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Startvac


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Summary for the public


What is Startvac?

Startvac is a vaccine for cows that contains inactivated (killed) bacteria called Escherichia coli and Staphylococcus aureus. Startvac is an emulsion for injection that is available in vials (3, 10 and 50 ml).


What is Startvac used for?

Startvac is used to strengthen the immunity of whole herds of otherwise healthy dairy cows in herds that are known to have problems due to mastitis (inflammation of the udder due to infection). The strengthened immunity reduces the number of cows affected and the severity of clinical signs.

Startvac is given to all healthy cows in a herd, during and after pregnancy. It is given as three injections into the neck muscle: the first is given 45 days before the cow is expected to give birth, the second 35 days later, and the third after another 62 days. The full course of injections should be repeated for every pregnancy.


How does Startvac work?

Startvac is a vaccine. Vaccines work by ‘teaching’ the immune system (the body’s natural defences) how to defend itself against a disease. Startvac contains killed forms of two bacteria that normally cause mastitis (Escherichia coli and Staphylococcus aureus). When it is given to a cow, the animal’s immune system recognises the bacteria as ‘foreign’ and makes antibodies against them. In the future, the immune system will be able to make the antibodies more quickly when it is exposed to the bacteria again. The antibodies will help to fight the bacteria, preventing mastitis occurring or reducing the severity of its symptoms.

The vaccine also contains an ‘adjuvant’ (liquid paraffin) to stimulate a better response.


How has Startvac been studied?

The company has carried out a number of studies, including one main study that looked at the effectiveness of Startvac in dairy cows under field conditions. The study compared cows that were given Startvac with those that were given placebo (a dummy vaccine) and looked at the number of cows with mastitis, the severity of mastitis symptoms, and milk production.


What benefit has Startvac shown during the studies?

The studies showed that Startvac reduced the number of cows with mastitis due to Staphylococcus aureus and related bacteria and it reduced the severity of the symptoms in the cows that had mastitis. Vaccination with Startvac also led to an increased number of cows being cured of the infection, a reduction in the number of cows that needed treatment for mastitis, and an increase in the quantity and quality of milk production.

Startvac injections did not have any harmful effects on pregnancy or giving birth, or on the cows’ calves.


What is the risk associated with Startvac?

The vaccine may cause temporary swelling and pain at the site of injection. It may also cause a temporary increase in body temperature.


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

Startvac contains liquid paraffin (a type of mineral oil). Accidental injection or self-injection could cause severe pain and swelling, particularly if the vaccine is injected into a joint or finger. In rare cases, this could result in the loss of the affected finger if prompt medical attention is not given.

If you are accidentally injected with this product, seek medical advice promptly, even if only a very small amount is injected, and take the Package Leaflet with you. If pain persists for more than 12 hours after medical examination, seek medical advice again.


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

The withdrawal period is zero days. The animal can be slaughtered for food at any time after injection.


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

Milk can be taken at any time after injection.


Why has Startvac been approved?

The Committee for Medicinal Products for Veterinary Use (CVMP) concluded that the benefits of Startvac exceed the risks for herd immunisation of healthy cows and heifers, in dairy cattle herds with recurring mastitis problems, to reduce the incidence of sub-clinical mastitis and the incidence and severity of the clinical signs of clinical mastitis caused by Staphylococcus aureus, coliforms and coagulase-negative staphylococci, and recommended that Startvac be given a marketing authorisation. The benefit-risk balance may be found in module 6 of this EPAR.


Other information about Startvac

The European Commission granted a marketing authorisation valid throughout the European Union, for Startvac to Laboratorios Hipra, S.A. on 11 February 2009. Information on the prescription status of this product may be found on the label/outer package.

