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Melovem


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Summary for the public


What is Melovem?

Melovem is a solution for injection that contains the active substance meloxicam (5 mg/ml).

Melovem is a ‘generic veterinary medicine’. This means that Melovem is similar to a ‘reference veterinary medicine’ already authorised in the European Union (EU) called Metacam. Studies have been carried out to show that Melovem is ‘bioequivalent’ to the reference veterinary medicine: this means that Melovem is absorbed and used by the body in the same way as Metacam 5 mg/ml solution for injection.


What is Melovem used for?

Melovem is used in cattle together with appropriate antibiotic therapy to reduce the signs of acute respiratory infection. It is also used in calves of over one week of age and young, non-lactating cattle in combination with oral rehydration therapy to reduce the signs of diarrhoea. In cattle, Melovem is given as a single injection under the skin.

Melovem is also used in pigs to reduce the symptoms of lameness and inflammation. In pigs, it is given as a single injection into a muscle, with a second injection after 24 hours if necessary.


How does Melovem work?

Melovem contains meloxicam, which belongs to a class of medicines called non-steroidal anti-inflammatory drugs (NSAIDs). Meloxicam acts by inhibition of prostaglandin synthesis. As the prostaglandins are substances that trigger inflammation, pain, exudation and fever, meloxicam reduces these responses.


How has Melovem been studied?

Two studies have been carried out to show that Melovem is bioequivalent to the reference medicine. One of these studies was carried out in calves and the other in pigs.


What benefit has Melovem shown during the studies?

Based on the findings of the studies, Melovem was considered to be bioequivalent with the reference medicine. Because of this, Melovem’s benefit is taken as being the same as that of the reference medicine.


What is the risk associated with Melovem?

Swelling at the injection site can occur after injection of Melovem, both in cattle and in pigs. Although the swelling may be painful, it is generally temporary.
Melovem must not be used in animals with liver, heart or kidney problems, or problems that can affect bleeding. It must not be used in animals with evidence of ulcers in the gut. It should not be used in animals that are hypersensitive (allergic) to meloxicam or any of the other ingredients.


What are the precautions for the person who gives the medicine or comes into contact with the animal?

People who are hypersensitive (allergic) to NSAIDs should avoid contact with Melovem. In case of accidental self-injection, the advice of a doctor should be sought immediately.


What is the time to allow before the animal can be slaughtered and the meat used for human consumption (withdrawal period)?

After the last administration of Melovem, cattle should not be slaughtered for 15 days. Pigs should not be slaughtered for five days.


What is the time to allow before milk can be taken from the animal for human consumption?

Melovem should not be used in animals producing milk for human consumption (the product is not indicated for use in lactating cattle).


Why has Melovem been approved?

The Committee for Medicinal Products for Veterinary Use (CVMP) decided that, in accordance with EU requirements, Melovem has been shown to be bioequivalent to Metacam.

Therefore, the CVMP’s view was that, as for Metacam, Melovem’s benefits are greater than its risks for use in cattle in cases of acute respiratory infection with appropriate antibiotic therapy to reduce clinical signs, in calves of over one week of age and young, non-lactating cattle in cases of diarrhoea in combination with oral rehydration therapy to reduce clinical signs, and in pigs for use in non-infectious locomotor disorders to reduce the symptoms of lameness and inflammation. The CVMP recommended that Melovem be given a marketing authorisation. The benefit-risk balance may be found in module 6 of this EPAR.


Other information about Melovem

The European Commission granted a marketing authorisation valid throughout the EU for Melovem to Dopharma Research B.V. on 7 July 2009. Information on the prescription status of this product may be found on the label/outer package.

