formulary for veterinaries
TRANSCRIPT
Veterinary Formulary
CONTENT
Acknowledgements.....................................................................iv
Introduction.................................................................................vi
General Guidance.......................................................................ix
1.Anti-infective.............................................................................1
1.1.Antibacterial Drugs..............................................................11.1.1.Penicillins......................................................................11.1.2. Other Antibacterials...................................................151.1.3. Compound Antibacterial Preparations.......................67
1.2. Antifungals........................................................................711.3. Antiprotozoal Drugs..........................................................74
1.3.1. Anticoccidial drugs....................................................751.3.2. Trypanocides and Others...........................................791.3.3. Combination...............................................................83
1.4. Anthelmintic Drugs...........................................................851.4.1. Benzimidazoles.........................................................861.4. 2. Imidazothiazole.........................................................921.4.3. Microcyclic Lactones.................................................941.4.4. Other Anthelmintic Drugs..........................................971.4.5. Combined Anthelmintics.........................................100
2.Acaricides and Insecticides..................................................104
2.1.Organophosphates and Chlorides.....................................1062.2. Carbamate.......................................................................1102.3. Pyrethrines and pyrethroids............................................1112.4. Others..............................................................................115
3.Gastrointestinal Drugs..........................................................116
3.1. Antidiarrheal Drugs.........................................................1163.1.1.Adsorbents................................................................1173.1.2.Drugs used in the treatment of chronic diarrhea.......118
3.2. Drugs used in the Treatment of Bloat.............................1183.3. Laxatives.........................................................................121
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Veterinary Formulary
3.3.1. Lubricant laxatives...................................................1213.3.2. Bulk-forming Laxatives...........................................1223.3.3. Osmotic Laxatives....................................................123
4. Cardiovascular Drugs..........................................................124
4.1. Diuretics..........................................................................1244.1.1. Thiazides..................................................................1254.1.2. Loop diuretics..........................................................1264.1.3. Osmotic Diuretics....................................................128
5. Central Nervous System Drugs...................................................129
5.1. Analgesics/Antipyretics..................................................1295.1.1 Opioid Analgesics.....................................................1295.1.2. Non-opioid Analgesics.............................................132
5.2. Sedatives.........................................................................1376. Drugs used in anaesthesia....................................................141
6.1. General Anaesthetics.......................................................1416.1.1. Antimuscarinic Pre-anaesthetic Medication............1426.1.2. Injectable Anaesthetics............................................1436.1.3. Inhalational Anaesthetics.........................................147
6.2. Local Anaesthetics..........................................................1497. Drugs used in Endocrine disorders....................................152
7.1. Drugs used to promote Gonadal function.......................1527.2. Myometrial Stimulants....................................................1557.3 Sex Hormones..................................................................156
7.3.1. Oestrogens................................................................1577.3.2. Androgens................................................................1597.3.3. Progestogens............................................................160
7.4. Prostaglandins.................................................................1628. Blood products and drugs affecting the blood...................164
8.1. Anticoagulants................................................................1648.1.1. Parenteral Anticoagulants........................................1648.1.2. Oral anticoagulant....................................................165
8.2. Haemostatics...................................................................166
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9.Vitamins.................................................................................167
9.1.Water soluble Vitamins....................................................1689.2. Fat Soluble Vitamins.......................................................171
10.Anti-inflammatory Drugs...................................................173
10.1.Corticosteroids...............................................................17311. Disinfectants and Antiseptics............................................177
12.Antidotes and other substances used in poisoning...........182
13.Immunological Preparations..............................................184
Index..........................................................................................209
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Acknowledgements
The Drug Administration and Control Authority is grateful to individu-
als and organizations for their valuable contributions for the preparation
of the final version of the formulary for veterinary drugs.
The Authority would like to give special acknowledgement to the fol-
lowing professionals and their institions for their contibtions during the
consultative workshop held to finalize the draft formulary.
Dr.Tadesse Balcha - Veterinarian
Dr. Emiru Zewdie - Veterinarian
Dr. Bojia Enderbu - Veterinarian
Dr. Taye Yirgu - Veterinarian
Ato Abiy Habtewolde - Pharmacologist
Dr.Tesfu Kassa - Veterinarian
Dr. H/mariam Lemecha - Veterinarian
Dr. G/giorgis Ashebir - Veterinarian
Dr. Temima Nuri - Veterinarian
Dr.Tsehay Melesse - Veterinarian
Dr.Martha Yami - Veterinarian
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Veterinary Formulary
Dr.Asseged Bogale - Veterinarian
Dr.Tadesse Getahun - Veterinarian
Dr. Anwar Nuru - Veterinarian
W/o Lidya Asrat -Pharmacologist
Dr. Mulugeta Yebege-eshet -Veterinarian
Dr. Zewdu Belay -Veterinarian
Dr. Ataklti Negash -Veterinarian
Dr. Kassaye Adugna -Veterinarian
Dr. Tesfu Kassa -Veterinarian
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Veterinary Formulary
Introduction
Ethiopia is a leading country in the number of animal population in the
African continent. However, the output in terms of contributions to the
improvement of the livelihood of animal owners and for the growth of
the national economy is at a lower stage compared to the vast resource
on hand. Poor Animal health service and inadequate supply of drugs are
among the main contributing factors for the poor utilization of the re-
sources.
The provision of quality animal health-care necessitates the availability
of safe, effective and affordable drugs of the required quality, in ade-
quate quantity at all times, and presented, dispensed and used rationally.
Subject to many underlying factors the widely spread irrational use of
veterinary drugs needs to be tackled through various interventions, in-
cluding the introduction of guidances on the use of drugs. Formulary for
veterinary drugs is believed to be one of the key guiding instruments for
the facilitation of the promotion of rational use.
In line with this the formulary for veterinary drugs has been prepared
based upon guiding principles, including emphasis on major Animal
diseases in Ethiopia, the veterinary drugs list and the level of animal
health services in Ethiopia.
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Veterinary Formulary
In process of the development of the formulary an effort has been made
to incorporate uptodate information on each drug, extracted from stan-
dard reference books, manuals and other sources.
Contributions of competent professionals have also been sought through
facilitation of their participation in the process in various ways, includ-
ing seeking comments on the drafts. The comments given during the
consultative workshop have also been included in this final version of
the formulary.
The formulary is envisaged to serve as a quick reference in understand-
ing the properties of drugs and detailed information regarding each drug
for the professionals involved in animal health care, prescribing and dis-
pensing of veterinary drugs.
The formulary is designed based on pharmaco-therapeutic classification
of drugs so as to help users relate the pharmacological action of a drug
to the condition/s it is recommended for.
The formulary contains comprehensive information for every phar-
maco-therapeutic class of drugs and an insight on indication, contraindi-
cation, side-effects, dose and administration, withdrawal period and
storage conditions of each drug. The general guidance portion of the
formulary provides information on the safe and appropriate use of
drugs. Details of more than 235 drugs in their 350 dosages forms are in-
cluded in this edition.
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Veterinary Formulary
The Drug Administration and Control Authority of Ethiopia will con-
stantly review the formulary and shall make efforts to follow the
progress in the field as well as the approval of new veterinary drugs to
be used in Ethiopia, to regulary update the formulary.
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Veterinary Formulary
General Guidance
The general principle of prescribing for animals is that no medicinal
product should be administered to a patient unless specifically indi-
cated. In all cases the benefit of administering the drugs should be con-
sidered in relation to the risks involved, particularly in food-producing
animals. The choice of drug to treat a specific condition is dependent on
the sensitivity of the micro-organisms requiring treatment in the case of
infectious conditions, the influence of secondary infections, manage-
ment factors, consideration of any possible drug interactions, and avail-
able routes of administration.
Administration and owner compliance
Ease of administration must be assigned a high priority when prescrib-
ing medicinal products to be given by the owner. Failure to comply
with dose recommendations can often account for an apparently poor
response to therapy or toxic effects. It is the responsibility of the veteri-
nary surgeon to prescribe medicinal products that the owner can readily
administer to the animal at convenient intervals and to provide an expla-
nation of the treatment given.
In veterinary medicine, drugs are available in many different formula-
tions. For oral administration, it is important of ascertain whether the
drug should be given before, with, or after food. Preparations avail-
able for direct oral administration consist of tablets (including
oval boluses used for cattle), capsules, oral paste, oral solution
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Veterinary Formulary
(drench), and modified release (sustained-release) ruminal boluses. Ru-
minal boluses should not be given to ruminants less than 100 kg body-
weight or those that do not have a functional rumen. It is important that
drug dosage calculations are carefully checked for treatment adminis-
tered via the drinking water or feed. It is advisable to establish if other
drugs are included in the diet before medicating the drinking water or
feed to avoid the possibility of adverse drug interactions.
Doses. The doses stated in The Veterinary Formulary are intended for
general guidance only and represent, unless otherwise stated, the usual
range of doses that are generally regarded as suitable for the species in-
dicated. Doses are given in amounts per kilogram body-weight wher-
ever possible. Doses of drugs to be administered in the drinking water
or feed are usually expressed as amount per 100 litres of drinking water
or per tonne of feed. All doses are for administration by mouth, unless
otherwise stated. For the purposes of The Veterinary formulary 'small
animals' are considered to be dogs and cats; 'large animals' to be horses,
cattle, sheep, and pigs.
Withdrawal periods. The withdrawal period is the time interval after
cessation of treatment and before the animal or any of its products can
be used as human food. With increasing human public awareness of the
use of drugs such as hormones and antimicrobials in animals that may
enter in the human food chain, it is essential that veterinarian play an
active part in ensuring that drugs are administered according to
their directions and that withdrawal periods are strictly followed. In the
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Veterinary Formulary
The Veterinary Formulary withdrawal periods are given in days wher-
ever possible.
Prescribing for Horses, Cattle, Sheep, Goats, and
Pigs
Cattle, sheep, goats, pigs, and in some countries horses, constitute food-
producing animals providing meat, milk, or both for human consump-
tion. Therefore the use of drugs and medicines in these species may be
restricted, for example, chloramphenicol use is limited because possible
residues in human food may lead to bacterial resistance and aplastic
anaemia in humans. Withdrawal periods for milk and meat stated by the
manufacturer should be adhered to.
Drugs may be prescribed as group medication for administration in the
feed or drinking water or for individual animal treatment. For parenteral
administration in these species, injection may be given subcutaneously
intramuscularly, or intravenously, or by intraperitoneal injection in
lambs. Medication may be given by direct injection into the rumen. Not
more than 20 ml should be administered at any one site if given by in-
tramuscular injection. Horses are particularly sensitive to components
of parenteral preparations. Oil-based formulations or unbuffered solu-
tions or suspensions may cause irritation and tissue damage at the site
of injection. Ruminal boluses that provide continuous or pulsatile re-
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Veterinary Formulary
lease of a drug over a prolonged period have been developed for use in
cattle and sheep for the delivery of anthelmintics and trace elements.
There is wide variation in drug absorption and metabolism among these
species. Absorption from the gastro-intestinal tract in ruminant species
is influenced by the volume and pH of the ruminal contents and whether
the drug is subject to metabolism by ruminal microorganisms. Pigs are
monogastric animals and absorption takes place mainly from the small
intestine.
In horses, an orally administered drug may be partly absorbed from the
small intestine with further absorption occurring 8 to 12 hours later
from the large intestine. Absorption of some drugs administered in the
feed or after feeding can be delayed for several hours because unab-
sorbed drug may be conveyed to the large intestine where further ab-
sorption takes place.
Drugs that are extensively metabolised by hepatic microsomal oxidative
reactions are, in general, metabolised more rapidly in ruminant animals
and horses than in pigs. Phenylbutazone is a notable exception in that
the half-life of this drug in cattle is many times longer than in horses.
The dose of xylazine administered to cattle is one-fifth of that used in
horses. The half-life of some drugs that are eliminated mainly by he-
patic metabolism is shorter, by about 2-fold, in goats than in sheep. In
pigs, the defect in sulphate conjugation is compensated for by alterna-
tive metabolic pathways such as glucuronide synthesis.
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Veterinary Formulary
Orally administered penicillins or broad-spectrum antimicrobials may
disturb bacterial fermentation in the caecum and colon in adult horses,
and in the rumen in animals with a functional rumen resulting in severe
digestive disturbances or drug inactivation. Following oral antibacterial
administration in ruminants, the ruminal microflora should be re-estab-
lished by cud transfer or administration of a proprietary preparation. An
alternative is to ensure that drugs are delivered directly into the aboma-
sum via the oesophageal groove mechanism. This can be achieved by
adding the medicant to the milk of pre-weaned ruminants. In adult
sheep, prior administration of copper sulphate produces groove closure.
In cattle, oral administration of 60 ml of sodium bicarbonate 10% is ef-
fective in achieving groove closure. Oesophageal groove closure may
however be counterproductive. Spontaneous closure in some individu-
als given oral benzimidazoles can result in a proportion of the drug be-
ing transferred into the abomasum, thus reducing the efficacy of the
drug.
Tetracyclines may cause severe enterocolitis in horses exposed to stress.
In cattle, rapid intravenous injection of tetracyclines may cause cardio-
vascular collaps due to chelation of calcium in heart muscle, with con-
sequent vasodilatation and myocardial depression. With the exception
of oral administration of erythromycin estolate in conjunction with ri-
fampicin for the treatment of pneumonia caused by Rhodococcus equi
in foals, the use of lincosamide and macrolide antibacterials should be
avoided in horses.
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Veterinary Formulary
Phenothiazines such as acepromazine should be used with caution in
male horses because these drugs may cause paralysis of the retractor pe-
nis muscle. The hypotensive effect of acepromazine makes its use in
horses with colic questionable. Acepromazine causes reduction in
packed cell volume, which is attributed to splenic sequestration of red
blood cells. This may lead to misinterpretation of laboratory diagnostic
data.
Prescribing for Dogs and Cats
Although the absorption and excretion of many drugs are similar in
dogs and cats, there are aspects of drug metabolism in which the species
differ markedly. These factors should be taken into account when pre-
scribing for dogs and cats. Ideally both dogs and cats should be weighed
before being medicated.
Drug absorption from the gastro-intestinal tract and from parenteral in-
jection sites is related to drug formulation, and is generally similar in
dogs and cats. While drug formulation and feeding in conjunction with
oral dosing may cause variation in bioavailability, incomplete systemic
availability can also be attributed to the physicochemical properties of
the drug and the 'first-pass' effect. The rate of drug absorption from the
gastro-intestinal tract is determined by the rate of gastric emptying be-
cause the small intestine is the principal site of drug absorption. The
rate of percutaneous absorption of highly lipid-soluble drugs may be
more rapid in cats.
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Veterinary Formulary
Renal excretion of drugs is similar in dogs and cats. Drugs that are
eliminated unchanged in the urine may be administered at the same
dose per kilogram body-weight for both species.
There are many dog breeds and, as a general rule, for larger breeds cal-
culation of the total dose should be based at the lower end of the recom-
mended range. In dogs, the acetylation process for aromatic amines
such as sulphonamides is absent. This does not decrease the overall rate
of drug elimination because alternative metabolic pathways compen-
sate; acidic urine favours sulphonamide reabsorption and increase half-
life. NSAIDs such as aspirin and flunixin may cause gastric ulceration,
particularly at high doses. These are potent drugs and patients may
show individual susceptibilities to toxic effects. Tetracycline antibacte-
rials may cause staining of the teeth in offspring if given in pregnancy.
A similar effect may occur if tetracyclines are administered to puppies.
Sulphonamides and sulphasalazine, administered systemically, may
cause keratoconjunctivitis sicca and potentiated sulphonamides may
cause an immune-mediated polyarthritis particularly in Dobermanns.
Phenothiazines such as acepromazine should be used with caution in
brachycephalic breeds because spontaneous fainting may be precipi-
tated. The unusual sensitivity of the blood-brain barrier, the release of
gamma-aminobutyric acid in the CNS, or both. Barbiturates such as
thiopentone may have prolonged action in coursing hounds due to lim-
ited redistribution of the drug into fatty tissue or decreased plasma-pro-
tein binding.
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Veterinary Formulary
There are specific problems related to drug use in cats. The cat has a
relative deficiency in hepatic microsomal glucuronyl transferase activity
and therefore drugs that are metabolised by this pathway will usually be
eliminated at a slower rate. Organophosphorus compounds, aspirin,
chloramphenicol, paracetamol, phenytoin, and griseofulvin may be
toxic unless the appropriate dosage regimen is applied and should be
used with caution. Antiseptics and disinfectants such as iodine and its
derivatives, benzyl benzoate, and phenols and cresol and particularly
toxic to cats due to increased drug ingestion because of the animals
grooming habits together with slow drug metabolism. Opioid analgesics
including morphine, butorphanol, pethidine, and pethidine derivatives
such as diphenoxylate hydrochloride may cause violent excitatory activ-
ity with overdose. Phenothiazine such as acepromazine may cause para-
doxical excitement in some cats. Xylazine may cause emesis in dogs
and cats and may be used therapeutically for this purpose. High dose of
aminoglycoside antibacterials such as gentamicin, streptomycin, and
neomycin are particularly toxic in cats, causing ototoxicity, nephrotoxi-
city, or both.
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Veterinary Formulary
Prescribing for Birds
Poultry
Poultry are farmed domestic birds, which include chickens, ducks,
geese, and turkeys. Preparations that are licensed for poultry may not be
suitable or safe for use in all species.
When investigating a disease problem, management procedures should
be examined before medicating the flock. An undesirable environment
can nullify the benefits of medication, may be the cause of illness, and
should be corrected at the same time as instigating any medication. In
some circumstances it may be more economical to slaughter the flock
earlier than planned because the cost of treatment would be excessive.
Administration of drugs in the drinking water is usually preferable be-
cause domestic poultry will drink when they will not eat. However,
fluid intake by the birds may vary due to the weather, to the ease of ac -
cess or hygiene of drinking water dispensers ('drinkers'), or to the un-
palatability of the medicated water. Care must be taken that the medica-
tion does not block the water system. Hygiene problems may arise as a
result of poor mixing and preparation, or from fungal proliferation with
some dextrose carriers. Drinker lines should be sanitised before drug in-
corporation, and should be cleaned regularly as part of the routine ter-
minal house disinfection.
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Veterinary Formulary
Alternatively, the feed may be medicated. This is convenient for the
farmer but it may take time getting feed mixed at the mill and mills may
find making special mixes uneconomical. Absorption of the drug may
be unpredictable because of binding to feed ingredients. Some birds
may have a reduced feed intake and may require adjustment of the drug
concentration in their feed.
Treatment by injection is the most predictable method of drug adminis-
tration but is only practicable where there are sufficient staffs available
and the birds are of high monetary value. Intramuscular injection is
usually given into thigh or breast muscle in adult birds. Intramuscular
vaccinations are given into the thigh or neck muscle in day-old chicks.
Aseptic procedures must be strictly adhered to.
Many antibacterials are licensed for use in poultry for the treatment of
enteric and respiratory disease. Coccidiosis, mainly caused by Eimeria
spp., is a common infection in poultry flocks and medication is usually
administered prophylactically to control the disease. Erythromycin and
sulphonamides have also been reported to cause toxic effects when ad-
ministered with monensin. Some drugs, such as clopidol, should not be
used in layer hens because of possible drug residues in eggs intended
for human consumption.
Infection with gapeworm, Syngamus trachea, and intestinal nematodes
such as Capillaria, Heterakis, and Ascaridia may be treated with li-
censed preparations including fenbendazole, flubendazole, and meben-
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Veterinary Formulary
dazole. Lice, mites, and fleas may affect poultry and preparations li-
censed for treatment include cypermethrin .
Prescribing for Fish
Fish are farmed as food-producing animals and also kept by enthusiasts
as a hobby. Species kept by enthusiasts may be divided into cold-water
and tropical fish. Cold-water fish kept include goldfish in aquaria, Japa-
nese koi carp inn ponds, and occasionally temperate marine fish caught
off the coast. Tropical fish may be fresh water or marine.
Preventive medicine is extremely important for fish health. Fish live in
a 'bacterial soup' and poor water quality or frank infection may quickly
lead to an acute cascade of disease within a cage, pond, or tank. Mainte-
nance of good water quality, adequate feeding but not overfeeding, long
quarantine, and generous stocking densities will aid the production and
maintenance of healthy fish.
Bacterial Infections
The majority of bacterial infections affecting fish are caused by Gram-
negative organisms such as Aeromonas, Vibrio, and Pseudomonas Spp.,
which cause furunculosis, septicaemia, and ulcer disease. Yersinia ruck-
eri infection causes enteric redmouth disease. Bacteria resistance to an-
tibacterials is becoming a common problem in the fish industry. Vac-
cines are available for the control of some fish diseases.
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Farmed Fish
Antibacterials are usually formulated as in feed medications for farmed
fish. The drugs are combined with food by admixture with fish oil, corn
oil, or gelatin, or dusted onto the pelleted feed. Fish should be starved
for 12 to 24 hours before treatment because in-feed medication may be
unpalatable. Adequate oxygenation should always be provided in treat-
ment tanks.
Antibacterial preparations that are licensed for use in fish include
amoxycillin, co-trimazene, oxolinic acid, and oxytetracycline. The
usual treatment course is 7 to 10 days.
When administering antibacterial to farmed fish, the appropriate with-
drawal periods must be observed. Fish are poikilothermic and their
basal metabolic rate varies with water temperature. Therefore with-
drawal periods, stated in degree days, vary with ambient water tempera-
ture. For example 400 degree day is 20 days at a water temperature of
20o C or 40 days at 10 o C. The standard withdrawal period for fish is
500 o days unless otherwise stated by the manufacturer.
In general, treatment with in-water antibacterials or methylene blue
should not be carried out in tanks with biological filters. Although
some drugs are claimed not to disturb biological filters, may do so ac-
cording to the dose used. It is preferable to administer the treatment in a
quarantine tank without filtration but with appropriate monitoring of
water quality or water changes.
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Veterinary Formulary
Amoxycillin Trihydrate
Indications. Amoxycillin-sensitive infections
Dose. Fish: by addition to feed, 40-80 mg/kg body-weight daily
Withdrawal Periods. Fish: slaughter 50odays
Co-trimazine
Preparations of trimethoprim 1 part and sulphadiazine 5 parts
Indication. Co-trimazine-sensitive Infections
Dose. Expressed as trimethoprim + sulphadiazine
Fish: by addition to feed, 30 mg/kg body weight dailyWithdrawal Periods. Fish: slaughter 400o days
Oxytetracycline
Indication. Oxytetracycline-sensitive infections
Warning. Chelated hard water (not applicable for in-feed medication)
Dose. Fish: by addition to feed, 75 mg/kg body-weight daily
Withdrawal Periods. Fish: slaughter 4000 days
Parasitic and fungal infections
Parasitic and fungal infections affecting farmed and ornamental fish are
usually treated by in-water medication. The common protozoa infec-
tions include white spot caused by Ichthyophthirius multifiliis, slime
disease due to Chilodonella, Costia (Ichthyobodo), and Trichodina, vel-
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Veterinary Formulary
vet disease caused by Oodinium spp., and fin rot caused by traumatic
injury and secondary Epistylis infection. Other ectoparasites causing le-
sions include flukes such as Gyrodactylus, which attach onto the skin
and Dactylogyrus, which affect the gills, and the anchor worm Lernaea.
The nematode Camallanus may infect freshwater topical fish. Saproleg-
nia is a common fungal infection in fish; it is usually a secondary infec-
tion.
Fish should be starved before any topical treatment because this reduces
the metabolic rate of the fish and the organic loading of water from food
and faeces, which increases the oxygen demand. Initially only a few
fish in a group, as a representative sample, should be treated. After ob-
serving these fish for good recovery over a few hours, the remaining
fish can be treated similarly. Adequate oxygenation should always be
provided in treatment tanks. Temporary treatment tanks may not be
available for topical fish and capture and handling may be excessively
stressful. Therefore when treating ornamental fish, treatment should al-
ways begin at the lower end of a dose range, increasing as necessary.
When treating small fish or fish in soft water use low doses.
Chemicals or drugs are added to the water, which is used as a bath, a
flush, or a dip. To prepare a bath, a low concentration of drug is added
to the water and the fish are placed in the solution for 30 to 60 minutes,
or longer for prolonged immersion. When given as a flush, a higher
concentration of drug is added to the water which is then flushed
through with fresh incoming water. This usually means the fish remain
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Veterinary Formulary
in contact with the drug for 15 to 20 minutes. In a dip, a very concen-
trated solution of the drug is prepared and fish are netted into the solu-
tion for 30 to 60 seconds and then replaced in their original tank.
The organophosphorus pesticide dichlorovos is used for the treatment
of salmon infected by the sea lice, Lepeophtheirus salmonis and Cali-
gus elongatus, before the stage at which serious skin damage is evident.
Vigorous water aeration should be provided when using this drug.
Gasping and rolling are signs of toxicity and asphyxiation of the fish.
Goldsinney wrasse have been used, as an alternative to chemical treat-
ment, to control sea louse infection on salmon.
Dichlorvos
Indications. Sea lice infestation
Warnings. Care with concurrent treatment with co-trimazine
Withdrawal period. Fish: by bath, 2 mg/litre for 30-60 minutes
Formaldehyde is a general ectoparsiticide and is also used for fluke
infections due to Gyrodactylus and resistant Chilodonella infections.
The dose of formaldehyde should be adjusted according to the pH; low
doses should be used at low pH and higher doses used at high pH.
Iodine compounds are used for disinfection of fish eggs and also for
direct application to lesions. These compounds are toxic to newly
hatched fish. Benzalkonium chloride is used as a general antibacterial.
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Veterinary Formulary
It acts as a surfactant, removing excess mucus and slime containing par-
asites and bacteria from the fish. Benzalkonium tends to be more toxic
in soft water and lower doses should then be used. It is less toxic in hard
water.
Copper sulphate is used for velvet disease but is potentially toxic in
fresh water. It is inadvisable to use this compound where other treat-
ments are available. The dose of copper in fresh water depend on the
water hardness. It should be used with caution if the calcium carbonates
level in the water is less than 50 mg/litre such as in soft water.
Potassium permanganate is toxic in water of high pH because man-
ganese dioxide may precipitate onto the gills. Potassium permanganate
acts by liberating oxygen and has been used in situation of intensive
fish stocking in earth ponds where emergency aeration in need. This ox-
idizing effect is potentially dangerous and use of this chemical should
be restricted to specialists.
Benzalkonium chloride
Indication. External bacterial infections, in particular bacterial gill
disease; disinfection
Warning. Toxicity is increased in soft water; appropriate blend of
chain lengths is important
Dose. By bath, 10 mg/litre for 5-10 minutes, 5 mg/litre for 30 minute,
2 mg/litre for 60 minute, 1 mg/litre for several hours.
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Veterinary Formulary
By prolonged immersion, 0.1-0.5 mg/litre have been used in domestic
ponds
Iodine compounds
Indications. Disinfection of fish eggs; cleaning wounds
Warnings. Toxic to unfertilised ova and live fish
Dose. Eggs: by bath, 10 ml/litre for 10 minutes. Rinse ova thoroughly
in clean water
Potassium permanganate
Indications. Ectoparasitic and fungal infections, emergency oxygena-
tion
Warning. See notes above
Dose. Treatment. By bath, 5 mg/litre for 1 hour. By dip, 10 mg/litre for
10-40 seconds
Emergency aeration. By permanent bath, 2 mg/litre or 3-4 mg/litre if a
high organic load present
Sodium chloride
Indications. Fungal and ectoparasitic infections in freshwater fish; os-
motic support for stressed or diseased freshwater fish
Dose. By bath, 10-15 g /litre for 20 minute
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Veterinary Formulary
1.Anti-infective
1.1.Antibacterial Drugs
1.1.1.Penicillins
1.1.1.1. Narrow-Spectrum penicillins
1.1.1.2. Beta-lactamase resistant penicillins
1.1.1.3. Broad-spectrum penicillins
General Properties
Penicillins are poorly soluble, weak organic acids that are administered
parenterally either as suspensions in water or oil, or as water-soluble
salts. The trihydrate forms of the semisynthetic penicillins have greater
aqueous solubility than the parent compounds and are usually preferred
for both parenteral and oral use. The penicillins are somewhat unstable,
being sensitive to heat, light, extremes in pH, heavy metals, and oxidiz-
ing and reducing agents. Also, they often deteriorate in aqueous solu-
tion and thus require reconstitution with diluents just before injection.
Penicillins contain a β-lactam nucleus that when cleaved by a β-lac-
tamase enzyme (penicillinase) produces penicilloic acid derivatives
that are inactive but which may act as the antigenic determinants
for penicillin hypersensitivity. β-Lactamases are produced by gram-
positive organisms (Staphylococcus aureus, S epidermidis), and five
of the six types of β-lactamases are produced by gram-negative or-
ganisms.
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Antibacterial Spectra
Penicillin G and its oral congeners (eg, penicillin V) are active against
both aerobic and anaerobic gram-positive bacteria and, with a few ex-
ceptions (Haemophilus and Neisseria spp and strains of Bacteroides
other than B fragilis), are inactive against gram-negative organisms at
usual concentrations. Organisms usually sensitive in vitro to penicillin
G include streptococci, penicillin-sensitive staphylococci, Corynebac-
terium pyogenes , Clostridium spp , Erysipelothrix rhusiopathiae , Acti-
nomyces ovis , Leptospira canicola , Bacillus anthracis , Fusiformis no-
dosus , and Nocardia spp .
The semisynthetic β-lactam–resistance penicillins, such as oxacillin,
cloxacillin, floxacillin and nafcillin, have spectra similar to those noted
but also include many of the β-lactam – producing strain of staphylo-
cocci (especially S. aureus and S. epidermidis).
Side-effects and Toxicity
Organ toxicity is rare. Hypersensitivity reactions do occur (particularly
in cattle) skin reactions, angioedema, drug fever, serum sickness, vas-
culitis, eosinophilia, and anaphylaxis are common manifestations.
Cross-sensitivity between penicillins is well recognized. Intrathecal ad-
ministration may result in convulsions. Potassium penicillin G should
be administered intravenously with some caution, especially if hyper-
kalemia is present. The sodium salt of penicillin G may also contribute
to the sodium load in congestive heart failure.
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Drug interactions
Displacement of penicillins from plasma-protein binding sites and de-
layed tubular secretion occurs when drugs such as salicylates,
phenylbutazone, sulfonamides, and other weak acids are administered
concurrently. Gut-active penicillins potentiate the action of anticoagu-
lants by depressing vitamin K production by gut flora. Absorption of
ampicilin is impaired by the presence of food. Ampicillin and penicilin
G are incompatible with many other drugs and solutions and should not
be mixed.
1.1.1.1. Narrow-spectrum penicillins
This group includes naturally occurring penicillin G (benzyl penicillin)
in its various forms and a few biosynthetic acid-stable penicillins in-
tended for oral use (penicillin V). Penicillins in this class are active
against many gram-positive and a limited number of gram-negative bac-
teria, but they are susceptiable to β-lactamase (penicillinase) hydrolysis.
Benzylpenicillin, also known as penicillin G, was the first of the peni-
cillins, and remains an important and useful antibacterial. Benzyl peni-
cillin is inactivated by gastric acid and so not administered oral. It is
available as a range of salts that differ in their solubility and hence their
duration of action.
Procaine Penicillin is slightly soluble. Following parentral adminis-
tration, it forms “depot” which slowly releases free benzyl penicillin
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into the circulation, maintaining effective concentration against the
more susceptible microorganisms for up to 24 hours.
Benzathine Penicillin is a very slightly soluble salt, which has a pro-
longed action after intramuscular injection although plasma concentra-
tions produced are low.
Benzylpenicillin (Penicillin G)
Powder for injection, 4,800 IU
Indications. Penicillin G is indicated in the treatment of blackleg
caused by susceptible organisms such as Clostridium chauvoei in cattle
and sheep. It is also used in Erysipela infections caused by
Erysipelothrix rhusiopathia, (insidiosa) in pigs. Bacterial rhinitis or
pharyngitis caused by susceptible organisms such as Actinomyces pyo-
genes. Bacterial pneumonia caused by susceptible organisms in cattle,
sheep. Actinomycosis, septic arthritis caused by susceptible bacteria in
cattle, horses, pigs, and sheep. Leptospirosis in cattle, dogs, horses,
and pigs. Used in malignant edema caused by susceptible Clostridium
septicum in cattle. Metritis caused by susceptible organisms in cattle,
horses, pigs, and sheep. Pyelonephritis caused by susceptible organ-
isms such as Corynebacterium renale in cattle. Skin and soft tissue in-
fections caused by susceptible organisms, including those associated
with calf diphtheria, foot rot, the umbilicus, and wounds. Clostridium
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tetani in cats, cattle, dogs, horses, and pigs in conjunction with tetanus
antitoxin and supportive therapy.
Contraindication.Penicillin hypersensitivity; should not be adminis-
tered by intrathecal injection
Side- effects. Drug interactions. See notes under section 1.1.1
Warning. Occasional skin sensitization in operator
Dose. Cattle: by intramuscular injection, 12, 500-25,000 units/kg
Cats and dogs: Intravenous or intramuscular, 20,000 to 40,000 unit/
kg every six to eight hours. Horses: Intravenous or intramuscular,
20,000 units /kg every six to eight hours.
Withdrawal period. Cattle: discontinue use at least 5 days before
slaughtering for human use. Milk is normally withheld from human use
during intramammary treatment
Storage. Prior to reconstitution, store below 40 ºC (104 °F), preferably
between 15 and 30 °C (59 and 86 °F), unless otherwise specified by
manufacturer.
Procaine Penicillin G (Procaine Benzylpenicillin)
Injection, 300,000 IU/ml, 4,000,000 IU/ml
Intra-mammary suspension, 300,000 IU/ml
Indications. Contraindications. Side-effects. Warnings.Drug
interactions. See notes under section 1.1.1 and under benzylpeni-
cillin.
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Dose. Cats and dogs: by Intramuscular injection, 20,000 to 40,000
units /kg every twelve to twenty-four hours. Cattle, pigs, sheep: by In-
tramuscular injection, 24,000 to 66,000 units/kg every twenty-four
hours
Horses: by Intramuscular injection, 20,000 units /kg every twelve to
twenty-four hours
Note: Penicillin G procaine should not be administered subcutaneously at high
doses because doing so produces significant local inflammation and hemor-
rhage, as well as medication deposits that can contribute to residue problems.