Authorisation details
Name: Startvac
EMEA Product number: EMEA/V/C/000130
Active substance: Escherichia coli J5 inactivated, Staphylococcus aureus (CP8) strain SP 140 inactivated, expressing Slime Associated Antigenic Complex (SAAC)
INN or common name: Adjuvanted inactivated vaccine for cattle against Staphylococcus aureus, coliforms and coagulase-negative staphylococci
Species: Cattle (cows and heifers)
ATCvet Code: QI02AB
Marketing Authorisation Holder: Laboratorios Hipra S.A.
Revision: 0
Date of issue of Market Authorisation valid throughout the European Union: 11/02/2009
Contact address:
Laboratorios Hipra S.A.
Avda. La Selva, 135
17170- AMER (Girona)
SPAIN




Product Characteristics

ANNEX I

SUMMARY OF PRODUCT CHARACTERISTICS


1.
NAME OF VETERINARY THE MEDICINAL PRODUCT
STARTVAC
Emulsion for injection for cattle
2.
QUALITATIVE AND QUANTITATIVE COMPOSITION
One dose (2 ml) contains:
Active substances:
Escherichia coli J5 inactivated............................................................................ > 50 RED 60 *
Staphylococcus aureus (CP8) strain SP 140 inactivated, expressing Slime Associated
Antigenic Complex (SAAC) ..........…………………………………………… > 50 RED 80 **
* RED 60 : Rabbit effective dose in 60 % of the animals (serology).
** RED 80 : Rabbit effective dose in 80 % of the animals (serology).
Adjuvant:
Liquid paraffin.............................................................................. 18.2 mg
Excipient:
Benzyl alcohol…………….......................................................... 21 mg
For a full list of excipients, see section 6.1.
3.
PHARMACEUTICAL FORM
Emulsion for injection.
4.
CLINICAL PARTICULARS
4.1
Target species
Cattle (cows and heifers).
4.2
Indications for use, specifying the target species
For herd immunisation of healthy cows and heifers, in dairy cattle herds with recurring mastitis
problems, to reduce the incidence of sub-clinical mastitis and the incidence and the severity of the
clinical signs of clinical mastitis caused by Staphylococcus aureus , coliforms and coagulase-negative
staphylococci.
The full immunisation scheme induces immunity from approximately day 13 after the first injection
until approximately day 78 after the third injection (equivalent to 130 days post-parturition).
4.3
Contraindications
None.
2
4.4
Special warnings
The whole herd should be immunised.
Immunisation has to be considered as one component in a complex mastitis control program that
addresses all important udder health factors (e.g. milking technique, dry-off and breeding
management, hygiene, nutrition, housing, bedding, cow comfort, air and water quality, health
monitoring) and other management practices.
4.5
Special precautions for use
Special precautions for use in animals
Only healthy animals should be immunised.
Special precautions to be taken by the person administering the veterinary medicinal product to
animals
To the user:
This product contains mineral oil. Accidental injection/self injection may result in severe pain and
swelling, particularly if injected into a joint or finger, and in rare cases could result in the loss of the
affected finger if prompt medical attention is not given.
If you are accidentally injected with this product, seek prompt medical advice even if only a very
small amount is injected and take the package leaflet with you.
If pain persists for more than 12 hours after medical examination, seek medical advice again.
To the physician:
This product contains mineral oil. Even if small amounts have been injected, accidental injection with
this product can cause intense swelling, which may, for example, result in ischaemic necrosis and even
the loss of a digit. Expert, PROMPT, surgical attention is required and may necessitate early incision
and irrigation of the injected area, especially where there is involvement of finger pulp or tendon.
4.6
Adverse reactions (frequency and seriousness)
Slight to moderate transient local reactions may occur after the administration of one dose of vaccine.
They would mainly be: swelling (up to 5 cm 2 on average), which disappears within 1 or 2 weeks at
most. In some cases, there may also be pain at the inoculation site that spontaneously subsides in a
maximum of 4 days.
A mean transient increase in body temperature of about 1°C, in some cows up to 2°C, may occur in
the first 24 hours after injection.
4.7 Use during pregnancy or lactation
Can be used during pregnancy and lactation.
4.8 Interaction with other medicinal products and other forms of interaction
No information is available on the safety and efficacy of this vaccine when used with any other