Authorisation details
Name: Melovem
EMEA Product number: EMEA/V/C/000152
Active substance: meloxicam
INN or common name: Meloxicam
Species: PigsCalves
ATCvet Code: QM01AC06
Generic: A generic medicine is a medicine which is similar to a medicine that has already been authorised (the 'reference medicine'). A generic medicine contains the same quantity of active substance(s) as the reference medicine. Generic and reference medicines are used at the same dose to treat the same disease, and they are equally safe and effective.
Marketing Authorisation Holder: Dopharma Research B.V.
Revision: 2
Date of issue of Market Authorisation valid throughout the European Union: 07/07/2009
Contact address:
Dopharma Research B.V.
Zalmweg 24
4941 VX Raamsdonksveer
The Netherlands




Product Characteristics

ANNEX I

SUMMARY OF PRODUCT CHARACTERISTICS


1.
NAME OF VETERINARY THE MEDICINAL PRODUCT
Melovem 5 mg/ml solution for injection for cattle and pigs
2.
QUALITATIVE AND QUANTITATIVE COMPOSITION
Each ml contains:
Active substance:
Meloxicam 5 mg
Excipient(s):
Benzyl alcohol 50 mg
For a full list of excipients, see section 6.1.
3.
PHARMACEUTICAL FORM
Clear, greenish yellow solution for injection.
4. CLINICAL PARTICULARS
4.1 Targetspecies
Cattle (calves and young cattle) and pigs.
4.2 Indications for use, specifying the target species
Cattle :
For use in acute respiratory infection with appropriate antibiotic therapy to reduce clinical signs in
cattle.
For use in diarrhoea in combination with oral re-hydration therapy to reduce clinical signs in calves of
over one week of age and young, non-lactating cattle.
Pigs :
For use in non-infectious locomotor disorders to reduce the symptoms of lameness and inflammation.
For the relief of post operative pain associated with minor soft tissue surgery such as castration.
4.3 Contraindications
Do not use in animals suffering from impaired hepatic, cardiac or renal function and haemorrhagic
disorders, or where there is evidence of ulcerogenic gastrointestinal lesions.
Do not use in case of hypersensitivity to the active substance or to any of the excipients.
For the treatment of diarrhoea in cattle, do not use in animals of less than one week of age.
Do not use in pigs less than 2 days old.
4.4 Special warnings
Treatment of piglets with Melovem before castration reduces post operative pain. To obtain pain relief
during surgery co-medication with an appropriate anaesthetic/sedative is needed.
To obtain the best possible pain relieving effect post surgery Melovem should be administered 30
minutes before surgical intervention.
2
4.5 Special precautions for use
Special precautions for use in animals
If adverse reactions occur, treatment should be discontinued and the advice of a veterinarian should be
sought.
Avoid use in very severely dehydrated, hypovolaemic or hypotensive animals which require parenteral
rehydration, as there may be a potential risk of renal toxicity.
Special precautions to be taken by the person administering the veterinary medicinal product to
animals
Accidental self-injection may give rise to pain. People with known hypersensitivity to NSAID should
avoid contact with the veterinary medicinal product.
In case of accidental self-injection, seek medical advice immediately and show the package leaflet or
the label to the physician.
4.6 Adverse reactions (frequency and seriousness)
Transient swelling at the injection site was commonly reported in clinical studies following
subcutaneous administration in cattle. Injection site swelling may be painful.
Transient swelling at the injection site was observed in clinical studies following intramuscular
administration in pigs.
In very rare cases, anaphylactoid reactions may occur and should be treated symptomatically.
4.7 Use during pregnancy, lactation or lay
Cattle :
Can be used during pregnancy.
For lactating animals see section 4.11.
Pigs :
Can be used during pregnancy and lactation.
4.8 Interaction with other medicinal products and other forms of interaction
Do not administer concurrently with glucocorticosteroids, other non-steroidal anti-inflammatory drugs
or with anti-coagulant agents.
4.9 Amounts to be administered and administration route
Cattle :
Single subcutaneous injection at a dosage of 0.5 mg meloxicam/kg body weight (i.e. 10.0 ml/100 kg
body weight) in combination with antibiotic therapy or with oral re-hydration therapy, as appropriate.
Pigs :
Locomotor disorders:
Single intramuscular injection at a dosage of 0.4 mg meloxicam/kg body weight (i.e. 2.0 ml/25 kg
body weight). If required, a second administration of meloxicam can be given after 24 hours.
It is recommended to administer the second injection at a different site since local tolerance has been
assessed after single injection only.
Reduction of post-operative pain:
Single intramuscular injection at a dosage of 0.4 mg meloxicam/kg body weight (i.e. 0.4 ml/5 kg body
weight) before surgery.
3
Particular care should be taken with regard to the accuracy of dosing including the use of an
appropriate dosing device and careful estimation of body weight.