The maximum dose per injection site of penicillin G procaine should be
3,000,000 Units (10 mL); injection sites should be different for each succeed-
ing treatment. Penicillin G procaine should never be administered intra-
venously.
Withdrawal periods. Cattle: slaughter 4 days, milk 3 days. Sheep:
slaughter 8 days. Calves: slaughter 7 days. Pigs: slaughter 5 days
Storage. Store between 2 and 8 °C (36 and 46 °F). Protect from freez-
ing.
Bezanthine Penicillin G and Procaine Penicillin G
Injection, 150,000IU +150,000IU/ml, 200,000IU+112,500IU/ml,
112,500IU +150,000IU/ml
Indications.Contraindication.Side-effects.Drug-interactions.
See notes under section 1.1.1 and under benzylpenicillin
Dose. Expresses for a suspension containing benzathine penicillin
150,000 IU + 150,000IU/ml
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Horse, cattle, sheep, goat, pigs: by intramuscular injection, 0.04 ml/
kg, repeat after 3-4 days
Dogs, cats: by subcutaneous or intramuscular injection, 0.1 ml/kg re-
peat after 3-4 days
Withdrawal periods. Cattle: slaughter 14 days, milk 3 days. Sheep:
slaughter 14 days. Pigs: slaughter 10 days
Storage. Store between 2 and 8 °C (36 and 46 ºF). Protect from freez-
ing.
1.1.1.2. Beta-lactamase Resistant Penicillins
This group, through substitution on the penicillin nucleus (6-aminopeni-
cillanic acid [6-APA]), is refractory to a greater or lesser degree to the
effects of various β-lactamase enzymes produced by resistant gram-pos-
itive organisms, particularly Staphylococcus aureus. However, peni-
cillins in this class are not as active against many gram-positive bacteria
as penicillin G and are inactive against almost all gram-negative bacte-
ria. Acid-stable members of this group (that are used per oral) include
oxacillin, cloxacillin, dicloxacillin, and flucloxacillin.
Cloxacillin
Intra-mammary Suspension, 500mg/dose, 625mg/dose
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Indications. Bovine mastitis in lactating cows due to Streptococcus
agalactiae and Staphylococcus aureus
Contraindication. Not recommended for food producing animals,
penicillin hypersensitivity reaction
Side-effects. See notes under section 1.1.1 and under benzylpenicillin
Dose. By intramammary infusion, at last milking of lactation, milk out
cow, Infuse 1 syringe into each quarter every 12 hours for a total of
three doses
Cloxacillin Benzathine
Intra -mammary Suspension, 200mg/dose
Eye ointment, 835mg/5g
Indication. Bacterial eye infections, bovine mastitis in dry cow due to
Streptococcus agalactiae and Staphylococcus aureus
Contraindications. Side-effects. See notes under section 1.1.1 and
under benzylpenicillin
Dose.Cattle: by intramammary infusion, at last milking of lactation,
milk out cow, infuse 1 syringe into each quarter
Sheep: by intramammary infusion, one doses per udder half at weaning
Eye ointment, for cattle, horses, sheep, dogs, cats: apply as a single
dose; repeat after 2-3 days if required
Withdrawal period. Intramammary suspension, cattle: slaughter 7
days, milk 2.5 days.
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Flucloxacillin
Capsule (as sodium salt) 250mg, 500mg
Oral Solution, 25mg/ml
Indication. Penicillin resistant staphylococci
Contraindications. Side-effects. See notes under section 1.1.1 and
under benzylpenicillin
Dose. Dogs, cats: 15 mg/kg four times daily
1.1.1.3. Broad-spectrum Penicillins
Penicillins in this class are derived semisynthetically and are active
against many gram-positive and gram-negative bacteria. However, they
are readily destroyed by the β-lactamase (produced by many bacteria).
Many members of the group are acid stable and are administered per
oral or parentrally. Of those used in veterinary medicine, ampicillin and
amoxicillin are the best known.
Antibacterial Spectra
They have activity against penicillin-sensitive gram-positive bacteria as
well as some gram-negative bacteria. Ampicillin is effective against al-
pha- and beta-hemolytic streptococci, including Streptococcus equi,
non–penicillinase-producing Staphylococcus species, some Bacillus an-
thracis, and most strains of Clostridia. Ampicillin is also effective
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against gram-negative bacteria, including many strains of Escherichia
coli (E. coli), Salmonella, and Pasteurella multocida.
Amoxicillin has the same spectrum of activity as ampicillin, but has
slightly better activity against some gram-negative bacteria, including
E. coli, and Salmonella species. Most anaerobic bacteria, except beta-
lactamase-producing strains of Bacteroides, are sensitive to amoxicillin.
The broad-spectrum penicillins are subject to destruction by beta-lacta-
mases and therefore are not effective against some bacteria that produce
these enzymes. Most strains of Klebsiella, Proteus, and Pseudomonas
are resistant.
Clavulanic acid has no significant antibacterial activity, but is a potent
beta-lactamase inhibitor. Therefore it's inclusion in the preparations of
amoxicillin renders the combination active against most strains of
Staph. aureus, some E.coli spp., as well as Bacteroides and Klebsilla
spp.
Side-effects
All species; hypersensitivity reactions, specifically acute anaphylaxis.
Calves; diarrhea and malabsorption. Horses; diarrhea, injection site re-
action (mild to moderate heat, pain, or swelling) with ampicillin trihy-
drate. Cats and dogs; anorexia, diarrhea, vomiting.
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Amoxicillin
Powder, 0.1%, 0.15%, 0.2%, 0.5%, 20%, 70%, 75%
Tablet, 200mg, 400mg
Injection, 100mg/ml, 150mg/ml
Oral Suspension, 5%, 10%, 15%
Ointment, 40mg/5g
Indications. Parenteral amoxicillin is indicated in the treatment of
acute necrotic pododermatitis caused by susceptible Fusobacterium
necrophorum. Amoxicillin is also indicated in the treatment of bacterial
gastrointestinal tract infections, genitourinary tract infections, including
cystitis and urethritis, pneumonia caused by susceptible organisms in
cats and dogs; tonsillitis, tracheobronchitis, and upper respiratory tract
infections caused by susceptible organisms and soft tissue infections
and wounds caused by susceptible organisms
Contraindications. Side-effects. See notes under section 1.1.1.3 and
under benzyl penicillin
Dose. Oral suspension, tablet: cats and dogs: oral, 10 to 22 mg /kg ev-
ery eight, twelve, or twenty-four hours
Note: Although the efficacy has not been established, amoxicillin is used in the
treatment of leptospirosis in dogs at an intravenous or oral dose of 22 mg per
kg of body weight every six to eight hours.
Injectable suspension, cats and dogs: Intramuscular or subcutaneous,
11 to 22 mg/kg every eight, twelve, or twenty-four hours.
Cattle: Intramuscular or subcutaneous, 6.6 to 22 mg /kg every eight,
twelve, or twenty-four hours.
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Withdrawal periods. Calves: slaughter 10 days. Sheep: slaughter
21days. Pigs: slaughter 21 days. Cattle: slaughter 21 days, milk 7 days.
Poultry: slaughter 1 days, should not be used in layer hens
Storage. Store below 40 ºC (104 ºF), preferably between 15 and 30 ºC
(59 and 86 ºF), unless otherwise specified by manufacturer.
Ampicillin
Injection, 150mg/ml, 200mg/ml, 300mg/ml
Powder, 10%, 20%, 75%
Capsule, 250mg
Tablet, 50mg, 125mg, 500mg
Indications. Parenteral ampicillin is indicated for the treatment of res-
piratory tract infections caused by susceptible organisms, including
some bacterial pneumonias associated with shipping fever complex in
calves. Parenteral ampicillin may be used in the treatment of strangles
caused by susceptible Streptococcus equi.
Contraindication. Side-effect. See notes under section 1.1.1.3 and
under benzyl penicillin
Dose. Ampicillin capsules; cats: oral, 10 to 20 mg / kg every eight to
twenty four hours.
Dogs: oral, 20 to 40 mg / kg every eight to twelve hours.
Ampicillin for injectable suspension; cats: Intramuscular or subcuta-
neous, 10 to 20 mg /kg every twelve to twenty-four hours.
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Dogs: Intramuscular or subcutaneous, 10 to 50 mg/kg every twelve
hours.
Cattle and calves, including non-ruminating calves: Intramuscular,
4.4 to 11 mg /kg every twenty-four hours.
Horses: Intramuscular or intravenous, 10 to 20 mg (free acid) / kg ev-
ery six to eight hours
Storage. Store below 40 ºC (104 ºF), preferably between 15 and 30 ºC
(59 and 86 ºF), unless otherwise specified by manufacturer
Withdrawal periods. Calves: slaughter 14 days. Sheep: slaughter
21days. Pigs: slaughter 28 days. Cattle: slaughter 21 days, milk 1 day
Amoxycillin and Clavulanic acid
Tablet, 40mg+10mg
Injection, 140mg+35mg/ml
Indication.Amoxicillin-sensitive infections including beta-lactamase-
producing microorganisms
Contraindications.Side-effects. See notes under section 1.1.1.3 and
under benzylpenicillin
Dose. Expressed as amoxycillin
Cattles: by subcutaneous or intramuscular injection, 7 mg/kg daily
Calves: oral, 5-10 mg/kg twice daily
Dogs, cats: oral, 10-20 mg/kg twice daily: by subcutaneous or intra-
muscular injection, 7 mg/kg
Withdrawal periods. Calves: slaughter 4 days. Cattle: slaughter 14
days, milk 1 day
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Ampicillin and Cloxacillin
Intra-mammary suspension, 75 mg + 200 mg/dose, 300 mg + 600 mg/
dose,
Injection, 1 g + 1 g /100 ml, 1.5 g + 1.5 g/100 ml
9.5 g + 4.8 g/100 ml
Indications.Contraindications.Side-effects. See notes under sec-
tion 1.1.1.3 and under benzylpenicillin
Ampicillin and Cloxacillin Benzathine
Intra-mammary suspensions 250 mg + 500 mg/dose, 200 mg +
500 mg/dose, 300 mg + 600 mg/dose
Indications. Bovine mastitis
Contraindications. Not to be used in lactating cows. Do not use
within 45 days of calving. Do not use in cows known to be hypersensi-
tive to the active ingredients.
Side-effects. See notes under section 1.1.1.3 and under benzylpeni-
cillin
Storage. Do not store above 250c
Ampicillin and Dicloxacillin
Intra-mammary suspensions, 190mg +190mg/dose
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Indications. Contraindications. Side-effects. See notes under sec-
tion 1.1.1.3
1.1.2. Other Antibacterials
1.1.2.1.Cephalosporins
General Properties
The physical and chemical properties of the cephalosporins are similar
to those of the penicillins, although the cephalosporins are somewhat
more stable to pH and temperature changes. They are used either as the
free base form for oral administration (if acid stable) or as sodium salts
in aqueous solution for parenteral delivery. Cephalosporins also contain
a β-lactam nucleus that is susceptible to β-lactamase (cephalosporinase)
hydrolysis.
The cephalosporins are similar to the penicillins in several respects and
also share many pharmacologic features as a group.
Classes
The early cephalosporins differed mainly with respect to pharmacoki-
netic characteristics; the newer generations have much broader ranges
of activity, and the modern classification of the group is based mainly
on antibacterial spectra.
First-generation Cephalosporins
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This group includes cephalothin, cephaloridine, cephapirin, cefazolin,
cephalexin, cephradine, and cefadroxil. Cephalosporins in this group are
usually quite active against many gram-positive bacteria but are only
moderately active against gram-negative organisms. They are relatively
susceptible to β-lactamases (cephalosporinases) and are not as effective
against anaerobes as are the penicillins.
Second-generation Cephalosporins
This group includes cefamandole, cefoxitin (a cephamycin), cefotiam,
cefachlor, cefuroxime, and ceforanide. These agents are generally active
against both gram-positive and gram-negative bacteria. Moreover, they
are relatively resistant to β-lactamase. They are ineffective against ente-
rococci, Pseudomonas aeruginosa, Actinobacter spp, and many obligate
anaerobes.
Third-generation Cephalosporins
This group includes ceftiofur, ceftriaxone, cefsulodin, cefotaxime, cef-
operazone, moxalactam (not a true cephalosporin), and several others.
Typically, these have only moderate activity against gram-positive bac-
teria but are active against a wide variety of gram-negative bacteria, in-
cluding in certain instances Pseudomonas spp, Proteus vulgaris, Enter-
obacter spp, and Citrobacter spp. They are usually highly resistant to β-
lactamase enzymes. Third-generation cephalosporins are often able to
penetrate the blood-brain barrier and are frequently indicated in bacte-
rial meningitis caused by susceptible pathogens. Ceftiofur has been
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specifically approved for use in cattle with bronchopneumonia, espe-
cially if caused by Pasteurella haemolytica or P. multocida .
Side-effects
The cephalosporins are relatively nontoxic. Although they may be
nephrotoxic in some species . Intramuscular injections can be painful,
and repeated intravenous administration may lead to local phlebitis.
Nausea, vomiting, and diarrhea may occasionally occur. Hypersensitiv-
ity reactions of several forms have been seen, particularly in animals
with a history of acute penicillin allergy. Superinfection may arise with
the use of cephalosporins, and Pseudomonas or Candida spp are likely
opportunistic pathogens. These drugs should be used with caution in an-
imals with renal disease. Chronic administration may lead to anemia in
cats.
Drug-interactions
Potential pharmacokinetic interactions are similar to those of the peni-
cillin group. Aminoglycosides may enhance cephalosporin nephrotoxic-
ity, but there is some doubt about this particular interaction. Furosemide
and ethacrynic acid, however, do appear to potentiate the nephrotoxic
action of cephalosporin.
Cephapirin
Intrammary suspension, 0.261 g/dose, 0.39 g/dose
Indication. For lactating cow only. For bovine mastitis
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Side-effects. See notes above
Contraindications. Hypersensitivity to cephlosporins or penicillins
Dose. By intramammary infusion, at last milking of lactation, milk out
cow, Infuse 1 syringe into each quarter every 12 hours
Drug interactions. See notes under section 1.1.2.1
Strorage. Store at room temperature; avoid excessive heat
Cephalexin
Powder for injection, 18 %
Indications. Side -effects. See notes above
Contraindications. See notes under section 1.1.2.1 and
under cephapirin
Warning. Reduce dose in renal impairment
Drug interactions. See notes under section 1.1.2.1
Dose. Cattle: by intramuscular injection, 7 mg/kg once daily
Sheep, pigs: by intramuscular injection, 10mg/kg once daily
Dogs, cats: by intramuscular or subcutaneous injection, 10 mg/kg once
daily
Withdrawal period. Cattle: slaughter 4 days, milk withdrawal pe-
riod nil. Sheep: slaughter 3 days. Pigs: slaughter 3 days
Storage. Store below 40 C (104 F), preferably between 15 and 30 C
(59 and 86 F), unless otherwise specified by manufacturer. Store in a
tight container.
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1.1.2.2. Tetracyclines
General Properties
The tetracyclines are stable as dry powders but not in aqueous solution,
particularly at higher pH ranges (7-8.5). Tetracyclines form poorly solu-
ble chelates with bivalent and trivalent cations, particularly calcium,
magnesium, aluminum, and iron.
Doxycycline is more lipophilic than the older tetracyclines and has a
number of advantages. Absorption of orally administered doxycycline is
better and is less affected by milk and calcium salts. Doxycycline also
penetrates better into several body compartment, notably the brain and
cerebrospinal fluid .It enters the gastrointestinal tract through the bile
and is particularly liable to produce enterocolitis in the horse.
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Antimicrobial Spectra
All tetracyclines are about equally active and typically have about
the same broad spectrum, which comprises both aerobic and anaer-
obic gram-positive and gram-negative bacteria, mycoplasmas, rick-
ettsiae, chlamydiae, and even some protozoa (amebae). Strains of
Pseudomonas aeruginosa, Proteus, Serratia, Klebsiella, and
Corynebacterium spp frequently are resistant, as are many patho-
genic E coli isolates. Even though there is general cross-resistance
among tetracyclines and doxycycline usually are more effective
against staphylococci.
Therapeutic Indication
The tetracyclines are used to treat both systemic and local infections.
General organ infections include bronchopneumonia, bacterial enteritis,
urinary tract infections, cholangitis, metritis, mastitis, prostatitis, and
pyodermatitis. Specific conditions include infectious keratoconjunctivi-
tis in cattle (pinkeye), chlamydiosis, heartwater, anaplasmosis, actino-
mycosis ehrlichiosis, nocardiosis,actinobacillosis,(especially doxycy-
cline), eperythrozoonosis, and haemobartonellosis. Doxycycline is often
effective to a somewhat lesser degree against resistant strains of Staphy-
lococcus aureus.
In addition to antimicrboal chemotherpy, the tetracyclines are used for
other purpose. As additive in animal feeds, they serve as growth pro-
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moters. Because of the affinity of tetracyclines for bones, teeth, and
necrotic tissue, they can be used to delineate tumors by florescence.
Side-effects and Toxicity
Because several diverse effects may result from the administration
of the tetracyclines, caution should be exercised. Superinfection by
nonsusceptible pathogens such as fungi, yeasts, and resistant bacte-
ria is always a possibility when broad-spectrum antibiotics are
used. This may lead to GI disturbances after either oral or par-
enteral administration or to “persistent infection” when they are
applied topically (eg, in the ear). Severe and even fatal diarrhea can
occur in horses receiving tetracyclines, especially if they are se-
verely stressed or critically ill.
High doses administered oral to ruminants seriously disrupts microflo-
ral activity in the ruminoreticulum, eventually producing stasis. Elimi-
nation of the gut flora in monogastric animals reduces the synthesis and
availability of the B vitamins and vitamin K from the large intestine.
With prolonged therapy, vitamin supplementation is a useful precau-
tion.
Tetracyclines chelate calcium in teeth and bones; they become incorpo-
rated into these structures, inhibit calcification (eg, hypoplastic dental
enamel), and cause yellowish then brownish discoloration. At ex-
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tremely high concentrations, the healing process in fractured
bones is impaired.
Rapid IV injection of a tetracycline can produce hypotension and sud-
den collapse. This appears to be related to the ability of the tetracyclines
to chelate ionized calcium, although a depressant effect by the propy-
lene glycol carrier itself may also be involved. This effect can be
avoided by slow infusion of the drug (>5 min) or by pretreatment with
IV calcium gluconate.
The combined use of glucocorticoids and tetracyclines often leads to a
significant weight loss, particularly in anorectic animals.
Hepatotoxic effects due to large doses of tetracyclines have been re-
ported in pregnant animals. The mortality rate is high.
The tetracyclines are also potentially nephrotoxic and are contraindi-
cated (except for doxycycline) in renal insufficiency. Fatal renal failure
has been reported in septicemic and endotoxemic cattle given high
doses of oxytetracycline. The administration of expired tetracycline
products may lead to acute tubular nephrosis.
Swelling, necrosis, and yellow discoloration at the injection site almost
inevitably occur. Hypersensitivity reactions do occur; for example, cats
may show a “drug fever” reaction often accompanied by vomiting, diar-
rhea, depression, inappetence, and eosinophilia.
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The tetracyclines can inhibit white blood cell chemotaxis and phagocy-
tosis when present in high concentrations at sites of infection. This
clearly hinders normal host defense mechanisms. The addition of gluco-
corticoids to the therapeutic regimen would impair immunocompetence
even further.
Drug Interactions
The absorption of tetracyclines from the GI tract is decreased by milk
and milk products (less so for doxycycline and minocycline), antacids,
kaolin, and iron preparations. Tetracyclines gradually lose activity when
diluted in infusion fluids and exposed to ultraviolet light. Vitamins of
the B-complex group, especially riboflavin, hasten this loss of activity
in infusion fluids. Tetracyclines also bind to the calcium ions in
Ringer's solution.
Methoxyflurane anesthesia combined with tetracycline therapy may be
nephrotoxic. Microsomal enzyme inducers such as phenobarbital and
phenytoin shorten the plasma half-lives of doxycycline. Except for
doxycycline, the presence of food can substantially delay the absorption
of tetracyclines from the GI tract. The tetracyclines are less active in al-
kaline urine, and urine acidification can increase their antimicrobial ef-
ficacy.
Chlortetracycline
Powder, 10%, 20%,
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Spray, 2.8%,
Bolus, 1g
Indications. Drug interactions .See notes under section 1.1.2.2
Contraindications. Renal impairment; last 2-3 weeks of gestation in
pregnant animals and up to 4 weeks of age in neonates
Side-effects. May cause vomiting, diarrhoea. See notes under section
1.1.2.2
Dose. Calves: 10-20 mg/kg daily
Pigs: 10-20 mg/kg body-weight daily; 400-600 g/tone feed
Poultry: 20-60 mg/kg body-weight; 300-400g/ tone feed
Withdrawal periods. Calves: slaughter 25 days. 350: slaughter 10
days. Poultry: slaughter 3 day
Oxytetracycline
Injection, 5 %, 10 %, 12 %, 20 %, 30 %,
Powder, 5 %, 10 %, 20 %, 25 %, 50 %,
Bolus, 50 mg, 100 mg, 250 mg, 500 mg, 1 g,
Spray 5 %,
Intra-uterine solution, 100 mg/ml,
Intra-mammary suspension, 500 mg/dose,
Pessary, 0.5 g
Indications. Side-effects. Drug interactions. See notes under sec-
tion 1.1.2.2 and under chlorotetracycline
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Contraindications. Avoid subcutaneous injection in horses. Some
manufacturer recommended that intravenous injection in dogs should be
avoided
Dose.Horses: by intramuscular or intravenous injection, 2-10 mg/kg
daily
Cattle, sheep, goats, pigs: by subcutaneous, intramuscular, or intra-
venous injection, 2-10 mg/kg daily; by depot intramuscular injection,
20 mg/kg, repeat after 2-4 days
Calves, pigs: oral, 10-20 mg/kg twice daily
Dogs, cats: oral, 25 mg/kg twice daily; by subcutaneous, intramuscu-
lar, or intravenous injection, 2-10 mg/kg daily
Poultry: 6-25 g/100 liters drinking water
Withdrawal periods. Calves, pigs: slaughter 21 days. Cattle:
slaughter 21 days, milk 7 days. Poultry: slaughter 7 day, egg 1 day.
Sheep: slaughter 10 day
Doxycycline
Powder, 10 %, 20 %
Indications. Lyme disease, Chlamydia, Rocky Mountain spotted fever
and bacterial infections caused by susceptible organisms. See also notes
above
Contraindications. Side-effects. Drug interactions. See notes
under section 1.1.2.2
Dose. Dogs, cats: oral or parenteral, 5-10mg/kg twice daily
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Chlortetracycline and Benzocaine
Topical Powder, 2 % + 1 %
Indications.Contraindications.Side-effects.Drug interactions. .
See notes under section 1.1.2.2
Oxytetracycline and Lidocain Hydrochloride
Injection, 5 g + 0.1g/100 ml
Indications.Contraindications.Side-effects.Drug-interactions.
See notes under section 1.1.2.2
Oxytetracycline and Genitian Violet
Spray, 25 mg + 5 mg/ml
Indications. External skin, teat, hoof and paw infections, caused by
oxytetracycline and gentian violet sensitive micro-organisms, like Bor-
detella, Campylobacter, Chlamydia,E. coli, Haemophilus, Mycoplasma,
Pasteurella, Rickettsia, Salmonella, Staphylococcus and Streptococcus
spp. in calves, cattle, goats, sheep and swine.
Contraindication.Hypersensitivity to tetracyclines,administration to
animals with a serious impaired renal and/or liver function.
Side-effects. See notes under section 1.1.2.2
Drug interactions. Penicillines, cephalosporines, quinolones and cy-
closerine
Dose. Spray one or two times a day from a distance of 15 - 20 cm
26
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Caution. Do not spray in or around the eyes. Do not incinerate or
puncture the spray can. Do not expose to temperatures above 50C0
Tetracycline
Tablet, 250 mg
Powder for oral solution, 20 %, 25 %, 50 %
Bolus, 500 mg
Indication. Contraindication. Side-effect. Drug interactions. .
See notes under section 1.1.2.2
Dose. Pigs; 40 mg/kg daily. Poultry; 60mg/kg daily
Oral soulble powder, for addition to drinking water, for pigs and
calves: 22mg/kg daily for three to five days
Oral soluble powder, for addition to drinking water, for chicken; 55
mg/kg daily for three to five days
Withdrawal periods. Pigs: slaughter 5 days. Poultry: slaughter 2
day, egg 2 days
Storage.Store at room temperature 15 to 300c
1.1.2.3. Aminoglycosides
Antibacterial Spectra
Aminoglycosides are utilized primarily in the treatment of infections
caused by aerobic gram-negative organisms. They are not active against
anaerobic organisms. In addition to their strength in the treatment of
27
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gram-negative pathogens, aminoglycosides can be effective against
some gram-positive organisms, such as Staphylococcus aureus, some
mycobacteria some mycoplasma strains, and some spirochetes. They
are sometimes administered concurrently with other antibacterials for a
possible synergistic effect. However, the use of aminoglycosides in the
treatment of infection in animals has been tempered by toxicity consid-
erations in the animal treated. Often, systemic use is limited to the treat-
ment of serious gram-negative infections resistant to less toxic medica-
tions. Also, local environment at the therapeutic site can affect the effi-
cacy of these drugs, acidic or purulent conditions can hamper their ef-
fect, and the presence of cations (calcium or magnesium ions, for exam-
ple) can decrease antibacterial effect.
Streptomycin is active against mycobacteria, leptospira, Francisella tu-
larensis, and Yersinia pestis, but only some mycoplasma, gram-negative
organisms, and staphylococcus species. Dihydrostreptomycin is chemi-
cally very similar to streptomycin.
Neomycin has been effective against many gram-negative organisms
and Staphylococcus aureus. However, the use of neomycin is limited by
a relatively high risk of toxicity with systemic use; it is not available for
parenteral administration.
The spectrum of activity of kanamycin primarily, focuses on gram-neg-
ative organisms and a few gram-positive organisms. The prevalence of
resistance of some pathogens, including Escherichia coli and Salmo-
28
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nella species, to kanamycin is higher than to gentamicin, and this has
limited the use of kanamycin.
Gentamicin has been widely used in the treatment of gram-negative or-
ganisms and some gram-positive organisms. As with other aminoglyco-
sides, its use is limited by risk of toxicity. In vitro tests have shown gen-
tamicin to be active against Salmonella arizonae (Arizona hinshawii),
Enterobacter aerogenes, E. coli, Klebsiella species, Neisseria, most in-
dole-positive and some indole-negative Proteus species, some Pas-
teurella multocida, Pseudomonas aeruginosa, Salmonella, Serratia
marcescens, Shigella, Staphylococcus species, including Staphylococ-
cus intermedius, and some Streptococcus species.
Side-effects and Toxicity
Ototoxicity, neuromuscular blockage, and nephrotoxicity are reported
most frequently; these effects may vary with the aminoglycosides and
dose or interval used, but all members of the group are potentially toxic.
Nephrotoxicity is of major concern and may result in renal failure due
to acute tubular necrosis with secondary interstitial damage.
Aminoglycosides may impair neuromuscular transmission and so are
not given to animals with myasthenia gravis. These drugs are well ab-
sorbed from the peritoneal cavity and instillation during surgery may re-
sult in drugs over dose and transient respiratory paralysis.
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Drug Interactions
Enhanced nephrotoxicity may become evident with concurrent adminis-
tration of aminoglycosides and other potentially nephrotoxic agents.
Neuromuscular blockade is more likely when aminoglycosides are
administered at the same time as skeletal muscle relaxants and gas
anesthetics. Aminoglycoside ototoxicity is enhanced by the loop-act-
ing diuretics, especially furosemide. Cardiovascular depression may
be aggravated by aminoglycosides when administered to animals
under halothane anesthesia. High concentrations of carbenicillin,
ticarcillin, and piperacillin inactivate aminoglycosides both in vitro
and in vivo in the presence of renal failure.
Streptomycin Sulphate
Injection, 200 mg/ml, 250 mg/ml, 72 g/100 g
Indication. Contraindications. Side-effect. See notes above
Dose. Horses, cattle, sheep, goats: by intramuscular injection, 10
mg/kg daily. Dogs, cats: by intramuscular injection, 25 mg/kg daily
Drug interactions. Calcium gluconate, heparin sodium, sodium bi-
carbonate intravenous infusion, tylosin and see also notes above
Withdrawal periods. Cattle: slaughter 21 days, milk 2 days. Sheep,
goats: slaughter 21 days, should not be used in sheep, goats producing
milk for human consumption
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Veterinary Formulary
Dihydrostreptomycin and Streptomycin
Injection, 150 mg + 150 mg/ml, 2 million IU + 250 mg/ml
Indications.Contraindications. Side-effects. Drug interactions.
See notes above
Dose. Horses, cattle, sheep, and goats: by intramuscular injection,
0.03 ml/kg daily
Dogs, cats: by intramuscular injection, 0.08 ml/kg daily
Withdrawal periods. Cattle: slaughter 21 days, milk 2 days. Sheep,
goats: slaughter 21 days, should not be used in sheep and goats produc-
ing milk for human consumption
Gentamicin Sulfate
Injection, 40 mg/ml, 50 mg/ml, 100 mg/ml,
Powder, 10%
Intra-mammary suspension, 100 mg/dose, 170 mg/dose
Indication.Contraindication.Side-effect.Drug interactions. See
notes under section 1.1.2.3
Dose. Cats: Intramuscular, intravenous, or subcutaneous, 3 mg / kg
every eight hours. Once daily dosing: Intramuscular, intravenous, or
subcutaneous, 5 to 8 mg /kg every twenty-four hours
Dogs: Intramuscular or subcutaneous, 4.4 mg /kg every eight hours.
Once daily dosing: Intramuscular or subcutaneous, 10 to 15 mg / kg ev-
ery twenty-four hours
Piglets, 1 to 3 day old: intramuscular, 5 mg as a single total dose
Chickens, 1 day old: Subcutaneous, 0.2 mg as a total single dose
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Veterinary Formulary
Horses: Intrauterine, 2 to 2.5 g a day for three to five days during es-
trus.
Gentamicin powder for oral solution: Piglets: oral, 25 mg per gallon of
water (approximately 1.1 mg/kg), administered as the sole source of
drinking water for three consecutive days.
pigs: oral, 50 mg per gallon of water (approximately 2.2 mg /kg), ad-
ministered as the sole source of drinking water for three consecutive
days .
Withdrawal period. Chicks: slaughter 35 days. Piglets: slaughter 40
days
Storage. Store below 40 ºC (104 ºF), preferably between 15 and 30 ºC
(59 and 86 ºF), unless otherwise specified by manufacturer. Protect
from freezing
Kanamycin
Spray, 2.4 mg/ml
Indication. Contraindication. Side-effects. Drug interactions.
See notes above
Neomycin Sulphate
Powder, 20 %, 30 %, 49%, 70 % 100 %
Eye drop, 0.5 % w/v
Indication.Contraindication.Side-effects. Drug interactions.
See notes above
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Veterinary Formulary
Dose.Powder for oral solution: cattle, goats, horses, pigs, and sheep:
oral, 22 mg /kg a day for fourteen days, administered in the only source
of drinking water.
Chicken: 11 mg/kg; 12.5g/100 liter drinking water
Dogs, cat: 11 mg/kg daily in divided doses
Bacterial eye infections: dogs: apply 2-4 times daily
Note: For many of these products, individual animal treatment is also possible
by dividing the daily dose and administering as a drench with milk or water or
by mixing in an individual animal’s only water supply. Consult manufacturer’s
product labeling for specific dosing directions.
Withdrawal periods. Pigs: slaughter 14 days. Chickens: slaughter
14 days
Drug interactions. Phenylmethyl penicillin, warfarin
Storage. Store below 40 ºC (104 ºF), preferably between 15 and 30 ºC
(59 and 86 ºF), unless otherwise specified by manufacturer.
1.1.2.4. Macrolides
Antibacterial Spectra
Macrolides are considered bacteriostatic at therapeutic concentrations
but they can be slowly bactericidal, especially against streptococcal
bacteria; their bactericidal action is described as time-dependent. The
antimicrobial action of some macrolides is enhanced by a high pH and
suppressed by low pH, making them less effective in abscesses, necrotic
tissue, or acidic urine.
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Veterinary Formulary
Erythromycin is an antibiotic with activity primarily against gram-posi-
tive bacteria, such as Staphylococcus and Streptococcus species, includ-
ing many that are resistant to penicillins by means of beta-lactamase
production. Erythromycin is also active against mycoplasma and some
gram-negative bacteria, including Campylobacter and Pasteurella
species. It has activity against some anaerobes, but Bacteroides fragilis
is usually resistant. Some strains of Actinomyces and Chlamydia are in-
hibited by erythromycin. Most Pseudomonas, Escherichia coli, and
Klebsiella strains are resistant to erythromycin. Cross-resistance to the
other macrolides can also occur.
Tylosin has a spectrum of activity similar to that of erythromycin but is
more active than erythromycin against certain mycoplasmas.
Lincomycin is effective against grampositive bacteria, anaerobs, and
Mycoplasma but has little activity against gram-negative oraganisms.
Side-effect and toxicity
All species; allergic reactions. Cats, cattle and dogs, Pain and/or
swelling at the site of injection with subcutaneous administration. Gas-
trointestinal effects (anorexia, diarrhea, vomiting) particularly with ery-
thromycin. Cattle, diarrhea associated with oral erythromycin dosage
forms. Horses; diarrhea, severe with erythromycin; considered more
likely in adult horses. Pigs; diarrhea, erythema, and pruritis with tylosin.