veterinary medicinal product. A decision to use this vaccine before or after any other veterinary
medicinal product therefore needs to be made on a case by case basis.
3
4.9
Amounts to be administered and administration route
Intramuscular use. The injections should be preferably administered on the alternate sides of the neck.
Allow the vaccine to reach a temperature of +15 to + 25
°
C before administration. Shake before use.
Administer one dose (2 ml) by deep intramuscular injection in the neck muscles and according to the
following schedule:
- First injection at 45 days before the expected parturition date.
- Second injection 35 days thereafter (corresponding to 10 days before the expected parturition
date).
- Third injection 62 days after the second injection (equivalent to 52 days post-parturition).
The full immunisation program should be repeated with each gestation.
4.10 Overdose (symptoms, emergency procedures, antidotes), if necessary
No adverse reactions other than those mentioned in section 4.6. were observed after the administration
of a double dose of vaccine.
4.11 Withdrawalperiod(s)
Zero days.
5.
IMMUNOLOGICAL PROPERTIES
To stimulate active immunity against Staphylococcus aureus , coliforms and coagulase-negative
staphylococci.
ATCvet code: QI02 AB (Inactivated bacterial vaccines for bovidae).
6.
PHARMACEUTICAL PARTICULARS
6.1 List of excipients
Benzyl alcohol
Liquid paraffin
Sorbitan monooleate
Polysorbate 80
Sodium alginate
Calcium chloride, dihydrate
Simeticone
Water for injections
6.2 Incompatibilities
Do not mix with any other vaccine or immunological product.
6.3 Shelf life
Shelf life of the veterinary medicinal product as packaged for sale: 18 months.
Shelf life after first opening the immediate packaging: 10 hours stored at +15 to +25 ºC.
4
6.4. Specialprecautionsforstorage
Store and transport refrigerated (2 to 8
°
C) and protected from light.
Do not freeze.
6.5 Nature and composition of immediate packaging
3 ml, 10 ml and 50 ml Type I colourless glass vials, closed with rubber stoppers and aluminium caps.
Pack sizes :
- Cardboard box with 1, 10 and 20 vials of 1 dose.
- Cardboard box with 1 and 10 vials of 5 doses.
- Cardboard box with 1 and 10 vials of 25 doses
Not all pack sizes may be marketed.
6.6 Special precautions for the disposal of unused veterinary medicinal product 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
LABORATORIOS HIPRA, S.A.
Avda. La Selva, 135
17170- AMER (Girona)
SPAIN
Tel. +34 972 430660
Fax. +34 972 430661
E-mail: hipra@hipra.com
8.
MARKETING AUTHORISATION NUMBER
9.
DATE OF FIRST AUTHORISATION/RENEWAL OF THE AUTHORISATION
DD/MM/YYYY
10.
DATE OF REVISION OF THE TEXT
MM/YYYY
Detailed information on this veterinary medicinal product is available on the website of the European
Medicines Agency (EMA) http://www.ema.europa.eu
PROHIBITION OF SALE, SUPPLY AND/OR USE
Not applicable.
5
ANNEX II
A. MANUFACTURER OF THE BIOLOGICAL ACTIVE SUBSTANCEs AND
MANUFACTURING AUTHORISATION HOLDER(S) 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
6
A. MANUFACTURER OF THE BIOLOGICAL ACTIVE SUBSTANCES AND
MANUFACTURING AUTHORISATION HOLDER(S) RESPONSIBLE FOR BATCH
RELEASE
Name and address of the manufacturer of the biological active substances
Laboratorios Hipra, S.A.
Avda. La Selva, 135
17170 Amer (Girona)
Spain
Name and address of the manufacturer responsible for batch release
Laboratorios Hipra S.A.
Avda. La Selva, 135
17170 Amer (Girona)
Spain
The printed package insert of the medicinal product must state the name and address of the
manufacturer responsible for the release of the concerned batch.
B. CONDITIONS OR RESTRICTIONS OF THE MARKETING AUTHORISATION
REGARDING SUPPLY OR USE
To be supplied only on veterinary prescription.
The holder of this marketing authorisation must inform the European Commission about the marketing
plans for the medicinal product authorised by this decision.
C. CONDITIONS OR RESTRICTIONS OF THE MARKETING AUTHORISATION WITH
REGARD TO SAFE AND EFFECTIVE USE
Not applicable
D. STATEMENT OF THE MRLs
which are be accepted in accordance with Council Regulation (EEC) No 2377/90 and in accordance
with Article 31 (3b) of Council Regulation (EEC) No 2309/93 of 22 July 1993, as amended.
Pharmacologically active
substances
Animal Species
Other provisions
Benzyl alcohol
Annex II for all food
producing species
Council Regulation (EEC) No 1442/95. For
use as excipient.
Liquid paraffin
Annex II for all food
producing species
Mineral hydrocarbons, low to high viscosity
including microcrystalline waxes,
approximately C10-C60; aliphatic, branched
aliphatic and alicyclic compounds. CR No
2804/95.
7
 
