GENTAFUSE- gentamicin intra-uterine solution

GENTAFUSE by

Drug Labeling and Warnings

GENTAFUSE by is a Animal medication manufactured, distributed, or labeled by Butler Animal Health Supply. Drug facts, warnings, and ingredients follow.

Drug Details [pdf]

GENERAL PRECAUTIONS

100 mg/mL

For Use in Horses Only

CAUTION: Federal law restricts this drug to use by or on the order of a licensed veterinarian.

ANADA 200-395, Approved by FDA

DESCRIPTION

Each mL of GENTAFUSE contains: gentamicin sulfate veterinary equivalent to 100 mg gentamicin base; 2.4 mg sodium metabisulfite; 0.8 mg sodium sulfite, anhydrous; 0.1 mg edetate disodium; 10 mg benzyl alcohol as preservative; water for injection q.s.

CLINICAL STUDIES

CHEMISTRY: Gentamicin is a mixture of aminglycoside antibiotics derived from the fermentation of Micromonospora purpurea. Gentamicin sulfate is a mixture of sulfate salts of the antibiotics produced in this fermentation. The salts are weakly acidic, freely soluble in water, and stable in solution.

ANTIBACTERIAL ACTIVITY: In Vitro antibacterial activity has shown that gentamicin is active against most gram-negative  and gram-positive bacteria isolated from domestic animals.1  Gentamicin is active against Pseudomonas aeruginosa, indole-positive and -negative Proteus species, Escherichia coli, Klebsiella species, Enterobacter species, Alcaligenes species, Staphylococcus species, and Streptococcus species.

PHARMACOLOGY: Studies in man indicate that recommended doses of gentamicin produce serum concentrations bactericidal for most bacteria sensitive to gentamicin within an hour after intramuscular injection; these concentrations last for 6 to 12 hours.2  Some 30% of the administered dose of gentamicin is bound by serum proteins and released as the drug is excreted.

Gentamicin is excreted almost entirely by glomerular filtration. High concentrations of the active form are found in the urine. Fifty to 100% of the gentamicin injected can be recovered unchanged within 24 hours from the urine of patients with normal renal function. A small amount is excreted into the bile.

TOXICITY STUDIES: No toxic effects were observed in rats given getnamicin sulfate 20 mg/kg/day for 24 days; in cats given 10 mg/kg/day for 40 days. Gentamicin sulfate given to dogs at 6 mg/lb/day, 6 days weekly for 3 weeks, caused no detectable kidney damage. At higher doses, impairment of equilibrium and renal function were observed in these species.

INDICATIONS

GENTAFUSE (Gentamicin Sulfate Solution) is recommended for the control of bacterial infections of the uterus (metritis) in horses and as an aid in improving conception in mares with uterine infections caused by bacteria sensitive to gentamicin.  Bacteriologic studies should be conducted to identify the causative organism and to determine its sensitivity to gentamicin sulfate. Sensitivity discs of the drug are available for this purpose.

DOSAGE AND ADMINISTRATION

The recommended dose is 20 to 25 mL (2.0 - 2.5 grams) gentamicin sulfate solution per day for 3 to 5 days during estrus. Each dose should be diluted with 200-500 mL of sterile physiological saline before aseptic uterine infusion.

CONTRAINDICATIONS

There are no contraindications to this drug when used as directed.

PRECAUTIONS

If hypersensitivity to any of the components develops, or if overgrowth of non-susceptible bacteria, fungi, or yeasts occurs, treatment with GENTAFUSE (Gentamicin Sulfate Solution) should be discontinued and appropriate therapy instituted. Although GENTAFUSE (Getnamicin Sulfate Solution) is not spermicidal, treatment should not be given the day of breeding.

WARNING

Do not use for horses intended for human consumption.

SIDE EFFECTS

There have been no reports of drug hypersensitivity or adverse side effects following the recommended intrauterine infusion of gentamicin sulfate solution combined with sterile physiological saline in mares.

HOW SUPPLIED

GENTAFUSE (Gentamicin Sulfate Solution), 100 mg per mL of intrauterine use, is available in 100 mL and 250 mL multiple dose vials.

STORAGE AND HANDLING

Store between 2oa and 30oC (36o and 86oF).

Protect from freezing.

REFERENCES

1.  Hennessey, PW, et al.In vitro activity of gentamicin against bacteria isolated from domestic animals.
     Veterinary Medicine/Small Animal Clinician. Nov. 1971l 1118-1122,

2.  Black, J, et al, Pharmacology of gentamicin, anew broadspectrum antibiotic.
     Antimicrob Agents and Chemother. 1963; 138-147

PRINCIPAL DISPLAY PANEL

INGREDIENTS AND APPEARANCE

GENTAFUSE 
gentamicin intra-uterine solution

Product Information
Product Type	PRESCRIPTION ANIMAL DRUG	Item Code (Source)	NDC: 11695-4146
Route of Administration	INTRAUTERINE

Active Ingredient/Active Moiety
Ingredient Name	Basis of Strength	Strength
GENTAMICIN SULFATE (UNII: 8X7386QRLV) (GENTAMICIN - UNII:T6Z9V48IKG)	GENTAMICIN	100 mg  in 1 mL

Packaging
#	Item Code	Package Description	Marketing Start Date	Marketing End Date
1	NDC: 11695-4146-1	100 mL in 1 VIAL
2	NDC: 11695-4146-2	250 mL in 1 VIAL

Marketing Information
Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
ANADA	ANADA200395	08/21/2008

Labeler - Butler Animal Health Supply (017880659)