Avoid introduction of contamination during use.
4.10 Overdose (symptoms, emergency procedures, antidotes), if necessary
In the case of overdosage symptomatic treatment should be initiated.
4.11 Withdrawalperiods
Cattle :
Meat and offal: 15 days.
Not permitted for use in lactating animals producing milk for human consumption.
Pigs :
Meat and offal: 5 days.
5.
PHARMACOLOGICAL PROPERTIES
Pharmacotherapeutic group: Antiinflammatory and antirheumatic products, non-steroids (oxicams)
ATCvet code: QM01AC06.
5.1 Pharmacodynamicproperties
Meloxicam is a non-steroidal anti-inflammatory drug (NSAID) of the oxicam class which acts by
inhibition of prostaglandin synthesis, thereby exerting anti-inflammatory, anti-exudative, analgesic
and antipyretic properties. Meloxicam also has anti-endotoxic properties because it has been shown to
inhibit production of thromboxane B 2 induced by E. coli endotoxin administration in calves and pigs.
5.2 Pharmacokinetic particulars
Absorption
After a single subcutaneous dose of 0.5 mg meloxicam/kg, C max values of 2.1 μg/ml were reached after
7.7 hours in young cattle.
Following single intramuscular doses of 0.4 mg meloxicam/kg, a C max values of 1.1 to 1.5 μg/ml were
reached within 1 hour in pigs.
Distribution
More than 98 % of meloxicam is bound to plasma proteins. The highest meloxicam concentrations are
to be found in liver and kidney. Comparatively low concentrations are detectable in skeletal muscle
and fat.
Metabolism
Meloxicam is predominantly found in plasma. In cattle, meloxicam is also a major excretion product
in milk and bile whereas urine contains only traces of the parent compound. In pigs, bile and urine
contain only traces of the parent compound. Meloxicam is metabolised to an alcohol, an acid
derivative and to several polar metabolites. All major metabolites have been shown to be
pharmacologically inactive.
Elimination
Meloxicam is eliminated with a half-life of 26 hours after subcutaneous injection in young cattle.
In pigs, after intramuscular administration, the mean plasma biological elimination half-life is
approximately 2.5 hours.
4
Approximately 50 % of the administered dose is eliminated via urine and the remainder via faeces.
6.
PHARMACEUTICAL PARTICULARS
6.1 List of excipients
Benzyl alcohol
Hydrochloric acid
Sodium chloride
Macrogol 400
Macrogol 1500
Meglumine
Water for injection
6.2 Incompatibilities
In the absence of compatibility studies, this veterinary medicinal product must not be mixed with other
veterinary medicinal products.
6.3 Shelf life
Shelf life of the veterinary medicinal product as packaged for sale: 2 years.
Shelf life after first opening the immediate packaging: 28 days.
6.4. Special precautions for storage
Keep injection vial in the outer carton in order to protect from light.
This veterinary medicinal product does not require any special temperature storage conditions.
6.5 Nature and composition of immediate packaging
Cardboard box with 1 colourless, type I glass injection vial of 100 ml, which is closed with a
bromobutyl rubber stopper and sealed with an aluminium cap.
6.6 Special precautions for the disposal of unused veterinary medicinal products or waste
materials 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.
7.
MARKETING AUTHORISATION HOLDER
Dopharma Research B.V.
Zalmweg 24
4941 VX Raamsdonksveer The Netherlands
8. MARKETING AUTHORISATION NUMBER
EU/2/09/098/001
5
9. DATE OF FIRST AUTHORISATION/RENEWAL OF THE AUTHORISATION
7 July 2009
10 DATE OF REVISION OF THE TEXT
08/04/2010
Detailed information on this veterinary medicinal product is available on the website of the European
Medicines Agency http://www.ema.europa.eu /.
PROHIBITION OF SALE, SUPPLY AND/OR USE
Not applicable.
6
ANNEX II
A. THE MANUFACTURING AUTHORISATION HOLDER RESPONSIBLE FOR
BATCH RELEASE
B. CONDITIONS OR RESTRICTIONS OF THE MARKETING AUTHORISATION
REGARDING SUPPLY OR USE
C. CONDITIONS OR RESTRICTIONS OF THE MARKETING
AUTHORISATION WITH REGARD TO SAFE AND EFFECTIVE USE
D. STATEMENT OF THE MRLs
7
A. MANUFACTURING AUTHORISATION HOLDER RESPONSIBLE FOR BATCH
RELEASE
Name and address of the manufacturer responsible for batch release
Dopharma B.V.
Zalmweg 24
4941 VX Raamsdoonksveer
The Netherlands
B. CONDITIONS OR RESTRICTIONS OF THE MARKETING AUTHORISATION
REGARDING SUPPLY OR USE
To be supplied only on veterinary prescription.
C. CONDITIONS OR RESTRICTIONS OF THE MARKETING AUTHORISATION WITH
REGARD TO THE SAFE AND EFFECTIVE USE OF THE PRODUCT
Not applicable
D. STATEMENT OF THE MRLs
The Committee for Veterinary Medicinal Products has recommended the inclusion of meloxicam in
Annex I of Council Regulation (EEC) No 2377/90 in accordance with the following table:
Pharmacologically
active substance(s)
Marker residue
Animal
species
MRLs
Target tissues
Other
provisions
Meloxicam
Meloxicam
Bovine
20 µg/kg
65 µg/kg
65 µg/kg
15 µg/kg
Muscle
Liver
Kidney
Milk
Porcine
20 µg/kg
65 µg/kg
65 µg/kg
Muscle
Liver
Kidney
All other constituents of Melovem are included in Annex II of Council Regulation (EEC) No 2377/90
or are considered as not falling within the scope of the Regulation.
8
 