Edema, rectal, and partial anal prolapse with erythromycin and tylosin
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Veterinary Formulary
Drug interactions
Theophillin, warfarin, Beta-adrenergic antagonists, such as propranolol,
chloramphenicol or lincosamides or macrolide antibiotics, epinephrine,
phenobarbital
Erythromycin
Powder, 5%, 20%, 30%
Intra-mammary suspension, 300 mg/dose
Indication. Side-effect. Drug interactions. See notes under section
1.1.2.4
Dose.Powder for oral solution; chronic respiratory disease; chick-
ens:oral, 500 mg per gallon of water, administered as the only source
of drinking water every twenty-four hours for five days.
Coryza, infectious; chickens:oral, 500 mg per gallon of water,
administered as the only source of drinking water for seven days.
Withdrawal period. Chickens: slaughter 1 day
Storage. Store below 40 °C (104 °F), preferably between 15 and 30 °C
(59 and 86 °F), unless otherwise specified by manufacturer.
Tylosin
Powder, 10 %, 20 %, 50 %
Tablet, 200 mg
Injection. 50 mg/ml, 150 mg/ml, 200 mg/ml, 220 mg/ml
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Veterinary Formulary
Indication Side-effect. Drug interactions. See notes under section
1.1.2.4
Dose. Powder for oral solution; Dysentery; Pigs: oral, 250 mg per gal-
lon of water, as the only source of drinking water for three to ten days
Respiratory disease, chronic; chickens: oral, 2g (base) per gallon (ap-
proximately, 110 mg /kg a day) as the only source of drinking water for
three to five days
Injection; Pigs: Intramuscular, 8.8 mg /kg every twelve hours Cattle:
Intramuscular, 17.6 mg / kg every twenty-four hours
Cats, dogs: 6.6 to 11 mg /kg every twelve to twenty-four hours
Withdrawal periods. Cattle: slaughter 7 days, milk 4 days. Calves:
slaughter 14 days. Pigs: slaughter withdrawal periods nil
Storage. Store below 40 °C (104 °F), preferably between 15 and 30 °C
(59 and 86 °F), unless otherwise specified by manufacturer
Spiramycin
Injection, 150,000,000 IU
Indication.To improve growth-rate and feed conversion efficiency
Contraindication.Do not use simultaneously with other antibacterial
growth promoters
Side-effect. Drug interaction. See notes under section 1.1.2.4
Dose. Calves, lambs, kids:(up to 6 weeks of age) 5.50 g/ tone feed;
(16-24 weeks of age) 5-20 g/tone feed, by addition to milk replacer, (up
to 12 weeks of age) 5-80 g/tone
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Veterinary Formulary
Lincomycin Hydrochloride
Powder, 50 %
Injection, 113.4 mg/ml
Indication.It is effective against gram-positive bacteria, anaerobes,
and Mycoplasma.
Contraindications. Horses, rabbits, and rodents; hepatic impairment
Dose. Pigs: 3.3 g/100 little drinking water; 44-220 g/tone feed; by in-
tramuscular injection, 4.5-11.0 mg/kg daily
Dogs, cats: by intramuscular injection, 22mg/kg daily; by slow intra-
venous injection, 11-22 mg/kg 1-2 times daily.
Drug interaction. Kaolin mixture, muscle relaxants, neostigmine
1.1.2.5. Chloramphenicol
Antimicrobial Spectrum
Chloramphenicol is a broad-spectrum antibiotic shown to have specific
activity against a wide variety of organisms that are the causative agents
of several disease conditions in domestic animals. Such organisms in-
clude Staphylococcus aureus, Streptococcus pyogenes, Brucella bron-
choseptica, Escherichia coli, Proteus vulgaris, Aerobacter aerogenes,
Corynebacterium renale, Salmonella species, Pseudomonas species,
Shigella species, Neisseria catarrhalis, anaerobic bacteria, and many
37
Veterinary Formulary
rickettsiae. The species treated with chloramphenicol include dogs, cats,
and horses.
Therapeutic indications
Chloramphenicol is used to treat both systemic and local infection-
s.Chronic respiratory infections, bacterial meningoencephalitis, brain
abscesses, ophthalmitis and intraocular infections, pododermatitis, der-
mal infections, and otitis externa are types of bacterial infections that
are often responsive to chloramphenicol. Salmonellosis and Bacteroides
sepsis are fairly specific indications. Urinary tract infections are often
successfully treated with chloramphenicol, notwithstanding the fairly
low concentration of active antibiotic present in the urine. Hematoge-
nous delivery of chloramphenicol to the site of infection may play a role
in these cases.
Side-effect
A form of aplastic anemia, apparently a type of hypersensitivity reac-
tion to chloramphenicol, has been recognized in dogs and cats.
GI disturbances can occur in all nonruminant animals treated with oral
chloramphenicol. Use in neonatal calves leads to a malabsorption syn-
drome associated with ultrastructural and functional changes of
the small intestinal enterocytes. Anorexia and depression have been
seen in cats treated for less than weeks.
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Because chloramphenicol can suppress anamnestic immune responses,
animals should not be vaccinated while being treated with this antibi-
otic. Because of its ability to inhibit protein synthesis, excessive topical
application on wounds may delay healing.
Drug interaction
The bacteriostatic action of chloramphenicol may inhibit the bacterici-
dal action of beta-lactam antibacterials and these drugs should not
therefore be used concurrently. Chloramphenicol may inhibit metabo-
lism of certain barbiturates and hence greatly prolong pentobarbitone
anaesthesia.
Chloramphenicol
Oral powder, 25 %
Tablet, 100 mg, 250 mg
Oral suspension, 25 mg/ml
Injection, 100 mg/ml, 150 mg/ml, 200 mg/ml
Indication. See notes under section 1.1.2.5
Contraindication. Animal with impaired liver function
Side-effect. Depression, bone marrow hypoplasia, pancytapenia. See
notes under section 1.1.2.5
Dose. Oral suspension: dogs: oral, 45 to 60 mg /kg every eight hours.
Cats: Oral, 13 to 20 mg /kg every twelve hours
Note: The oral dose for cats is based on the best information available, which
may, however, underestimate the dose needed in some cases. Doses of 25 to 50
39
Veterinary Formulary
mg every twelve hours have been recommended, and may be necessary for
some infections, but could increase the risk of side effects. Chloramphenicol
tablet: dogs: oral, 45 to 60 mg /kg every eight hours. Cats: oral, 13 to
20 mg /kg every twelve hours
Horses: oral, 45 to 60 mg /kg every eight hours
Dog: by intramuscular or intravenous injection, 11 to 33 mg/kg evey
six hours
Cats: by subcutaneous, intramuscular injection, 50 mg/kg 1-2 times
daily
Drug interactions. See notes under section 1.1.2.5
Withdrawal period. Cattle: slaughter 28 days, should not be used in
cattle producing milk for human consmption or manufacturing purpose.
Pigs: slaughter 10 days
Storage.Store below 40 C (104 F), preferably between 15 and 30 C
(59 and 86 F), unless otherwise specified by manufacturer. Store in a
tight container.
Thiamphenicol
Injection, 250 mg/ml
Oral solution, 200 mg/ml
Powder, 20 %
Indication.It has antibacterial spectrum similar to that of Chloram-
phenicol.
Drug interactions. Barbiturates, phenytoin, sulphonylureas,warfarin
40
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1.1.2.5. Quinolones
Antimicrobial Spectrum
The quinolones have been available for some years. In general, the fluo-
roquinolones are active against enteric gram-negative bacilli and cocci
(E-coli, Klebsiella spp., Shigella spp. etc.) and other gram-negative or-
ganisms such as Salmonella spp. Yersenia spp, Aeromonas spp, Proteus
spp, and Pseudomonas aeroginasa. They are also active against gram-
positive organisms such as Staphylococcus Hemophillus spp, Neisseria
spp, and Campylobacter spp.
Quinolons have shown variable activity against most strain of Strepto-
coccus, including Streptococcus pyogenes, Hemolytic streptococci
groups B, C, F and G, Streptococcus pneumoniae and Enterococcus
faecalis.
Therapeutic indications
Quinolones are indicated for the treatment of local and systemic infec-
tions caused by susceptible microorganisms, particularly against deep-
seated infections and intracellular pathogens. Therapeutic success has
been obtained in respiratory, intestinal, urinary, and skin infections, as
well as in bacterial prostatitis.
Side-effect
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Veterinary Formulary
Quinolones tends to be neurotoxic, and convulsions can occur at high
doses. Hemolytic anemia has also been seen. Administering large doses
of quinolones for any length of time during pregnancy has resulted in
embryonic loss and maternotoxicity. Because high-prolonged dosages
in growing dogs have produced cartilaginous erosions leading to perma-
nent lameness, excessive use of quinolones should be avoided in imma-
ture animals. Quinolone administration in horses has not yet been exten-
sively studied, but there is some indication that damage to the cartilage
in weight-bearing joints may occur.
Interactions
The likelihood of interactions has not yet been clearly established.
Antacids probably interfere with the GI absorption of this group of
drugs. It also seems that nitrofurantoin impairs the efficacy of
quinolones if used concurrently for urinary tract infections. Quinolones
do inhibit the biotransformation of theophylline, leading to prolonged
and potentially toxic plasma levels. A synergistic effect of quinolones
with the β-lactams, aminoglycosides, clindamycin, and metronidazole
has been demonstrated in vitro.
Enrofloxacin
Oral solution, 2.5 %, 10 %, 25 %,
Tablet, 50 mg,
Intra-mammary suspension, 4 g/dose,
Injection, 5%, 10%, 20%,
42
Veterinary Formulary
Powder, 20%
Indication.Gastrointestinal infections, respiratory infections and uri-
nary tract infections caused by enrofloxacin sensitive microorganisms,
like Campylobacter, E. coli, Haemophilus, Mycoplasma, Pasteurella
and Salmonella spp.
Contraindication .To young animals still in their bone-growth stages
of development. Hypersensitivity to enrofloxacin.
Administration to animals with a serious impaired liver and/or renal
function.
Side-effects. Arthropathy in immature dogs, anorexia, vomiting, diar-
rhea.
Dose. Cats: oral, 5 mg /kg a day. The dose may be administered as a
single daily dose or divided into two equal doses administered every
twelve hours, Intramuscular injection; 2.5 mg/kg every twelve hours,In-
travenous injection, 5 mg /kg a day. The dose may be administered as a
single daily dose or divided into two equal doses administered every 12
hours.
Dog: oral, 5 to 20 mg /kg a day. The dose may be administered as a
single daily dose or divided into two equal doses administered every
twelve hours;Intramuscular injection, 2.5 mg /kg every twelve
hours ,Intravenous injection, 20 mg / kg a day. The dose may be admin-
istered as a single daily dose or divided into two equal doses adminis-
tered every twelve hours.
Cattle: subcutaneous, 7.5 to 12.5 mg / kg a single dose or 2.5 to 5 mg /
kg every twenty-four hours for three to five days.
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Veterinary Formulary
Oral solution: chickens: 1 litre per 1500-2000 litre drinking water for
3-5 days. Swine: 1 litre per 1000-3000 litre drinking water for 3-5 days
Drug interaction. Tetracyclines, chloramphenicol, macrolides and
lincosamides. See notes under section 1.1.2.5
Withdrawal period. Chicken: slaughter 2 days. Cattle: slaughter 28
days
Storage. Store below 40 ºC (104 ºF), preferably between 15 and 30 ºC
(59 and 86 ºF), unless otherwise specified by manufacturer. Store in a
tight container.
Norfloxacin
Oral solution, 100 mg /ml, 200 mg/ml
Injection, 50 mg/ml
Indication.Gastrointestinal, respiratory and urinary tract infections
caused by norfloxacin sensitive micro-organisms, like Campylobacter,
E. coli, Haemophilus, Mycoplasma, Pasteurella and Salmonella spp., in
calves, goats, poultry, sheep and swine
Contraindication. In pregnant animals, administration to animals
with a serious impaired liver and/or renal function.
Side- effect. Arthropathy, teratogenic, see also notes above
Dose. Oral: Calves, goats and sheep: 10 ml per 75-150 kg body
weight for 3-5 days.
Chickens: 1 litre per 1500-4000 litre drinking water for 3-5 days.
Swine: 1 litre per 1000-3000 litre drinking water for 3-5 days
44
Veterinary Formulary
Withdrawal period. Calves, goats, sheep and swine: slaughter 8
days. Chickens: slaughter 12 days.
Drug interaction. Tetracyclines, chloramphenicol, macrolides and
lincosamides and .See notes under section 1.1.2.5
Flumequin
Oral suspension, 4 mg/ml, 100mg/5ml, 100mg/ml, 200mg/ml,
Powder, 10%, 20%, 50%,
Injection, 5%
Indications.Gastrointestinal, respiratory and urinary tract infections
caused by flumequin sensitive micro-organisms, like Campylobacter, E.
coli, Haemophilus, Pasteurella and Salmonella spp., in chickens and
swine
Contraindications.Hypersensitivityto flumequine.Administration to
animals with a serious impaired liver and/or renal function.
Side-effects. Hypersensitivity reactions
Dose. For oral administration; chickens: 1 litre per 1500 - 2000 litre
drinking water for 3-5 days
Swine: 1 litre per 1000 - 1500 litre drinking water for 3-5 days
Withdrawal period. Swine: slaughter 8 days. Chickens: slaughter 3
days
Drug Interaction.See notes above
45
Veterinary Formulary
1.1.2.6. Sulphonamides and Potentiated Sulphonamides
Sulphonamides
Antimicrobial Spectrum
Different sulfonamides may show quantitative but not necessarily quali-
tative differences in antimicrobial activity. Sulfonamides inhibit both
gram-positive and gram-negative bacteria, a few Chlamydia , Nocar-
dia , and Actinomyces spp , and some protozoa such as Coccidia and
Toxoplasma spp . More active sulfonamides may include several
species of Streptococcus, Staphylococcus, Salmonella, Pasteurella, and
even Escherichia coli in their spectra.Strains of Pseudomonas, Kleb-
siella, Proteus, Clostridium, and Leptospira spp are most often highly
resistant, as are rickettsiae.
Therapeutic Indications
The sulfonamides are commonly used to treat or prevent acute systemic
or local infections. Disease syndromes treated with sulfonamides in-
clude actinobacillosis, coccidiosis, mastitis, metritis, colibacillosis,
pododermatitis, polyarthritis, respiratory infections, and toxoplasmosis.
Sulfonamides are more effective when administered early in the course
of a disease. Chronic infections, particularly with large amounts of exu-
date or tissue debris present, often are not responsive. In severe infec-
tions, the initial dose should be administered intravenously to reduce the
46
Veterinary Formulary
lag time between dose and effect. In many instances, the initial dose
should be double the maintenance dose. Adequate drinking water
should be available at all times, and urine output monitored. Concurrent
administration of urinary alkalinizers prevents crystalluria. A course of
treatment should not exceed 7 days under usual circumstances. If a fa-
vorable response is seen within 72 hours, treatment should be continued
for 48 hours after remission to prevent relapse and the emergence of re-
sistance. The ability to mount an immune response must be intact for
successful sulfonamide therapy.
Side-effect and Toxicity
Adverse reactions to sulfonamides may be due to hypersensitivity or di-
rect toxic effects. Possible hypersensitivity reactions include urticaria,
angioedema, anaphylaxis, skin rashes, drug fever, polyarthritis,
hemolytic anemia, and agranulocytosis. Crystalluria with hematuria,
and even tubular obstruction, can occur but is not common in vet-
erinary medicine. Sulfonamides with prolonged plasma half-lives
and high solubilities tend not to cause crystalluria, particularly if water
intake is high and the urine is alkaline.
GI disturbances, in addition to nausea and vomiting, may occur when
sulfonamide levels are sufficiently high in the tract to disturb normal
microfloral balance and vitamin B synthesis.
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Veterinary Formulary
The sodium salts are alkaline hence irritate by intramuscular injection
and are often given intravenously. Sulphonamides are well absorbed
following oral administration. They diffuse well in to body tissues and
partly inactivated in the liver, mainly by acetylation. The acetylated de-
rivatives are relatively insoluble in uric acid and so may precipitate in
the renal tubules of carnivores leading to crystalluria and renal failure.
Prolonged administration of certain sulphonamides may cause kerato-
conjunctivitis sicca (dry eyes in dogs).
Drug interactions
Sulfonamide solutions are incompatible with calcium- or other
polyionic-containing fluids as well as many other preparations. Sulfon-
amides may be displaced from their plasma-protein-binding sites by
other acidic drugs with higher binding affinities. Antacids tend to in-
hibit the GI absorption of sulfonamides. Alkalinization of the urine pro-
motes sulfonamide excretion, and urinary acidification increases the
risk of crystalluria. Some sulfonamides act as microsomal enzyme in-
hibitors, which may lead to toxic manifestations of concurrently admin-
istered drugs such as phenytoin.
Sulphadimidine Sodium
Injection, 330 mg/ml, 333 mg/ml, 160 mg/ml,
Bolus, 5 g,
Powder, 8 %, 10%, 16 %, 20 %, 25%, 30%,
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Indication.See notes under section 1.1.2.6
Contraindications.Renal or hepatic impairment
Side-effect. Transient irritation at injection site. See notes under sec-
tion 1.1.2.6
Dose.Cattle: by subcutaneous or intravenous (preferred), injection,
initial dose 100-200 mg/kg then 50-100 mg/kg daily
Calves: oral or by subcutaneous injection, initial dose 100-200 mg/kg
then 50-100 mg/kg daily
Sheep: by subcutaneous or intravenous (preferred) injection, initial
dose 100-200 mg/kg then 50-100 mg/kg daily
Pigs: by subcutaneous or intravenous (preferred) injection, initial dose
100-200 mg/kg then 50-100 mg/kg daily.
Drug interaction. Thiopentone sodium, warfarin. . See notes under
section 1.1.2.6
Withdrawal periods. Cattle: slaughter 21 days, should not be used
in cattle milk for human consumption. Sheep, pigs, calves: slaughter 7
days.
Storage.Store below 40 °C (104 °F), preferably between 15 and 30 °C
(59 and 86°F), unless otherwise specified by manufacturer. Protect from
light. Protect from freezing
Sulphamethoxypyridazine
Injection, 250 mg/ml
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Veterinary Formulary
Indications.Contraindications.Side-effects.See notes under sec-
tion 1.1.2.6 and sulphadimidine
Dose.Cattle, sheep: by subcutaneous, intramuscular, intraperitoneal,
or intravenous injection, 20 mg/kg daily
Drug interaction. See notes under section 1.1.2.6 and sulphadimidine
Withdrawal periods. Cattle: slaughter 21 days, milk 2 days. Sheep:
slaughter 7 days.
Storage. Store below 40 °C (104 °F), preferably between 15 and 30 °C
(59 and 86°F), unless otherwise specified by manufacturer. Protect from
light. Protect from freezing
Sulphaclozan sodium
Powder, 30 %, 60%
Indications. Contraindications. Side- effects . See notes under
section 1.1.2.6
Drug interaction. See notes under section 1.1.2.6
Sulphachlorpyridazine
Powder, 30 %
Indications. Contraindications. Side-effects. See notes under
section 1.1.2.6
Dose. Enteritis (diarrhea associated with E. coli); Calves, less than 1
month of age: oral, 33 to 49.5 mg/kg every twelve hours
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Veterinary Formulary
Pigs: oral, 22 to 38.5 mg/kg, administered as a drench every twelve
hours or 44 to 77 mg/kg a day administered as the only source of drink-
ing water
Drug interaction. See notes under section
Withdrawal period. Calves: slaughter 7 days. Pigs: slaughter 4 days
Storage. Store below 40 °C (104 °F), preferably between 15 and 30 °C
(59 and 86 °F), unless otherwise specified by manufacturer
Sulphadimethoxine
Injection, 33.3g/100 ml,
Powder, 25 %
Indications. Side-effects. Contraindications. See notes under sec-
tion 1.1.2.6
Dose. Soluble powder; Bacterial pneumonia, Calf diphtheria, necrotic
pododermatitis- calves and cattle :Oral, 55 mg / kg as an initial dose,
followed by 27.5 mg / kg every twenty-four hours for four days
Coccidiosis or fowl cholera; chickens, broiler and replacement: oral,
1892 mg per gallon of water (0.05%), administered as the only source
of drinking water for six days
Injection; Bacterial respiratory infections, cystitis, skin and soft tissue
infections: cats and dogs: by Intravenous or subcutaneous injection,
55mg /kg as an initial dose, followed by 27.5 mg /kg of every twenty-
four hours
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Veterinary Formulary
Enteritis associated with Coccidiosis or Salmonella dogs: Intravenous
or subcutaneous, 55mg/kg as an initial dose, followed by 27.5 mg /kg
every twenty-four hours.
Note: Intramuscular injection can cause local pain and inflammation and result
in lower serum concentrations of sulphadimethoxine
Drug interaction. See notes above and under sulpadimidin
Withdrawal period. Cattle: slaughter 5 days; milk 60 hours
Storage. Store below 40 °C (104 °F), preferably between 15 and 30 °C
(59 and 86°F), unless otherwise specified by manufacturer. Protect from
light. Protect from freezing
Sulphamerazine
Powder, 16 %, 20 %, 25 %, 30 %
Indications. Contraindications. Side-effects. See notes under sec-
tion 1.1.2.6
Drug interaction. See notes under sulphadimidine
Sulphamethazine
Powder, 16 %, 20 %, 25 %, 30 %
Indications.Side-effect. See notes under section 1.1.2.6 Con-
traindication. Don't give to egg laying hens
Dose. Calf diphtheria or necrotic pododermatitis; cattle: oral, 237.6
mg/kg as an initial dose, followed by 118.8 mg/kg every twenty-four
52
Veterinary Formulary
hours for three days administered as an individual animal drench or in
the only source of drinking water.
Coccidiosis; chickens: oral, 128 to 187 mg / kg a day for two days, fol-
lowed by 64 to 93.5 mg /kg for four days, administered in the only
source of drinking water.
Enteritis, bacterial: or pneumonia, bacterial; cattle and pigs: oral,
237.6 mg /kg as an initial dose, followed by 118.8 mg /kg every twenty
four hours for three days, administered as an individual animal drench
or in the only source of drinking water.
Fowl cholera, acute: or Pullorum disease; chickens: oral, 128 to 187
mg /kg a day for six days, administered in the only source of drinking
water.
Infectious coryza; chickens: oral, 128 to 187mg/kg of body weight a
day for two days, administered in the only source of drinking water
Drug interaction. See notes under sulphadimidine
Withdrawal period. Calves, cattle, chickens: slaughter 10 days.
Pigs: slaughter 15 days
Storage. Store below 40 °C (104 °F), preferably between 15 and 30 °C
(59 and 86 °F), unless otherwise specified by manufacturer.
Potentiated Sulphonamides
The combined and synergistic activities of the two agents in each type
of potentiated sulphonamide produce antibacterial activity against a
wide range of infections caused by gram-positive and gram-negative
bacteria, some protozoa, and some anaerobes under certain conditions.
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Veterinary Formulary
The minimum inhibitory concentrations against specific susceptible
bacteria for each antibiotic are generally lowered when the antibiotics
are administered in the potentiated sulphonamide combination. The re-
sistance developed to the potentiated sulphonamides is lower than that
to each individual agent; this is an important benefit because of the
common resistance to sulphonamides and rapid development of resis-
tance to diaminopyrimidines when used alone. Cross-resistance be-
tween sulphonamides is considered complete and often occurs between
pyrimidines.
Antibacterial Spectrum
Potentiated sulphonamides are active against gram-negative and gram-
positive organisms, including Actinomyces, Bordetella, Clostridium,
Corynebacterium, Fusobacterium, Haemophilus, Klebsiella, Pas-
teurella, Proteus, Salmonella, Shigella, and Campylobacter spp, as well
as Escherichia coli, streptococci, and staphylococci. Some streptococ-
cal strains are only moderately sensitive, as are Brucella,
Erysipelothrix, Nocardia, and Moraxella spp. The antibacterial spec-
trum does not include Pseudomonas or Mycobacterium spp.
Side-effects
All species; crystallization in the urinary tract; hypersensitivity, specifi-
cally anaphylaxis. Note: crystallization of sulfonamides is theoretically
possible with administration of potentiated sulfonamides; however, the
lower doses of sulfonamide used in the potentiated sulfonamide combi-
54
Veterinary Formulary
nation makes crystallization less likely to occur than with sulfonamide
administered alone. Sulfonamides can crystallize in the kidneys or urine
in animals with aciduria, with high doses of sulfonamide, or with dehy-
dration. The amount of drug in the acetylated metabolite form also can
affect solubility. Because dogs do not produce acetylated metabolites,
they may be less susceptible to this adverse effect. Crystallization also
can be minimized in susceptible animals by maintaining a high urine
flow and, if necessary, alkalinizing the urine.
Dogs: anemia, hemolytic; anemia, nonregenerative; anorexia; cutaneous
drug eruption, including erythema multiforme, perforating folliculitis,
and pustular dermatitides; diarrhea; facial swelling; fever; hepatitis; hy-
pothyroidism; idiosyncratic toxicosis (blood dyscrasias, including ane-
mia, leukopenia, or thrombocytopenia; fever; focal retinitis; lym-
phadenopathy; nonseptic polyarthritis; polymyositis; skin rash); kerato-
conjunctivitis sicca; neurologic disorders (aggression, ataxia, behavioral
changes, hyperexcitability, seizures); polyarthritis ; polydipsia/polyuria;
thrombocytopenia one case reported without other blood lines affected;
urticaria ; vomiting .
Sulphachlopyridazine and Trimethoprim
Powder, 10 % + 2 %,
Injection, 200 mg + 40 mg/ml
Indications.See notes under section
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Contraindications.Side-effects.See notes above and under
sulphonamides
Dose. Expression as sulphachlorpyridazine and trimethoprim
Calves, pigs, and poultry: by addition to drinking water or feed, 24
mg/kg
Drug interaction. Detomidine, halothane. See also notes under
sulphonamide
Withdrawal periods. Calves: slaughter 5 days
Pigs: slaughter 3 days, chickens: slaughter 1 day, egg 6 days
Sulphadoxine and Trimethoprim
Tablet, 100 mg + 20 mg, 250 mg + 50 mg, 400 mg + 80 mg
Injection, 200 mg + 40 mg/ml, 400 mg + 80 mg/ml
Oral suspension, 50 mg + 10 mg/ml, 400 mg + 80 mg/ml
Premix, 250 g
Powder, 10 % + 2 %
Paste, 13 g + 2.6 g
Indications.Caution. See notes above and under sulphonamide
Contraindications.Side-effects.See notes above and under
sulphonamides
Dose. Bacterial enteritis, bacterial pneumonia or colibacillosis; Cattle
and pigs: intramuscular or slow intravenous, 13.3mg of sulphadoxine
and 2.7mg of trimethoprim /kg, every twenty-four hours for five days.
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Veterinary Formulary
Bacteria arthritis, mastitis, or metritis; pigs: intramuscular or slow in-
travenous injection, 13.3mg of sulphadoxine and 2.7 mg of trimeto-
prim /kg, every twenty-four hours for five days
Pododermititis or septicemia; cattle: intramuscular or slow intra-
venous, 13.3 mg of sulphadoxine and 2.7 mg of trimethoprim /kg, every
twenty-four hours for five days
Drug interaction. Detomidine, halothane. See notes under
sulphonamide
Withdrawal periods. Cattle: slaughter 10 days, milk 4 days. Pigs:
slaughter 10 days.
Storage. At room temperature (15-400C) protect from freezing
Sulphaquinoxaline and Trimethoprim
Granules, 50 % + 16.5 %
Indications. See notes above
Contraindications.Side-effects.See notes above and under
sulphonamide
Dose. Expressed as sulphaquinoxaline + trimethoprim
Poultry: by addition to drinking water or feed 30 mg/kg body-weights
Drug interaction . Detomidine, halothane. See also notes under
sulphonamide
Withdrawal periods. Chicken: slaughter 7 days, shouldn't be used in
layer hens
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Veterinary Formulary
Sulphadimethoxine and Baquiloprim
Tablet, 50 mg + 10 mg, 500 mg + 100 mg
Injection, 100 mg + 20 mg/ml
Powder, 7.2 % + 0.8 %
Indications. See notes above
Contraindications.Side-effects.See notes above and under
sulphonamides
Dose. Oral or subcutaneous injection, 30 mg/kg
Drug interactions. Detomidine, halothane. See also notes under
sulphonamide
Sulphadimidine and Baquiloprim
Tablet, 1200 mg +800mg
Bolus, 7.2g +800mg
Injection, 41.7mg + 33.3mg/ml, 134.9 mg + 33.3mg/ml
Indications.Contraindications.See notes above and under
sulphonamides
Dose. Expressed as baquiloprim + total sulphadimidine
Cattle: oral, (all age) to 80 mg/kg, repeat after a days if required; (more
than 500 mg body weight) 80-160 mg/kg as a single dose by intramus-
cular or intravenous injection, (all ages) 10 mg/kg daily; (up to 200 kg
body weight) 20 mg/kg on alternate days.
Pigs: by intramuscular injection, (all ages) 10 mg/kg daily; (up to 100
kg body-weight) 20 mg/kg on alternate days.
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Veterinary Formulary
Drug interactions. Detomidine, halothane. See also notes under
sulphonamide
Withdrawal periods. Cattle: slaughter 28 days; milk from treated
animals shouldn't be used for human consumption. Pigs: slaughter 28
days.
Sulphadiazine and Trimethoprim (Co-trimazine)
Tablet, 100 mg + 20 mg, 400 mg + 80 mg
Injection, 200 mg + 40 mg/ml, 400 mg + 80 mg/ml
Oral suspension, 50 mg + 10 mg/ml, 12.5 % + 2.5 %, 45.5 mg + 9.1
mg/ml, 400 mg + 80 mg/ml
Bolus, 1000 mg + 200 mg
Powder, 500 mg + 50 mg/g, 400 g + 80g/kg, 33.33 g + 6.67 g/100g
Granules, 2.5 g + 12.5 g
Paste, 333 mg + 67 mg/g
Indications. See notes above
Contraindications.Side-effects.See notes above and under
sulphonamides
Dose. Oral paste; respiratory tract infections, skin and soft tissue infec-
tions, strangles, urogenital infections or (Perioperative infections);
horses: oral, 25 mg of sulfadiazine and 5 mg of trimethoprim / kg every
twenty-four hours
Oral powder; horses: oral, 25 mg of sulfadiazine and 5 mg of trimetho-
prim/kg every twenty-four hours
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Veterinary Formulary
Oral suspension; colibacillosis or enteritis, bacterial: piglets: Oral, 22.8
mg of sulfadiazine and 4.6 mg of trimethoprim / kg every twenty-four
hours
Tablets; gastrointestinal tract infections, respiratory tract infections; or
skin and soft tissue infections; dogs and cats: oral, 12.5 mg of sulfadi-
azine and 2.5 mg of trimethoprim / kg every twelve hours or, less com-
monly, 25mg of sulfadiazine and 5 mg of trimethoprim / kg every
twenty-four hours.
Note: Only intact tablets should be administered to cats, to avoid excessive
salivation caused by contact of the medication with oral mucosa.
Urinary tract infections; dogs: oral, 12.5 mg of sulfadiazine and 2.5 mg
of trimethoprim/kg every twelve hours or, less commonly, 25 mg of sul-
fadiazine and 5 mg of trimethoprim/kg every twenty-four hours
Injection; Respiratory tract infections; or Skin and soft tissue infections;
gastrointestinal tract infections; cats and dogs: Subcutaneous, 12.5 mg
of sulfadiazine and 2.5mg of trimethoprim/kg every twelve hours or,
less commonly, 25 mg of sulfadiazine and 5 mg of trimethoprim /kg ev-
ery twenty-four hours.
Horses: strangles; or urogenital tract infections; Intramuscular or intra-
venous, 20 mg of sulfadiazine and 4 mg of trimethoprim / kg, every
twenty-four hours.
Drug interaction. Detomidine, halothane. See also notes under
sulphonamide
Withdrawal periods. Calves: slaughter 28 days; shouldn't be used in
lactating cattle. Pigs: slaughter 28 days. Piglet: slaughter 28 days. Poul-
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try: slaughter 5 days; shouldn't be used in layer hens Storage. Store be-
low 40 ºC (104 ºF), preferably between 15 and 30 ºC (59 and 86 ºF), in
a tight container, unless otherwise specified by the manufacturer. Pro-
tect from light
Sulphamethoxazole and Trimethoprim (Co-trimoxazole)
Tablet, 400 mg + 80 mg, 1.25 g + 0.25 g
Oral suspension, 40 mg + 8 mg/ml, 80 mg +20 g/100 ml, 88 mg + 20
mg/ml, 100 mg + 20 mg/ml
Injection, 200 mg + 40 mg/ml
Indications. See notes above
Contraindications.Side-effects.See notes above and under
sulphonamides
Dose. Dogs, horses: oral suspension, tablet; an oral dose of 25 mg of
sulfamethoxazole and 5 mg of trimethoprim / kg every twelve hours for
two to four weeks
Foals, horses: Injection; slow intravenous dose of 12.5 mg of sul-
famethoxazole and 2.5 mg of trimethoprim/kg every twelve hours
Drug interaction. Detomidine,halothane. See also notes under
sulphonamide
Storage. Store below 40 ºC (104 ºF), preferably between 15 and 30 ºC
(59 and 86 ºF), unless otherwise specified by the manufacturer. Store in
a well-closed, light-resistant container.
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Veterinary Formulary
Sulphadimidine, Trimethoprim and Atropine Sulfate
Oral solution, 100 mg + 20 mg + 20 mcg
Indications. See notes above
Contraindications.Side-effects. See notes above and under
sulphonamides
Drug interaction. Detomidine, halothane. See also notes under
sulphonamide
Sulphamerazine, Sulfadiazine, Sulfathiazole and Trimetho-
prim
Injection, 100 mg + 60 mg + 40 mg + 40 mg/ml
Indications. See notes above
Contraindications.Side-effects.See notes above and under
sulphonamides
Drug interaction. Detomidine, halothane. See also notes under
sulphonamide
Sulphaquinoxaline and Pyrimethamine
Oral solution, 50 mg + 15 mg/ml
Indications. See notes above
Contraindications.Side-effects.See notes above and under
sulphonamides
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Veterinary Formulary
Dose. Coccidiosis (Prophylaxis and treatment); chickens: oral, 14.7
mg of pyrimethamine and 48.8 mg of sulphaquinoxaline per litre of wa-
ter, administered as the only source of drinking water for two days.
