RECEPTAL® and ESTRUMATE® - short presentation of the products features MSD AH Animal Middle East Symposium Beirut 2012 Brought to you by Partners in Reproduction Health Platform Date Monika Ptaszynska, DVM, PhD Global Marketing and Technical Director Ruminant Reproduction and Uterine Health RECEPTAL® – meet the product Active: RECEPTAL® contains buserelin a synthetic analogue of GnRH, in a concentration of 0.004mg/ml Formulation: Injectable solution for i.m., s.c and i.v. administration Presentations: 2.5ml, 5ml, 10ml, 50ml Indications for use in cattle: Therapeutic: - Treatment of COD Reproduction Management - Estrus induction and synchonization in various programs - Improvement of conception rates with administration at AI or at 10-12d post AI. Attention: RECEPTAL® is also licensed for use in horses and rabbits 2 RECEPTAL® – the gentle power Buserelin, the active of RECEPTAL® was proven to offer very high potency, exceeding That of natural GnRH analogues (Chenault et al., 1990) and some synthetic ones (Driancourt et al.,2008). The potency of GnRH analogues is measured by evaluation of the magnitude of the LH release induced by administration of a standard clinical dose either in vivo or in vitro. Ability of an analogue to induce high quality LH release influences the efficacy of the product to induce ovulation and luteinization of the CL. Chenault et al. (1990): LH and FSH response of Holstein heifers to fertirelin acetate, gonadorelin and buserelin. Driancourt et a;. (2008):Potency of several GnRH agonists (Buserelin, Dalmarelin, Gonavet and Gonazon) versus natural GnRH (Cystorelin®) in an in vitro functional assay Tested analogues (products): fertirelin acetate, buserelin (RECEPTAL®), gonadorelin (Cystorelin®, FERTAGYL®) Results: Relative potency of buserelin measured in this set up exceeded that of lecirelin and gonadorein. Results: Standard recommended dose of buserelin (10mcg) was proven to be the most efficient in terms of LH release and duration of action among the GnRH analogues tested. 3 RECEPTAL® - treatment and improvement of fertility 4 ESTRUMATE® – meet the product Active: ESTRUMATE® contains cloprostenol a synthetic analogue of PGF2a. concentration 250mcg/ml cloprostenol Formulation: Injectable solution for i.m. administration Presentations: 10ml, 20ml, 50ml Indications for use in cattle: Therapeutic: - Treatment of CL persistent and luteal cysts - Auxillary treatment of endometritis - Suboestrus - Termination of abnormal pregnancy Reproduction Management - Estrus induction and synchonization in various programs - Induction of calving Attention: ESTRUMATE® is also licensed for use in pigs and horses in some countries. Please check licensing conditions in your country 5 ESTRUMATE® – the composition Cloprostenol, the active component of ESTRUMATE® exists in two forms, so called isomers. Their molecules are structurally identical but look like mirror images of each other. They are called D and L isomers. Only the D isomer of cloprostenol is biologically active. ESTRUMATE® is formulated as so called racemic mixture. It means that the product contains both D and L isomers of cloprostenol in equal quantities. This means that a clinical dose of ESTRUMATE® in cattle contains 250mcg of the active isomer of cloprostenol. Amount of active isomer per ml ESTRUMATE® 125mcg/ml 6 Active isomer in 2ml dose 250mcg ESTRUMATE® – high potency – reliable efficacy Synthetic analogue = more potent and more resistant to metabolism than natural ones High concentration of the active isomer in a clinical dose Fast and reliable luteolysis Fast and reliable decrease in progesterone levels Good quality of heat followed by fertility comparable to natural heat 7 ESTRUMATE® - a partner you can trust 8 Use of RECEPTAL® and ESTRUMATE® in the field – practical tips 9 Understand the physiological background – ensure high efficacy RECEPTAL® - almost all indications for the use in cattle reproduction base on induction of ovulation (estrus synchronization programs, fertility improvement at AI and post AI) clinical result can only be expected when a DF >10mm is present ESTRUMATE® - practically all uses in cattle base on luteolysis of the CL clinical result can only be expected when a CL sensitive to PG is present 10 Understand the physiological background – ensure high efficacy 11 Understand the physiological background – ensure high efficacy 12 Results of PGF administration vs. reproductive stage CL and placental progesterone CL progesterone 5d 5-150d 150-approx. 270d Last 1-2 weeks This has practical consequences for the use of PGF: No result CL not sensitive to PGF2a Luteolysis and abortion: CL sensitive to PGF2a and the only source of progesterone Single dose of PGF2a will not cause abortion: both CL and placenta producing progesterone 13 Induction of calving Good understanding with the clients is essential… Direct result of PGF2a: luteolysis dramatic decrease of progesterone levels in blood How to detect: - Disappearance of corpus luteum: rectal palpation or ultrasound - Decrease in progesterone concentrations: progesterone test on milk or blood 14 Good understanding with the clients is essential… Indirect result of PGF2a: Disappearance of blocking effect of progesterone heat and ovulation Depends on: - Ability of the ovaries to respond: presence of a corpus luteum, presence of follicles able to grow and ovulate, adequate stimulation from the pituitary gland - Ability of the animal to demonstrate heat: body condition, general health, housing - Ability of the owner to correctly detect heat 15 RECEPTAL® & ESTRUMATE® - the perfect tandem Base of your reproduction management in cattle 16 Therapeutic possibilities based on RECEPTAL® and EsSTRUMATE® • Routine estrus induction and synchonization Ovsynch and modifications • Management of heat in summer months Ovsynch • Treatment of COD with predictable service time Ovsynch, modified Ovsynch 17 Thank you very much for your kind attention Questions? 18