ANNEX III
LABELLING AND PACKAGE LEAFLET
9
A. LABELLING
10
PARTICULARS TO APPEAR ON THE OUTER PACKAGE
Cardboard box
1.
NAME OF VETERINARY THE MEDICINAL PRODUCT
Melovem 5 mg/ml solution for injection for cattle and pigs.
Meloxicam
2.
STATEMENT OF ACTIVE AND OTHER SUBSTANCES
Each ml contains:
Active substance:
Meloxicam 5 mg
Excipients:
Benzyl alcohol 50 mg
3.
PHARMACEUTICAL FORM
Solution for injection
4.
PACKAGE SIZE
100 ml
5.
TARGET SPECIES
Cattle (calves and young cattle) and pigs
6.
INDICATION(S)
Cattle:
Acute respiratory infection.
Diarrhoea in calves of over one week of age and young, non-lactating cattle.
Pigs:
Non-infectious locomotor disorders.
Post operative pain associated with minor soft tissue surgery such as castration.
7.
METHOD AND ROUTE(S) OF ADMINISTRATION
Read the package leaflet before use.
8.
WITHDRAWAL PERIOD
Cattle: meat and offal: 15 days.
11
 
Not permitted for use in lactating animals producing milk for human consumption.
Pigs: meat and offal: 5 days.
9.
SPECIAL WARNING(S), IF NECESSARY
10. EXPIRY DATE
EXP {month/year}
Once broached, use within 28 days
11. SPECIAL STORAGE CONDITIONS
Keep the injection vial in the outer carton in order to protect from light.
12. SPECIAL PRECAUTIONS FOR THE DISPOSAL OF UNUSED PRODUCTS OR
WASTE MATERIALS, IF ANY
Dispose of waste material in accordance with local requirements.
13. THE WORDS “FOR ANIMAL TREATMENT ONLY” AND CONDITIONS OR
RESTRICTIONS REGARDING SUPPLY AND USE, if applicable
For animal treatment only.
To be supplied only on veterinary prescription.
14. THE WORDS “KEEP OUT OF THE REACH AND SIGHT OF CHILDREN”
Keep out of the reach and sight of children.
15. NAME AND ADDRESS OF THE MARKETING AUTHORISATION HOLDER
Dopharma Research B.V.
Zalmweg 24
4941 VX Raamsdonksveer - NL
16. MARKETING AUTHORISATION NUMBER(S)
EU/2/09/098/001
17. MANUFACTURER’S BATCH NUMBER
Lot: {number}
12
 