Sorbitan monooleate
Annex II for all food
producing species
Approved food additive (E494). CR No
2034/96
Polysorbate 80
Annex II for all food
producing species
CR No. 2796/95
Sodium alginate
Annex II for all food
producing species
Approved food additive (E401). CR No
2034/96
Calcium chloride,
dihydrate
A nnex II for all food
producing species
Council Regulation (EEC) No 1102/95
Simeticone
(dimethicone)
Annex II for all food
producing species
Council Regulation (EEC) No 2796/95
8
 
ANNEX III
LABELLING AND PACKAGE LEAFLET
9
A. LABELLING
10
PARTICULARS TO APPEAR ON THE OUTER PACKAGE
{CARDBOARD BOXES}
1.
NAME OF VETERINARY THE MEDICINAL PRODUCT
STARTVAC
Emulsion for injection for cattle
2.
STATEMENT OF ACTIVE AND OTHER SUBSTANCES
One dose (2 ml) contains:
E. coli J5 inactivated > 50 RED 60 (Rabbit effective dose in 60 % of the animals (serology)).
S. aureus (CP8) strain SP140 inactivated, expressing Slime Associated Antigenic Complex (SAAC) >
50 RED 80 (In 80 % of the animals).
Liquid paraffin: 18.2 mg
Benzyl alcohol: 21 mg
3.
PHARMACEUTICAL FORM
Emulsion for injection.
4.
PACKAGE SIZE
1 vial of 1 dose (2ml)
10 vials of 1 dose (2 ml)
20 vials of 1 dose (2 ml)
1 vial of 5 doses (10 ml)
10 vials of 5 doses (10 ml)
1 vial of 25 doses (50 ml)
10 vials of 25 doses (50 ml)
5.
TARGET SPECIES
Cattle (cows and heifers).
6.
INDICATION(S)
For herd immunisation of healthy cows and heifers, in dairy cattle herds with recurring mastitis
problems, to reduce the incidence of sub-clinical mastitis and the incidence and the severity of the
clinical signs of clinical mastitis caused by Staphylococcus aureus , coliforms and coagulase-negative
staphylococci.
The full immunisation scheme induces immunity from approximately day 13 after the first injection
until approximately day 78 after the third injection (equivalent to 130 days post-parturition).
11
 
7.
METHOD AND ROUTE(S) OF ADMINISTRATION
Intramuscular use.
Read the package leaflet before use.
8.
WITHDRAWAL PERIOD
Withdrawal period: Zero days.
9.
SPECIAL WARNING(S), IF NECESSARY
Special warnings:
Accidental self-injection is dangerous – read the package leaflet before use.
10. EXPIRY DATE
EXP {month/yyyy}
Once opened, use within a 10-hour period, stored at +15 to + 25 ºC.
11. SPECIAL STORAGE CONDITIONS
Store and transport refrigerated (+2 to +8
°
C) and protected from light.
Do not freeze.
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
LABORATORIOS HIPRA, S.A.
Avda. La Selva, 135
17170- AMER (Girona)
SPAIN
12
 
16. MARKETING AUTHORISATION NUMBER(S)
EU/0/00/000/000
17. MANUFACTURER’S BATCH NUMBER
Batch{number}
13
 
MINIMUM PARTICULARS TO APPEAR ON SMALL IMMEDIATE PACKAGING UNITS
{LABEL OF 1 DOSE VIAL}
1.
NAME OF VETERINARY THE MEDICINAL PRODUCT
STARTVAC
Emulsion for injection.
2.
QUANTITY OF THE ACTIVE SUBSTANCE(S)
One dose contains:
E.coli J5 inactivated; S.aureus CP8 strain SP140 inactivated; Liquid paraffin; Benzyl alcohol.
3.
CONTENTS BY WEIGHT, BY VOLUME OR BY NUMBER OF DOSES
1 dose (2 ml)
4.
ROUTE(S) OF ADMINISTRATION
Intramuscular use.
5.
WITHDRAWAL PERIOD
Withdrawal period: Zero days.
6.
BATCH NUMBER
Batch {number}
7.
EXPIRY DATE
EXP {month/yyyy}
Once opened, use within a 10-hour period, stored at +15 to + 25 ºC.
8.
THE WORDS “FOR ANIMAL TREATMENT ONLY”
For animal treatment only.
14
 