Treatment is stopped for three days and then repeated as necessary to
control infection. For existing infection, treatment should be repeated
until symptoms of disease have disappeared.
Drug interaction. See under sulphachlopyridazine and trimethoprim
Withdrawal periods. Chickens: slaughter 4 days.
Storage. Store below 230C, unless otherwise specified by the manufac-
turer. Protect from freezing.
Sulphadimidine, Sulphadiazine and Sulphathiazole
Powder, 125 mg+ 125 mg + 125 mg/g
Indications.See notes above
Contraindications.Side-effects.See notes above and under
sulphonamides
Drug interaction. Detomidine,halothane. See also notes under
sulphonamide
Sulphadimidine and Trimethoprim
Powder, 20 % + 4 %, 40 % + 8 %
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Veterinary Formulary
Contraindications.Side-effects.See notes above and under
sulphonamides
Drug interaction. Detomidine, halothane. See also notes under
sulphonamide
Sulphadimidine,Trimethoprim, and Sulphadiazine
Powder, 10 % + 4 % + 10 %
Indications. See notes above
Contraindications.Side-effects.See notes above and under
sulphonamides
Drug interaction. Detomidine,halothane. See also notes under
sulphonamide
1.1.2.7. Nitrofurans
Nitrofurans may be bacteriostatic or bactericidal depending on concen-
tration and which particular nitrofuran. Nitrofurans have a broad gram-
positive and gram-negative spectrum and also high concentration in the
urine, making them useful as a urinary antiseptic in small animals. They
are active against Salmonella spp., Coliforms, Mycoplasma spp., Coc-
cidial spp., and some other protozoa.
Furazolidone is too toxic for systemic use but is normally poorly ab-
sorbed following oral administration and may be given by this route for
64
Veterinary Formulary
the treatment of intestinal colibacillosis and salmonellosis. In calves,
sufficient drug may be absorbed to cause encephalitis manifesting as
hyperaesthesia. It is active against Clostridium, Salmonella, Shigella,
Staphylococcus and Streptococcus spp, and Escherichia coli. It is also
active against Eimeria and Histomonas spp.
Furazolidone
Powder 20 %, 25 %, 98 %, 99 %
Indications. See notes under section 1.1.2.7
Warning. Should not be administered to calves in the process of being
introduced to a high concentrated barley diet. This does not apply once
diet is stabilised
Side-effects.Over dosing can cause hyperaethesia, inappetance in
calves
Dose. Calves: oral, 10mg/kg daily, 400 mg/tone feed
Pigs: 15-25 g /100 litres drinking water; 200-600 g/tone feed; Piglets:
oral, 50- 200 mg daily
Chicken: 15-25 g/100 litre drinking water; 100-400 g /tonne feed
Withdrawal period. Calves, pigs, piglets, poultry: slaughter 7 days
Nitrofurazone
Oral solution 0.2 %
Indications. Side-effects. See notes under section 1.1.2.7
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Veterinary Formulary
Nitrofurazone and Urea
Bolus, 60 mg + 6 g
Indications. See notes under section 1.1.2.7
1.1.2.8. Nitroimidazoles
Metronidazole
This has been used for many years in the therapeutic management of tri-
chomoniasis, giardiasis, and amebiasis. It is active against obligate
anaerobic bacteria. It is not active against facultative anaerobes, obli-
gate aerobes, or microaerophilic bacteria other than Campylobacter fe-
tus and Corynebacterium vaginalis. At concentrations readily attained
in serum after oral or parenteral administration, metronidazole is active
against Bacteroides fragilis, Bacteroides melaninogenicus, Fusobac-
terium spp, and Clostridium perfringens and other Clostridium spp. It is
generally less active against nonsporeforming, gram-positive bacilli
such as Actinomyces, Propionibacterium, Bifidobacterium, and Eubac-
terium spp. Metronidazole is also somewhat less active against gram-
positive cocci such as Peptostreptococcus and Peptococcus spp, but the
less sensitive strains are usually not obligate anaerobes.
Metronidazole
Tablet, 200 mg, 400 mg
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Veterinary Formulary
Injection 5 mg/ml
Powder for injection, 400 mg/ml
Indications.Infections caused by anaerobic bacteria; hepatic en-
cephalopathy
Side-effect. Neurologic disturbances (ataxia, nystagmus, seizures,
tremors, weakness) with high dosage in cats, dogs, and horses.
Anorexia; neutropenia; vomiting
Dose.Bacterial infections, anaerobic or protozoal infections; cats and
dogs: oral, 15 mg / kg every twelve hours. Horses: oral, 15 to 25 mg
(base) /kg every six hours
Hepatic encephalopathy or inflammatory bowel disease; cats and dogs:
oral, 7.5 mg (base) / kg every twelve hours
Dogs and cats: subcutaneous or intramuscular injection or intravenous
infusion, 20 mg/kg daily
Drug interactions. Imetidine, phenobarbitone,phenytoin, warfarin
Withdrawal period. There are no established withdrawal times since
metronidazole is not approved for use in food-producing animals.
Storage. Store below 40 ºC (104 ºF), preferably between 15 and 30 ºC
(59 and 86 ºF), in a well-closed container, unless otherwise specified by
manufacturer. Store in a light-resistant container.
1.1.3. Compound Antibacterial Preparations
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Veterinary Formulary
Chlortetracycline and Neomycin Sulphate
Pessaries, 1g+0.5g
Cloxacillin Benzanthine and Neomycin Sulphate
Intramammary Suspension, 500mg+500mg
Cloxacillin Sodium, Neomycin Sulfate and Predinsolone
Intramammary Suspension, 300mg+200mg+10mg
Dihydrostreptomycin and Benzathin Penicillin G
Intramammary Suspension, 12,500,000 IU+5g/100ml
Dihydrostreptomycin Sulphate and Procaine Penicillin G
Injection, 200mg +200,000 IU/ml, 250mg +200000IU/ml
Intramammary suspension, 250mg + 300,000IU/dose, 500mg +300,000
IU/dose,
Powder, 133mg+45mg+Vitamins
Indications.Dihydrostreptomycin sulphate and procaine penicillin G -
sensitive organisms
Dose.Horse, cattle, sheep, pigs, 0.04 ml/kg: intramuscular injection.
Dogs, cats: intramuscular injection, 0.1ml/kg
Withdrawal period. Cattle: slaughter 21 days, milk 2.5 days. Sheep:
slaughter 35 days. Pigs: slaughter 21 days
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Veterinary Formulary
Erythromycin, Sulfadiazine and Trimethoprim
Powder, 9% + 7.5% + 1.5%, 18 %+15 %+3 %
Kanamycin Sulphate, Benzathine Penicillin and Procaine
Penicillin G
Intramammary Suspension, 75mg+300,000 IU +300,000 IU/dose
Lincomycin and Spectinomycin
Powder, 16.65g+3.35g/100g
Indication. Gastrointestinal and respiratory infections caused by lin-
comycin and spectinomycin sensitive micro-organisms, like campy-
lobacter,e.coli, mycoplasma, salmonella, staphylococcus, streptococcus,
and treponema spp., in calves, cats, dogs, goats, poultry, sheep, swine
and turkeys
Dose. Poultry: 150g/120-180 litre drinking water
Withdrawal period. Poultry: slaughter 2 days, should not be used in
egg layer hens
Drug interaction. Kaolin mixture, muscle relaxants, neostigmine
Oxytetracycline and Furazolidone
Powder, 25%+12.5%
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Veterinary Formulary
Penicillin G, Penicillin G Procaine and Streptomycine Sul-
phate
Injection, 1,200,000 IU+400,000 IU+2g
Penicillin G Procain, Dihydrostreptomycin Sulphate and
Methylhydrobenzoate
Injection, 150,000IU+200mg+1g/ml
Penicillin G Procaine, Penicillin G Benzathin and Dihy-
drostreptomycin Sulphate
Injection, 15MIU +15MIU+20g/100ml
Penicillin G Sodium, Penicillin G Procain and Dihydrostrep-
tomycin
Injection, 750000 IU +750000 IU +1g/10ml, 1800000 IU
+1200000IU+2.5g/10ml, 3600000 IU+2400000 IU+5g/20ml
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Veterinary Formulary
Penicillin G, Formosulphathiazol and Streptomycine Sulphate
Pessaries, 62.5mg +1.75g +50mg
Procaine Penicillin G and Neomycin
Intramammary Suspension 200,000 IU +100mg/ml
Procaine Penicillin G, Dihydrostreptomycin and Procaine Hy-
drochloride
Injection 200,000 IU +250mg +20mg/ml
Procaine Penicillin and Streptomycine Sulphate
Injectable solution, 200,000 IU +200mg/ml, 200,000 IU +250g/ml,
25,000,000 IU +25g/100ml
Sulfathiazole, Penicillin G, Streptomycine Sulphate and
Ethinyloestradiole
Pessaries, 1750mg +100,000IU +50mg +0.5mg
Sulfadiazine, Tetracycline Hydrochloride and Neomycin Sul-phateTablet, 4g + 50mg +50mg
Tylosine, Chloramphenicol and Prednisolone
Injection, 50mg+200mg +5mg /ml
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Veterinary Formulary
Tylosine and Chloramphenicol
Injection, 50mg +200mg/ml
1.2. Antifungals
Antifungal drugs are used for the treatment of systemic infections such
as aspergillosis, yeast infections including candidiasis and cryptococco-
sis, and dermatophytosis (ring worm). Topical antifungal drugs are used
for the treatment of fungal infections of the skin, ear, and eye.
Griseofulvin is deposited in keratin precursor cells and concentrated in
the stratum corneum of skin, hair, and nails thus preventing fungal inva-
sion of newly formed cell. In the dog and cat, absorption of griseofulvin
is enhanced by administration with fatty meal.
Griseofulvin is active against Microsporum, Epidermophyton, and Tri-
chophyton spp. It has no effect on bacteria, including Actinomyces and
Nocardia spp, other fungi, or yeasts.
Griseofulvin may be teratogenic and therefore should not be adminis-
tered to pregnant animals.
Ketoconazole, an imidazole compound, is active against fungi and
yeasts and also against some gram-positive bacteria. Administration of
ketoconazole with food may reduce the nausea associated with the drug.
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Prolonged administration of ketoconazole may cause liver damage and
the drug may be teratogenic.
Natamycin
Topical ointment, 10 %
Indication. Ringworm
Warnings. Treated animals should not be exposed to sunlight for sev-
eral hours; use galvanized or plastic containers because natamycin re-
acts with heavy metals such as copper.
Dose. Horses, cattle: local application 0.01 % solution, repeat after 4-
5 days and again after 14 days if required
Griseofulvin
Tablet, 125 mg
Indications. Dermatophyte infections
Contraindications. Hepatic impairment; pregnant animals
Side-effects. Leukopenia, hypoplasia, high doses may cause hepato-
toxicity, particularly in cats
Dose. Horses, donkeys: 10 m g/kg daily
Cattle: 7.5 mg/kg daily
Dogs: Cats: 15-20 mg/kg daily
Drug interactions. Phenobarbitone, phenylbutazone, prostogens,
warfarin
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Withdrawal period. Cattle: slaughter 5 days, milk 2 days
Ketoconazole
Tablet, 200 mg
Oral Suspension, 20 mg/ml
Indications. Systemic candidiasis, dermatophyte infections
Contraindications. In patients with known hypersensitivity to it. It
should be used with caution in patients with hepatic disease or thrombo-
cytopenia. Pregnant animal and lactating animals
Side-effects. Hepatotoxicity : anorexia ,particularly in cats
Drug interactions. There is an increased risk of hepatotoxicity if keto-
conazole and griseofulvin are administered together. Antacid, antimus-
carinic drugs, cimetidine, ranitidine, phenytoin and warfarin
Dose. Horses: For susceptible fungal infections: oral, 10 mg/kg daily.
Cats and dogs: oral, 10 mg/kg daily
(Note: Clinical antifungal effects may require 10-14 days of therapy)
Copper Sulfate
Powder 95 %
Indications. Proliferative dermatitis in cattle and sheep; footrot in
sheep
Side-effects. Stains wool
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Warnings. Toxic, particularly to sheep, ineffective when solution is
dirty. Corrodes metal foot baths
Dose. Footbath. Cattle: copper sulphate 5-10 % solution
Sheep: copper sulphate 5-10 % solution
Local application, powder or 5% solution
Zinc sulphate
Powder (dip concentration), 99%
Indications. Control of foot rot in cattle and sheep
Dose. Footbath. Cattle: zinc sulphate 10 % solution daily
Sheep. Zinc sulphate 10 % solution after each trimming
Drug interactions. Iron salt, tetracyclines, penicillamine
1.3. Antiprotozoal Drugs
1.3.1. Anticoccidial drugs
1.3.2. Trypanocides and others
1.3.3. Combination
Protozoal diseases cause serious economic losses in livestock produc-
tion in Africa, Asia and tropical Latin America.
The significant protozoal diseases that hamper livestock production are
trypanosomiasis, babesiosis and coccidiosis. The first two diseases,
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transmitted by insects (flies and ticks) are the main concern in large and
small animals while coccidosis caused by Eimeria is very significant in
poultry production.
1.3.1. Anticoccidial drugs
Coccidiasis, a protozoal disease, is of major economic importance in
poultry production. Other animals including calves, lambs, kids, pigs,
dogs, cats and other birds are also affected. The principal enteric coc-
cidial infection in animals is caused by Eimeria species. The protozoa
invade the gut where development stage damage the intestinal mucousa
causing diahrrhea. Intestinal damage may occur before diagnosis of
coccidiosis is possible. Disease prevention involves good husbandary
and the use of anticoccidials. Anticoccidials may suppress development
of asexual stages, sexual stages, or both. Different drugs mat act at dif-
ferent stages of the protozoal life-cycle.
The available anticoccidial drugs act by inhibiting the development of
the protozoa at their different stages of development.
As anticcoccidial drugs may interfere with egg quality, production and
fertility, prolonged medication should be discounted from the com-
mence of egg laying in replacement stock. In broilers, anticoccidial
drugs are administered until just prior slaughter.
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Amprolium Hydrochloride
Oral solution, 38.4 mg/ml
Powder, 20%, 30%, 60%
Indication. Treatment and prophylaxis of coccidiasis. Amprolium has
good activity against Eimeria tenella, E. acervulina in poultry and can
be used as a therapeutic agent for these organisms. It only has marginal
activity or weak activity against E. maxima, E. mivati, E. necatrix, or E.
brunetti. It is often used in combination with other agents (e.g., ethopa-
bate) to improve control against those organisms.
Contraindications. Not recommended to be used for over 12 days in
puppies
Side-effects. In dogs, neural disturbances, depression, anorexia, and di-
arrhea have been reported but are rare and are probably dose-related
Drug Interactions. Exogenously administered thiamine in high doses
may reverse or reduce the efficacy of Amprolium.
Dose.
Dogs: for coccidiosis: 100-200-mg/kg, per oral in food or water for 7-
10 days.
Prophylaxis: 30 ml of 9.6% solution in one gallon (3.8 L) of drinking
water or (not both) 1.25 grams of 20% powder in food to feed 4 pups
daily. Give as sole source of food or water for 7 days prior to shipping.
Bitches may be given medicated water (as above) as the sole source of
water for 10 days prior to shipping.
Prophylaxis: 0.075% solution as drinking water
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Cattle: for coccidiosis: 10 mg/kg, per oral for 5 days; 5 mg/kg for 21
days for prophylaxis.
Clopidol
Powder, 25%
Indication.Used as prophylaxis in Coccidiasis caused by different
species of Eimeria, in poultry
Contraindication. Not given to hen from the commence of egg lay-
ing. Should not mix with other coccidial drugs.
Side-effect. Overdose may cause in appetence
Dose. By addition to feed or drinking water, 0.0125 % in feed, 125 g/
tonne feed, premixes 250 g/kg
Withdrawal period. Poultry: Slaughter 7 days
Decoquinate
Powder, 6%
Indication. Decoquinate is labelled for use in cattle for the prevention
of coccidiosis in either ruminating or non-ruminating calves, cattle or
young goats caused by the species E. christenseni or E. ninakohlyaki-
moviae . It is used for prevention of coccidiosis in broilers caused by E.
tenella, E. necatrix, E. acervulina, E. mivati, E. maxima or E. burnetti.
Contraindication. Decoquinate is not effective for treating clinical
coccidiosis and has no efficacy against adult coccidia. Decoquinate is
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not approved for use in animals producing milk for food or in laying
chickens.
Dose .By addition to feed or drinking water;
Poultry: 0.004 % feed; Lambs and calves, curative: 100 g/tonne feed
or 1 mg/kg body weight for 28 days; Prophylaxis: 50 g/tonne feed or
500 mg/kg body weight for 28 days.
Withdrawal period. Calves, sheep: slaughter 1 day, should not be
used in animal producing milk for human consumption
Lasalocid
Powder, 15%
Indication. Used as treatment and prophylaxis of coccidiasis in poul-
try
Dose. 75-125 g/tonne feed
Side-effect.Contraindication. Refer to clopidol
Withdrawal period. Poultry: slaughter 5 days
Monensin
Powder, 20%
Indications. Side-effects. Contraindications. See notes under
clopidol
Dose. Oral, Poultry: 200 g/kg, premix, 50-100 g/kg
Withdrawal period. Poultry: slaughter 3 days
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Robendine
Powder, 6.6%.
Indication. Prophylaxis of coccidiosis
Side- effect. Contraindication. See notes under clopidol
Dose. Poultry, 33-g/tonne feeds, Premix, 66 g/kg
Withdrawal period. Poultry: slaughter 5 days
Toltrazuril
Oral solution, 2.5%
Indication. Prophylaxis of coccidiosis
Contraindications. Administration to animals with impaired liver
and/or renal function
Side-effects. At high dosages in laying-hens egg-drop and in broilers
growth inhibition and polyneuritis can occur.
Dose. For oral administration. Poultry: 1 litre per 500 litre drinking
water for 2 days
Withdrawal period. Poultry: slaughter 19 days
1.3.2. Trypanocides and Others
Chemotherapy and chemoprophylaxis are essential in the control of try-
panosomiasis, particularly in view of the lack of effective vaccines and
the problems associated with vector control. Treatment of trypanosomi-
asis frequently is complicated by development of drug resistance, toxic-
ity, and the damaging dermonecrosis produced by some of the try-
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panocidal agents. The widely used compounds are: quinapramine, ho-
midium, pyrithidium, isometamidium, diminazene, and suramin. To
overcome or reduce resistance, these compounds are often used in se-
quence and in combination.
Quinapramine sulfate remains the most effective drug for treatment of
Trypanosoma brucei and T evansi in horses, even though it is poorly
tolerated.
Infection of T. brucei in cattle are often mild, and may be treated effec-
tively with either quinapramine or diminazene; T Vivax and T. con-
golense infections can be treated successfully with isometamidium or
diminazene, and often with both. When trypanosomes are encountered,
herd treatment should be considered since the infection probably is not
limited to sick animals, nor to those with positive blood smears. In
high-exposure, alternate treatments with isometamidium and dimi-
nazene are preferred, with the latter drug being used for strategic thera-
py.Infections that relapse after treatment should always be treated with
a drug different from the one used initially.
Diminazene Aceturate
Powder/Granule for injection, 1.1g, 1.05g, 495mg and 444mg Injection
solution (diaceturate), 35mg/ml
Indication. Diminazene aceturate is the drug of choice in the treatment
of trypanosomosis and babesiosis in animals
Side-effect.Reaction at the site of injection
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Dose.Cattle: B bigemina, B bovis, B ovata, and B divergens; intramus-
cular injection, 3-5mg/kg. Horse: B caballi; 5mg/kg, given twice with a
24 hours interval, but 6-12 mg/kg is required for B equi. Dog: 2.5-3.5
mg/kg has been effective in B canis infection, but 5-7 mg/kg is required
for B gibsoni.
Diminazene aceturate and Phenazone
Injectable granule/powder; 444mg + 556mg, 1.05g + 1.312g
Indications. Active against Trypanosomiasis,and babesiosis. It is also
active against some bacteria Brucella and Streptococcus species. The
Drug is highly effective against Trypanosoma vivax, Trypanosom con-
golense but less effective against Trypanosoma brucei that necessitates
an increase dose in these species.
Side-effect. Reaction may occur at the site of injection.
Dose. By intramuscular or subcutaneous injection as a single dose for
the treatment of Trypanosomiasis, caused by Trypanosome vivax, Try-
panosome congolense. Babesiosis and Piroplasmosis in cattle, sheep,
horse and dog: 3.5 mg/kg (0.05 ml/kg). In Trypanosome brucei, Try-
panosome evensi and resistant cases double dose is required. It has got a
limited prophylactic effect of one month in low risk areas.
Storage.With in 5 days of preparation of the solution at room tempera-
ture or 14 days in refrigerator
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Homidium
Tablet, 250mg
Indication. Active against Trypanosome congolense, Trypanosome vi-
vax, but less active against Trypanosome brucei is not effective against
Trypanosome evensi; see notes above.
Side-effect.Local swelling at injection site and transient lameness
Dose. By intramuscular injection, 1mg/kg once a day for 1 month de-
pending upon the challenge
Isomethamidium chloride
Powder for injection, 125mg and 1g.
Indications. Effective against Trypanosome congelense, Trypanosome
vivax, Trypanosome brucei and Trypanosome evensi .It has a consider-
able prophylactic activity with period of protection of about 6 months
Sid -effect. Local transient reaction at the injection site
Dose. By intramuscular injection, as a single dose, Curative: 0.5 mg/
kg. Resistant case: 1-2 mg/kg. Prophylaxis: 2 mg/kg
Quinapramin sulfate
Powder for injection, 1g
Indication.Effective against Trypanosoma congolense, Trypanosome
vivax,Trypanosome evensi (check spelling), Trypanosome equiperdium,
Trypanosome equinum. Trypanosome brucei is less susceptible. See
notes above
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Side-effects.Trembling, sweating, salivation, increased respiration and
heart rate, collapse and death
Dose. By subcutaneous injection, as a 10 % solution. In horse 5 % so-
lutions intramuscularly at divided dose of 2-3 different sites.
Based on animal weight:
Less than 150 kg body weight: 4.4 mg/kg
150-200 kg body weight:1 g
200-350 kg body weight: 1.5 g
Greater than 350 kg body eight: 2 g
1.3.3. Combination
Amprolium and Ethopabate
Powder, 25%+1.6%
Indication.Prevention and treatment of coccidiosis in poultry, claves,
and lambs
Amprolium, Sulfaquinoxaline, Ethopabate and
Pyremethamine
Oral solution, 20g+12g+1g+1g/100ml
Indication. Prevention and treatment of coccidiosis in poultry, claves,
and lambs
Amprolium, Sulfaquinoxaline and Ethopabate
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Powder, 20%+2%+1%
Indication. Prevention and treatment of coccidiosis in poultry, claves,
and lambs
Amprolium and Sulfaquinoxaline
Powder, 1.67%+1.67%
Indication. Prevention and treatment of coccidiosis in poultry, claves,
and lambs
Amprolium hydrochloride and Vitamin K
Powder, 20%+0.2%
Indication. Prevention and treatment of coccidiosis in poultry, claves,
and lambs
Amprolium, Furazolidone, Vitamin K and Vitamin A
Powder, 0.2%+10%+2.5%+2%
Indication. Prevention and treatment of coccidiosis in poultry, claves,
and lambs
Amprolium, Sulfaquinoxaline and Vitamin K
Powder, 16.5% + 18.5% + 5%, 20% + 20% + 2%
Indication. Prevention and treatment of coccidiosis in poultry, claves,
and lambs
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1.4. Anthelmintic Drugs
1.4.1. Benzimidazoles
1.4.2. Imidazothiazole
1.4.3. Microcyclic Lactones
1.4.4. Other Anthelmintic Drugs
1.4.5. Combined Anthelmintics
Anthelmintics are a group of drugs employed for the treatment or con-
trol of internal parasitic infections. In livestock, the pathogenic parasitic
organisms include, Nematodes (round worms), Trematodes (flukes) and
Cestodes (tapeworms). The spectrum activities of many anthelmintic
drugs are limited by the biological diversities that exist among and with
in the groups of the parasitic species.
The prominent parasitic diseases in ruminant include; gastroenteritis,
bronchitis and cirrhosis while in Horse, strongyloids and ascaris infec-
tions are common. Poultry suffers from gastrointestinal roundworms,
gapeworms and tapeworms. In carnivores, however, in addition to the
infestation of round worms and ascaris, tapeworms have got a great
zoonotic importance such as echinococosis.
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1.4.1. Benzimidazoles
Benzimidazoles are a group of broad-spectrum anthelmintic drugs with
high degree of efficacy and good margin of safety, and similar mode of
action. They disrupt energy metabolism of the parasites by binding to
tubulin, a protein required for the up take of nutrient in the parasites.
Benzimidazoles are compatible with most drugs when administered si-
multaneously. They are active against both larval and adult forms of
roundworms, while some are ovicidal. Some such as albendazole and
triclabendazole are effective against liver flukes. Most are active against
tapeworms at repeated dose.
In swine and carnivores, curative treatment needs repeated dose. But in
ruminants and Horse due to the reservoir effect of rumen and large in-
testine, single doses are sufficient. The group is also used as prophylac-
tic therapy.
Benzimidazoles are generally indicated against parasitic roundworms.
Some of the groups, the more recent analogue, such as albendazole is
also effective against adult liver flukes and tape worms while triclaben-
dazole is effective to both immature and adult liver flukes but not
roundworms and tapeworms. Benzimidazoles are poorly soluble in wa-
ter and administered orally in the form of suspension, pellet, bolus,
granule, powder or paste. At therapeutic dose, the group is safe even in
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sick, debilitated or young animals. At higher dose, they are teratogenic
and embryotoxic when administered at early gestation period.
Milk should not be consumed during treatment and meat during the first
few days. They should not be given to animals during their early gesta-
tion period.
Albendazole
Bolus, 120mg, 150mg, 200mg, 250mg, 300mg, 500mg, 600mg, 1000mg,
1125mg, 1500mg, 1875mg and 2500mg,
Oral powder, 20% and 30%,
Paste, 15g,
Oral suspension, 1.5%, 2.5%, 5%, 10% and 12.5%
Indication. Gastro-intestinal round worms, tapeworms and adult liver
flukes.
Side-effect. Hypersensitivity and also see notes above
Contraindication. The drug is not approved for use in lactating dairy
cattle. The manufacturer recommends not administering to female cattle
during the first 45 days of pregnancy or for 45 days after removal of
bulls. Albendazole has been associated with teratogenic and embry-
otoxic effects in rats, rabbits and sheep when given early in pregnancy.
Dose.Per oral as a single dose,
Roundworms: cattle, 7.5 mg/kg; sheep and horse, 5 mg/kg Tapeworm
and liver flukes: cattle, 10 mg/kg; sheep and goat, 7.5 mg/kg.
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Withdrawal period. Cattle: slaughter 14 days,milk 4 days.
Sheep: slaughter10 days, Should not be used in sheep producing milk
for human consumption
Fenbendazole
Bolus, 250mg and 750mg
Granule/ Powder, 4%, 20%, 22% and 25%
Paste, 20g
Oral suspension 2.5%, 5%, 10% and 12.5%
Indication.Gastro-intestinal roundworms, lungworms and tapeworms
in ruminants, horses, swine, carnivores and poultry
Contraindication. Side-effect. See notes above
Note: Cattle with heavy lungworm infestation may suffer from allergic re-
sponse to treatment as result of the death of worms insitue.
Dose. Oral, as single dose: cattle and horse: 7.5-mg/ kg;
Sheep, goat, swine: 5 mg /kg. Pets: 50 mg /kg daily for 3 days
Poultry: 20-mg/ kg
Withdrawal period. Cattle: slaughter 30 days, milk 5 days
Sheep: slaughter 21 days, milk 5 days
Flubendazole
Powder 5%
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Veterinary Formulary
Indication.Gastrointestinal roundworms, lungworms, gapeworm and
tapeworms in pigs and poultry
Contraindication . Side-effect. See notes above
Dose. Oral route, pigs: 5 mg /kg or 30g/tonne feed
Poultry: roundworms, 30g/tonne feed. Tapeworms, 20g/tonne feed-
broiler
Withdrawal period. Pigs: slaughter 14 days. Poultry: slaughter 7
days, egg 7 days
Mebendazole
Tablet, 100mg.
Oral granule, Powder 4% and 10%.
Paste, 4g/40g, 200mg/ g
Suspension, 33.3mg/ml and 166.7mg/ml.
Indication. Gastro-intestinal roundworms, lungworms and tape worm
in ruminants, horse, pets and poultry. It is also active against larval
stage of tapeworm (in intermediate host) and filarial infection of dog.
Contraindication.Administartion during first 4 months of pregnancy
in donkey treated for Dictyocaulus
Side-effect. Occasional mild diarrhoea
Dose. Per oral: sheep 10-19 mg /kg
Horses, donkey: roundworms, 5-10mg/kg, dictyocaulus arnfiledi in
donkeys, 15-20 mg/kg daily for 5 days
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Poultry, 60 g/tonne feed and pets, 25-60 mg/kg three times daily for 5
days.
Withdrawal period. Poultry: slaughter 14 days. Sheep: slaughter 7
days, milk 1 day
Oxfendazole
Oral suspension, 22.65mg/ml, 90.6mg/ml
Indication. Gastrointestinal roundworms, lungworms, tapeworms and
also inhibits larvae of nematodes
Contraindication. First 35 days pregnancy in dogs
Side-effect. Hypersensitivity may occur
Note: Do not administer to non-ruminating cattle and concurrent with other bo-
lus, except specified by manufacturer. Do not administer to cattle vaccinated
against lungworm until 10 to 14 days after the second dose of vaccination.
Dose. As a single dose; cattle: oral, 4.5 mg/kg. Sheep: oral, 5 mg/kg.
Horse: oral, 10 mg /kg. Pets: oral 10 mg/kg daily for 3 days
Withdrawal period. Cattle: slaughter 28 days, milk 3 days
Sheep: slaughter 21 days.
Oxibendazole
Bolus 400mg, 2000mg
Powder 5%
Oral suspension, 22.65mg/ml, 50mg/ml, 90.6mg/ml
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Veterinary Formulary
Indication. Gastrointestinal roundworms and lungworms
Contraindication.Hypersensitivity and early gestation
Dose. As single dose,
Cattle and sheep: oral, 5-10 mg/ kg. Pigs: oral, 15 mg /kg. Horses: 10
mg/kg, Strongyloides westeri, 15mg/kg
Withdrawal period. Pigs: slaughter 14 days. Cattle: slaughter 14
days, milk 2 days
Triclabendazole
Bolus 200mg, 250mg, 300mg, 900mg and 1800mg
Oral suspension, 5 %, 10 %, 20 %,
Indication. Immature and adult liver fluke
Contraindication. Side-effect. See notes above.
Dose. As a single dose,
Cattle, horses: oral, 12mg/ kg
Sheep: oral, 10mg/ kg
Withdrawal period. Cattle: slaughter 28 days, milk 7 days
Sheep: slaughter 28 days,should not be used in sheep producing milk
for human consumption
Febantel
Paste 7.5%
Oral suspension, 25mg/ml and 100mg/ml.
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Veterinary Formulary
Indication. Gastro-intestinal roundworms, lungworms, tapeworm
Contraindication. See notes above
Side-effect. Horse: mouth irritation with resultant salivation, occa-
sional diarrhea and colic. Cats and dogs: salivation, anorexia, and diar-
rhea
Dose.Cattle: oral, 7.4 mg /kg. Sheep: oral, 5 mg/kg. Horses: oral, 6
mg/kg
Withdrawal period. Cattle: slaughter 35 days, milk 4 days
Sheep: slaughter 14 days, should not be used in sheep producing milk
for human consumption.
1.4. 2. Imidazothiazole
Imidazothiazole is a group of anthelmitic drug effective against round-
worms. The group acts by interfering with parasitic nerve transmission
causing muscular paralysis that result in to rapid expulsion of the worm.
It is effective against adult and larval gastro-intestinal roundworm and
lungworm infection including Protostrongylus infection. Most worms
expelled with in 24 hours of administration.
Levamisole when given for prolonged period of time may improves de-
pressed cell mediated immune system of the body by restoring de-
pressed T-cell function, and also stimulates monocytes and phagocytes.
It also has antiviral and antifungal activity.
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Veterinary Formulary
Levamisole
Bolus, 200mg, 300mg, 400mg, 600mg, 700mg
0.1g, 1g, 1125mg, 1.875g and 2.19g
Powder, 10% and 20%
Oral suspension, 100mg/ml, 75mg/ml, 50mg/ml, 30mg/ml and 15mg/ml,
Pour-on, 20 %
Injection, 2mg/ml, 75mg/ml and 100mg/ml
Indication.Gastrointestinal roundworms in ruminants, pigs, and pi-
geons; Type II ostertagiasis (not pretype II); lungworm in ruminants,
pigs and dogs; heartworm treatment in dogs; immune stimulation
Side-effect. Frothing, salivation, tremor, transient head shaking, lick-
ing of lips, urination, defecation, vomiting, ataxia, collapse and death
due to respiratory failure
Contraindication. Administration within 14 days of treatment with
organophosphorus compound or diethyl carbamazine . Don't exceed 4.5
g per dose in cattle
Dose. Horse: immune stimulation, oral, 6.5 mg/kg daily for 14 days; by
intramuscular injection, 5.5 mg/kg. Cattle: oral, or subcutaneous injec-
tion, 7.5 mg/kg; by 'pour-on' application, 10 mg/kg
Sheep: oral or subcutaneous injection, 7.5 mg/kg. Pigs: subcutaneous
injection, 7.5 mg/kg
Dogs: oral, 10 mg/kg for 3 days. Immune stimulation, 0.5-2.0 mg/kg
every 2-3 days
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Withdrawal period. Cattle: slaughter 28 days, milk 3 days. Sheep:
slaughter 28 days, should not be used in sheep producing milk for hu-
man consumption
Tetramisole
Bolus, 0.15g, 0.6g, 1g, 1.2g, 1.5g, 2g
Powder, 10%, 20%, 30%
Injection, 30 mg/ml, 100mg/ml
Indication.Contraindication.Side-effect. See notes under Leva-
misole
Dose. Cattle, sheep, goat, pig, 15 mg/kg. Dog and cat :5 mg/kg for 6
days
1.4.3. Microcyclic Lactones
Microcyclic lactones are compound derived from fermentation products
of soil dwelling bacteria of genus Streptomyces.The product is active
against both gastro-intestinal roundworms and ectoparasites in animal
when used at lower concentration. In nematodes and arthropodes, aver-
mectine potentiate GABA mediated neurotransmission and initiates the
chloride ion influx and lower cell membrane resistance resulting into
hyper polarization of the resting potential of post synaptic cells and
causes the flaccid paralysis and death or expulsion of the parasite. In
mammal, GABA mediated neurotransmission is limited to CNS, and the
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compound do not readily cross BBB. This provides the product a wide
safety margin.
