoid excessive sedation. Amounts to be administered and administration route: Intravenous, intramuscular or subcutaneous use. 0.5 to 1 mg of metoclopramide hydrochloride per kg of body weight per day administered as either: 2.5 to 5.0 mg / 10 kg (equivalent to 0.5 to 1 ml / 10 kg), twice daily or 1.7 to 3.3 mg / 10 kg (equivalent to 0.34 to 0.6 ml / 10 kg), three times daily. Injections can be repeated with interval of 6 hours. Overdose: Most of the clinical signs reported after an overdosage are well known extrapyramidal side effects. In the absence of a specific antidote, it is recommended to offer a calm environment to the animal until extrapyramidal side effects disappear. Metoclopramide being rapidly metabolised and eliminated, side effects generally disappear quickly. Shelf life: Shelf-life of the veterinary medicinal product as packaged for sale: 2 years. Shelf life after first opening: 28 days. Storage and disposal: This veterinary medicinal product does not require any special storage conditions. Any unused product or waste material should be disposed of in accordance with local requirements. Legal category: . Emeprid® 1 mg/ml Oral Solution for Dogs and Cats contains 1 mg/ml metoclopramide. Target species: Dogs and cats. Use: Symptomatic treatment of vomiting and reduced gastro-intestinal motility associated with gastritis, pyloric spasm, chronic nephritis and digestive intolerance to some drugs. Contra-indications: Do not use in cases of gastro-intestinal perforation or obstruction. Special precautions for use in animals: The dosage must be adapted in animals with renal or hepatic insufficiency (due to an increase in the risk of side effects). Avoid administration to animals with epilepsy. The dosage should be carefully observed, especially in cats and small breed dogs. Following prolonged vomiting, consideration should be given to fluid and electrolyte replacement therapy. In case of vomiting after intake of the oral solution, maintain the usual interval between two administrations before administering the product again. Operator warning: In case of accidental ingestion, especially by children, seek medical advice immediately and show the package leaflet or the label to the physician. In case of accidental exposure by spillage onto the skin or eyes, wash immediately with abundant water. If adverse effects appear, seek medical advice immediately and show the package leaflet or the label to the physician. Wash hands after administration to the animal. Adverse reactions: In some very rare cases, extrapyramidal effects (agitation, ataxia, abnormal positions and/or movements, prostration, tremors and aggression, vocalisation) have been observed after treatment of dogs and cats. These observed effects are transient and disappear when treatment is stopped. In very rare cases, allergic reactions may occur. Use during pregnancy, lactation or lay: Laboratory studies in laboratory animals have not produced any evidence of teratogenic or foetotoxic effects. However, studies on laboratory animals are limited and the safety of the active substance has not been evaluated in the target species. The use of the product during pregnancy and lactation must be made according to the benefit/risk assessment carried out by the veterinarian. Interaction with other medicinal products and other forms of interaction: In cases of gastritis, avoid the co-administration of anticholinergic drugs (atropine) as they may counteract the effects of metoclopramide on gastrointestinal motility. In cases of simultaneous diarrhoea, there is no contra-indication to the use of anticholinergic drugs. Concurrent use of metoclopramide with neuroleptics derivated from phenothiazine (acepromazine) and butyrophenones increases the risk of extrapyramidal effects. Metoclopramide can potentiate the action of central nervous system depressants. If used concurrently, it is advised to use the lowest dosage of metoclopramide to avoid excessive sedation. Amounts to be administered and administration route: Oral use. Administer the product directly into the mouth. 0.5 to 1 mg of metoclopramide hydrochloride per kg of body weight per day administered as either: 2.5 to 5.0 mg / 10 kg (equivalent to 2.5 to 5 ml / 10 kg), twice daily or 1.7 to 3.3 mg / 10 kg (equivalent to 1.7 to 3.3 ml / 10 kg), three times daily. Oral administrations can be repeated with interval of 6 hours. Overdose: Most of the clinical signs reported after an overdosage are well known extrapyramidal side effects. In the absence of a specific antidote, it is recommended to offer a calm environment to the animal until extrapyramidal side effects disappear. Metoclopramide being rapidly metabolised and eliminated, side effects generally disappear quickly. Shelf life: Shelf-life of the veterinary medicinal product as packaged for sale: 3 years. Shelf life after first opening: 6 months. Storage and disposal: This veterinary medicinal product does not require any special storage conditions. Any unused product or waste material should be disposed of in accordance with local requirements. Legal category: .