MINIMUM PARTICULARS TO APPEAR ON SMALL IMMEDIATE PACKAGING UNITS
{LABEL OF 5 DOSES VIAL}
1.
NAME OF VETERINARY THE MEDICINAL PRODUCT
STARTVAC
Emulsion for injection.
2.
QUANTITY OF THE ACTIVE SUBSTANCE(S)
One dose (2 ml) contains:
E.coli J5 inactivated > 50 RED 60
S. aureus CP8 strain SP140 inactivated > 50 RED 80
Liquid paraffin: 18.2 mg
Benzyl alcohol: 21 mg
3.
CONTENTS BY WEIGHT, BY VOLUME OR BY NUMBER OF DOSES
5 doses (10 ml)
4.
ROUTE(S) OF ADMINISTRATION
Intramuscular use.
5.
WITHDRAWAL PERIOD
Withdrawal period: Zero days.
6.
BATCH NUMBER
Batch {number}
7.
EXPIRY DATE
EXP {month/yyyy}
Once opened, use within a 10-hour period, stored at +15 to + 25 ºC.
8.
THE WORDS “FOR ANIMAL TREATMENT ONLY”
For animal treatment only.
15
 
MINIMUM PARTICULARS TO APPEAR ON SMALL IMMEDIATE PACKAGING UNITS
{LABEL OF 25 DOSES VIAL}
1.
NAME OF VETERINARY THE MEDICINAL PRODUCT
STARTVAC
Emulsion for injection.
2.
QUANTITY OF THE ACTIVE SUBSTANCE(S)
One dose (2 ml) contains:
E.coli J5 inactivated > 50 RED 60 *
S. aureus CP8 strain SP140 inactivated, expressing SAAC > 50 RED 80 *
* RED: Rabbit effective dose in 60 % or in 80 % of the animals (serology).
Liquid paraffin: 18.2 mg
Benzyl alcohol: 21 mg
3.
CONTENTS BY WEIGHT, BY VOLUME OR BY NUMBER OF DOSES
25 doses (50 ml)
4.
ROUTE(S) OF ADMINISTRATION
Intramuscular use.
5.
WITHDRAWAL PERIOD
Withdrawal period: Zero days.
6.
BATCH NUMBER
Batch {number}
7.
EXPIRY DATE
EXP {month/yyyy}
Once opened, use within a 10-hour period, stored at +15 to + 25 ºC.
8.
THE WORDS “FOR ANIMAL TREATMENT ONLY”
For animal treatment only.
16
 