Ivermectine is active against many parasites including arrested and de-
veloping larvae and adults of the important cattle and sheep nematodes.
Abamectin, a closely related compound, has a similar spectrum of activ-
ity. Ivermectin displays no activity against cestodes or trematodes, pre-
sumably because these parasites do not utilize GABA as a neurotrans-
mitter.
In dogs, ivermectin should not be used at doses greater than those rec-
ommended for heartworm prophylaxis because it may cause toxicity in
certain blood-lines, for example rough-haired Collies. The clinical signs
of toxicity are ataxia, depression, tremors, recumbency, and mydriasis.
Horse carrying heavy infections of Onchocerca may develope transiet
oedema and pruritus following treatment. This may be due to the sud-
den death of large number of microfilariae.
Ivermectine
Injection, 10mg/ml,
Oral powder, 0.2%
Capsule, 10mg,
Bolus, 1.72g and 5mg
Oral solution, 800mcg/ml,
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Veterinary Formulary
Pastes, 1.876%, 0.2% and 8%,
Solution, Pour-on; 5mg/ml.
Indication.Gastro-intestinal roundworms and lungworms in horses,
ruminants, and pigs; Type II ostertagiasis in horses, ruminants; horse
bots; some lice and mites on cattle and pigs; warble fly larvae in cattle,
nasal bots in sheep; heartworm prophylaxis in dogs for export; mites on
cats. In cattle, ivermectin is approved for use in the control of gastroin-
testinal roundworms (adults and 4th stage larva), lungworms (adults and
4th stage larva), cattle grubs (parasitic stages), sucking lice, and mites
(scabies).
Side-effects. Ataxia, depression, tremors, mydriasis, listlessness, mus-
culoskeletal pains, oedema of the face or extremities, itching and papu-
lar rash
Contraindication.Ivermectin is not recommended for use in puppies
less than 6 weeks old. The injectable products for use in cattle and
swine should be given subcutaneously only; do not give intramuscularly
or intravenously. Administration of ruminal boluses to non-ruminating
cattle; administration to calves less than 12 weeks of age
Dose.Horse: oral, 0.2mg/kg. Cattle: by 'pour-on' application, 0.5mg/
kg; by subcutaneous injection, 0.2 mg/kg. Sheep, goat: oral 0.2 mg/kg.
Pigs: oral, 0.1mg/kg daily for 7 days; by subcutaneous injection, 0.3
mg/kg. Dogs: heartworm prophylaxis, oral, 6 microgram/kg every
month. Cats:Otodectes, subcutaneous injection, 0.3 mg/kg, repeat after
3 weeks; Notoedres, subcutaneous injection, 0.4 mg/kg
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Withdrawal period. Sheep, goat: slaughter 14 days. Cattle: slaugh-
ter 28 days. Pigs: slaughter 28 days
Abamectine
Injection, 10mg/ml,
Capsule, 10mg,
Tablet, 5mg,
Oral powder, 2mg/g,
Oral solution, 20mg/ml,
Paste, 20mg/g,
Pour-on, 5mg/ml
Indication. Treatment of gastrointestinal nematodes, lice, lung worm
infections, oestriasis and scabies
1.4.4. Other Anthelmintic Drugs
Oxyclozanide
Bolus 340mg and 2700mg,
Oral suspension; 34mg/ml
Indication. Mainly active against adult Fasciola in ruminants.
Dose. Cattle: Oral, 10 mg/kg. Sheep, goat, oral, 15 mg/kg
Side-effect. Occasional increased defaecation and inappetance in cattle
Withdrawal period. Cattle: slaughter 28 days, milk 3 days
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Sheep: slaughter 28 days, should not be used in sheep producing milk
for human consumption
Praziquantel
Bolus, 3125mg,
Tablet, 50mg,
Injection, 56.8mg/ml
Indication.Effective against all tapeworms; Echinococcus, Taenea,
Dipylidium caninum, Taenia pisiformis and Echinococcus granulosus in
dogs, and Dipylidium caninum and Taenia taeniaeformis in cats
Contraindication.Do not give to puppies of less than 4 weeks age
and kittens of less than 6 weeks age
Side-effect. It causes occasional vomiting, transient pain at injection
site
Dose.Horse: oral 10mg/kg. Dogs, cats: oral, 5mg/kg; subcutaneous or
intramuscularly injection, 3.5-7.5 mg/kg.Sheep, goats: for all species of
Moniezia, Stilesia, or Avitellina:
10 - 15 mg/kg
Piperazine
Tablet, 50mg and 500mg,
Powder, 65%,
Syrup, 100mg/ml
Indication. Roundworms in horses, pigs, dogs, cats, and poultry
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Contraindication. Renal impairment
Side-effects. Occasional emesis and diarrhea
Dose. Horses: parascaris, up to 160 mg/kg. Pigs: Ascaris, up to 160
mg/kg. Dogs, cats: Toxocara, Toxascaris, 80 mg/kg; Ancylostoma,
Uncinaria, 120-240 mg/kg. Poultry: Ascaridia, 200 mg/bird;
Capillaria, 400 mg/bird
Drug interaction. Pyrantel, morantel, laxative
Closantel
Liquid, 50mg/ml, 150mg/ml
Indication. Immature and adult Fasciola, nasal bot and benzimidazole
-resistant Haemonchus in sheep
Dose. Sheep: 10 mg/kg
Withdrawal period. Sheep: slaughter 28 days, should not be used in
sheep producing milk for human consumption or manufacturing pur-
pose
Pyrantel pamoate
Paste, 9.5%
Indication.Gastro-intestinal roundworms in horses and dogs; tape-
worm in horses
Contraindications.Use with caution in severely debilitated animals.
Foal less than 4 weeks of age
Side-effect.Emesis in small animals
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Drug interactions. Morantel, levamisole, organophosphate, diethyl-
carbamazine, piperazine
Dose.Horse: 6.6 mg (as base)/kg; 13.2 mg (as base)/kg for cestodes
Storage.Store at room temprature
1.4.5. Combined Anthelmintics
Multiple parasitic infestations are a rule rather than exception in domes-
tic animals. Animals are usually infected with roundworms, cestodes
and trematodes at the same time. This necessitates the use of combined
anthelmintic drugs that have complementary properties to attain ex-
tended ranges of activity. In ruminants the most combination of an-
thelmintic preparation includes drugs that are effective against both
trematode and roundworms of domestic animals.
Levamisole and Triclabendazole
Oral suspension, 37.5mg + 50mg/ml, 75mg + 120mg/ml
Indication. For roundworm and flukes in cattle and sheep
Contraindications. Impaired liver function
Dose.Oral suspension, levamisole hydrochloride 75mg, triclabendazole
120mg/ml, for roundworm and flukes in cattle: 0.1 ml/kg
Oral suspension, levamisole hydrochloride 37.5mg, triclabendazole
50mg/ml, for roundworm and flukes in Sheep:0.2ml/kg
Drug interaction. Pyrantel, organophosphates
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Withdrawal periods. Cattle, sheep: slaughter 28 days, should
not be used in cattle and sheep producing milk for human con-
sumption
Levamisole and Oxyclozanide
Bolus, 0.3g + 0.6g, 0.450g + 0.450g, 1g+ 1.4g,
1.5g + 3g, 2g + 1.4g,
Oral suspension; 15mg+ 30mg/ml, 30mg + 60mg/ml
Indication.Prophylaxis and treatment of gastrointestinal and lung-
worm infections in cattle, calves, sheep and goats like:
Trichostrongylus,Cooperia,Ostertagia,Haemonchus,
Nematodirus,Chabertia,Bunostomum and Dictyocaulus spp.
Contraindications. Administration to animals with an impaired liver
function
Dose.Oral suspension, levamisole hydrochloride 15 mg, oxyclozanide
30mg/ml for roundworms and flukes in cattle, sheep:0.5ml/kg
Drug Interactions. Concurrent administration with pyrantel, moran-
tel or organophosphates
Withdrawal period. Cattle: slaughter 28 days, milk 3 days. Sheep:
slaughter 28 days, should not be used in sheep producing milk for hu-
man consmption
Levamisole and Bithonoloxide
Oral suspension, 1.5% + 8%
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Indication. Roundworm and trematodes
Levamisole and Niclosamide
Bolus, 150mg + 2250mg
Indication. Roundworm and trematodes
Levamisole and Rafoxanide
Oral suspension, 1.5% + 3%, 1.5% +1.5% and 3% +3%.
Indication. Roundworm and trematodes
Tetramisol and Oxyclozanide
Bolus, 150mg + 300mg, 450mg + 450mg, 450mg + 420mg and
2 g + 1.4 g
Oral suspension, 3% + 3%
Indication. Roundworm and trematodes
Drug-interaction.Combination of two or more oganophosphorous
compund or drugs with anticholinestrase activity
Praziquantel and Pyrantel
Tablet, 20mg + 230mg
Indication.Used to remove Tapeworms (Dipylidium caninum, Taenia
taenieformis), Hookworms (Ancylostoma tubaeforme), and Large
Roundworms (Toxocara cati) in cats and kittens
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Note: Tablets may be given directly oral or offered in a small amount of food.
Do not withhold food from the cat prior to or after treatment.
Praziquantel and Niclosamide
Bolus, 350mg + 3650mg
Indication. Roundworm, tapeworm and trematodes
Praziquantel , Pyrantel embonate and Febantel
Tablet, 50mg + 144mg + 150mg
Indication. For removal of Tapeworms (Dipylidium caninum, Taenia
pisiformis, Echinococcus granulosus, and removal and control of
Echinococcus multilocularis). For removal of Hookworms (Ancy-
lostoma caninum, Uncinaria stenocephala), ascarids (Toxocara canis,
Toxascaris leonina), and whipworms (Trichuris vulpis) in dogs.
Contraindication. Do not use in pregnant animals.
Dogs treated with elevated levels (6 consecutive days with 3 times the
labeled dosage rate) of the combination of febantel and praziquantel in
early pregnancy demonstrated an increased incidence of abortion and
fetal abnormalities
Dose.1 tablet /10 kg
Storage.At room temperature
Abamectin and Praziquantel
Paste, 3.7mg + 46.3mg/dose
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Indication.Roundworm, tapeworm, trematodes and external parasites
Ivermectin and Praziquantel
Injection, 1.2% + 12%, 1.2% + 15%.
Indication.Roundworm, tape worm, trimatodes and external parasites
Oxyfendazole and Oxyclozanide
Oral suspension, 22.65mg +62.5mg/ml
Indication.For roundworm, tapeworm, and flukes in cattle and sheep
Dose. Cattle and sheep :0. 2ml/kg
Withdrawal periods. Cattle: slaughter 28 days, milk 5 days. Sheep:
slaughter 28 days
Triclabendazole and Rafoxanide
Oral suspension, 14.6% + 2.5%
Indication.For roundworm, tapeworm, and flukes in cattle and sheep
2.Acaricides and Insecticides
Ectoparasiticides are compounds intended to control external parasitic
infestation that harbour in or on the skin of animals there by inflict in-
jury. Some ectoparasites such as oestrus ovis transiently survive in the
body.
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External parasites cause high economic losses through weight loss, re-
duced milk yield, skin damage by injury or blood sucking or annoying
the animal. Some are still responsible to transmit economically signifi-
cant diseases such as Trypanosomiasis; Babesiosis and heart water,
African horse sickness.
The control of external parasitic infestation needs the use of different
preparations of ectoparasiticides. They are available for application by
various methods including dip, spray, “pour-on”, “spot-on” aerosol, col-
lar, tag, shampoo and parenteral. Different formulations are prepared to
indicate for different parasites.
Typically, formulations used are, liquid concentrations requiring dilu-
tion with water to produce an emulsion for application. However, de-
pending on individual circumstances such as availability of animal, han-
dling facilities and operation system, the more convenient ready-for-use
preparation such as ‘spot-on’ ‘pour-on’, collar and tags provide the user
with a broad choice of application system.
Systemic acting preparations are available in the form of injection. Iver-
mectin, pour-on solution is poured along the dorsal midline of animal or
spot-on method, applied to a smaller area on head or back.
Ectoparasiticids are toxic to animals and operators. They are also harm-
ful to the environment. As a result, care should be taken with dosage
handling, storage, disposal of unused materials and containers.
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2.1.Organophosphates and Chlorides
Organophosphorus is a yellow to deep brown oily liquids or yellow to
white crystalline powder most have garlic like odour.
The compounds inhibit cholinesterase; thereby interfere with neuromus-
cular transmission in the ectoparasites. In animal over dosage cause ab-
dominal pain, diarrhea, salivation, tremor, pupil constriction and death
may occur from respiratory failure. Toxicity of organophosphorus is
combated with competitive antagonists such as atropine.
Although most organophosphorus compounds are not persistent in the
environment they may be toxic to livestock, human and wild life an ad-
equate precaution should be taken to avoid environmental contamina-
tion. Aquatic animals, bees and bird are susceptible to the compounds.
The common organophosphorus compounds in use are: chlorfenvin-
phos, diazinone, dichlorovos, fenthion and phosmet.
Organophosphoruses are indicated for, ticks, keds lice, biting flies war-
ble fly, oestrus ovis, gasterophylus larva, manges, keds, glossina species
and other biting flies.
Chlorfenvinphos
Liquid, 10%w/v
Indication. Blowfly larvae, keds lice and tick on sheep
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Dose. Dip concentrate, chlorfenvinphos 10%, phenols 30.5 %, for
sheep; 4.5 litres, 11.25 litres, 22.5 litres to be diluted before use
Warnings. Not approved for sheep scab control
Withdrawal period. Sheep: slaughter 14 days, should not be used on
sheep producing milk for human consumption
Drug interactions. Combination of two or more organophosphorus
compounds or drugs with anticholinestrase activity
Diazinon
Liquid 15%w/v, 16.2%, 20% and 60% w/v
Collar, 15%w/v
Indication. Blowfly larvae, keds lice, Psoroptes and tick on sheep;
fleas and ticks on dogs and cats
Side-effect. Occasional skin irritation and alopecia
Warning.Some diazinon-containing dip concentrates contain
epichlorhydrin 1%; adequate ventilation should be provided for opera-
tor working continuously with these preparations. Children should not
be allowed to play with collar
Dose.Dip concentrate, diazinon 60%, for sheep, 2.5 litres, 5 litres. To
be diluted before use
Collar: cats, dogs; place around dog's or cat's neck
Withdrawal period. Sheep: slaughter 14 days, should not be used on
sheep producing milk for human consumption
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Drug interactions. Combination of two or more organophosphorus
compounds or drugs with anticholinestrase activity
Dichlorovos
Liquid, 76% w/v
Indication.For control fleas, gnats and mosquito
Drug interactions. Combination of two or more organophosphorus
compounds or drugs with anticholinestrase activity
Fenthion
Liquid, 20mg/ml, 200mg/ml
Indication. Warble-fly larvae and lice in cattle, fleas on dog and cats
Contraindication. Calves less than 3 months of age, dogs less than 6
months of age; cats less than 1 year of age; dogs less than 3 kg body
weight, cats less than 2 kg body weight; pregnant animals before 1
months of delivery
Dose. Cattle: by 'pour-on' application, (100-200 kg body weight) 1g;
(200-300kg body weight) 1.5 g ;(300-400kg body weight) 2g;(more
than 400 kg body-weight) 2.5 g
Dogs: by ‘spot-on’ application, (3-10kg body weight) 80 mg, (11-25 kg
body-weight) 200mg, (26-50 kg body weight) 400 mg, (over 50 kg
body-weight) 600 mg. Cat: by ‘spot-on’ application, 30 mg
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Warning. Dogs and cats should not be handled within 8 hours of ap-
plication. Milk producing animals should be treated immediately after
milking
Drug-interactions.Combination of two or more organo-phosphorus
compounds or compounds with anticholinestrase activity, levamisole,
diethylcarbamazine
Withdrawal period. Cattle: slaughter 21 days, milk 5 days
Phosmet
Liquid, 200mg/ml
Indication.Warble-fly larvae in cattle, lice and mite on cattle, and
pigs; Sarcoptes, fleas, and ticks on dogs
Contraindication.Calves less than 3 month of age, dogs under 12
weeks of age,pregnant bitches .See notes under fenthion
Side- effect. All are toxic to animals and human by the virtue of
cholinesterase blocking activity. It is harmful to birds, bees, fishes and
other aquatic animals
Dose. Cattle: by' pour-on' application. Lice, 10mg/kg repeat after 10-
14 days. Mites and warble-fly larvae, 20 mg/kg as a single dose
Pigs: by 'pour -on' application, 20 mg/kg as a single dose.
Warning. Operators should take care when handling or using the com-
pounds. Personal protective equipments should be worn. Care should
be taken to avoid inhalation and any skin contamination should be
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washed off immediately. Empty containers should be carefully disposed
to avoid environmental contamination
Drug-interactions.Combination of two or more organo-phosphorus
compounds or compounds with anticholinestrase activity
Withdrawal period. Cattle: slaughter 14 days. Pigs: slaughter 35
days
Note. Animal producing milk for human consumption should be treated imme-
diately after milking at least 6 hours before the next milking
2.2. Carbamate
Carbaryl and propoxur are carbamates. These drugs cause inhibition of
cholinesterase at the parasite nerve synapses but unlike organophospho-
rus compounds spontaneous reversible.
Carbaryl and propoxur are used mainly for flea control.
Carbaryl
Collar, 5%
Indication. Fleas and ticks on dogs and cats
Contraindication. Use of other ectoparasiticides concurrently or
within 7 days of removal of collar; kittens less than 6 months of age
Side effect. Occasional skin irritationand alopecia
Drug interactions. Combination of two or more compounds or com-
pounds with anticholinestrase activity such as organophosphorous com-
pounds
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Warning. Children should not be allowed to play with collar
Propoxur
Spray, 0.25%
Collar, 10%
Indication. Fleas and ticks on dogs and cats
Contraindication. Concurrent use with other insecticides, puppies
and kittens less than 12 weeks, nursing bitches or queens.
Side-effect.Occasional skin irritation and alopecia
Drug interactions. Combination of two or more compounds or com-
pounds with anticholinestrase activity such as organophosphorous com-
pounds
Warning. Children should not be allowed to play with collar
2.3. Pyrethrines and pyrethroids
The group exerts its action on sodium channels of parasites nerve ax-
ons, causing initial excitement then paralysis. They are applied as
spray, pour-on or spot-on.
Cypermethrin
Emulsifiable liquid, 5%, 10%w/v
Powder, 25%
Pour-on solution, 1%, 1.25%, 2%
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Collar, 8.5%
Indication. Flies on horses and cattle; lice on horses, cattle and goats,
blowfly larvae, biting lice, tick, head flies on sheep; red mites on poul-
try
Contraindication. Treatment of lambs less than 1 week of age or dur-
ing hot weather
Side- effect. “Pour-on” preparations should not be applied to the tail
region of lambs because this could interfere with ewe-lamb recognition
Dose.Liquid concentrate, cypermethrin 5 %, for horses, poultry; 1 litre
to be diluted befor use
Horse: by spray, 125-500 ml of 0.1% solution. Poultry: by spray, 20ml
of 0.05 % solution
Sheep: by 'pour on'application. Blowfly larvae, treatment, 5-10 ml on
affected area; prophylaxis, by spray, (more than 12.5 kg body-weight
and less than 25 kg body weight), 20 ml, (more than 25 kg body-
weight) 40 ml. Headfly, 5 ml. Lice, 0.25 ml/kg (maximum 20 ml).
Ticks, (less than 10 kg body-weight) 0.5 ml/kg (maximum 40 ml).
Goat: by 'pour on' application, 0.25-0.5 ml/kg
Cattle: by 'pour on application', 10 ml
Warning. Wash udders of sprayed animals before milking apply only
on unbroken lesions
Withdarawal period. Sheep, goats: slaughter 7 days. Cattle: slaugh-
ter 7 days. Poultry: slaughter 21 days
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Deltamethrin
Pour-on solution, 1%
Emulsifiable liquid, 5%, 12.5%
Indication. Lice on cattle, sheep, pigs; flies on cattle; headflies, keds,
and ticks on sheep, blowfly larvae
Side- effect. Minor signs and discomfort with some cattle up to 48
hourse after treatment
Dose. Cattle: by 'spot on 'application, 10ml of 1% solution
Sheep, pigs: by 'spot on' application 5ml of 1% solution
Warning. Wash udder of sprayed animals before milking and adminis-
tration
Withdrawal period. Cattle: slaughter 3 days, milk withdrawal pe-
riod is nil. Sheep: slaughter 7 days. Pigs: slaughter 21 days
Fenvalerate
Emulsified liquid, 10%, 20%
Indication. Flies, lice on cattle, tick and ticks on dogs and cats
Contraindication. Puppies less than 12 weeks of age, nursing
bitches; cats less than 6 months of age, pregnant and nursing queens
Dose. Cattle: by spray, 250-500ml of 0.1% solution
Warning.Avoid direct contamination of milk and milking machine
Withdrawal period. Cattle: slaughter 1 days, milk withdrawal nil
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Permethrin
Dusting powder, 1.05%,
Emulsified liquid, 0.5%,
Pour-on solution, 4%,
Shampoo, 1.05%
Indications. Culicoides and lice on horses; flies and lice on cattle;
fleas on dogs and cats
Contraindication. Puppies or kittens less than 12 weeks of age
nursing bitch or queens
Side-effect. Cats may show signs of hyperaesthesia with excitability
twitching and collapse if over dosage occurs
Dose. Dogs: by 'pour-on' application, (upto 15 mg body-weight)
1 ml; (more than 15 kg body-weight) 2ml.Do not re-apply until at least
7 days. Cattle: by 'pour-on' application, 0.1 ml/kg. Horse, donkey: by
'pour -on' application, 0.1ml/kg
Withdrawal Period. Cattle: slaughter 3 days, milk withdrawal pe-
riod is nil
Note. Animal producing milk for human consumption should be treated imme-
diately after milking and at least 6 hours before next milking
Flumethrine
Emulsifiable liquid, 1%, 6%
Indication. Keds, lice Psoroptes, and ticks on sheep
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Dose. Sheep: dip concentrate, flumethrin 6%, 1 litre. To be diluted be-
fore use
Withdrawal period. Sheep: slaughter withdrawal period nil, milk
withdrawal period nil
Note. Animal producing milk for human consumption should be treated imme-
diately after milking
Warning. Not for control of blowfly larvae
2.4. Others
Amitraz
Powder/Granule, 12.5%, 25%
Pour-on, 2%w/v
Liquid, 12.5%
Indication. Lice, ticks, keds on sheep; lice, mite, and ticks on cattle;
lice and mites on pigs; Demodex on dogs
Dose. Liquid or dip concentrate, amitrazin 12.5%, for cattle, sheep,
pigs; 1 litre, 5 litres. To be diluted before use
Withdrawal period. Cattle: slaughter 1 day, milk 2 days. Sheep:
slaughter 21 days, should not be used in sheep producing milk for hu-
man consuption. Pigs: slaughter 7 days
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3.Gastrointestinal Drugs
3.1. Antidiarrheal drugs
3.2. Drugs used in the treatment of bloat
3.3. Laxatives
3.1. Antidiarrheal Drugs
3.1.1. Adsorbents
3.1.2. Drugs used in the treatment of chronic diarrhea
The causative agents of diarrhea include dietary imbalance or hypersen-
sitivity, ingestion of toxins, stress, small intestinal bacterial over
growth, exocrine pancreatic insufficiency, chronic inflammatory bowel
disease, colitis-X and granulomatous enteritis in horses, lymphangiecta-
sia, villous atrophy, infections due to bacteria, fungal, protozoa, viruses,
or endoparasites, and neoplasia. Diarrhea may also result as a side-ef-
fect of drug treatment. Diarrhea may cause changes in the gastro-intesti-
nal tract resulting in malabsorption of fluids and reduced digestibility of
nutrients.
Treatment includes elimination of the causative agent and supportive
therapy such as fluide and electrolyte replacement and dietary control.
Food is withheld for 24 hous in dogs and cats and about 2 to3 days in
ruminants and pigs, and oral elextrolytes are provided. This is followed
by a balanced diet and gradual reintroduction in to normal feed. Elec-
trolyte replacement solution should be offered in place of drinking wa-
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ter or milk. Severly dehyderated animals may require parenteral fluid by
intravenous infusion in addition to oral soultion.
3.1.1.Adsorbents
Adsorbents, given oral, adsorb toxins from gastro-intestinal tract, which
may prevent irritation and erosion of the mucosa. Bismuth salts, char-
coal, zinc oxide and kaolin are available in compound preparations with
antacids and electrolyte for the treatment of non-specific diarrhea.
Kaolin does not adsorb E -coli enterotoxins and therefore has limited
use in neonatal diarrhea and may even be contraindicated. Bismuth salts
and activated charcoal may adsorb these toxins. Some absorption of sal-
icylate will occur from administration of bismuth salicylate; care should
be taken with administration to cats.
Bismuth salicylate, Sodium salicylate, Magnesium trisilicate
and Kaolin
Oral suspension, 7 g + 5g + 3.3g + 10g/100 ml
Indication. For the treatment of unspecific diarrhea
Drug interactions. Lincomycine, tetracycline
Kaolin and Pectin
Oral suspension, 200mg +4.3 mg/ml
Indication. For the treatment of unspecific diarrhea
Dose. Calves, dogs; 1-2 ml/kg 2-3 times daily
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Drug interactions. Lincomycine, tetracycline
Withdrawal period. Calves: slaughter withdrawal period nil
3.1.2.Drugs used in the treatment of chronic diarrhea
Chronic diarrhea may be caused by dietary imbalance, small intestinal
disease, parasitism, exocrine pancreatic insufficiency, colitis, or occur
as a result of other systemic disease.
Sulphasalazine
Tablets, 500 mg of 100, 500
Oral suspension 50 mg/ml of 500
Indication.Treatment of Chronic colitis and maintenance of remission
Side-effects. Anorexia, vomiting, prolonged administration may cause
keratoconjunctivitis sicca
Dose.Dogs: 15-30 mg/kg 3 times daily units response then reduced to
lowest effective maintenance dose. Dose may be increased up to 40
mg/kg 3 times daily if required
Cats: 10-20 mg/kg once daily
3.2. Drugs used in the Treatment of Bloat
The normal process of fermentation of cellulose in the rumen results in
the production of gas, which is periodically eructed. Bloat occurs when
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either the eruction reflex is inhibited, or the gas is for other reasons un-
able to escape; the gas accumulates in a stable foam form or as free gas.
Treatment of free gas bloat includes ruminal intubation or trocharisation
to allow the release of gas. Medication treatment of frothy bloat re-
quires the administration of an antifoaming agent to break down the sta-
ble foam.
Poloxalene is a nonionic surfactant used for the treatment and preven-
tion of frothy bloat. Silicones such as dimethicone reduce the surface
tension of gas bubble causing them to coalesce.
The prevention and control of bloat includes limited pasture access,
avoiding finely milled feeds, and maintaining high fibre content in the
diet. Antifoaming substances may be included in the feed, drinking wa-
ter, or sprayed on the crops.
Dimeticone
Oral suspension, 1 %, 2%
Indication. Frothy bloat
Dose. Cattle: 100 ml, sheep: 25 ml
Poloxalene
Oral suspension, 830mg/ml, 55%, 25g/30ml
Premix, 530mg/g
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Indications. Treatment and prevention of frothy bloat
Dose. Oral liquid, poloxalene 830mg /ml, for cattle;(up to 227kg body
weight) 30ml diluted in 500 ml water;(more than 227kg body-weight)
60ml diluted in 500ml water
Premix, poloxalene 530 mg /g, for cattle; 22 mg of poloxalene /kg
body weight daily. May be increased to 44mg of poloxalene/kg
Withdrawal periods. Cattle: slaughter 3 days, milk withdrawal
periods nil
Docusate
Oral suspension, 240 mg
Indications. Treatment and prevention of frothy bloat
Contraindications. Use with caution in patients with pre-existing
fluid or electrolyte abnormalities; monitor.
Side-effects/Warnings. At usual doses, clinically significant adverse
effects should be very rare. Cramping, diarrhea and intestinal mucosal
damage are possible. The liquid preparations may cause throat irritation
if administered oral.
Drug Interactions.Theoretically, mineral oil should not be given with
docusate (DSS) as enhanced absorption of the mineral oil could occur.
However, this interaction does not appear to be of significant clinical
concern with large animals. It is less clear whether there is a significant
problem in using this combination in small animals and the concurrent
use of these agents together in dogs or cats cannot be recommended. If
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it is deemed necessary to use both docusate and mineral oil in small ani-
mals, separate doses by at least two hours.
Doses. Horses : oral, 10-20 mg/kg diluted in 2 L of warm water; may
repeat in 48 hours. 7.5-30 g (150-600 mls of a 5% solution) per oral;
or 3-5 g (60-100 mls of 5% solution) if used with mineral oil
Storage.Docusate sodium solutions should be stored in tight containers
and the syrup should be stored in tight, light-resistant containers.
3.3. Laxatives
3.3.1.Lubricant laxatives
3.3.2. Bulk-forming laxatives
3.3.3. Osmotic diuretics
3.3.1. Lubricant laxatives
Lubricant laxatives soften and lubricate the faecal mass, which allows
expulsion. Liquid paraffin and white soft paraffin are commonly used
and are thought generally safe, although prolonged use may cause prob-
lems.
Liquid paraffin may be used in the treatment of Horse colic due to im-
paction. When liquid paraffin is administered to large animals it should
be mixed with ginger or mustard to prevent inhalation, except which
given by stomach tube.
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Paraffins
Oral paste 474mg/g
Indications. Constipation
Contraindications. Prolonged use especially in young animals
Side-effects. Reduced absorption of nutrients; granulomatous lesions
may develop with prolonged use
Warning. Accidental administration into the trachea and bronchial tree
may lead to lipid pneumonitis
Dose. Cats: ½-1 inch of paste 1-2 times daily
3.3.2. Bulk-forming Laxatives
Ispaghula takes up water in the gastro-intestinal tract, thereby increas-
ing the volume of the faeces and promoting peristalsis. It is used in the
management of chronic constipation and when excessive rectal strain-
ing is to be avoided, such as following surgery for perineal hernia repair
or anal sac removal. Due to their ability to increase faecal mass they are
also used in the control of diarrhoea.
Adequate fluid intake should be provided when using bulk laxatives to
avoid intestinal obstruction.
Ispaghula husk
Oral powder, 49 %; 200 g
Oral granule, 90%; 200g
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Indications. Constipation
Contraindications.Abdominal pain, vomiting; intestinal obstruction
Warnings. Water must be available all times
Dose. Oral granules, ispaghula husk: 90 %; 200 g
Dogs: by addition to food, one-three 5 ml spoonful 1-2 times daily
Cats: by addition to food, one 5ml spoonful 1-2 times daily
Oral powder, ispaghula husk 49 %; 200 g
Dogs: by addition to food, one-three 5-ml spoonfuls 1-2 times daily
Cats: by addition to food, one 5ml spoonful 1-2 times daily
3.3.3. Osmotic Laxatives
Osmotic laxatives are hypertonic solutions of poorly absorbed sub-
stances that retain and absorb water from the tissue into the intestinal
lumen. The resulting bowel distension promotes peristalsis. Fluid
should be available throughout treatment. These drugs are particularly
contraindicated as laxatives in dehydrated animals and should not be
used in patient with renal failure.
Magnesium sulfate (Epsom salt) is effective within 3 to 12 hours in
monogastric animlas and after 12 to 18 hours in ruminants.
Magnesium Hydroxide Mixture
Cream, 55 mg/ml
Indications. Constipation
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Dose. Dogs: 5-10ml
Cats: 2-6ml
Drug interactions. Muscle relaxant
Magnesium Sulfate (Epsom salt)
Powder, 49 %, 90 %
Indications. Constipation
Dose. Horse: 100-400g/450kg.
Cattle: 250-500g.
Pigs: 25-125g.
Dogs: 5-25g.Cats: 2-5g
Drug interactions. Muscle relaxant
4. Cardiovascular Drugs
4.1. Diuretics
4.1.1 Thiazides
4.1.2. Loop Diuretics
4.1.3. Osmotic Diuretics
Diuretics are mainly used in veterinary medicine to reduce oedema in
cases of heart failure, hepatic disease, cerebral oedema, hypopro-
teinaemia, inflammation, and trauma.They act by promoting sodium ex-
cretion, thus reducing the volume of extracellular fluid.They also have
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vascular effects. Diuretics reduce hypertension and have been claimed
to aid therapy of Horse epistaxis.
With prolonged therapy, there may be excessive loss of potassium and
magnesium in urine. Hypokalaemia increases the animal’s susceptibility
to toxicity from cardiac glycosides and to cardiac dysrythmiasand may
impair carbohydrate metabolism. The risk of hypokalaemia is increased
by anorexia.
Diuretics are usually classified according to their site of action because
this affects their likely side-effects.
4.1.1. Thiazides
The thiazides inhibit sodium reabsorption in the early distal tubule.
These drugs act proximal to the site of aldosterone stimulated sodium
and potassium exchange. The delivery of increased amounts of sodium
to this area causes greater potassium loss and potassium supplementa-
tion may be necessary when using thiazides for diuresis. Thiazides re-
duce urinary calcium excretion.