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Further information is available on request.Ceva Animal Health Ltd • 90 The Broadway • Chesham • Bucks HP5 1EG • Tel: 01494 781510 • Fax: 01494 781519 • www.ceva.com

A trusted anti-emetic and pro-kinetic for dogs and catsat a price that won’t turn your stomach!

Emeprid® Solution for Injection• 5 mg/ml metoclopramide.

• 10 ml multi-dose bottles.

• Stable for 28 days once broached.

• Licensed for dogs and cats.

• Suitable for subcutaneous, intramuscular and intravenous injection.

• Dose range: 0.5 – 1 mg/kg per day split into two or three equally divided doses.

0.5 mg/kg/day dosage tableBodyweight

(kg)Volume (ml)twice daily

Volume (ml)3 times daily

5 0.25 0.17

10 0.5 0.34

20 1 0.68

30 1.5 1

40 2 1.36

Emeprid® Oral Solution• 1 mg/ml metoclopramide.

• 125 ml bottles.

• Stable for 6 months once opened.

• Licensed for dogs and cats.

• Sweet orange and apricot flavouring.

• Dose range: 0.5 – 1 mg/kg per day split into two or three equally divided doses.

0.5 mg/kg/day dosage tableBodyweight

(kg)Volume (ml)twice daily

Volume (ml)3 times daily

5 1.25 0.85

10 2.5 1.7

20 5 3.4

30 7.5 5.1

40 10 6.8

Emeprid® 5 mg/ml Solution for Injection for Dogs and Cats contains 5 mg/ml metoclopramide. Target species: Dogs and cats. Use: Symptomatic treatment of vomiting and reduced gastro-intestinal motility associated with gastritis, pyloric spasm, chronic nephritis and digestive intolerance to some drugs. Contra-indications: Do not use in cases of gastro-intestinal perforation or obstruction. Special precautions for use in animals: The dosage must be adapted in animals with renal or hepatic insufficiency (due to an increase in the risk of side effects). Avoid administration to animals with epilepsy. The dosage should be carefully observed, especially in cats and small breed dogs. Following prolonged vomiting, consideration should be given to fluid and electrolyte replacement therapy. Operator warning: In case of accidental ingestion, especially by children, seek medical advice immediately and show the package leaflet or the label to the physician. In case of accidental exposure by spillage onto the skin or eyes, wash immediately with abundant water. If adverse effects appear, seek medical advice immediately and show the package leaflet or the label to the physician. Wash hands after administration to the animal. Adverse reactions: In some very rare cases, extrapyramidal effects (agitation, ataxia, abnormal positions and/or movements, prostration, tremors and aggression, vocalisation) have been observed after treatment of dogs and cats. These observed effects are transient and disappear when treatment is stopped. In very rare cases, allergic reactions may occur.Use during pregnancy, lactation or lay: Laboratory studies in laboratory animals have not produced any evidence of teratogenic or foetotoxic effects. However, studies on laboratory animals are limited and the safety of the active substance has not been evaluatedin the target species. The use of the product during pregnancy and lactation must be made according to the benefit/risk assessment carried out by the veterinarian. Interaction with other medicinal products and other forms of interaction: In cases of gastritis, avoid the co-administration of anticholinergic drugs (atropine) as they may counteract the effects of metoclopramide on gastrointestinal motility. In cases of simultaneous diarrhoea, there is no contra-indication to the use of anticholinergic drugs. Concurrent use of metoclopramide with neuroleptics derivated from phenothiazine (acepromazine) and butyrophenones increases the risk of extrapyramidal effects. Metoclopramide can potentiate the action of central nervous system depressants. If used concurrently, it is advised to usethe lowest dosage of metoclopramide to avoid excessive sedation. Amounts to be administered and administration route: Intravenous, intramuscular or subcutaneous use. 0.5 to 1 mg of metoclopramide hydrochloride per kg of body weight per day administered as either: 2.5 to 5.0 mg / 10 kg (equivalent to 0.5 to 1 ml / 10 kg), twice daily or 1.7 to 3.3 mg / 10 kg (equivalent to 0.34 to 0.6 ml / 10 kg), three times daily. Injections can be repeated with interval of 6 hours. Overdose: Most of the clinical signs reported after an overdosage are well known extrapyramidal side effects. In the absence of a specific antidote, it is recommended to offer a calm environment to the animal until extrapyramidal side effects disappear. Metoclopramide being rapidly metabolised and eliminated, side effects generally disappear quickly. Shelf life: Shelf-life of the veterinary medicinal product as packaged for sale: 2 years. Shelf life after first opening: 28 days. Storage and disposal: This veterinary medicinal product does not require any special storage conditions. Any unused productor waste material should be disposed of in accordance with local requirements. Legal category: .