PARTICULARS TO APPEAR ON THE IMMEDIATE PACKAGE
Glass vial
1.
NAME OF VETERINARY THE MEDICINAL PRODUCT
Melovem 5 mg/ml solution for injection for cattle and pigs.
Meloxicam
2.
STATEMENT OF ACTIVE SUBSTANCE
Each ml contains:
Meloxicam 5 mg
Benzyl alcohol 50 mg
3.
PHARMACEUTICAL FORM
Solution for injection
4.
PACKAGE SIZE
100 ml
5.
TARGET SPECIES
Cattle (calves and young cattle) and pigs
6.
INDICATION(S)
Read the package leaflet before use.
7.
METHOD(S) AND ROUTES OF ADMINISTRATION
Cattle: subcutaneous injection.
Pigs: intramuscular injection.
Read the package leaflet before use.
8.
WITHDRAWAL PERIOD
Cattle: meat and offal: 15 days.
Not permitted for use in lactating animals producing milk for human consumption.
Pigs: meat and offal: 5 days.
13
 
9.
SPECIAL WARNING(S), IF NECESSARY
10. EXPIRY DATE
EXP: {month/year}
Once broached, use within 28 days.
11. SPECIAL STORAGE CONDITIONS
Keep the injection vial in the outer carton in order to protect from light.
12. SPECIAL PRECAUTIONS FOR THE DISPOSAL OF UNUSED PRODUCTS OR
WASTE MATERIALS, IF ANY
Dispose of waste material in accordance with local requirements.
13. THE WORDS “FOR ANIMAL TREATMENT ONLY” AND CONDITIONS OR
RESTRICTIONS REGARDING SUPPLY AND USE, if applicable
For animal treatment only.
To be supplied only on veterinary prescription.
14. THE WORDS “KEEP OUT OF THE REACH AND SIGHT OF CHILDREN”
Keep out of the reach and sight of children.
15. NAME AND ADDRESS OF THE MARKETING AUTHORISATION HOLDER
Dopharma Research B.V.
Zalmweg 24
4941 VX Raamsdonksveer - NL
16. MARKETING AUTHORISATION NUMBER(S)
EU/2/09/098/001
17. MANUFACTURER’S BATCH NUMBER
Lot: {number}
14
 