Thiazides are used to treat cardiac or hypoproteinaemic oedema and
may also be used as an adjunct to hormonal therapy in pseudopreg-
nancy. Thiazides have also been used in the treatment of diabetes in-
sipidus.
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Hydrochlorothiazide remains effective for up to 12 hours and is thus
given in divided doses.
Chlorothiazide
Tablet, 500 mg
Indications. Oedema
Contraindications. Renal failure with anuria
Side-effects.Hypokalaemia (may require potassium supplementation)
Dose. Dogs, cats: 10-20 mg/kg daily
Drug-interaction.Acetazolamide, antidiabetic drugs, beta-blockers,
corticosteroids, lignocaine, quinidine
Hydrochlorothiazide
Tablet, 25mg
Indications. Oedema; inhibition of lactation in pseudopregnancy in
the bitch; diabetes insipidus
Contraindications. Side-effects .See under chlorothiazide
Dose. Dogs, cats: 1-2 mg/kg daily
Drug interaction. See under chlorothiazide
4.1.2. Loop diuretics
Loop diuretics are the most potent group of diuretics, with a rapid onset
of effect but a short duration of action. These drugs block sodium reab-
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sorption in the loop of Henle. Loop diuretics increase magnesium excre-
tion and, as with thiazides, may cause severe potassium loss. Loop di-
uretics may potentiate the ototoxic effects of aminoglycoside antibi-
otics.
Frusemide is used to decrease oedema in conditions such as cardiovas-
cular and pulmonary oedema, hepatic and renal dysfunction, hydrotho-
rax, ascites, and non-specific oedema.
Frusemide
Tablet, 40 mg
Injection, 50 mg/ml
Syrup, 1 %
Indications. Oedema
Contraindications. Renal failure with anuria, acute glomerular
nephritis, concurrent dosing with aminoglycosides antibiotics
Side-effects. Hypokalaemia (may require potassium supplementation)
ototoxicity, hyponatraemia
Warnings.Hypokalaemia may potentiate the toxic effects of cardiac
glycosides
Dose.Horses: by intramuscular or intravenous injection, 0.5-1.0 mg/kg
1-2 times daily
Cattle. Oral; 2-5 mg/kg; by intramuscular or intravenous injection,
0.5-1 mg/kg
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Pigs: by intramuscular or intravenous injection, 5 mg/kg
Dogs, cats: oral, 5 mg/kg 1-2 times daily, may be reduced to 1.2 mg/kg
twice daily for maintenance; by intravenous or intramuscular injection,
2.5- 5 mg/kg 1-2 times daily
Drug interactions. Acetazolamide, aminoglycoside, antidiabetic
drugs, beta-blockers, captopril, cardiacglycosides, cephalothin and other
cephalosporins, corticosteroids, lignocaine, quinidine, oestrogen
4.1.3. Osmotic Diuretics
Osmotic diuretics include hypertonic solutions of mannitol. Adminis-
tration of mannitol causes water retention with in the nephron, which
dilutes urinary sodium and opposes its reabsorption especially in the
proximal tubule and loop of Henle.
Mannitol is used to promote urine output, as in acute renal failure, or to
reduce cellular oedema in cerebral oedema. It is not suitable for the mo-
bilization of general or local oedema because it may lead to cardiac
overload. Excessive administration of mannitol can produce severe hy-
povolaemia and maintenance of extarcellular fulid volume may require
administration of an electrolyte solution such as compound of sodium
lactate intravenous infusion.
Mannitol
Injection, 10%, 20%, 25%
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Indications. Cerebral oedema, forced osmotic diuresis
Contraindications. Congestive heart failure, pulmonary oedema
Warnings.Extravasation causes inflammation and thrombophlebitis.
Dose. Dogs: by intravenous injection, 250-500 mg/kg test dose. Re-
peat as necessary if diuresis occurs
Methenamine
Powder, 10 %
Indications. Cerebral oedema, forced osmotic diuresis
5. Central Nervous System Drugs
5.1. Analgesics/Antipyretics
5.2. Sedatives
5.1. Analgesics/Antipyretics
5.1.1 Opioid analgesics
5.1.2. Non-opioid analgesics
5.1.1 Opioid Analgesics
Opioid analgesics interact at opioid receptor sites in the CNS and other
tissues. There are three main receptor type: (mu), k (kappa), and
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(delta). Stimulation of receptor provides analgesic (mainly at
supraspinal sites), respiratory depression, miosis, reduced gastro-intesti-
nal motility, and euphoria. K receptors stimulation gives
analgesia(mainly in the spinal cord) and less intense miosis and respira-
tory depression.Stimulation of receptors probably provides analgesia.
In the CNS, opioid analgesics modify pain perception and behavioural
reaction to pain. They also relieve anxiety and distress but may induce
drowsiness from which the animal can usually be aroused.
Opioids are contraindicated in head injury because they induce an in-
crease in cerebrospinal fluid and raise intracranial pressure, which or
may interfer with neurological examination.
Morphine remains the drug of choice for severe pain as in injury sus-
tained in road traffic accidents. Side-effects of morphine include, con-
striction of pupils, peripheral vasodilatation, respiratory depression,
vomiting, exaggerated spinal-cord reflexes, initially defaecation fol-
lowed by constipation, transient hypotension, urinary retention, sweat-
ing in horses, bradycardia but high dose can cause tachycardia in horses
and dogs, and respiratory depression in neonates if used in pregnant ani-
mals before birth.
Pethidine is a synthetic opioid analgesic that is structurally unlike mor-
phine. It produces a prompt but short -acting analgesia. Side effect and
contra-indications are similar to that morphine, although it is less likely
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to cause vomiting; it also causes less respiratory depression, which
makes it more suitable for pregnant animal prior to birth.
Buprenorphine is a partial agonist with similar side-effects and con-
traindications to morphine, although it causes less respiratory depres-
sion, only mild sedation, and does not cause constipation, excitment, or
vomiting.
Buprenorphine Hydrochloride
Injection, 0.3 mg/ml
Indications. Moderate to severe pain
Contraindications.Side-effects.See under Morphine Sulphate; less
sedation than morphine and does not cause excitement, constipation, or
vomiting
Warnings. Repeated doses may cause over-dosage
Dose. Dogs: by subcutaneous or intramuscular injection, 10- 40 mcg/
kg
Cats: by subcutaneous or intramuscular injection, 5 -10 mcg/kg
Drug interactions. Metoclopramide, combination with any other
CNS depressant drug
Morphine Chloride
Injection, 10 mg/ml, 15 mg/ml, 30 mg/ml
Indication. Severe pain
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Contraindications. Head injury and raised intracranial pressure
Side-effects. See notes above
Dose.Dogs: by subcutaneous or intramuscular injection, 200 mcg/kg
Cats: by subcutaneous injection, 100 mcg/kg
Drug interactions. Metoclopramide, combination with any other
CNS depressant drug
Pethidine Hydrochloride
Injection, 50 mg/ml
Indications. Moderate to severe pain
Contraindications.Renal impairment; see under Morphine hy-
drochloride
Side-effects.See under Morphine hydrochloride; less respiratory de-
pression and vomiting than morphine
Warnings. Hyperexcitability in cats
Dose. Horses: by intramuscular injection, 2 mg/kg
Dogs, cats: by intramuscular injection, 3.3 mg/kg
Drug interactions. Cimetidine
5.1.2. Non-opioid Analgesics
NSAIDs are analgesics, antipyretics, and have peripheral anti-inflam-
matory activity. Most act primarily by inhibiting cyclo-oxygenase lead-
ing to reduced synthesis of prostaglandins and related compounds.
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NSAIDs have been used for their analgesic and anti oedematous action
in acute inflammatory conditions including the control of pain follow-
ing surgery. Drugs such as flunixin seem to provide pain control in re-
covery period compare to and even better than that achieved with opioid
analgesic. Analgesics may be more effective if administered before re-
covery from anaesthesia. Flunixin can very occasionally precipitate
acute renal failure. Flunixin therefore cannot be recommended for use
until the patient has regained consciousness. NSAIDs have also been
used to control joint pain in various arthritides; particularly osteoarthri-
tis and they may ameliorate symptoms of endotoxaemic shock, for ex-
ample, in peracute mastitis. Flunixin has been used to reduce morbidity
and mortality in calf pneumonias by suppressing pulmonary oedema.
NSAIDs are also used to reduce pain in Horse colic.
The principal side-effect of NSAIDs is gastro-intestinal irritation and
ulceration. Lesions may occur throughout the gastro-intestinal tract and
may lead to a life-threatening plasma protein-losing enteropathy in the
horse. Other side-effects include vomiting, blood dyscrasias, hepatotox-
icity due to cholestatic and parenchymal cell damage, renal papillary
necrosis, and occasionally skin rashes. Some NSAIDs, such as aspirin,
have been shown to be teratogenic in animal studies.
Paracetamol is an analgesic but has no demonstrable anti-inflammatory
activity. It should not be administered to cats. Cats have a reduced ca-
pacity for glucuronide conjugation and the drug is converted to a reac-
tive electrophilic metabolite in this species.
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Acetylsalicylic acid (Aspirin)
Injection, 100 mg/ml
Bolus 15.6g, 1.4 g
Indications. Inflammation and pain, thromboembolic disorders
Contraindications. Pregnant animals, gastro-intestinal ulceration and
haemorrhage
Side-effects. Prolonged use may cause gastro-intestinal lesions
Dose. Horses: 15-100 mg/kg twice daily. Dogs: 10-25 mg/kg 3 times
daily. Cats: 10-25 mg/kg once daily or every 2 days. Cattle: 100 mg/kg
twice daily. Pigs: 10 mg/kg three or four times a day
Drug interaction. Acetazolamide, antacids, diuretics, heparin,
methotrexate ,metoclorpramide, phenytoin, warfarin
Storage. Store below 40 °C (104 °F), preferably between 15 and 30
°C (59 and 86 °F), unless otherwise specified by manufacturer
Phenylbutazone
Tablet, 25 mg, 100 mg, 200 mg
Injection, 200 mg/ml
Indications. Inflammation and pain
Contraindications. Cardiac, hepatic, or renal impairment, anemia
Side-effects. See under aspirin, occasional oedema of limbs.
Dose. Horses: oral, 4.4 mg/kg twice daily on day one then 4.4 mg/kg
once daily for 4 days; by slow intravenous injection, 2.2 - 4.4 mg/kg for
up to 5 days
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Dogs: oral or by slow intravenous injection, 2g/kg daily (maximum 800
mg) parenteral treatment should only be given for up to 3 days
Cats: 25 mg twice daily for up to 5 days. Reduce dose to 25 mg daily or
on alternate days
Drug interactions. Methotrexate, phenytoin, sulphonylureas, thyrox-
ine, warfarin
Paracetamol
Tablet, 150 mg
Indications. Controlling fever and pain; in dogs, with codeine can be
used in cases of severe, usually postoperative, pain.
Contraindications. Should not be administer to cats, should not be
used in animals with known hypersensitivity or allergy to the drug.
Side-effects. Damage to kidneys, liver and gastrointestinal tract
Dose. For dogs, 5 to 10 mg per pound (10 to 20 mg/kg), two to three
times daily.
Drug interactions. Metoclopramide, warfarin
Metamizole sodium
Injection, 150 mg/ml, 500 mg/ml
Indications. It is commonly used in the horse as an antipyretic, anal-
gesic, and anti-inflammatory
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Side-effects.The common side-effect is injection site reactions. Pro-
longed use of metamizole may cause bone marrow suppression
(leukopenia, agranulocytosis).
Drug interaction. Chlorpromazine, phenylbutazone or barbiturates
Flunixin meglumine
Injection 50mg/ml
Indication.For the alleviation of inflammation and pain associated
with musculoskeletal disorders and alleviation of visceral pain associ-
ated with colic in the horse. In cattle it is approved for the control of
pyrexia associated with bovine respiratory disease and endotoxemia,
and for the control of inflammation in endotoxemia.
Contraindication. Patients with a history of hypersensitivity reac-
tions; not recommended to be used in breeding bulls
Side-effects. In horses following intramuscular injection, reports of lo-
calized swelling, induration, stiffness, and sweating, GI intolerance, hy-
poproteinemia, and hematologic abnormalities. In dogs, GI distress is
the most likely adverse reaction.
Cautions. Flunixin be used cautiously in animals with preexisting gas-
tro-intestinal ulcers, renal, hepatic or hematologic diseases; do not inject
intra-arterially as it may cause CNS stimulation (hysteria), ataxia, hy-
perventilation, and muscle weakness.
Dose.Horses: by Intravenous injection or oral: 1.1 mg/kg once daily
for up to 5 days.
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Cattle: by Intravenous injection, 2.2 mg/kg once daily for up to 5 days.
Dogs: muscloskeletal disorders, post-operative pain and inflammation,
oral, 1mg/kg daily for up to 3 days. Three-day course may be repeated
once weekly for chronic musculoskeletal disorders: by subcutaneous in-
jection, 1 mg/kg daily for up to 3 days
Endotoxic shock, by slow intraveneous injection, 1mg/kg up to twice
daily for a maximum of 3 doses
Drug interactions. Phenytoin, valproic acid, oral anticoagulants,
other anti-inflammatory agents, salicylates, sulfonamides, and the sul-
fonylurea antidiabetic agents. Additionally, use flunixin cautiously with
warfarin, methotrexate, and aspirin or other ulcerigenic agents.
Withdrawal period. Cattle: slaughter 7 days, milk 1.5 days
Diclophenac sodium
Injection, 5g/100ml
5.2. Sedatives
Sedatives produce calmness, drowsiness, and in difference to the sur-
roundings. Generally, sedatives are used for restraint, to facilitate han-
dling and transport of animals, and to modify behaviours, for example
to prevent fighting amongst pigs. They are also used to facilitate minor
surgery and x-ray examination.
There is continuous gradation of levels of sedation from light sedation
to a depth approaching anaesthesia .the level of sedation is determined
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by the drug, dosage, route of administration, the interacting effect of
any other drugs that are being used to treat the animal at the time of ad-
ministration, and the initial degree of excitement of the animal .In gen-
eral sedatives should be administered before an animal become exited.
Once upset the animal may require a much higher dose of sedatives or
the sedative may not have an appreciable calming effect.
Phenothiazines
Phenothiazine derivatives are effective sedatives widely used in veteri-
nary practice. Acepromazine is the most commonly used representative
of the group. It produces mild to moderate sedation, but has no anal-
gesic properties .Its effect is variable and may be unpredictable, with
some excitable animals failing to show an observable response. Oral ad-
ministration particularly produces unreliable results, especially in dogs
and cats. While some effect may be seen after 15 minutes, maximum ef-
fect generally only achieved after one hour following administration.
Likewise absorption following subcutaneous is variable and hence in-
tramuscular or intravenous administration is preferred.
Contraindication for the use of phenothiazine derivatives include pre-
medication for procedures that may promote epileptiform seizures, such
as myelograph, premedicaton of known epileptic animals, and treatment
of status epilepticus because these drugs decrease the seizure threshold.
Sedation of post-trauma patients is also contra-indicated because ace-
promazine causes hypotension, which may be fatal in hypovolaemic an-
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imal. In the male horse the drug can cause priapism, paraphimosis and
paralysis of the retractor penis muscle.
Alpha2-adrenoceptor Stimulants
Xylazine is alpha2-adrenoceptor stimulant, with marked sedative, mus-
cle relaxant, and analgesic properties. Sedation is dose dependant for all
drugs, but at higher doses there is an increased incidence of side-effects.
Characteristics of the group is the marked bradycardia produced at even
moderate doses. There is a subsequent moderate hypotension, hypergly-
caemia and polyuria with all drugs in this groups.
Xylazine is used in cats, dogs, horses, and cattle as a sedative to allow
minor procedure (with local anesthesia) and to facilitate handling .In
dogs and cats, vomiting frequently occurs after administration of xy-
lazine. Therefore, it is contra-indicated in animals with gastro-intestinal
obstruction.
Acepromazine maleate
Tablet, 10 mg, 25 mg
Injection, 2 mg/ml, 10 mg/ml
Oral paste, 8.9 mg/ml
Indications. Pre-anesthetic medication; sedation; motion sickness
Contraindications. Manufacturer does not recommend use in male
horses, pregnant female animals, epileptics, concurrent use with
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organophosphorus compounds or procaine hydrochloride in horses;
horses should not be ridden within 36 hours of treatment.
Side-effects.Hypotension,thrombocytopenia; platelet dysfunction,
protrusion of nictitating membrane in dogs and cats
Warning. May cause syncope in canine brachycephalic breeds, cause
in renal impairment, large breed dogs
Dose. Horses: oral, 130 -250 mcg/kg; by intramuscular or slow intra-
venous injection, 30-100 mcg/kg
Dogs: oral, 0.25-3 mg/kg, by subcutaneous, intramuscular or slow in-
travenous injection, 30-125 mcg/kg (maximum 4 mg).
Drug interactions. Antiepileptic drugs, antimuscarinic drugs, meto-
clorpramide, combination with any other CNS depressant drugs
Xylazine
Injection 20mg/ml, 100mg/ml
Indications. Sedation, pre-anaesthetic medication; general anaesthesia
in combination with ketamine
Contraindications. Latter stage of pregnancy in animals, except par-
turition, mechanical obstruction of the gastro-intestinal tract in dogs and
cats; concurrent administration of sympathomimetics.
Side-effects.Vomiting in dogs and cats; cardiac arrhythmias; bradycar-
dia; polyuria, hypoxaemia
Warnings.Caution when pulmonary disease is present or suspected;
transient rise followed by fall in blood pressure in horses
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Dose. Horses: by intramuscular injection, 2.2-3 mg/kg; by slow intra-
venous injection, 0.6-1.1mg/kg
Cattle: by intramuscular injection, 50-300mcg/kg
Dogs: by subcutaneous, intramuscular (preferred), or intravenous injec-
tion, 1-3 mg/kg
Cats: by intramuscular injection, 3mg/kg
6. Drugs used in anaesthesia
6.1. General Anaesthetics
6.2. Local Anaesthetics
6.1. General Anaesthetics
6.1.1. Antimuscarinic pre-anaesthetic medication
6.1.2. Injectable Anaesthetics
6.1.3. Inhalation Anaesthetics
The main aims of general anaesthesia are to produce unconsciousness,
immobility, and muscle relaxation so that surgical or other procedures
may be performed painlessly. Most anaesthetic drugs also cause pro-
found alteration in the function of vital body systems, in particular the
cardiovascular and respiratory systems. Careful techinique with atten-
tion to basic principle such as airway management, constant patient
monitoring, and the use of properly maintained equipment, all contrib-
ute to good anaesthetic practice with minimal complications.
Most anaesthetic drugs have a narrow therapeutic index and careful at-
tention to dose rates is required. Anaesthetic drugs cause respiratory
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depression and, in general, during anesthesia the inspired oxygen con-
centration should not be less than 30 %, which necessitates supplemen-
tal oxygen in all cases.
Pre-anesthetic medication is appropriate in most patients. The main
aims are to calm the patient, provide analgesia if needed, reduce the
dose of anaesthetic agent, reduce or counteract the side-effects of anaes-
thetic drugs, and to provide a smooth anaesthetic induction and recov-
ery. These aims are generally achieved by using sedatives, opioid anal-
gesics, and antimuscarinic drugs either alone or in combination.
6.1.1. Antimuscarinic Pre-anaesthetic Medication
Antimuscarinic drugs are used to reduce salivation and bronchial secre-
tion and to prevent and treat vagally-mediated cardiac arrhythmias
caused by the procedure or anaesthetic drugs.
Atropine is not recommended as premedicants in horses because the
central excitation and mydriasis that these drugs produce can be un-
pleasant, and gastro-intestinal motility will be reduced.
Administration of antimuscarinic drugs to ruminants does not inhibit
salivation but results in production of more viscid saliva and is therefore
generally contraindicated in these species.
Atropine sulphate
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Injection, 600 mcg/ml, 1 mg/ml
Indications.Drying secretions; adjunct in gastro-intestinal disorders
characterized by smooth muscle spasm
Contraindications. Glaucoma; pre-existing tachycardia, ventricular
arrhythmias; known myocardial ischaemia
Side-effects. Tachycaradia, constipation; urinary retention, dilatation
of pupils and photophobia.
Dose. By subcutaneous injection: Horses, cattle: 30-60 mcg/kg
Sheep: 80-160 mcg/kg. Pigs: 20-40 mcg/kg
Dogs, cats: 30-50 mcg/kg
Drug interactions. Ketoconazole, methoclorpramide, phenothiazine
derivatives
Withdrawal period. Cattle: slaughter 14 days (parasympatholytic
use), 28 days (antidote use); milk 3 days (parasympatholytic use), 6
days (antidote use). Sheep, pigs: slaughter 14 days (parasympatholytic
use), 28 days (antidote use).
6.1.2. Injectable Anaesthetics
Injectable anaesthetics have a rapid onset of action and are commonly
used as induction agents to effect rapid passage through the light planes
of anaesthesia during which the patient may struggle.
Most injectable anaesthetics cause respiratory depression; periods of,
but are not hazardous provided the patient in monitored closely and
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other effect of injectable anaesthetics include hypotension and tachycar-
dia.
Thiopentone is the standard drug for induction with which others are
compared. Thiopentone should be used with a sedative pre-anaesthetic
medicant in dogs and horses. If used alone the recovery may be violent
in these species.
Methohexitone is short acting and cause greater respiratory depression.
Induction and recovery are generally more excitable than with thiopen-
tal. The solution is irritant and care should be taken to avoid extravasa-
tion.
Ketamine is a dissociative drug and interrupts the cerebral association
between the limbic and cortical system. The animal may appear to be in
a light plane of anesthesia but is insensitive to surgical stimulation. Ke-
tamine may be used as a sole anesthetic in cats and primates. Ketamine
may be given intramuscularly or intravenously, although intramuscular
injection is painful.
Pentobarbital is mainly used for the treatment of status epilepticus con-
trol of muscle rigidity and convulsions as a result of poisoning, and eu-
thanasia. As an anaesthetic, excitment may occur during induction be-
cause pentobarbital is slow to cross the blood-brain barrier. Respiratory
and cardiovascular depressions are marked and hypothermia is common
as a result of the long recovery period. In the majority of species, onset
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of action, and recovery from pentobarbitone are protracted and as an
anaesthetic it has been superseded by other agents such as thiopentone.
Methohexitone sodium
Powder for injection, 500 mg (25 mg/ml)
Indication. Induction of general anaesthesia
Side-effects. Transient apnoea on induction
Dose. General anaesthetic induction (without pre-anaesthetic medica-
tion). Dogs, cats: by intravenous injection, 11 mg/kg
Drug interactions. Antacids, corticosteroids ,chloramphinicol,
warfarin
Ketamine hydrochloride
Injection, 10 mg/ml, 50 mg/ml, 100 mg/ml
Indications. General anaesthesia, in combination with Detomidine,
Medetomidine, Romifidine, or xylazine
Contraindications. Sole anaesthetic in horses, donkeys, or dogs; he-
patic or renal impairment; latter stages of pregnancy in animals
Side-effects. Excessive salivation in cats; hypotension, increased car-
diac output; tachycardia, muscle twitching and mild tonic convulsions
in cats
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Dose. General anesthesia, (without pre-anaesthetic medication). Cats:
by subcutaneous, intramuscular (preferred), or intravenous injection,
11 -33 mg/kg.
Pentobarbitone sodium
Injection, 60mg/ml, 200mg/ml
Indications.General aneasthesia; convulsions and muscular rigidity
Contraindications.Hepatic impairment
Warning.Respiratory depression may be enhanced; extravasation may
cause local irritation and slough
Dose.General anaesthesia (without pre-anaesthetic medication). Sheep,
goat: by slow intravenous injection, 24 mg/kg
Dogs and cats: by slow intravenous injection, 26.4 mg/kg
Drug interactions. Antacids, corticosteroids ,chloramphenicol,
warfarin
Quinalbarbitone sodiumInjection, 400mg/ml
Indications.Induction of general anaesthesia
Drug interactions. Antacids, corticosteroids ,chloramphenicol,
warfarin
Thiopentone sodium
Powder for injection, 2.5g/5g
Indications.Induction of general anaesthesia
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Contraindication. Animal less than 3 month of age; condition caus-
ing diminished cardiac output
Side-effects.Respiratory depression; transient apnoea; hypotension;
tachycardia; reduction in pain threshold at sub-anaesthetics doses
Warning.Extravasation may cause local irritation and slough; caution
in hepatic impairment, cardiovascular disease, and hypoglycaemia asso-
ciated with shock
Dose. General anaesthetic induction (without pre-anaesthetic medica-
tion). Horses, cattle, sheep, pigs: by intravenous injection, 10mg/kg;
calves: by intravenous injection, 15 mg/ml of 5% solution
Drug interactions. Antacids, sulphonamides, corticosteroids,
Chloramphenicol, warfarin
6.1.3. Inhalational Anaesthetics
Inhalation anesthetics may be gases or volatile liquids. They can be
used for induction and maintenance of anesthesia, and may be used fol-
lowing induction with an injectable anaesthetic. Halogenated inhala-
tional anaesthetics such as halothane and isoflurane are the most com-
monly used agents.
Human should not be exposed to inhalational anaesthetics for long peri-
ods, even in small doses, and some form of waste gas scavenging is es-
sential when these agents are used.
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Halothane is the most commonly used halogenated inhalational anaes-
thetic. It is a potent agent and the vapour is non-irritant. Adverse ef-
fects associated with the use of halothane include vasodilatation, hy-
potension, cardiac arrhythmias, and shivering and tremor on recovery;
malignant hyperthermia has been reported in pigs, horses and dogs.
Halothane and isoflurane are much less soluble in blood than ether and
the concentration in the brain and myocardium can rise quickly if high
inspired concentration are given, producing severe cardio-respiratory
depression. These adverse effects caused by halothane are dose depen-
dent and the horse is particularly susceptible. Induction with halothane
is accelerated if it is vaporised in a mixture of oxygen and nitrous oxide.
Isoflurane has similar physical properties to halothane, but is slightly
less soluble in blood. So induction and recovery are more rapid than
with halothane.
Ether is largely obsolete because it forms explosive mixtures with oxy-
gen and full anti-static precautions must be taken if it is used. Induction
and recovery are slow with ether. It irritates the airways and antimus-
carinic premedication is advisable.
Halothane
Inhalation, 250 ml, 0.05 %
Indications. Inhalational anaesthesia
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Contraindications. Concurrent administration of adrenaline
Side-effects.Cardiovascular depression; cardiac arrhythmias; hypoten-
sion, vasodilatation, see also notes above.
Dose. Induction of anaesthesia, inspired concentration of 2- 4 % Main-
tenance of anesthesia, inspired concentration of 0.5-1.5 %
Drug interactions. Sympathomimetics
Isoflurane
Inhalation, 100%
Indications. Inhalational anaesthesia
Side-effects. See under halothane and notes above
Dose. Maintenance of anaesthesia, inspired concentration of 1.0 -2.5 %
Drug interactions. Sympathomimetics
Ether
Inhalation, 100g, 250 g
Indications. Inhalational anaesthesia
Dose. Fish: 10-15mg /l water for anaesthesia
Drug interactions. Aminoglycosides
6.2. Local Anaesthetics
Local anaesthetics act by blocking conduction in nerve fibres and other
conduction pathways such as myocardial cells.Conduction block in
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nerves results in muscle paralysis; loss of sensation, or both depending
on the type of fibre involved.
Local anaesthetics are often used to block conduction in pain fibres,
producing complete analgesia. This may be required for diagnostic pur-
poses or to permit minor surgery.
The drug, its concentration, the accuracy of injection, and the site of the
nerve determine the spread of onset of neuronal blockade produced by
local anaesthetic drugs.
Local anaesthetics will cause systemic toxicity if excess amounts are
used or if absorption is too rapid, which may occur if injected into in-
fected or inflamed tissues. The signs of toxicity seen in animals are con-
vulsions followed by CNS depression.
Lidocaine is widely used for most applications. It diffuses readily
through the tissues and has a rapid onset of action. Its duration of action
is about 45 minute without adrenaline and 90 minute with adrenaline at
concetration of 1 in 200,000(5 microgram/ml).
Lidocaine hydrochloride
Injection, 20mg/ml
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Indications. Lidocaine without adrenaline. Epidural, field block, and
perineural anaesthesia
Dose. Expressed as Lignocaine 2 % (20 mg/ml)
Horses: by epidural, including caudal epidural injection, 6-10 ml; by
field block injection, maximum 200 ml
Horses: by epidural, including caudal epidural injection, 6-10 ml; by
field block injection, maximum 200 ml
Cattle: by caudal epidural injection, 5-6 ml; by field block injection,
maximum 200 ml: by perineural injection, up to 10 ml depending on
site for nerve: by cornual injection, 2- 6 ml
Sheep: by caudal epidural injection, 3-4 ml; by field block injection,
maximum 60 ml
Pigs: by field block injection, 60 ml
Dogs: by epidural injection, 0.2 ml/kg; by field block injection, 25 -50
ml, by perineural injection, 2-4 ml/site
Cats: by epidural injection, 0 .2 ml/kg; by field block injection, 5-20
ml.
Drug interactions. Beta -blockers, cimetidine, diuretics
Lidocaine and Adrenaline
Injection, 40mg+20mcg/ml, 20mg+10mcg/ml
Indication.Field block and perineural anaesthesia, see notes above
Contraindications. Intra-articular, intravenous, epidural, or intra-dig-
ital administration
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Dose.Lidocaine hydrochloride 20 mg, adrenaline 10 microgram/ml, for
horses, cattle, sheep, pigs, dogs, cats; 100 ml for field block and per-
ineural injection, including cornual injection
Drug interactions. Beta-blockers, cimetidine, diuretics
Lidocaine hydrochloride and Noradrenaline
Injection, 20mg + 0.08mg/ml
Drug interactions. Beta- blockers, cimetidine, diuretics
7. Drugs used in Endocrine disorders
7.1. Drugs used to promote gonadal function
7.2. Myometrial stimulant
7.3. Sex Hormones
7.4. Prostaglandins
7.1. Drugs used to promote Gonadal function
Chorionic gonadotrophin is a complex glycoprotein that has a similar
effect to luteinising hormone (LH) secreted by the anterior pituitary
gland in both male and female.
In veterinary practice, it is used to supplement or replace luteinising
hormone in case of ovulation failure or delay and to induce lactation
post partum. In males, chorionic gonadotrophin stimulates the secretion
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of testosterone by interstitial testicular cells. It is used to treat genital
hypoplasia and reduced libido.
Serum gonadotrophin is also a complex glycoprotein. It is extracted
from mare's serum during a well-defined stage of pregnancy and is
more accurately referred to as pregnant and mare serum gonadotrophin
(PMSG, or equine chorionic gonadotrophin). The effects of serum go-
nadotrophin in animals are similar to both luteinising hormone and,
more predominantly, follicle-stimulating hormone (FSH) secreted by
the anterior pituitary gland.
Serum gonadotrophin is commonly used to induce follicular growth and
ovulation in sheep and cattle following the application of progestogen-
impregnated vaginal sponges in sheep, or the insertion of an intravagi-
nal device containing oestradiol benzoate and progesterone. It is used
routinely to induce superovulation in cattle, sheep, and goats for use as
donors in embryo transfer programmes. In males, serum gonadotrophin
promotes spermatogenesis. Individual may show a variable response to
serum gonadotrophin.
Before hormonal treatment is administered the status of the reproduc-
tive tract should be ascertained by rectal papilation or milk-progestrone
assays. The efficacy of therapy will depend on both the presence and re-
sponsiveness of the target tissue.
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Both chorionic gonadotrophin and serum gonadotrophin may become
ineffective after repeated doses due to antibody formation.
Serum gonadotrophin
Powder for Injection, 500 units, 1000units
Indications. See notes above and under dose
Warnings.Immune-mediated decreased effect after repeated doses ;oc-
casional anaphylactic reactions.
Dose.Horses.Females: anoestrus, by subcutaneous or intramuscular in-
jection, 3000-6000units followed by chorionic gonadotrophin 1500-
3000 units at time of insemination
Male: impaired spermatogenesis, by intramuscular injection, 1000-3000
units twice weekly for 4-6 weeks
Cattle.Female: anoestrus, by subcutaneous or intramuscular injection,
1500-3000 units, following treatment with progesterone
Males: impaired spermatogenesis, by intramuscular injection, 1000-
3000 units twice weekly for 4-6 weeks
Sheep, goats. Females: anoestrus, by subcutaneous or intramuscular
injection, 1000 units, followed by 750 units after 1 day is required
Male: impaired spermatogenesis, by intramuscular injection, 500-750
units twice weekly for 4-6 weeks
Pigs. Females: anoestrus, by subcutaneous or intramuscular injection,
1000 units. Note. Fertile oestrus usually follows in 3-7 days
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Males: impaired spermatogenesis, by intramuscular injection, 500-750
units twice weekly for 4-6 weeks
Dogs. Females: to induce oestrus, subnormal oestrus with non accep-
tance, by subcutaneous injection, 50-200 units daily for up to 3 weeks
(usually 8-10 days)
Males: impaired spermatogenesis, by intramuscular injection,
400-800 units twice weekly for 4-6 weeks
7.2. Myometrial Stimulants
This group includes extracts of mammalian posterior pituitary gland or
the synthetic equivalents, and preparation of oxytocin. They stimulate
contraction of the oestrogen-sensitised uterine myometrium and mam-
mary myoepithelial cells. This activity may be benefit in dystocia due to
secondary uterine inertia. Myometrial stimulant should not be used
when dystocia is due to malpresentation or obstruction.
Myometrial stimulants are also used in the control of postpartum hem-
orrhage in all species and to remove retained placenta in mares, sow,
bitches, and queens. Oxytocics are also used to reduce the size of a uter-
ine prolapse after replacement in cattle and occasionally mares. My-
ometrial stimulants are used for milk "let down" in all species.