Emeprid® 1 mg/ml Oral Solution for Dogs and Cats contains 1 mg/ml metoclopramide. Target species: Dogs and cats. Use: Symptomatic treatment of vomiting and reduced gastro-intestinal motility associated with gastritis, pyloric spasm, chronic nephritis and digestive intolerance to some drugs. Contra-indications: Do not use in cases of gastro-intestinal perforation or obstruction. Special precautions for use in animals: The dosage must be adapted in animals with renal or hepatic insufficiency (due to an increase in the risk of side effects). Avoid administration to animals with epilepsy. The dosage should be carefully observed, especially in cats and small breed dogs. Following prolonged vomiting, consideration should be given to fluid and electrolyte replacement therapy. In case of vomiting after intake of the oral solution, maintain the usual interval between two administrations before administering the product again. Operator warning: In case of accidental ingestion, especially by children, seek medical advice immediately and show the package leaflet or the label to the physician. In case of accidental exposure by spillage onto the skin or eyes, wash immediately with abundant water. If adverse effects appear, seek medical advice immediately and show the package leaflet or the label to the physician. Wash hands after administration to the animal. Adverse reactions: In some very rare cases, extrapyramidal effects (agitation, ataxia, abnormal positions and/or movements, prostration, tremors and aggression, vocalisation) have been observed after treatment of dogs and cats. These observed effects are transient and disappear when treatment is stopped. In very rare cases, allergic reactions may occur. Use during pregnancy, lactation or lay: Laboratory studies in laboratory animals have not produced any evidence of teratogenic or foetotoxic effects. However, studies on laboratory animals are limited and the safety of the active substance has not been evaluated in the target species. The use of the product during pregnancy and lactation must be made according to the benefit/risk assessment carried out by the veterinarian. Interaction with other medicinal products and other forms of interaction: In cases of gastritis, avoid the co-administration of anticholinergic drugs (atropine) as they may counteract the effects of metoclopramide on gastrointestinal motility. In cases of simultaneous diarrhoea, there is no contra-indication to the use of anticholinergic drugs. Concurrent use of metoclopramide with neuroleptics derivated from phenothiazine (acepromazine) and butyrophenones increases the risk of extrapyramidal effects. Metoclopramide can potentiate the action of central nervous system depressants. If used concurrently, it is advised to use the lowest dosage of metoclopramide to avoid excessive sedation. Amounts to be administered and administration route: Oral use. Administer the product directly into the mouth. 0.5 to 1 mg of metoclopramide hydrochloride per kg of body weight per day administered as either: 2.5 to 5.0 mg / 10 kg (equivalent to 2.5 to 5 ml / 10 kg), twice daily or 1.7 to 3.3 mg / 10 kg (equivalent to 1.7 to 3.3 ml / 10 kg), three times daily. Oral administrations can be repeated with interval of 6 hours. Overdose: Most of the clinical signs reported after an overdosage are well known extrapyramidal side effects. In the absence of a specific antidote, it is recommended to offer a calm environment to the animal until extrapyramidal side effects disappear. Metoclopramide being rapidly metabolised and eliminated, side effects generally disappear quickly. Shelf life: Shelf-life of the veterinary medicinal product as packaged for sale: 3 years. Shelf life after first opening: 6 months. Storage and disposal: This veterinary medicinal product does not require any special storage conditions. Any unused product or waste material should be disposed of in accordance with local requirements. Legal category: .