B. PACKAGE LEAFLET
15
PACKAGE LEAFLET
Melovem 5 mg/ml solution for injection for cattle and pigs
1.
NAME AND ADDRESS OF THE MARKETING AUTHORISATION HOLDER AND OF
THE MANUFACTURING AUTHORISATION HOLDER RESPONSIBLE FOR BATCH
RELEASE, IF DIFFERENT
Marketing authorisation holder:
Dopharma Research B.V.
Zalmweg 24
4941 VX Raamsdonksveer The Netherlands
Manufacturer responsible for the batch release:
Dopharma B.V.
Zalmweg 24
4941 VX Raamsdonksveer The Netherlands
2.
NAME OF VETERINARY THE MEDICINAL PRODUCT
Melovem 5 mg/ml solution for injection for cattle and pigs
Meloxicam
3. STATEMENT OF THE ACTIVE SUBSTANCE(S) AND OTHER INGREDIENT(S)
Each ml contains:
Active substance:
Meloxicam 5 mg
Excipient(s):
Benzyl alcohol 50 mg
A clear, greenish yellow solution.
4.
INDICATION(S)
Cattle:
For use in acute respiratory infection with appropriate antibiotic therapy to reduce clinical signs in
cattle.
For use in diarrhoea in combination with oral re-hydration therapy to reduce clinical signs in calves of
over one week of age and young, non-lactating cattle.
Pigs:
For use in non-infectious locomotor disorders to reduce the symptoms of lameness and inflammation.
For the relief of post operative pain associated with minor soft tissue surgery such as castration.
5.
CONTRAINDICATIONS
Do not use in animals suffering from impaired hepatic, cardiac or renal function and haemorrhagic
disorders, or where there is evidence of ulcerogenic gastrointestinal lesions.
Do not use in case of hypersensitivity to the active substance or to any of the excipients.
16
For the treatment of diarrhoea in cattle, do not use in animals of less than one week of age.
Do not use in pigs less than 2 days old.
6.
ADVERSE REACTIONS
Transient swelling at the injection site was commonly reported in clinical studies following
subcutaneous administration in cattle. Injection site swelling may be painful.
Transient swelling at the injection site was observed in clinical studies following intramuscular
administration in pigs.
In very rare cases, anaphylactoid reactions may occur and should be treated symptomatically.
If you notice any serious effects or other effects not mentioned in this leaflet, please inform your
veterinary surgeon.
7.
TARGET SPECIES
Cattle (calves and young cattle) and pigs.
8.
DOSAGE FOR EACH SPECIES, ROUTE(S) AND METHOD(S) OF
ADMINISTRATION
Cattle:
Single subcutaneous injection at a dosage of 0.5 mg meloxicam/kg body weight (i.e. 10.0 ml/100 kg
body weight) in combination with antibiotic therapy or with oral re-hydration therapy, as appropriate.
Pigs:
Locomotor disorders:
Single intramuscular injection at a dosage of 0.4 mg meloxicam/kg body weight (i.e. 2.0 ml/25 kg
body weight).
If required, a second administration of meloxicam can be given after 24 hours. It is recommended to
administer the second injection at a different site since local tolerance has been assessed after single
injection only.
Reduction of post-operative pain:
Single intramuscular injection at a dosage of 0.4 mg meloxicam/kg body weight (i.e. 0.4 ml/5 kg body
weight) before surgery.
Particular care should be taken with regard to the accuracy of dosing including the use of an
appropriate dosing device and careful estimation of body weight.
9.
ADVICE ON CORRECT ADMINISTRATION
Avoid introduction of contamination during use.
10. WITHDRAWAL PERIOD
Cattle: meat and offal: 15 days.
Not permitted for use in lactating animals producing milk for human consumption.
Pigs: meat and offal: 5 days.
17
11. SPECIAL STORAGE PRECAUTIONS
Keep out of the reach and sight of children.
Keep injection vial in the outer carton in order to protect from light.
This veterinary medicinal product does not require any special temperature storage conditions.
Shelf life after first opening the container: 28 days.
Do not use after the expiry date (EXP) stated on the carton and bottle.
12. SPECIAL WARNINGS
Treatment of piglets with Melovem before castration reduces post operative pain. To obtain pain relief
during surgery co-medication with an appropriate anaesthetic/sedative is needed.
To obtain the best possible pain relieving effect post surgery Melovem should be administered 30
minutes before surgical intervention.
Precautions for use in animals
If adverse reactions occur, treatment should be discontinued and the advice of a veterinarian should be
sought.
Avoid use in very severely dehydrated, hypovolaemic or hypotensive animals which require parenteral
rehydration, as there may be a potential risk of renal toxicity.
Precautions to be taken by the person administering the product
Accidental self-injection may give rise to pain. People with known hypersensitivity to Non-Steroidal
Anti-Inflammatory Drugs (NSAIDs) should avoid contact with the veterinary medicinal product. In
case of accidental self-injection, seek medical advice immediately and show this package leaflet or the
label to the physician.
Use during pregnancy and lactation
Cattle: Can be used during pregnancy.
Pigs: Can be used during pregnancy and lactation.
Interactions
Do not administer concurrently with glucocorticosteroids, other non-steroidal anti-inflammatory drugs
or with anti-coagulant agents.
Overdose
In the case of overdosage, symptomatic treatment should be initiated.
13. SPECIAL PRECAUTIONS FOR THE DISPOSAL OF UNUSED PRODUCTS OR
WASTE MATERIALS, IF ANY
Waste materials should be disposed of in accordance with local requirements.
14. DATE ON WHICH THE PACKAGE LEAFLET WAS LAST APPROVED
08/04/2010
Detailed information on this veterinary medicinal product is available on the website of the European
Medicines Agency http://www.ema.europa.eu /.
18
15. OTHER INFORMATION
Cardboard box with 1 colourless type I glass injection vial of 100 ml, which is closed with a
bromobutyl rubber stopper and sealed with an aluminium cap.
19


Source: European Medicines Agency



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