Oakwood House, Fuller Road, Harleston, Norfolk, IP20 9EA Tel: 01379 852 146 Fax: 01379 854 293 CHANGE TO ADVICE ON USE OF FLUKICIDES IN DAIRY ANIMALS
The European Commission has recently published a decision that will lead to changes across the EU to the labelling of medicines containing certain Flukicides. The advice confirms that products containing clorsulon, closantel, nitroxinil, triclabendazole and rafoxanide are not authorised for use in animals producing milk for human consumption, including during the dry period. The advice goes on to provide specific directions for products containing these ingredients as the only active substance. This is detailed in the table below, but remember most products containing any of the ingredients in bold above are affected by the decision. Labels on the relevant products will eventually be changed but in the meantime we are being advised to follow the advice in the table below. The VMD (Veterinary Medicines Directorate) is encouraging pharmaceutical companies that manufacture flukicides to perform the necessary milk residue tests to obtain a licensed milk withdrawal period, which may allow their use again during the dry period – however this process will take a significant period of time. Fasinex 240 24% has been granted a variation by the VMD meaning it will still be available for use during the dry period in dairy cows subject to a 50 day milk withhold (not within 48 days of calving + 48 hours).
pregnancy Do not use during last trimester of
pregnancy Do not use during last trimester of
except Fasinex 240 24%,
Triclabendazole Pour-on (Cydectin produce milk for human
So what do we do now?!?! This ruling means we can no longer advise you to use products such as Trodax and Fasinex 10% at dry off in milking cows, or in heifers within 3 months of calving. Many farmers may choose to in future to dose with Fasinex 240 24%, as this is effective versus immature fluke. All other available licensed flukicides in the UK are only effective versus adult fluke and are therefore less effective in controlling the problem at certain times of the year, especially in the case of acute fluke problems in the late summer autumn period. At this time of year fluke in the cows’ livers will be at the immature stage and not affected by this treatment. However, treatment with an adult flukicide at the right time of year, and in some cases with repeated treatments is better than no treatment at all. Albendazole is contained in Albex and Albenil and this is active versus adult stages of liver fluke. These products carry a 60hour milk withhold meaning they can be used throughout the dry period and in milking cows provided the withdrawal period is attached. The other potential option available is a product licensed in the EU but not in the UK called Douvistome. Douvistome carries a nil milk withhold and can be legally imported under special licence into the UK for use in dairy cows throughout lactation. This means that herds with fluke problems can use repeated treatments throughout lactation and the dry period to help control liver fluke. Although this is not as good as using a product active against immature fluke, it will go someway to control the problem as repeated treatments can be used throughout the year. In order to obtain the special licence your vet must be able to prove there is no suitable alternative product for use on the farm. We are currently able to order Douvistome into the practice and eventually it will be available through our usual wholesaler (still on special import licence). It is, however, worth noting that the active ingredient in Douvistome is Oxyclozanide. Oxyclozanide used to be available in the UK in a product called Zanil and carried a 3 day milk withhold. Zanil is still available in Ireland and also carries a 3 day milk withhold. This therefore leads to the question of is it right to use a product with nil milk withhold, just because it has that in the EU and can be imported on licence, where UK standards previously applied a 3 day withhold (still upheld in Ireland) to the same drug! We must assume the withhold was applied for a reason and perhaps the UK should be concerned that it’s use may affect the quality of milk supplied to the consumer! Please discuss how this decision affects Fluke control on your unit further with one of our vets.
Urticaire *Auteur correspondant : Unité fonctionnelle d’allergologie, département de dermatologie, Hôpital Saint-Jacques, 25030 Besançon cedex, France Téléphone : 01 40 40 40 40 – Fax : 01 40 40 41 41 Le médecin généraliste est souvent le premier consulté lors de la survenue d’une urticaire. Il doit rechercher des signes de gravité pour adapter la prise en charge thér