I think they are going to …

A trusted anti-emetic and pro-kinetic for dogs and catsat a price that won‘t turn your stomach!

No, they are not !

Ceva Animal Health Ltd 90 The Broadway, Chesham, Bucks HP5 1EGTel: 01494 781510 Fax: 01494 781519www.ceva.com

Emeprid®: ONE Molecule , TWO Modes of Action

C14H22Cl N3O2 M = 354.3g

MODE OF ACTION1. ANTI-EMETIC EFFECT through antagonism of D2 receptors •blocksdopaminergictransmissionatthelevelofthechemoreceptortriggerzoneinthebrain

2. PRO-KINETIC EFFECT through agonism of 5-HT4 receptors •stimulatesgastro-intestinalmotility

Thanks to its anti-emetic and pro-kinetic activities, Emeprid® is licensed for the symptomatic treatment of vomiting and reduced gastro-intestinal motility associated with gastritis, pyloric spasm and chronic nephritis.

A trusted anti-emetic and pro-kinetic for dogs and catsat a price that won’t turn your stomach!

Human metoclopramide

Emeprid® (metoclopramide)

Maropitantcitrate

Anti-emetic and pro-kinetic Anti-emetic and pro-kinetic Anti-emetic

Licensed for humans Licensed for dogs and cats Licensed for dogs only

Oral: liquid and tablets Oral: syrup Oral: tablets

Injection: IV, IM and SC Injection: IV, IM and SC Injection: SC only

Breakable glass vials Multi-dose bottles Multi-dose bottles

Potential for waste No waste No waste

Cost index1: 1-2 Cost index1: 3 Cost index1: 9

1. Based on January 2011 wholesaler prices using standard 0.5 mg/kg/day metoclopramide dose (oral syrup / injectable versions of Emeprid® and human generic metoclopramide), 1 mg/kg/day maropitant injection dose and 2 mg/kg/day maropitant oral dose for a 20 kg dog.

Thanks to its anti-emetic and pro-kinetic activities, Emeprid® is licensed for the symptomatic treatment of vomiting and reduced gastro-intestinal motility associated with gastritis, pyloric spasm and chronic nephritis.

A trusted anti-emetic and pro-kinetic for dogs and catsat a price that won’t turn your stomach!

Human metoclopramide

Emeprid® (metoclopramide)

Maropitantcitrate

Anti-emetic and pro-kinetic Anti-emetic and pro-kinetic Anti-emetic

Licensed for humans Licensed for dogs and cats Licensed for dogs only

Oral: liquid and tablets Oral: syrup Oral: tablets

Injection: IV, IM and SC Injection: IV, IM and SC Injection: SC only

Breakable glass vials Multi-dose bottles Multi-dose bottles

Potential for waste No waste No waste

Cost index1: 1-2 Cost index1: 3 Cost index1: 9

1. Based on January 2011 wholesaler prices using standard 0.5 mg/kg/day metoclopramide dose (oral syrup / injectable versions of Emeprid® and human generic metoclopramide), 1 mg/kg/day maropitant injection dose and 2 mg/kg/day maropitant oral dose for a 20 kg dog.