Vetmulin vet.

In drinking water use.

Guidance for preparing veterinary medicinal product solutions:

To ensure a correct dosage, body weight should be determined as accurately as possible. The intake of medicated water depends on the clinical condition of the animals. In order to obtain the correct dosage, the concentration of tiamulin may need to be adjusted accordingly.

Based on the recommended dose and the number and weight of animals to be treated, the exact daily concentration of the veterinary medicinal product should be calculated according to the following formula:

Use a sufficiently accurate commercially available device to measure the required amount of veterinary medicinal product. Only use clean containers for preparation of the medicated drinking water. Stir the medicated drinking water prepared with the veterinary medicinal product for at least 1 minute after preparation in order to assure homogeneity.

When medicating large volumes of water, prepare a concentrated solution first and then dilute to the required final concentration. The maximum solubility of the veterinary medicinal product is 200 mL/L.

Medicated drinking water should be refreshed or replaced every 24 hours.

In order to avoid interactions between the ionophores and tiamulin, the veterinarian and farmer should check that the feed label does not state that it contains salinomycin, monensin and narasin.

For chickens, in order to avoid interactions between the incompatible ionophores monensin, narasin and salinomycin and tiamulin, the feed mill supplying the birds feed should be notified that tiamulin will be used and that these anticoccidials should not be included in the feed or contaminate the feed.

The feed should be tested for the ionophores prior to use if there is any suspicion that contamination of the feed might occur.

If an interaction does occur, stop tiamulin medication immediately and replace with fresh drinking water. Remove contaminated feed as soon as possible and replace with feed not containing the tiamulin- incompatible ionophores.

Pigs

- For the treatment of Swine Dysentery caused by Brachyspira hyodysenteriae.

The dosage is 8.8 mg tiamulin hydrogen fumarate/kg body weight (equivalent to 7 ml of veterinary medicinal product/100 kg body weight) administered daily in the drinking water of pigs for 3 to 5 consecutive days depending on the severity of the infection and/or the duration of the disease.

- For the treatment of Porcine Colonic Spirochaetosis (colitis) caused by Brachyspira pilosicoli. The dosage is 8.8 mg tiamulin hydrogen fumarate /kg body weight (equivalent to 7 ml of veterinary medicinal product/100 kg body weight) administered daily in the drinking water of pigs for 3 to 5 consecutive days depending on the severity of the infection and/or the duration of the disease.

- For the treatment of Porcine Proliferative Enteropathy (ileitis) caused by Lawsonia intracellularis. The dosage is 8.8 mg tiamulin hydrogen fumarate /kg body weight (equivalent to 7 ml of veterinary medicinal product/100 kg body weight) administered daily in the drinking water of pigs for 5 consecutive days.

- For the treatment and metaphylaxis of Enzootic Pneumonia caused by Mycoplasma hyopneumoniae,including infections complicated by Pasteurella multocida susceptible to tiamulin. The dosage is 20 mg tiamulin hydrogen fumarate/kg body weight (equivalent to 16 ml of veterinary medicinal product/100 kg body weight) administered daily for 5 consecutive days.

Chickens (layer hens)

For the treatment and metaphylaxis of Chronic Respiratory Disease caused by

Mycoplasma gallisepticum and Airsacculitis and Infectious Synovitis caused by

Mycoplasma synoviae. the dosage is 25 mg tiamulin hydrogen fumarate/kg body weight (equivalent to 20 ml of veterinary medicinal product/100 kg body weight) administered daily for the period of 3 to 5 consecutive days.