Oxytocin
Injection, 10 IU/ml
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Indication. See notes above
Contraindications. Dystocia due to obstruction
Side-effects.Occasionally swelling and sloughing at site of injection
Dose.Horses, cattle: uterine inertia, by subcutaneous or intramuscular
injection, 10-40 units; by slow intravenous injection, 2.5-10 units of di-
luted solution
Agalactia, by subcutaneous or intramuscular injection, 20-80
units; by slow intravenous injection, 5-20 units of diluted solution
Sheep, goats, pigs, dogs: uterine inertia, by subcutaneous or intramus-
cular injection, 2-10 units; by slow intravenous injection, 0.5-2.5 units
of diluted solution
Agalactia, by subcutaneous or intramuscular injection, 4-20 units; by
slow intravenous injection, 0.5-1.25 units of diluted solution
Cat: uterine inertia, by subcutaneous or intramuscular injection, 2-5
units; by slow intravenous injection, 0.5-1.25 units of diluted solution.
Agalactia, by subcutaneous or intramuscular injection, 4-10 units; by
slow intravenous injection, 1.0-2.5 units of diluted solution
Drug interactions. Clenbuterol
7.3 Sex Hormones
7.3.1. Oestrogens
7.3.2. Androgens
7.3.3. Progestogens
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7.3.1. Oestrogens
Oestrogens are responsible physiologically for intiating behavioural
signs of heat, preparing the female reproductive tract for fertilisation
and developing the secretory tissue of the mamamary gland. They also
have anabolic activity.
In veterinary practice, they are used to induce oestrus during suboestrus
and anoestrus, and in cattle to aid removal of detritus following retained
placenta, pyometra, or mummified fetus. The status of the reproductive
tract should be ascertained before treatment. Oesrogens are used in the
treatment of misalliance in the bitch. They act by inhibiting the move-
ment of the fertilized ova down the oviducts in addition to causing hy-
pertrophy of the uterine mucosa. Urinary incontinence in the speyed or
entire bitch may also be controlled with oestrogens.
In males, oestrogens are used in the treatment of excess libido, anal ade-
noma, and prostate hyperplasia.
Oestrogens may cause aplastic anaemia in dogs and cats and endome-
trial hyperplasia in bitches, and overdose can cause severe inhibition of
piutitary function and cystic ovaries particularly in cattle and pigs.
Oestradiol Benzoate
Injection, 5mg/ml
Indications.See notes above and under dose; urinary incontinence
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Contraindications. Misalliance in cats
Warnings. Overdosage may cause severe inhibition of pituitary func-
tion; aplastic anaemia in dogs
Dose. By subcutaneous or intramuscular injection. Horses: suboestrus,
10-15mg as a single dose; fillies, 5-10mg as a single dose
Cattle: removal of detritus, 15mg immediately post partum
Retained placenta, 10-20mg, repeats after 3 days if required
Metritis, pyometra, 20-25mg weekly for 2-3 weeks
Mummified fetus, 20-25 mg, repeat with concomitant dose of oxytocin
Sheep, goats: anoestrus, 250microgram daily for 4 days
Pigs: anoestrus, 5-10mg at least 40 days after farrowing
Dogs: Females: misalliance, 5-10mg as a single dose and within 4 days
of insemination
Male: anal adenoma.5-10mg weekly as a single dose
Prostatic hyperplasia, 5 mg weekly
Drug interactions. Diuretics
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7.3.2. Androgens
Testosterone esters and methyl testosterone promote and maintain pri-
mary and secondary anatomical, physical, and psychological male sex-
ual characteristics.
Androgens are used in the treatment of hypogonadism and deficient li-
bido in males. They are administered in the treatment of hormonal
alopecia in dogs and cats and for mammary tumours and psuedopreg-
nancy with lactation in bitch. These drugs may be used for suppression
of oestrus.
Care should be taken to avoid inducing excess virilism. Androgen ther-
apy should not be given to animals suffering from conditions known to
be aggravated by testosterone such as prostatic hypertrophy in dogs.
The effect of testosterone phenylpropionate last for 14 days.
Testosterone phenylpropionate
Injection, 10mg/ml
Indications .See notes above
Contraindications.Dogs with prostatic hypertrophy; pregnant ani-
mals; liver impairment; congestive heart failure
Side-effects. Virilisation with overdosage; masculization in female an-
imals
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Warnings.Use with caution in female animals intended for breeding
Dose. Dogs, cats: by subcutaneous injection, 0.5-1.0mg/kg. Repeat
after 7-10 days
7.3.3. Progestogens
Progestogens are steroids that mimic the effect of progesterone and thus
prepare and maintain the female reproductive tract for implantation and
pregnancy. They cause development of the mammary glands to the
point of lactation. Progestogens inhibit oestrus and ovulation by de-
pressing the production of hormones from the anterior pitutary gland,
and consequently, the development of ovarian follicles. In male ani-
mals, progestogens reduce testosterone production.
Progesterone is administered to cattle by using a progesterone -releasing
intravaginal device.
In dogs and cats, progestogens are used to suppress oestrus. They are
used for the treatment of psuedopregnancy, oestrogen-dependent mam-
mary tumours in bitches, and prostatic hyperplasia in dogs. In cats,
eosinophilic granuloma and 'miliary dermatitis' (crusting dermatosis)
are responsive to progestogens.
Progestogens should be used with caution. All synthetic progestogen
differ in their pharmacological profile and their capacity to produce
side-effects in different animal species.
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Progestogen stimulate the proliferative and secretory activity of the
uterine endometrium leading to cystic endometrial hyperplasia, mu-
cometra, or pyometra. Therefore, progestogen should not be adminis-
tered the animal with the history of vaginal discharge or reproductive
abnormalities, sexually immatured animals, or dogs and cats intended
for breeding. When used for suppression of oestrus in dogs and, cats an-
imal should be allowed to have a normal cycle every 18 to 24 months.
Progestogens antagonise the hypoglycaemic effects of insulin and there-
fore should not be given to diabetic animals. The possibilty of pre-ex-
sisting disease should not be considered when treating patients requiring
long-term progestogen therapy. Progestogen may induce acromegaly in
entire bitches. Subcutaneous injection of progestogen may cause hair
discoloration and localised alopecia.
Preparations containing progestogens should be handled with care, par-
ticularly by women of child-bearing age. Impervious gloves and suit-
able protective overalls should be worn when in cotact with such prepa-
rations.
Progesterone
Injection, 25mg/ml of 50ml
Indications. See notes above
Contraindication. Side-effect.See notes above
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Caution. Preparation containing progesterone should be handled with
care, particularly by women of child-bearing age
Dose. By subcutaneous or intramuscular injection. Dogs: 1-3 mg/kg.
Cats: 0.2-2.0mg/kg
Drug interactions. Antidiabetic, barbiturates, griseofulvin,
phenytoin, theophylline, warfarin
7.4. Prostaglandins
Prostaglandins cause functional and morphological regression of the
corpus luteum, associated with either the oestrus cycle or pregnancy. In
veterinary practice, they may be used to terminate pregnancy.
Prostaglandins are effective in causing abortion from early pregnancy
until about day 150 of gestation in cattle. They are used to advance par-
turation if administered within one week of full term in cattle or 3 days
in pigs.
Prostaglandins cause luteolysis of a persistent corpus luteum associated
with retained mummified fetus, pyometra and luteal cysts in cattle or
psuedopregnancy in horses. Prostaglandins are also used to synchronize
oestrus in groups of animals.
Side-effects such as transient sweating and mild colic with or without
diarrhea frequently follow the use of prostaglandins in mare. On occa-
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sion some prostaglandins may produce severe reactions at the site of in-
tramuscular injections, severe cellulitis, and sometimes even death.
Prostaglandin can be absorbed through the skin and care should be
taken when handling them and their preparations.
Cloprestenol sodium
Injection, 250mcg/ml, 0.075mg/ml
Indications. See notes above
Contraindications. Concurrent treatment with non-steroidal anti-in-
flammatory drugs; pregnant animals unless termination required
Side-effects. See notes above
Warnings. Operators should wear protective clothing and wash hands
after use. Prostaglandins should be handled with care by women of
child -bearing age and by asthmatics
Dose. By intramuscular injection. Horses: 250-500 micrograms;
Ponies: 125-250 micrograms
Donkey: 125-250 micrograms
Cattle: 500 micrograms
Pigs: 175 micrograms
Withdrawal periods. Cattle: slaughter 1 day, milk withdrawal period
nil. Pigs: slaughter 1 day
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8. Blood products and drugs affecting the blood
8.1. Anticoagulant
8.2. Haemostatics
8.1. Anticoagulants
Anticoagulant drugs are much less frequently used in veterinary
medicine than in human patient because atherosclerotic disease and pro-
longed postoperative recumbency are not common veterinary problems.
Anticoagulants are part of the management of disseminated intravascu-
lar coagulation but are most commonly used to maintain patency of vas-
cular catheters.
The main use of anticoagulants is to prevent thrombus or the extension
of an existing thrombus. These drugs act by affecting the clotting mech-
anisms.
8.1.1. Parenteral Anticoagulants
The action of heparin prevents thrombus formation but does not affect
fibrin that is already present. Heparin is rapidly effective, which makes
it suitable for emergency situations.
If hemorrhage occurs it is usually sufficient to withdraw heparin, but if
rapid reversal of the effects of heparin is required, protamine sulfate is a
specific antidote.
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Heparin sodium
Injection, 1000,5000 units/ml
Solution, 10 units/ml
Indications. Venous thrombosis, disseminated intravascular coagula-
tion; pulmonary thrombo-embolism
Contraindications. Hepatic impairment; haemorrhage
Side-effects. Haemorrhage
Dose. Dogs: by subcutaneous injection, 40-80 units/kg 3 times daily:
by intravenous injection, initial dose 10-20 units/kg then 5 units/kg ev-
ery 3 hours
Cats: by subcutaneous injection, 200 units /kg 3 times daily
Drug interactions. Aspirin
8.1.2. Oral anticoagulant
Warfarin is well absorbed from the intestine and is highly bound to
plasma albumin. The onset of effect is 8 to 12 hours, with full benefit
realised after 2 to 3 days. The effect of warfarin therapy should be mon-
itored.
Many drugs are capable of displacing warfarin from plasma albumin,
causing an increase in free warfarin and possible haemorrhage.
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Warfarin Sodium
Tablets, 1mg, 3mg, 5mg
Indication. Venous thrombosis; navicular disease
Contra-indications. Purpura malnutrition; haemorrhage
Side-effects. Haemorrhage
Warnings. Monitor effects of warfarin therapy
Dose.Horses: 70-160microgram/kg increasing gradually to desired ef-
fect (usual dose range: 16-170 micrograms/kg)
Drug-interactions. Aspirin, barbiturates, anabolic steroids,chloram-
phenicol,cimetidine,erythromycin,ketoconazole,metronidazole,micona-
zole,nalidixic acid, neomycin,paracetamol,
quinidine,sulphonamides,tetracyclines,thyroxine,phenylbu-tazone,and
possibly other NSAIDS
8.2. Haemostatics
The use of vitamine k1 in the treatment of anticoagulant poisoning
is described in section 9.2.
9.Vitamins
9.1.Water Soluble Vitamins
9.2. Fat-soluble Vitamins
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Vitamins are a group of organic substances, which are present in very
small quantities in natural feed. They are essential to the well being of
animal, and usually called as accessory feed factors. The deficiency of
vitamins is very common in animals kept in intensive farms where the
animals are reared on synthetic or semi-synthetic feeds.
Though certain animal species do not require some vitamins, it does not
mean vitamin deficiency does not occur. For instance, Vitamin B12 defi-
ciency occurs in ruminants especially on cobalt free feed. Because ru-
minant flora only synthesise in the presence of cobalt.
On the other hand, the presence of a vitamin in feed doesn’t guarantee
its deficiency, for other factors may prevent the assimilation. For exam-
ple, liquid paraffin prevents the assimilation of vitamin A, while luck of
bile salt and pancreatic enzyme prevent the absorption of fat-soluble vi-
tamins.
Traditionally, vitamins are classified as water-soluble such as vitamins
B and Vitamin C, and fat- soluble including vitamins A, E, K and D.
9.1.Water soluble Vitamins
Vitamin B
The complex of B Vitamins is widely distributed in both plant and ani-
mal feed sources. These include thiamin (B1), nicotinic acid (niacin), ri-
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boflavin (B2), pyridoxine (B6), folic acid and vitamin B12. All of these
can be synthesized by the microflora in the gastro-intestinal tract of ru-
minants and deficiencies are therefore uncommon in ruminants. B vita-
mins, required by non-ruminants, are derived from varity of plant and
animal source. Dried yeast provides a rich supply of these vitamins. B
Vitamins are not stored in the body to any great extent and animals with
prolonged impedance or chronic diarrhea may become deficient in these
vitamins. The deficiency of these vitamins affects the nervous and gas-
trointestinal system and skin.
Ruminants are able to use cobalt to synthesis vitamin B12 in the rumen.
Therefore, defeciency of vitamin B12 occurs in these species when
cobalt is defecient in the diet. In carnivores, vitamin B12 defeciency
may occur as a result of inadequate absorption of the vitamin from the
gastro-intestinal tract or increased body requirements.
In all species vitamin B12 is required for maintenance of tissues, protien
synthesis, and haematopoiesis. Clinical signs of deficiency include
anorexia, unthriftiness, anaemia, and incoordination.
Thiamine deficiency may occur as a result of inadequate dietary intake
or destruction of the vitamin by thiaminases, which may either be
present in or contaminate the diet. A nutritional deficiency is unlikely in
herbivores but may occur in carnivores when vitamins in feed are de-
stroyed by excessive heating during processing. Secondary thiamine de-
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ficiency may occur in carnivores, because of the thiaminase present in
raw fish, and in horses because of the thiaminase present in bracken.
Secondary thiamine deficiency can be treated successfully with thi-
amine supplements if the therapy is started shortly after the onset of
clinical signs. Thiamine may be used in the treatment of cerebrocortical
necrosis in cattle and sheep.
Thiamine (Vitamin B1)
It is a white crystalline powder with characteristic odour, soluble in wa-
ter and glycerol.
Indication. Treatment of thiamine deficiency
Dose.Horse: by subcutaneous or intramuscular, or slow intravenous
injection, 0.25-1.25 mg/kg twice daily for up to 7 days
Cattle, sheep: by subcutaneous or intramuscular, or slow intravenous
injection, 5-10 mg/kg repeat every 3 hours as necessary
Cats: intramuscular injection, 50 mg 1-2 times daily
Riboflavine (Vitamin B2)
Indication.Deficiency is confined to simple stomach animal or pre ru-
minant, resulting into slaw growth rate, ocular disorder, generalized
dermatitis and decreased fertility. In chicken, curl toe paralysis, in-
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flamed vent, in calf, scours, and salivation, in pig, skin ulcer abnormal
gait and stillbirth.
Daily nutritional requirement: Horse: 2-4 mg/kg body weight
Pig: 3-4 mg / 50 kg body weight. Dog: 40mg /kg body weight
Poultry: 1.8-2 5 mg p/kg feed.
Nicotinic acid (Niacin)
Niacin is an American Synonym for nicotinic acid, and the term pella-
gra-preventing factor is applied. It is a white crystalline odorless pow-
der with slight acid fast and amine with bitter.
Indication.Pellagra (man), rough scaly skin, gastrointestinal ulcer with
diarrhea (pig), perosis, dermatitis chicken, brown moth (dog). De-
creased growth rate and fertility.
Dietary requirement. Pig: 12.5 mg per 50 kg body weight
Dog :0. 22 mg/ kg body weight daily. Poultry: 12-20 gm per tonne feed
Dose. Calf: 25 mg daily. Pig: by subcutaneous 0.1-0.3 g
Dog: By intramuscular injection, 5-10 mg/kg im
Folic Acid
It is a yellow or orange yellow odorless crystalline powder, insoluble in
water and organic solvent but soluble in alkaline or acid.
Indication.Macrocytic anemia, diarrhea, reduced growth rate, skin le-
sion and perosis
Nutritional requirement. 10-20 mg per tonne feed, by intramus-
cular injection 10mg.
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Cyanocobalamin
Vitamin B12 deficiency occurs in ruminants when kept on cobalt defi-
cient feed.
Indication. Treatment of vitamin B12 deficiency
Dose. By intramuscular injection, Cattle and Horse: 1-3 mg 1-2 times
weekly. Calves and foals :0. 5 -1.5 mg 1 -2 times weekly
Sheep and pigs: 250-750 microgram 1-2 times weekly
Dogs, cats: 250-500 microgram1-2 times weekly
9.2. Fat Soluble Vitamins
Vitamin A
Indication. Hyperkeratosis of the skin, cornea (xerophthalmia), blind-
ness, decreased growth rate and low fertility rate
Nutritional requirement. Dogs and Cats 66units/kg body weight
daily. Cattle, horse, Sheep, pig: 3000 units/50 kg body weight
Poultry : 4000-8000unit/ kg feed daily
Dose. Injection, vitamin A (as palmitate) 50,000 units/ml; 2ml
Vitamin K
A bright yellow crystalline powder with a faint but characteristic smell.
The powder is irritant to all mucous membrane, 50 Menaphthone is
added for parenteral preparation
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Indication. Warfarin poisoning, sweet-clover disease, epistasis, quo-
nine poisoning, salicylate poisoning hepatitis and gastroenteritis.
Dose. By intramuscular or intravenous injection: 100g
Large animal: 0.5-1mg/kg daily
Dogs and cats: 3-5 mg/kg daily in divided doses. May also be adminis-
tered orally
Drug interactions. Warfarin
Vitamin E (Tocopherol)
It is yellow almost odorless viscous oil, oxidizes easily and darkens
with exposure to air and light.
Indications. Muscular disorder, especially in claves and lambs, stiff
lamb disease of lamb. The muscles most affected are skeletal (locomo-
tors a supporting), thoracic (intercostals and diaphragm) and cardiac. It
is also indicated for infertility, edema in cattle and sheep.
Dose. Subcutaneous or intramuscular injection;
Calves: 0.3-2 g, 0.02 -0.04 ml. Lamb: 0. 1 -0.5 g. Pig :0.5 g
Dog: 30-100 mg. Total: 2-5 ml. Large animal: 100 ml
10.Anti-inflammatory Drugs
10.1.Corticosteroids
Glucocorticoids are used in pharmacological doses primarily for their
anti-inflammatory property. Glucocorticoids are capable of producing
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symptomatic improvement in many conditions, but without treating the
underlying diseases. In musculoskeletal disorders the benefits of sup-
pression of the disease process are weighed against the protective ef-
fects of reduced mobility if therapy is withheld. Glucocorticoids are not
indicated where only mild analgesia is required.
Clinical signs of hypersensitivity disorders including allergic dermatitis
and urticaria, and auto-immune diseases such as haemolytic anaemia,
thrombocytopenia, systemic lupus erythermatosus, myasthenia gravis,
and pemphigus variants may be improved by glucocorticoid administra-
tion.
Administration of glucocorticoids. Acceptable doses of glucocorti-
coids vary widely depending upon the potency of the drug employed, its
formulation, rate and route of administration; the nature and severity of
the condition being managed; and the goal of the therapy. Betametha-
sone, dexamethasone, methylprednisonole, predisolone, are commonly
used for their anti-inflammatory activity. The anti-inflammatory effect
of a corticosteroid parallels its gluconeogenic potency.
Side-effects of glucocorticoids, prolonged corticosteroid treatment with
both rapidly eliminated formulations and dept preparations may have
suppressive effects on the HPA axis and lead to adrenal atrophy. Un-
necessarily prolonged therapy should be avoided in order to minimize
the possibility of precipitating signs of adrenal insufficiency during su-
perimposed stress or when glucocorticoid treatment is finally with
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drawn. Corticosteroids should be used with caution in pregnant animals
because they may cause abortion.
Catabolic effects of glucocorticoids include muscle wasting, cutaneous
atrophy, telogen arrest of hair follicies, and delayed wound healing. Di-
abetes mellitus may be unmasked by glucocorticoid therapy and alter-
ation of insulin requirements in established diabetics may occur. Gastric
and colonic ulceration, sometimes with perforation, may occur in pa-
tients given glucocorticoid treatment.
Immunosuppressive effects and modification of inflammatory reactions
by glucocorticoids may facilitate the spread of concurrent infectious
disease. In pre-existing infections, an appropriate antimicrobial drug
should be administered at the same time if glucocorticoids are used.
Corticosteroids should not be administered on conjunction with a vac-
cine.
Betamethosone
Injection, 2mg/ml
Tablet, 0.25mg
Indications. Shock, inflammatory and allergic disorders, ketosis; in-
duction of parturition in cattle
Contraindications. Side-effects. Warnings. See note above
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Dose. Horses: by intramuscular or intravenous injection, 20-200 mi-
crogram/kg. Cattle: by intramuscular or intravenous injection, 20-200
microgram/kg
Induction of parturition, by intramuscular injection, 20-30 mg and re-
peat after 3 days if required.
Sheep, goats, pigs: by intramuscular or intravenous injection, 20- 200
micrograms/kg
Dogs, cats: oral, 25 micrograms/kg daily. Adjust dose for each individ-
ual animal; by intramuscular or intravenous injection, 40 -80 micro-
grams/kg.
Drug Interactions. Acetazolamide, antidiabetic drugs, barbiturates,
phenylbutazone, phenytoin, diuretics
Dexamethasone
Tablet, 250mcg
Injection, 1mg/ml, 2mg/ml, 5mg/ml
Indications. Shock; inflammatory and allergic disorders; ketosis; indi-
cation of parturition in cattle and sheep; hypoadrenocorticisim
Contraindications. Side-effects. Warnings. See notes above
Dose. Horses: oral, 10-30 mg, repeat after 2 days if required; by intra-
muscular and intravenous injection, 20-200 micrograms/kg shock, by
intravenous injection, 3 mg/kg, repeat after 3-6 hours if required
Cattle: oral, 10-30 mg; repeat after 1-2 days if required; by intramuscu-
lar or intravenous injection, 20- 200 micrograms/kg
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Shock, by intravenous injection, 3 mg/kg, repeats after 3-6 hours if re-
quired
Sheep: by intramuscular or intravenous injection, 20-200 micrograms/
kg shock, by intravenous injection, 3 mg/kg, repeat after 3 -6 hours if
required
Dogs, Cats: oral, 50 micrograms/kg in divided doses; by subcutaneous,
intramuscular, or intravenous injection, 20-200 microgram/kg
Shock, by intravenous injection, 3 mg/kg, repeats after 3-6 hours if re-
quired
Withdrawal periods. Cattle: slaughter 21 days, milk 3 days. Sheep,
pigs: 21 days
Drug Interactions. Acetazolamide, antidiabetic drugs, barbiturates,
phenylbutazone, phenytoin, diuretics
Prednisolone Acetate
Injection, 10mg/ml, 25mg/ml
Indications. Shock; inflammatory and allergic disorders adrenocorti-
cal insufficiency.
Contraindications. Side-effects. Warnings. See notes above
Dose. Dogs, cats: 0.1-2.0 mg/kg daily
Drug Interactions. Acetazolamide, antidiabetic drugs, barbiturates,
phenylbutazone, phenytoin, diuretics
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11. Disinfectants and Antiseptics
Antiseptics and disinfectants are nonselective, anti-infective agents that
are applied topically. Their activity ranges from simply reducing the
number of microorganisms to within safe limits of public health inter-
pretations (sanitization), to destroying all microbes (sterilization) on the
applied surface. In general, antiseptics are applied on tissues to suppress
or prevent microbial infection. Disinfectants are germicidal compounds
usually applied to inanimate surfaces. Sometimes the same compound
may act as an antiseptic or as a disinfectant, depending on the drug con-
centration, conditions of exposure, number of organisms, etc. To
achieve maximum efficiency, it is essential to use the proper concentra-
tion of the drug for the purpose intended.
Topical anti-infective agents are extensively used in surgery for antisep-
sis of the surgical area and surgeon's hands and to disinfect surgical in-
struments, apparatus, and hospital premises. Other common uses are as
disinfectants for home and farm premises, in water treatment, in public
health sanitation, etc, and as antiseptics in soaps, teat dips, dairy sanitiz-
ers, etc. Antiseptics also have been used for treating local infections.
However, in most cases, systemic chemotherapeutic agents are pre-
ferred because they often penetrate better into the foci of infection and
are less likely than the topical anti-infectives to lose their potency when
in contact with body fluids and debris in the infected area.
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Ideally, antiseptics and disinfectants should have a broad spectrum and
potent germicidal activity, with rapid onset and long-lasting effect.
They should withstand environmental factors (eg, pH, temperature, hu-
midity, etc) and must retain activity even in the presence of pus,
necrotic tissue, and other organic material. High lipid solubility and
good dispersibility increase their effectiveness. Antiseptic preparations
should not be toxic to the host tissues and should not impair healing.
Disinfectants should be nondestructive to applied surfaces. Offensive
odor, color, and staining properties should be absent or minimal.
Antimicrobial activity may be diminished through interaction, adsorp-
tion on to rubber or plastics, or by combination with organic matter, and
may be depend upon pH; the extent to which the different groups of dis-
infectants are affected varies. Aqueous solutions of disinfectants, par-
ticularly quaternary ammonium compounds, chlorhexidine, and phe-
nols, may be susceptible to contamination with microorganisms. To re-
duce this risk many preparations are provided for clinical use, in sterile
form for single use.
Alcohol
Alcohol is a bactericidal antiseptic and disinfectant with little activity
against bacterial spores. It is used as a disinfectant for skin and hard
surfaces, as a solvent, and as a pharmaceutical preservative. Alcohol 70
% is commonly used for its solvent properties for the removal of super-
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ficial contamination. Alcohol should not be used to disinfect instru-
ments because of its low efficacy against spores.
Crystal Violet
Crystal violet is a triphenylmethane antiseptic dye effective against
some Gram-positive bacteria, particularly Staphylococus spp. And some
pathogenic yeast such as candida spp. It is much less active against
Gram-negative bacteria and ineffective against acid-fast bacteria and
bacterial spores. Its activity increases as PH increases.
Crystal violet has been applied topically as a 0.5 % or 1 % aqueous so-
lution or a 1.2 to 1.6 % cream for the treatment of bacterial and fungal
infections, but in the UK its use is not restricted to application to unbro-
ken skin because of concern at animal carcinogenicity. However, it may
be used as a 0.5 % solution with brilliant green 0.5 % (Bonney’s blue)
for skin marking prior to surgery.
Potassium Permanganate
Potassium permanganate possesses oxidizing properties which in turn
confer disinfectant and deodorizing properties. It is also a stringent.
Though bactericidal in vitro its clinical value as a bactericide is mini-
mized by its rapid reduction in the presence of body fluids.
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Solutions are used as cleansing applications to wounds, ulcer, or ab-
scesses and as wet dressings and in baths in eczematous conditions and
acute dermatatitis.
Phenol
Phenol is commonly used in mouthwashes, scrub soaps and surface dis-
infectants, and is the main disinfectant found in household disinfectants.
Phenols are effective against bacteria (especially Gram-positive bacte-
ria) and enveloped viruses. Phenols are not effective against non-en-
veloped viruses and spores. Enveloped viruses include BRs, BVP,
corona virus, IBR, Leukemia, PI3, pox, Rabies and stomatitis virus.
Non-enveloped viruses include Bluetongue, papilloma, parvo and Rota
virus. Common spore forming bacteria of cattle include all the
clostridias (such as tetanus, and bacillus (such as anthrax)-phenols
maintain their activity in the presence of organic material and therefore
are more useful in footbaths and areas which organic material cannot be
completely removed. Phenolic disinfectants (including cresols and pine
oil) are generally safe, but prolonged exposure to the skin may cause ir-
ritation. It is contradicted to cats.
Iodine Compounds
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Iodine compounds are bactericidal, sporicidal, virucidal and fungicidal.
Iodine is inactivated in the presence of organic material and they must
be applied multiple times in order to thoroughly disinfect. Iodine tinc-
tures can be very irritating to tissues, can stain fabric can be corrosive
and concurrent use of other antiseptics or detergents is contraindicated.
Chlorhexidine
Chlorhexidine, a biguanid, is one of the most widely used disinfectants.
Chlorhexidine is relatively non-irritating to tissues. Chlorhexidine,
while considered bactericidal, virucidal and fungicidal, is less effective
against these agents than many other disinfectants. Chlorhexidine main-
tains effectiveness in the presence of some organic material, but clean-
ing before application is recommended. To be effective chlorhexidine
must remain in contact with the surface for at least five minutes. Hard
or alkaline water will cause precipitation of the active ingredients nec-
essary for disinfection.
Chlorine Compound
Chlorine eliminates both enveloped and non-enveloped viruses. Chlo-
rine also is effective against fungi, bacteria, and algae. Chlorine in high
concentrations irritates the mucus membranes, eyes and skin. Organic
material such as faeces inactivate chlorine disinfectants, therefore, sur-
faces must be clean before using a chlorine disinfectant in order to ob-
tain maximum results with chlorine disinfectants they must remain in
contact with surfaces for several minutes.
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Formaldehyde
Formaldehyde solution is a disinfectant active against bacteria fungi,
and many viruses, with a slow action against bacterial spores.
Indications. Ectoparasitic infections
Contraindications. Should not be mixed with potassium perman-
ganate; fish with gill disease
Dose. By bath, 25ml/litre or 17 ml/litre, for 30 to 60 minutes
By prolonged immersion, 0.02ml/litre for 12 hours
Warning. Operator should avid contact with skin and inhalation of
formaldehyde fume
12.Antidotes and other substances used in poisoning
Activated Carbon
Granules, 475g+100g
Oral suspension, 104mg/ml+62.5mg/ml
The principal veterinary use of carbon is as an antidote to toxic sub-
stances and analogous medical applications include use as a detoxifier.
It is regarded as the poison antidote of choice and the universal antidote
to toxic substances. There is no reported overdosage or acute toxicity.
Activated charcoal is highly effective against both natural and synthetic
toxins. Studies show activated carbon to be effective in removing vari-
ous mycotoxins, such as aflatoxin, fumonisins, ochratoxin A, tri-
chothenes, and zearalenone. Natural toxins from plants are also re-
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moved or attenuated by activated charcoal treatment or supplementa-
tion. Activated carbon can also be used to remove synthetic pesticides
from animals that might contaminate milk or meat. Treatment with acti-
vated carbon when using certain parasiticides can help reduce the resid-
ual levels in flesh and fatty tissue. Finally, activated charcoal is used to
treat animals for drug overdoses, with efficacy established on pigs,
dogs, and rabbits.
Yohimbine Hydrochloride
Injection, 2mg/ml
Indications. Should be used in dogs when it is desirable to reverse the
effects of xylazine and as an antidote for overdoses of xylazine.
Contraindications. Doses in excess of those recommended should
not be given. While yohimbine is tolerated in dogs at 0.55 mg/kg ,
doses of this magnitude may occasionally produce seizures and muscle
tremors of short duration.
Side-effects. Occasionally a dog that has been reversed will show
signs of apprehensiveness, but this state quickly subsides.
Precautions. Clinical tests with yohimbine have not been conducted
in pregnant dogs. Therefore yohimbine should not be used in these ani-
mals. Careful consideration should be given before administering to
dogs known to be epileptic or seizure prone. The drug reverses the anal-
gesic effects of xylazine as well as the sedative effects. If the animal
was given xylazine for its analgesic properties, then reversal will allow
pain perception; caution should be used.
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Dose. For intravenous injection. The usual dose is 0.11 mg/kg to re-
verse the sedative effects of xylazine. The dosages may be repeated to a
total of 0.33 mg/kg to reverse the cardiac effects (especially arrhythmia
and bradycardia). As an antidote for overdosage of xylazine, treat to ef-
fect up to a total of 0.55 mg/kg
Atropine Sulfate
Injection, 15 mg/ml
Indications.An antidote in the treatment of organophosphate insect-
cide poisoning
Dose.Cattle: intravenous injection followed by intramuscular or sub-
cutaneous injection, 66mg/kg
Horses: intravenous injection followed by intramuscular or subcuta-
neous injection, 14 mg/kg
Sheep: intravenous injection followed by intramuscular or subcuta-
neous injection, 110mg/kg
13.Immunological Preparations
Vaccines are preparations of antigenic material, which are administered
to induce active immunity in the recipient animal against specific bacte-
ria or viral infection. Vaccines may be based on the nature of organ-
isms; vaccines are usually prepared in different forms, mainly live vac-
cine, inactivated vaccine and toxoid vaccine.
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Live vaccines are nonpathogenic forms of the infecting organisms, such
as marek’s disease, or modified forms of the organisms, like bovine her-
pes virus. Live vaccines stimulate production of antibodies locally, sys-
temically or both.
The degree of protection afforded by live vaccine varies depending up
on the antigen and the animal type. They usually produce high and of
long duration. Antibodies especially maternal derived, may inhibit the
replication and the live microorganisms in the vaccine and thus interfere
with the process of immunization for several weeks.
Therefore, further doses of vaccine may be recommended at suitable in-
terval to allow interfering antibodies to decline.
The inactive vaccines contain sufficient antigen to stimulate antibody
production but generally requires two doses with an appropriate interval
in order to produce a satisfactory immune response and protection. The
organisms within inactivated vaccines do not replicate. These vaccines
contain adjuvant that enhances the immune reaction. The adjuvant may
cause local irritation and swelling at injection site. Therefore, asepsis or
administration is very important. Booster doses of inactivated vaccines
often administered annually, are usually employed to maintain and en-
during immunity.
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Toxoid vaccines are toxins obtained from microorganisms and heat or
chemical treated to destroy their deleterious properties without affecting
the ability to stimulate the formation of antibodies.
Warning and Contraindication of vaccines
Unhealthy or febrile animals should not be vaccinated.
Animals should not be vaccinated with in three to four weeks of re-
ceiving immunosuppressive drugs or corticosteroids.
When live vaccines derived from bacteria are administered, care
should be taken in the use of antibiotics.
In mass vaccination of multi-age group with live vaccines, the
transmission of infection due to the organisms in the vaccine to sus-
ceptible young animal should be considered.
The full vaccination course as recommend by manufacturer should
always be administered.
Stressing animals to be vaccinated should be avoided.
Accidental Self-injection with oil-based vaccines can cause intense
vascular spasm, which may be ever result in loss of limbs. When
happened prompt medical attention is essential.
