Neocell

Mitex ear drops and cutaneous suspension for dogs and cats


STATEMENT OF THE ACTIVE SUBSTANCES AND OTHER INGREDIENTS

Each  ml contains:
Active substances:
Miconazole nitrate        23.0    mg
(equivalent to 19.98 mg miconazole)
Prednisolone acetate        5.0    mg
(equivalent to 4.48 mg prednisolone)
Polymyxin B sulfate        0.5293    mg
(equivalent to 5500 IU polymyxin B sulfate)

White suspension.

INDICATIONS
For the treatment of otitis externa and  small localised superficial skin infections in dogs and cats caused by infections with the following miconazole and polymyxin B sensitive bacteria and fungi:

•    Gram-positive bacteria
–    Staphylococcus spp.
–    Streptococcus spp.
•    Gram-negative bacteria
–    Pseudomonas spp.
–    Escherichia coli
•    Yeasts and fungi
–    Malassezia pachydermatis
–    Candida spp.
–    Microsporum spp.
–    Trichophyton spp.

Treatment of Otodectes cynotis infestations where there is concurrent infection with miconazole and polymyxin B sensitive pathogens.

CONTRAINDICATIONS
Do not use:
- in case of hypersensitivity to the active substances of the veterinary medicinal product, as well as to
  other corticosteroids, to other azole antifungal agents, or to the excipients
- in animals with perforated ear drums
- in animals, where resistance of causative agents to polymyxin B and/or miconazole is known
- on the mammary glands of lactating bitches and queens

ADVERSE REACTIONS
Use of this veterinary medicinal product may very rarely be associated with the occurrence of deafness (especially in older dogs), in this case treatment should be discontinued.
Prolonged and extensive use of topical corticosteroid preparations is known to trigger local and systemic effects, including suppression of adrenal function, thinning of the epidermis and delayed healing.
If you notice any serious effects or other effects not mentioned in this package leaflet, please inform your veterinary surgeon.

TARGET SPECIES
Dogs and cats.

DOSAGE FOR EACH SPECIES, ROUTES AND METHOD OF ADMINISTRATION
For auricular and cutaneous use.
Shake well before use.
At the beginning of treatment, hair surrounding or covering the lesions must be clipped; this should be repeated during treatment if necessary.

Infections of the external auditory canal (otitis externa):
Clean the external ear canal and auricle and place 5 drops of the veterinary medicinal product  into the external auditory canal twice a day. Massage the ear and the auditory canal thoroughly to ensure proper distribution of the active substances, but gently enough to avoid causing pain to the animal.
Treatment should be continued without interruption until a few days after complete disappearance of the clinical symptoms, at least for 7 - 10 days up to 14 days.
Where concurrent ear mite (Otodectes cynotis) infestation is present, consideration should be given to treating both ears even if infestation is only apparent in one ear. Instill 5 drops twice daily for 14 days.

Skin infections (small localised superficial):
Apply a few drops of the veterinary medicinal product to the skin lesions to be treated twice a day and rub well.
Treatment should be continued without interruption until a few days after complete disappearance of the clinical symptoms, up to 14 days.

In some persistent cases (ear or skin infections), treatment may need to be continued for 2 to 3 weeks. However, if prolonged treatment is necessary, the veterinarian should be contacted for a repeat clinical examination.

ADVICE ON CORRECT ADMINISTRATION
Shake well before use.
See point 12. Special warnings in the package leaflet.


WITHDRAWAL PERIOD
Not applicable.

SPECIAL STORAGE PRECAUTIONS
     Keep out of the sight and reach of children.
    Do not store above 30°C. After first opening do not store above 25°C.
    Do not use this veterinary medicinal product after the expiry date which is stated on the carton and bottle label after “EXP”.
    Shelf-life after first opening the container: 3 months
 

SPECIAL WARNINGS
Special precautions for use in animals
Use of the product should be based on microbiological sampling and susceptibility testing of the bacteria and/or fungi isolated from the animal. If this is not possible, therapy should be based upon local (regional) epidemiological information about susceptibility of the causative pathogens.

Systemic corticosteroid effects are possible, especially when the product is used under an occlusive dressing, on extensive skin lesions, with increased skin blood flow, or if the product is ingested by licking.

Oral ingestion of the product by treated animals or animals having contact with treated animals should be avoided.

Special precautions to be taken by the person administering the veterinary medicinal product to animals:
People with known hypersensitivity to prednisolone, polymyxin B or miconazole should avoid contact with the veterinary medicinal product.

Avoid contact with skin or eyes. In case of accidental spillage, skin or eyes should be rinsed immediately with plenty of water. Always wear single use disposable gloves when applying the veterinary medicinal product to animals. Wash hands after use.
In case of accidental ingestion, seek medical advice immediately and show the leaflet of the label to the physician.

Use during pregnancy and lactation:
The safety of the product has not been assessed during pregnancy and lactation.
Use only accordingly to the benefit/risk assessment by the veterinarian.


OTHER INFORMATION
Pack size: 1 x 20 ml

Reg. Number: 6754 / 1-2-2016