B. PACKAGE LEAFLET
17
PACKAGE LEAFLET
STARTVAC
Emulsion for injection for cows and heifers
1. NAME AND ADDRESS OF THE MARKETING AUTHORISATION HOLDER AND OF
THE MANUFACTURING AUTHORISATION HOLDER RESPONSIBLE FOR BATCH
RELEASE, IF DIFFERENT
Marketing authorisation holder and manufacturer:
LABORATORIOS HIPRA, S.A.
Avda. La Selva, 135
17170- AMER (Girona)
SPAIN
2.
NAME OF VETERINARY THE MEDICINAL PRODUCT
STARTVAC emulsion for injection for cattle
3.
STATEMENT OF THE ACTIVE SUBSTANCE(S) AND OTHER INGREDIENT(S)
Escherichia coli (J5) inactivated ......................................................................... > 50 RED 60 *
Staphylococcus aureus (CP8) strain SP 140 inactivated, expressing Slime Associated Antigenic
Complex (SAAC) ............................................................................................... > 50 RED 80 **
* RED 60 : Rabbit effective dose in 60 % of the animals (serology).
** RED 80 : Rabbit effective dose in 80 % of the animals (serology).
Liquid paraffin: 18.2 mg
Benzyl alcohol: 21 mg
STARTVAC is an ivory-coloured homogeneous emulsion for injection.
4.
INDICATION(S)
For herd immunisation of healthy cows and heifers, in dairy cattle herds with recurring mastitis
problems, to reduce the incidence of sub-clinical mastitis and the incidence and the severity of the
clinical signs of clinical mastitis caused by Staphylococcus aureus , coliforms and coagulase-negative
staphylococci.
The full immunisation scheme induces immunity from approximately day 13 after the first injection
until approximately day 78 after the third injection (equivalent to 130 days post-parturition).
5.
CONTRAINDICATIONS
None.
18/20
6.
ADVERSE REACTIONS
Slight to moderate transient local reactions may occur after the administration of one dose of vaccine.
They would mainly be: swelling (up to 5 cm 2 on average), which disappears within 1 or 2 weeks at
most. In some cases, there may also be pain at the inoculation site that spontaneously subsides in a
maximum of 4 days.
A mean transient increase in body temperature of about 1°C, in some cows up to 2°C, may occur in
the first 24 hours after injection.
Animals immunised with an overdose did not show adverse reactions other than those observed after
the administration of one dose of vaccine.
If you notice any serious effects or other effects not mentioned in this leaflet, please inform your
veterinary surgeon.
7.
TARGET SPECIES
Cattle (cows and heifers).
8.
DOSAGE FOR EACH SPECIES, ROUTE(S) AND METHOD OF ADMINISTRATION
Intramuscular use. The injections should be preferably administered on the alternate sides of the neck.
Administer one dose (2 ml) be deep intramuscular injection in the neck muscles and according to the
following schedule:
- First injection at 45 days before the expected parturition date.
- Second injection 35 days thereafter (corresponding to 10 days before the expected
parturition date).
- Third injection 62 days after the second injection (equivalent to 52 days post-parturition).
The full immunisation program should be repeated with each gestation.
9.
ADVICE ON CORRECT ADMINISTRATION
Allow the vaccine to reach a temperature of +15 to + 25
°
C before administration. Shake before use.
10. WITHDRAWAL PERIOD
Zero days.
11. SPECIAL STORAGE PRECAUTIONS
Keep out of the reach and sight of children.
Store and transport refrigerated (+2 to +8
°
C) and protected from light.
Do not freeze.
Do not use after the expiry date stated on the label.
Shelf life after first opening the immediate packaging: 10 hours stored +15 to +25 ºC.
19/20
12.
SPECIAL WARNING(S)
The whole herd should be immunised.
Immunisation has to be considered as one component in a complex mastitis control program that
addresses all important udder health factors (e.g. milking technique, dry-off and breeding
management, hygiene, nutrition, housing, bedding, cow comfort, air and water quality, health
monitoring) and other management practices.
Special precautions for use in animals
Only healthy animals should be immunised.
Special precautions to be taken by the person administering the veterinary medicinal product to
animals
To the user:
This product contains mineral oil. Accidental injection/self injection may result in severe pain and
swelling, particularly if injected into a joint or finger, and in rare cases could result in the loss of the
affected finger if prompt medical attention is not given.
If you are accidentally injected with this product, seek prompt medical advice even if only a very
small amount is injected and take the package leaflet with you.
If pain persists for more than 12 hours after medical examination, seek medical advice again.
To the physician:
This product contains mineral oil. Even if small amounts have been injected, accidental injection with
this product can cause intense swelling, which may, for example, result in ischaemic necrosis and even
the loss of a digit. Expert, PROMPT, surgical attention is required and may necessitate early incision
and irrigation of the injected area, especially where there is involvement of finger pulp or tendon.
Can be used during pregnancy and lactation.
No information is available on the safety and efficacy of this vaccine when used with any other
veterinary medicinal product. A decision to use this vaccine before or after any other veterinary
medicinal product therefore needs to be made on a case by case basis.
Do not mix with any other vaccine or immunological product.
13. SPECIAL PRECAUTIONS FOR THE DISPOSAL OF UNUSED PRODUCT OR WASTE
MATERIALS
Any unused veterinary medicinal product or waste materials derived from such veterinary medicinal
products should be disposed of in accordance with local requirements.
14. DATE ON WHICH THE PACKAGE LEAFLET WAS LAST APPROVED
15. OTHER INFORMATION
Pack sizes:
- Cardboard box with 1, 10 and 20 vials of 1 dose.
- Cardboard box with 1 and 10 vials of 5 doses.
- Cardboard box with 1 and 10 vials of 25 doses.
Not all pack sizes may be marketed.
20/20


Source: European Medicines Agency



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