Do not vaccinate through dirty, wet skin.
The repeated use of needles and syringes within herd/flock is unde-
sirable.
Containers that have held live vaccines can be potentially hazardous
and should be made safe.
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Injectable vaccines should be stored and reconstituted as recom-
mended by the manufacturer.
Liquid preparations should always be adequately shaken before use
to insure uniformity of the material to be injected.
Side-effects of Vaccines
Some live vaccines may be able to cross the placenta and cause abortion
or fetal abnormalities. In general inactive vaccines are safer than active
vaccines, but handling and vaccinating animals in late pregnancy is as-
sociated with risk.
Storage and handling
Care must be taken to store all vaccines and other immunological prepa-
rations. Store under the conditions recommended by the manufacturer.
Refrigerated store at 2oC to 8oC is usually necessary. Unless other wise
specified, vaccines should not be frozen and should be protected from
light. Some vaccines such as Marek’s disease vaccine are stored in
solid carbon dioxide or liquid nitrogen. Live antigens may be inacti-
vated by disinfectants or alcohol and these substances must not be used
to sterilize syringes. Only sterile needles and syringes should be used
for vaccination and injections given with aseptic precautions to avoid
the possibility of abscess formation or the transmission of incidental in-
fections.
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Anthrax Vaccine
Description. It is a freeze-dried live bacterial vaccine produced using
Sterne 34 F2, strain of Bacillus anthracis saponin adjuvated. Spores
freeze-dried with saponin and 4 % skimmed milk as stabilizer. Each
field dose contains 107 viable spores. The concentration of saponin is
according to the batch of saponin (1 % to 2 %).
Indication. Prevention or control of anthrax.
Presentation. The vaccine is freeze-dried available in 20 ml vials of
100 doses.
Dose. Reconstitute the product in 100 ml of sterile Saline water.
Cattle: inject 1 ml subcutaneous in the loose skin of the neck just in
front of the shoulder.
Sheep and goats: inject 0.5 ml subcutaneous in the loose skin of the
neck or in inner face of thigh.The latter is preferable for goats.
Horse: Inject 1 ml subcutaneous at the neck.
Note. Vaccinations should be carried out every year before the anthrax season.
Immunity. Develops in 10 days and lasts for one year.
Side- effect. Benign reaction, usually in the form of a swelling at the
injection site. It normally disappears in 2-3 days.
Precaution.Subcutaneous injections only, no intramuscular injections
Animals to be vaccinated should be above 3 months old.
The vaccine is not recommended for use in pregnant animals.
Withdrawal period. Meat 6 weeks following vaccination (due to ad-
juvant vaccine)
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Storage. Store the vaccines in a refrigerator at 40C.
Bovine Pasteurellosis Vaccine
Description.This vaccine is prepared from a whole broth culture of
Pasteurella multocida type B (20 billion germs/ml), killed by formalin
(0.3 % final concentration) and precipitated by 1 % aluminum potas-
sium sulphate (final concentration).
Presentation. The vaccine is a liquid suspension available in vials of
100 ml for 50 doses.
Dose.For best results vaccinate the animals in the earliest convenient
time according to regional conditions (at least 21 days before the haem-
orrhage septicemias season). Shake the product vigorously before use.
Cattle (including calves)-injection 2 ml subcutaneous.
Immunity. Immunity appears in 10- days after vaccination and lasts
for 6 to 8 months. Re-vaccination is advised after 6 months.
Side-effect. Anaphylactic (shock-allergy) reactions may appear occa-
sionally after vaccination of Zebus. These reactions appear very often
and very serious on some European cattle breeds, particularly on ani-
mals, which have been vaccinated many times against foot-and-mouth
disease, Blackleg or Anthrax. Do not vaccinate European breed cattle
before having checked the animal’s sensitiveness. In case of reaction,
immediate injection of antihistamine is recommended.
Storage. At room temperature for 6 months; at+ 4oC for 1 year; avoid
light and heat.
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Ovine Pasteurellosis Vaccine
Description. This product contains a whole broth culture of
Pasterurella multocida type A (10 billion germs/ml), killed by formalin
0.3 % and precipitated by 1% Aluminum potassium sulphate (final con-
centration)
Indications. Control or prevention of pasteurellosis in sheep.
Presentation. The vaccine is liquid suspension available in vials of 50
ml for 50 doses.
Dose. Shake the product vigorously before use and Vaccinate 1 ml sub-
cutaneous. For best results vaccinate according to regional conditions,
at least 3 weeks before the rainy season.
Immunity. Immunity appears in 10 days after vaccination and lasts for
6 to 8 months
Warning. Contraindication. Side-effect. See notes at the begin-
ning.
Storage. At +20oC for 6 months, at +40oC for 1 year; Avoid light and
heat.
Blackleg Vaccine
Description. This product contains a whole broth culture suspension
of Clostridium chauvoe (local isolate) killed by formalin0.5 % (final
concentration) and precipitated by 1 % aluminium potassium sulphate
(final concentration)
Indication. Control or prevention of black leg disease in cattle
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Presentation. It is a liquid suspension vaccine available in 100 ml
vials for 50 doses.
Dose. Shake the product vigorously before use and vaccinates Cattle
including calves, 2 ml subcutaneous.
Immunity. Immunity develops in 10 days after vaccination and lasts
for one year.
Warning. Contraindication .Side-effect. See notes at the begin-
ning.
Storage. At + 200C for 6 months, at + 40 C for 1 year. Avoid light and
heat
Contagious Bovine Pleuropneumonia (CBPP) Vaccine
Description. It is a freeze-dried live attenuated bacterial vaccine pro-
duced using T144 and T2SR strains of Mycoplasma mycoides subsp,
mycoides small colony (MmmSC). Each field dose contains at least 107
viable mycoplasma organisms.
Indication. Control or prevention of black leg disease in cattle
Presentation.The freeze-dried vaccine contains 100 doses per vial.
Dose. Reconstitute the vaccine in100 ml of cold and sterile saline wa-
ter.
Inject 1 ml of the reconstituted vaccine only subcutaneous. Vaccinate
all animals above the age of 6 months.
Immunity. It develops 3 weeks post-vaccination and lasts for about 1
year
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Side-effect. A rare case of post-vicinal reaction (mild swelling at the
site of injection) can occur. If it ever happens antibiotics like Tetracy-
cline, Oxytetracycline, Erythromycin and Tylosine can be used.
Precautions. The reconstituted vaccine must be protected from light
and health and must be used immediately (the maximum limit is one
hour when kept under cold condition.
For further warning, contraindication and Side-effect see note at the be-
ginning.
Storage. At + 4oC for 6 months, at – 20oC for several years
Contagious Caprine Pleuropneumonia (CCPP) Vaccine
Description. It is an inactivated bacterial vaccine produced using F-38
Kenyan strain of Mycoplasma capricolum subsp. Capripneumonia
(MCCP).
Well grown Mycoplasma culture is inactivated by saponin which has
also an adjuvant effect.
The minimum protein content in each field dose is 0.15 mg/ml.
Indication. To control or prevent CCPP in goat.
Presentation. The vaccine is a liquid suspension available in 100 ml
for 100 doses.
Dose.Shake the vaccine before use and vaccinate 1 ml/goat subcuta-
neous (thoracic wall area is advisable)
Immunity.CCPP vaccine confers immunity for 1 year. Re-vaccination
is advised after 1 year.
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Side-effect.Slight edematous reaction is induced by saponin, which
normally disappears in 48 hours. For further warning, contraindication
and Side-effects, see note at the beginning.
Storage. The vaccine should be stored at +4oC at least for 1 year.
Peste Des Petits Ruminants (PPR) Vaccine
Description.Lyophilize virus vaccine PPR strain cultured on vero-
cells
Freeze-dried vaccine with a minimum titer of 2.5 TCID50 per field dose
Indication. To control or prevent PPR in goat and sheep
Presentation. 20 ml vial of 100 dose of lyophilized vaccine.
Dose.The injected 1ml of dilute vaccine subcutaneous is recommended
for all goats and Sheep. Early immunization before 6 months of age can
interfere with parental acquired antibodies and inhibit the development
of active immunity. Annual vaccination is recommended for the young
animals during consecutive years.
Warning.Contraindication.Side-effect. See note at the beginning.
Immunity. Eight days after vaccination and may last for life.
Storage.Vaccine should be stored at a temperature of – 20oC
Sheep and Goat Pox Vaccine
Description. Lyophilized live freeze dried Capripox virus strain, cul-
tured on Vero-cells
Freeze dried vaccine with a minimum titer of 2,5 TCID50 per field dose
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Indication. To control or prevention of sheep and goat pox.
Presentation.20 ml vials of100 doses of Lyophilized vaccine
Dose.Reconstitute 20ml of the product in 100ml of cool and ster-
ile saline water and inject 1ml of diluted vaccine subcutaneous on
the inner face of the thigh
This vaccine can be associated with freeze-dried Anthrax vaccine
Immunity. Eight days after vaccination and may last for two years
Warning.Contraindication.Side-effect. See note at the beginning.
Storage. Vaccine should be stored at a temperature of 20oC
Lumpy Skin Disease Vaccine
Description. Lyophilized live freeze dried Capriopox virus strain, cul-
tured on Vero-cells Freeze dried vaccine with a minimum titer of 3
TCID50 per filed dose
Indication. Control or prevention of lumpy skin disease in cattle,
sheep and goat.
Presentation.20 ml vials 100 dose of Lyophilize vaccine.
Dose. Reconstitute the product in 100 ml of cool and sterile saline wa-
ter. Inject 1 ml of diluted vaccine subcutaneous on the inner face of the
thigh.
This vaccine can be associated with freeze-dried Anthrax vaccine.
Immunity.Eight days after vaccination and may last for two years.
Warning. Contraindication. Effect. See note at the beginning.
Storage. Vaccine should be stored at a temperature of 20o C
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Rinderpest Vaccine
Description. Lyophilized virus vaccine Kebete -strain cultured on
Vero-cells Freeze-dried vaccine with a minimum titer of 2,5 ml per
field dose.
Indication. To control or prevent rinderpest in ruminant.
Presentation. 20 ml vials 100 dose of Lyophilized vaccine
Dose. Reconstitute the product in 100 ml of cool and sterile saline wa-
ter and injection of 1 ml of diluted vaccine subcutaneous is recom-
mended for all cattle, regardless of size. Early immunization before 6
months of age can interfere with parental acquired antibodies and in-
hibit the development of active immunity. Annual vaccination is recom-
mended for the young animals during consecutive years.
Imunitym. Immunity develops eight days after vaccination and may
last for life.
The vaccination against Rinderpest can be associataed with the vaccina-
tion against-Blackleg, Anthrax, Pasterurllosis and CBPP Vaccines.
Side-effect. Post vaccination, a light fever may occur in exotic breeds.
Warning.Contraindication. See note at the beginning.
Storage. Vaccine should be stored at a temperature of –2000c
African– Horse Sickness
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Description. Lyophilize virus vaccine Neurotropic type 9-strain cul-
tured on vero-cells. Freeze-dried vaccine with a minimum titer of 2.5ml
per field dose
Indication. To control or prevention of African horse sickness
Presentation. 20 ml vials of 20 dose of Lyophilized vaccine
Dose. Reconstitute the product In 20 ml of cool and sterile saline water
and the injection of 1 ml of diluted vaccine subcutaneous is recom-
mended for horses, donkeys or mules regardless of size or age. Early
immunization of foals born from immunized mares must not be vacci-
nated before six months.
Immunization. Appears 1 month after vaccination and may last for
one year
Side- effect. Generally, post vaccination, benign but hypothermia can
occur at 48 hours, or between the seventh and fourteenth day after vac-
cination. The animals should be able to rest during the fifteen days after
vaccination
Warning. Contraindication. Side-effect. See notes at the begin-
ning.
Storage. Vaccine should be stored at a temperature of +4oC
Foot and Mouth Disease (FMD) Vaccine
Description. Bivalent vaccine, O and C – strain type propagated on
monolayer cell-culture. This virus is absorbed in to Aluminum Hydrox-
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Veterinary Formulary
ide gel (Al (OH) 3) concentrated, Inactivated with 0,3 % of formalde-
hyde and adjuvated with saponin.
Indication. Control or prevention of Foot and Mouth Disease in cat-
tle.
Presentation. 50 ml and 100 ml vials of 10 or 25 dose
Dose. Shake the bottle before use and inject 4 ml per cattle subcuta-
neous, preferably in dewlap region. First vaccination -two injections at
6 months of interval. Then, revaccination - one year after the second
injection and every year. Since the season of outbreaks in Ethiopia is
generally between November and January, it is advisable to vaccinate
animals before this period so as to obtain a sufficient rate of antibodies
when the risk of outbreak is maximal.
Immunity. 2-3 weeks after vaccination and may last for one year.
Side-effect. Swelling may occur at the place of inoculation and persist
for a few weeks.
Precaution. After puncture of the stopper the whole bottle of vaccine
must be used within 24 hours. Do not vaccinate the cattle under 6
months of age. It is better not to associate other vaccination with FMD
and not to make other vaccination one month before and after FMD
vaccination. For further information for warnings, contraindications and
Side-effects, see note at the beginning.
Storage. Store the vaccine at + 4oc.
198
Veterinary Formulary
Newcastle Disease Vaccine
Live Newcastle disease vaccine
Description. Lyophilized virus vaccine Hichner b1/lasota strain cul-
tured on embryonated SPF eggs. Freeze-dried vaccine with a minimum
titre of 107 ELD50.
Indication. Control or prevention of Newcastle disease in poultry.
Dose. Reconstitute according to the number of chicken to be vaccinated
and dilute the required amount of vaccine.
The water must be free from antiseptics (Well or spring water).
The chicken will not be given drinking water the evening before vacci-
nation
Lasota and Hitner B1
Ocular route: Use an eyedropper. To calculate the volume of water,
which should be added, to dilute the number of doses of the vaccine per
vial follows the instructions below. Measure 1 ml of water to the drop-
per. Count the number of drops in this 1 ml of water. Calculate the vol-
ume of diluents required to dilute the number of doses of the vaccine
per vial with the eyedropper in use.
Volume of diluents (ml) = No. Of doses of vaccine per vial No. Of drops formed per ml
199
Veterinary Formulary
Example: How much diluents should be added to a vial containing 250
doses of ND vaccine given that 1 ml of water in the ye-dropper yielded
50 drops
Volume of diluents (ml) = 50 dos2es per vial = 5 ml per vial 50 drops per ml
Oral drench – Dissolve the 200 doses in 200 ml, the 100 doses in 100
ml and the 50 doses in 50 ml. Administer by oral drench 1 ml of dis-
solved vaccine squirting into the beak of each bird using a clean plastic
syringe.
Drinking water –the quantity of water generally required per bird for
the drinking water vaccination is as follows:
For 10 – 14 days-old birds 10 – 15 ml
For 3 – 8 week-old birds 20 – 30 ml
For other birds 40 ml
To calculate the volume of water required to dilute the vaccine, multi-
ply the number of doses of the vaccine per vial by the amount of ml re-
quired per bird according to the above table.
Example: to dilute 500 doses of vaccine for 8 week-old birds multiply
500 by 30 that means you need 15 liters of water to dilute the 500 doses
of vaccine per vial.
200
Veterinary Formulary
Vaccination Program
Age at vaccination
The parent flocks vaccinated but not infected, so their progeny could re-
spond to vaccination from 14 days. The parent flocks recently been in-
fected with virulent virus; in this flock, levels of antibody known to in-
terfere with vaccination until 42 days. In situation of this kind, approx,
60 % of birds will respond at about 21 days, while the remaining 40 %
are refractory until approx, 42 days.
While vaccination at one day of age may give active protection to
chicks with the lowest levels of antibody, vaccination at this age may be
largely ineffective in the majority of chicks and hence should be re-
garded as a preliminary step rather than a recognized protective proce-
dure.
For example, in flocks of chicks having high level of maternal antibody,
it has been found that approx, 60 % of the chicks will actively respond
to vaccination at 18 – 21 days of age, while at 14 days of age the per-
centage of chicks that will respond may be under 40 %.
Revaccination: In the case of broilers in low risk areas, revaccination
at 14 days of age 21 days of age will prove adequate protection. In high
risk areas application of vaccine at this age only may be inadequate.
Therefore, it must be necessary to revaccinate at 42 days of age using
the Lasota vaccine by the drinking water.
201
Veterinary Formulary
In the case of layers, further boosting of immunity is necessary after 10
weeks of age. This is to protect the birds from the disease during the re-
mainder of the growing period, and to provide at point of lay an im-
mune level that will effectively protect the pullets with the minimum of
revaccination during the laying period.
If the time interval between the primary and secondary vaccination is
<21 days, the antibody produced by the first dose of vaccine is more
likely to interfere with the multiplication of the second dose of virus.
An interval during which no further vaccine is given should be allowed
until the final dose of vaccine is administered about two weeks before
the birds come into egg production. There fore, the following vaccina-
tion program is recommended.
Day of vaccination Type of vaccine Route of
AdministrationDay old HB1 IntraocularDay 21 Lasota IntraocularDay 42 Lasota By the drinking waterBetween 10 and 12 weeks of age
Inactivated Intramuscular 0.5 ml/bird
At point of lay Inactivated Intramuscular 0.5 ml/bird
Storage. Vaccine should store at a temperature of +4oC.
Inactivated Oild Emulsion Newcastle Disease Vaccine
202
Veterinary Formulary
Description. The vaccine is prepared in embryonated eggs injected
with the lentogenic strain Lasota, containing in at least 108 EID50 inac-
tivated and suspended in light mineral oil adjuvant. It is selected for its
long lasting immunity.
Indication. To control and prevent Newcastle disease in poultry.
Dose. The inactivated type vaccine is recommended for flocks of lay-
ing and breeding birds. Shake well before and during use. The vaccine
is injected 0.5 ml/bird subcutaneous at the back of the neck or intra-
muscularly in the breast muscle. Only healthy poultry should be vaccinated.
Vaccination program
First Vaccination 10-12 weeks of age. Second Vaccinations given at
point of lay. Best immunity is obtained when birds are vaccinated with
live Newcastle vaccines prior to the application of inactivated vaccine.
Warning. Contraindication. Side-effect. See note at the begin-
ning.
No local post vicinal reaction occurs, but trace of oil may be found for
some time at the site of injection. Accidental injection of this vaccine to
the user (vaccinator can cause localized reaction for which physician
advice should be sought at once, informing him that the vaccine is an
oil emulsion.
Storage. Store the vaccine in a refrigerator at a temperature of 4 to 80C
until it issued. Before use allow the vaccine to reach the room tempera-
ture (20oC).
203
Veterinary Formulary
Newcastle Thermo-Stable Vaccine
Description. It is a live viral vaccine produced in an embryonated spe-
cific pathogen free (SPF) eggs using the relatively heat stable variant
strain, developed at Queens land University Australia.
Each field dose contains at least log 107. ELD50 viral particles
Indication. Control or prevention of Newcastle disease in poultry.
Presentation. The vaccine is available in vials of 250, 100 and 50
doses
Storage. Since thermo-stable minority populations are present in the
relatively heat stable strain 12 the vaccine can be stored at + 4oC.
Dose.
Ocular route. Use an eyedropper.To calculate the volume of water,
which should be added, to dilute the numbers of doses of the vaccine
per vial follow the instructions below:
Measure 1 ml of water to the dropper. Count the number of drops in this
1 ml of water. Calculate the volume of diluents required to dilute the
number of doses of the vaccine per vial with the eyedropper in use:
Volume of diluents (ml) = No. of doses of vaccine per vial
No. of drops formed per ml
Example. How much diluents should be added to a vial containing 250
doses of ND vaccine given that 1 m l of water in the ye-dropper yielded
50 drops
Volume of diluents (ml) = 250 doses per vial
204
Veterinary Formulary
50 drops per ml
= 5 ml per vial
Oral drench. Dissolve the 200 doses in 200 ml, the 100 doses in 100
ml and the 50 doses in 50 ml. Administer by oral drench 1 ml of dis-
solved vaccine squirting into the beak of each bird using a clean plastic
syringe.
Drinking water .the quantity of water generally required per bird for
the dinking water vaccination is as follows:
For 10-14 day old birds10-15 ml
For 3-8 week old birds 120-30 ml
For other birds 40 ml
To calculate the volume of water required to dilute the vaccine, multi-
ply the number of doses of the vaccine per vial by the amount of ml re-
quired per bird according to the above table.
Example. To dilute 500 doses of vaccine for 8 week-old birds multiply
500 by 30 that means you need 15 liters of water to dilute the 500 doses
of vaccine per vial
Vaccination program
First vaccination; Day old and above (preferably up to 10 days); Second
vaccination, 4 weeks; third vaccination 3-4 Months; repeat every 3-4
months.
205
Veterinary Formulary
Fowl Typhoid Vaccine (Live vaccine)
Description. It is a live, freeze-dried vaccine against Fowl Typhoid in
chickens. Each vial contains 5 x 107 CFU of Salmonella gallinarum
strain
Indication. To control or prevent fowl typhoid in poultry
Presentation. The vaccine is available in vials of 20 ml with 100
doses
Dose. Reconstitute the vaccine in 50 ml of cool sterile distilled or
saline water .0.2 ml of the reconstituted vaccine by subcutaneous injec-
tion into the low part of the back of the neck. A single dose of vaccina-
tion should be given at 6 weeks of age followed by a booster dose at 12
weeks of age
Immunity. Appears in about 10 days. Duration of the vaccine after
two injections is for 6-8 months
Warning. Contra-indication.Side-effect. Birds should not be vac-
cinated within 14 days of the start of laying period. For further informa-
tion see note at the beginning.
Storage. The vaccine can be stored at 4oC for 6 months and at – 20oC
for several years.
Fowl-pox Vaccine
Description. It is a live freeze dried viral vaccine produced on the
Chicken Fibro blast, cells of embryonated specific pathogen free (SPF)
206
Veterinary Formulary
eggs using modified Fowl pox virus. Each vaccine batch contains 10 3.5
EID50/ dose.
Indication. To control or prevent fowl-pox infection in poultry
Presentation. Each 20 ml vial contains 100 doses of freeze-dried vac-
cine
Dose. Use wing web method
Reconstitute the 100 doses with 2 ml of sterile cold-buffered solvent
and vaccinate by transfixion of inner side of the wing membrane of
each bird dip the stylet before vaccination into the viral suspension so
that the groove is filled. Take care to touch the needle against the inside
of the vial in order to remove adhering drops. The stylet is inserted
from beneath through the wing web and care should be taken to push
the feathers side so as to avoid damaging the blood vessels. The wing
web should be slightly stretched.
Vaccination program:
1.Healthy environment; Vaccination from the 8th week of life with a
yearly boost
2.Contaminated environment; Vaccination from the 3rd week of life
Booster 3 months later and then yearly.
Warning.Contraindication.Side-effect.See notes at the beginning
Storage. The vaccine can be stored at + 4oC.
Canine Distemper Vaccine
207
Veterinary Formulary
Indication. Against canine distemper infection.
Dosage form. Vial of 1 dose powder for reconstitution.
Dose. Subcutaneous or intramuscularly injection of 1dose.
Contraindication, warning and side-effect. Vaccination of pup-
pies under 6 weeks and age is not recommended. For additional infor-
mation see notes above.
Canine Parvo Virus Vaccine
Indication. Against canine parvo virus infection.
Dosage form. Vial of 1 dose powder for reconstitution.
Dose. Subcutaneous or intramuscular injection of 1 dose. Puppies are
vaccinated at 2 to 4 weeks intervals from 6 to 8 or 18 weeks of age. Al-
though immunity following modifier live vaccine administration is
probably of long duration, annual boaster vaccination is recommended.
Contraindication.Warning.Side-effect.storage. See note above.
At early age and less than 6 weeks, maternal-derived antibodies may in-
terfere with vaccination but not protect from infection.
Avian Coccidiosis Vaccine
Indication .To avoid problems related to drug resistance and the con-
tinuous use of medication to control Eimeria species in domestic bird.
Dose. The vaccine is given in the drinking water as a single dose at be-
tween 5 and 9 days of age. A single dose is sufficient to protect broilers
and replacement layer pullets.
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Veterinary Formulary
Contraindication.Warning.Side-effect. Storage. See notes
above.
Marek’s Disease Vaccine
Indication. Against Mark’s disease in poultry
Dosage form. Powder for reconstitution
Dose. Chickens are ideally vaccinated at day-old in the hatchery, and
also chickens up to 3 weeks of age may be vaccinated. Occasionally re-
vaccination is done at 2 to 4 weeks of age. The vaccine is injected im
at 0.2 m/g per chick.
Contraindication.Warning. Side-effect.Storage. See notes above
IndexAbamectin + praziquantel,
103Abamectine, 97Acepromazine maleate, 139Acetylsalicylic acid (as-
pirin), 134Activated carbon, 182Adsorbents, 116
209
Veterinary Formulary
African – horse sickness, 196
Albendazole, 87Alcohol, 179Alpha2-adrenoceptor stimu-
lants, 139Aminoglycosides, 27Amitraz, 115Amoxycillin, 10Amoxycillin and clavulanic
acid, 13Ampicillin, 12Ampicillin and cloxacillin,
13Ampicillin and cloxacillin
benzathine, 14Ampicillin and dicloxacillin,
14Amprolium and ethopabate,
83Amprolium and sulfaquinox-
aline, 84Amprolium hydrochloride,
75Amprolium hydrochloride
and vitamin k, 84Amprolium, furazolidone,
vitamin k and vitamin a, 84
Amprolium, sulfaquinoxa-line and ethopabate, 83
Amprolium, sulfaquinoxa-line, ethopabate and pyremethamine, 83
Amprolium+ sulfaquinoxa-line+ vitamin k, 84
Anthrax vaccine, 188Anticoagulants, 164Atropine sulphate, 143Avian coccidiosis vaccine.,
208Benzathine penicillin, 4Benzimidazoles, 85Benzyl penicillin, 4Benzyl penicillin,, 3Beta-lactamase resistant
penicillins, 7Betamethosone., 175Bezanthine penicillin g and
procaine penicillin, 6Bismuth salicylate, sodium
salicylate, magnesium trisilicate and kaolin, 117
Blackleg vaccine, 191Bovine pasteurellosis vac-
cine, 189Broad-spectrum penicillin's,
9Bulk-forming laxatives, 122Buprenorphine hydrochlo-
ride, 131Canine distemper vaccine,
207Canine parvo virus vaccine,
207Carbamate, 110Carbaryl, 110Cephalexin, 18
210
Veterinary Formulary
Cephalosporins, 14Cephapirin, 17Chloramphenicol, 37Chloramphenicol, 38Chlorfenvinphos, 106Chlorhexidine, 181Chlorothiazide, 126Chlortetracycline, 23Chlortetracycline and benzo-
caine, 25Chlortetracycline and
neomycin sulphate, 67Clopidol, 77Cloprestenol sodium, 163Closantel, 99Cloxacillin, 7, 8Cloxacillin benzanthine and
neomycin sulphate, 67Cloxacillin benzathine, 8Cloxacillin sodium,
neomycin sulfate and predinsolone, 67
Contagious bovine pleurop-neumonia (cbpp) vaccine, 191
Contagious caprine pleurop-neumonia (ccpp) vaccine, 192
Copper sulfate, 73Corticosteroids, 173Co-trimazine. SeeCrystal violet, 179Cyanocobalamin, 171Cypermethrin, 111
Decoquinate, 77Deltamethrin, 112Dexamethasone, 175Diazinon, 107Dichlorovos, 107Diclophenac sodium, 137Dihydrostreptomycin and
benzathin penicillin g, 67Dihydrostreptomycin and
streptomycin, 30Dihydrostreptomycin sul-
phate and procaine peni-cillin g, 67
Dimeticone, 119Diminazene aceturate, 80Diminazene aceturate and
phenazone, 81Diuretics, 124Docusate, 120Doxycycline, 25Enrofloxacin, 42Erythromycin, 34Erythromycin, sulfadiazine
and Trimethoprim, 68Ether, 149Etramisole, 94Febantel, 91Fenbendazole, 88Fenthion, 108Fenvalerate, 113Flubendazole, 88Flucloxacillin, 8Flumequin, 44Flumethrine, 114
211
Veterinary Formulary
Flunixin meglumine, 136Folic acid, 170Foot and mouth disease
(fmd) vaccine, 197Formaldehyde, 182Fowl typhoid vaccine, 205Fowl-pox vaccine, 206Frusemide, 127Furazolidone, 64Gentamicin sulfate, 30Griseofulvin, 72Haemostatics, 166Halothane, 149Heparin sodium, 165Homidium, 81Hydrochlorothiazide, 126Imidazothiazole, 92Inactivated oild emulsion
newcastle disease vaccine, 202
Iodine compounds, 181Isoflurane, 149Isomethamidium chloride,
82Ispaghula husk, 122Ivermectin and praziquantel,
103Ivermectine, 95Kanamycin, 32Kanamycine sulphate, ben-
zathin penicillin and pro-caine penicillin g, 68
Kaolin and pectin, 117Ketamine hydrochloride, 145
Ketoconazole, 72Lasalocid, 78Levamisole, 92Levamisole and triclabenda-
zole, 100Levamisole and oxy-
clozanide, 101Levamisole with bithonolox-
ide, 101Levamisole with
niclosamide, 101Levamisole with rafoxanide,
102Lidocaine and adrenaline,
151Lidocaine hydrochloride,
151Lidocaine hydrochloride and
noradrenaline, 152Lincomycin and spectino-
mycin, 68Lincomycin hydrochloride,
36Loop diuretics, 126Lubricant laxatives, 121Lumpy skin disease vaccine,
194Macrolides, 33Magnesium hydroxide mix-
ture, 123Magnesium sulfate (epsom
salt), 124Mannitol, 128
212
Veterinary Formulary
Mark’s disease vaccine., 208
Mebendazole, 89Metamizole sodium, 135Methenamine, 129Methohexitone sodium, 145Metronidazole, 65Metronidazole, 66Microcyclic lactones, 94Monensin, 78Natamycin, 71Neomycin sulphate, 32Newcastle disease vaccine,
198Newcastle thermo-stable
vaccine, 203Niacin. SeeNicotinic acid, 170Nitrofurans, 63Nitrofurazone, 65Nitrofurazone +urea, 65Nitroimidazoles, 65Non-opioid analgesics, 132Norfloxacin, 43Oestradiol benzoate, 158Oestrogens, 157Opioid analgesics, 129Oral anticoagulant, 165Organophosphates and chlo-
rides, 105Osmotic diuretics, 128Osmotic laxatives, 123Ovine pasteurellosis vaccine,
190
Oxfendazole, 90Oxibendazole, 90Oxyclozanide, 97Oxyfendazole and oxy-
clozanide, 104Oxytetracycline, 23Oxytetracycline and furazoli-
done, 69Oxytetracycline and genitian
violet, 25Oxytetracycline and Lido-
cain hydrochloride, 25Oxytocin, 156Paracetamol, 135Paraffins, 121Parenteral Anticoagulants,
164Penicillin g procain, dihy-
drostreptomycin sulphate and methylhydrobenzoate, 69
Penicillin g procaine, peni-cillin g benzathin and di-hydrostreptomycin sul-phate, 69
Penicillin g sodium, peni-cillin g procain and dihy-drostreptomycin, 69
Penicillin g). SeePenicillin g, formosulphathi-
azol and streptomycine sulphate, 69
213
Veterinary Formulary
Penicillin g, penicillin g pro-caine and streptomycine sulphate, 69
Penicillins, 1Pentobarbitone sodium, 146Permethrin, 113Peste des petits ruminants
(ppr) vaccine, 193Pethidine hydrochloride, 132Phenothiazines, 138Phenylbutazone, 134Phosmet, 109Poloxalene, 119Potassium permanganate,
179Praziquantel, 97Praziquantel and pyrantel
embonate + febantel, 103Predisolone acetate, 176Procaine Penicillin, 3Procaine penicillin and
Streptomycine sulphate, 70
Procaine penicillin G, 5Procaine penicillin G and
neomycin, 70Procaine penicillin g, dihy-
drostreptomycin and pro-caine hydrochloride, 70
Progesterone, 161Progestogens, 160Propoxur, 110Prostaglandins, 162Pyrantel pamoate, 99
Quinalbarbitone sodium, 146Quinapramin sulfate, 82Quinolones, 40Riboflavin, 169Rinderpest vaccine, 195Robendine, 78Sedatives, 137Sheep and goat pox vaccine,
194Spiramycin, 36Streptomycin sulphate, 29Sulfadiazine, tetracycline hy-
drochloride and neomycin sulphate, 70
Sulfathiazole, penicillin g, streptomycine sulphate and ethinyloestradiole, 70
Sulphadiazine and trimetho-prim, 58
Sulphadimethoxine, 50Sulphadimidine and sulpha-
diazine and sulphathiazole, 62
Sulphadimidine and trimethoprim, 63
Sulphadimidine sodium, 48Sulphadimidine, trimetho-
prim and atropine sulfate, 61
Sulphamerazine, 51Sulphamerazine, sulfadi-
azine, sulfathiazole and trimethoprim, 61
Sulphamethazine, 52
214
Veterinary Formulary
Sulphamethoxazole and trimethoprim, 60
Sulphamethoxypyridazine, 49
Sulphaquinoxaline and pyrimethamine, 61
Sulphaquinoxaline And Trimethoprim, 56
Sulphasalazine, 118Sulphonamides and potenti-
ated sulphonamides, 45Testosterone phenylpropi-
onate, 159Tetracycline, 26Tetracyclines, 18Tetramisol with oxy-
clozanide, 102Thiamphenicol, 40Thiazides, 125Thiopentone sodium, 147
Tocopherol. SeeToltrazuril, 79Triclabendazole, 91Triclabendazole and rafox-
anide, 104Tylosin, 35Tylosine and chlorampheni-
col, 70Tylosine, chloramphenicol
and prednisolone, 70Vitamin B2. SeeVitamin E, 172Vitamin K, 172Vitamin B1. SeeWarfarin sodium, 166Xylazine, 140Yohimbine hydrochloride,
183Zinc sulphate, 74
215