ΠΑΡΑΡΤΗΜΑ 1: SUMMARY OF PRODUCT CHARACTERISTICS 1. NAME OF THE VETERINARY MEDICINAL PRODUCT CLOXALENE DRY COW , 100 mg/ml, intramammary ointment for dry cows. 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Each 5-ml syringe contains : Active substance: cloxacillin 500 mg equivalent to cloxacillin benzathine 635mg Excipients: q.s. to 5 ml For a full list of excipients,see section 6.1. 3. PHARMACEUTICAL FORM Intramammary ointment. 4. CLINICAL PARTICULARS 4.1. Target species Dry cows. 4.2. Indications use, specifying the target species CLOXALENE DRY COW is indicated at the time of drying off for therapy of existing subclinical infections due to Gram positive microorganisms sensitive to cloxacillin(Staph. aureus,Str. agalactiae,Str. dysgalactiae, Str. uberis, coagulase-negative Staph., A. pyogenes) for prevention of mastitis arising during the functional rest period of the udder and to reduce the risk of acute mastitis, arising at calving, with the beginning of milk production. 4.3. Contraindications Do not administer to cows with known hypersensitivity to cloxacillin or to any of the excipients. 1/5 4.4. Special warnings for each target species None. 4.5. Special precautions for use Special precautions for use in animals Inappropriate use of the product can increase the incidence of bacteria resistant to cloxacillin and reduce the efficacy of treatment with other beta-lactam antibiotics,owing to the possible appearance of cross-resistance. When possible, cloxacillin should be used only on the basis of sensitivity testing.In the case of occurrence of allergic phenomena,the Veterinary surgeon may, at his/her discretion,interrupt administration and begin suitable symptomatic treatment. Perform the administrations adopting a suitable aseptic technique. Use of the product other than in the instructions supplied in the Summary of Product Characteristics may lead to an increase in the incidence of bacteria resistant to the active substance and may negatively affect this efficacy. Special attention must be given to improving management procedures in the rearing establishment, to avoid any stressing conditions for the animals. Special precautions to be taken by the person administering the veterinary medicinal product to animals People with known sensitivity to cloxacillin must avoid contact with the product. 4.6. Adverse reaction(frequency and severity) In subjects hypersensitive to the penicillins,allergic reactions may occur. In these cases, at the discretion of the Veterinary surgeon, administration of the medicinal product may be interrupted and a suitable symptomatic treatment establishment. 4.7. Use during pregnancy, lactation and egg lay Use is contemplated in the final two months of pregnancy. Do not administer to cows in milk production. 2/5 4.8. Interaction with other medicinal and other forms of interaction The bactericidal effect of cloxacillin is neutralised by the simultaneous use of drugs with bacteriostatic activity(macrolides,sulfonamides and tetracyclines) 4.9. Amounts to be administered and administration route Administer just once, after the final milking at the time of drying off, one intramammary syringe per udder quarter. Administration by the intramammary route. Method of administration Milk and drip off each udder quarter, then clean and disinfect the teats(in particular the orifice) using a suitable preparation. Remove the protection of the cannula of the syringe for partial insertion, while for complete administration, the "partial insertion" cylinder must also be removed. Introduce the cannula into the teat duct and inject the entire contents of the syringe. Insert the canulla, grip with the fingers of the hand the end of the teat and with the thumb and index finger of the other hand push the product contained in the teat duct delicately upwards. Then massage the quarter delicately with both hands, always pushing upwards to spread the product uniformly throughout the cistern. Cloxalene Dry Cow is available in intramammary syringes with the “Twinsert”* system. The “Twinsert”* system, permits both partial and complete insertion of the syringe canulla into the teat canal, according to operating requirements. Antimastitic treatment through partial insertion of the canulla in the teat canal permits a notable reduction in the onset of new udder infections. In fact, complete insertion of the cannula dilates the teat sphincter, facilitating the entry of bacteria and, at the same time, it may transport the bacteria which are present in the keratin layer covering the teat duct, directly into the teat cistern. With partial insertion, the cannula enters only a few millimetres in the teat canal, avoiding dilatation of the sphincter, destruction of the keratin layer and also depositing the antibiotic along the teat canal. In very agitated cows, when there are lesions to the teat or in other special situations, complete insertion of the cannula may be simpler. 3/5 4.10. Overdose (symptoms, emergency procedures, antidotes)if necessary Data not available. 4.11. Withdrawal periods Meat: 42 days Milk: 72 hours(6 milkings) 5. PHARMACOLOGICAL PROPERTIES AND PHARMACOKINETIC PARTICULARS Pharmacotherapeutic group:Antibacterial agents for intramammary use. ATCvet Code:QJ51CF02 5.1. Pharmacodynamic particulars Cloxacillin is a bactericidal beta-lactam isoxazolyl penicillin antibiotic. The mechanism of action of cloxacillin (inhibition of cell wall mucopeptide synthesis) is bactericidal. The antimicrobial spectrum of action of cloxacillin includes Gram-positive microorganisms: Staph. aureus, Str. agalactiae, Str. dysgalactiae, Str. uberis, coagulasenegative staphylococci, A. pyogenes. A feature characteristic of the isoxazolyl penicillins is resistance to beta- lactamase which, hydrolysing the beta- lactam ring of the sensitive penicillins, transforms 6-aminopenicillanic acid into peniciillic acid,which is devoid of antibacterial activity. The spectrum of action of cloxacillin therefore includes not only penicillin-sensitive but also penicillin-resistant microorganisms, which many staphylococcal strains associated with mastitis. 5.2. Pharmacokinetic particulars The benzathine salt of cloxacillin is only slightly soluble in water, therefore giving rise to a therapeutic response extended over time and concentrated especially in the udder. 6. PHARMACOKINETIC PARTICULARS 6.1. List of excipients Glycerol monostearate 40-55 Macrogol cetostearyl ether Paraffin,light liquid 4/5 6.2. Incompatibilities None known. 6.3. Shelf-life Shelf life of the medicinal product as packaged for sale: 2 years. 6.4. Special precautions for storage Store in a cool place protected from light. 6.5. Nature and composition of immediate packaging Cardboard box containing 4x5 ml polyethylene intramammary syringes, in PVC/paper aluminium blister. Cardboard box containing 12x5 ml polyethylene intramammary syringes, in PVC/paper aluminium blister. Cardboard box containing 60x5 ml polyethylene intramammary syringes. Not all pack sizes may be marketed. 6.6. 7. Special precautions for the disposal of unused veterinary medicinal product or waste derived from the use of such products Any unused veterinary medicinal product or waste materials derived from such veterinary medicinal products should be disposed of in accordance with local requirements. MARKETING AUTHORISATION HOLDER FATRO S.p.A. - Via Emilia, 285 - Ozzano Emilia (BO), Italy. 8. MARKETING AUTHORISATION NUMBER 11232 9. DATE OF FIRST AUTHORISATION/RENEWAL OF THE AUTHORISATION 17/6/1987 10. DATE OF REVISION OF THE TEXT 29/7/2010 PROHIBITION OF SALE, SUPPLY AND/OR USE 5/5