Product Description

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INDICATIONS: Marquis® Antiprotozoal Oral Paste (ponazuril) is indicated for the treatment of equine protozoal myeloencephalitis (EPM) caused by Sarcocystis neurona. Marquis® Antiprotozoal Oral Paste (15% w/w ponazuril) is supplied in ready-to-use syringes containing 127 grams of paste. Each gram of paste contains 150 mg of ponazuril (15% w/w). Marquis® Antiprotozoal Oral Paste (ponazuril) is designed to be delivered as an orally administered paste. Each syringe barrel of Marquis® Antiprotozoal Oral Paste (ponazuril) contains enough paste to treat one (1) 1,200 lb (544 kg) horse for seven (7) days, at a dose rate of 5 mg/kg (2.27 mg/lb) body weight. The plunger contains a dosage ring calibrated for a dose rate of 5 mg/kg (2.27 mg/lb) body weight and marked for horse weight from 600 to 1,200 lbs (272 to 544 kg). The syringe barrels are packaged in units of four with one reusable plunger. This package provides sufficient paste to treat one 1,200 lb (544 kg) horse for 28 days at a dose rate of 5 mg/kg (2.27 mg/lb) body weight.

Instructions

DOSAGE: Marquis® Antiprotozoal Oral Paste (ponazuril) is to be used at a dose of 5 mg/kg (2.27 mg/lb) body weight once daily for a period of 28 days. ADMINISTRATION: Paste syringe assembly: Before administration, the syringe barrel and plunger require assembly. Ensure plunger is clean and dry. Step 1. End cap must be on syringe barrel when inserting plunger. Step 2. Carefully insert reusable plunger into base of syringe barrel until it snaps into place, then remove end cap and gently apply pressure to the plunger until paste is seen at the tip of the syringe barrel. Step 3. Return end cap to tip of paste syringe. Administering Marquis® Antiprotozoal Oral Paste (ponazuril) to the horse: NOTE: The paste syringe is a multi-dose package. Ensure that the correct dose is administered with each use. Step 1. Remove end cap and gently apply pressure to the plunger until paste is seen at the tip of the syringe barrel. Return end cap to tip of paste syringe. Step 2. Determine weight of horse and ensure the horse's mouth contains no feed. Step 3. To measure dose, dosage ring collar and barrel collar should be flush. Hold plunger and rotate dosage ring with the other hand to the weight of the horse. Step 4. Remove end cap from tip of syringe barrel. Step 5. The selected dose of paste should be deposited onto the back and top of the horse's tongue. Introduce tip of paste syringe into the side of the horse's mouth at the space between the front (incisor) and back (molar) teeth. Deposit paste on the horse's tongue by depressing the plunger of the syringe as far as the dose ring permits. Remove tip of syringe from horse's mouth. Step 6. To aid swallowing of paste, immediately raise horse's head for a few seconds after dosing. Step 7. Clean the tip of the syringe with a clean disposable towel and return end cap to tip of syringe barrel. Step 8. For the next daily dose, repeat steps 1-7. NOTE: When the paste syringe barrel is empty, remove plunger for re-use and assembly with a new syringe barrel. When removed, the plunger may retain a seal from the empty paste syringe barrel. If this occurs, remove the seal before plunger is inserted into the base of the new paste syringe barrel. At the end of the prescribed treatment period, partially used syringes should be discarded.

Precautions

Caution: Federal (U.S.A.) Law restricts this drug to use by or on the order of a licensed veterinarian. WARNING: For use in animals only. Not for use in horses intended for food. Not for human use. Keep out of the reach of children. PRECAUTIONS: Prior to treatment, EPM should be distinguished from other diseases that may cause ataxia in horses. Injuries or lameness may also complicate the evaluation of an animal with EPM. In most instances, ataxia due to EPM is asymmetrical and affects the hind limbs. Clinicians should recognize that clearance of the parasite by ponazuril may not completely resolve the clinical signs attributed to the natural progression of the disease. The prognosis for animals treated for EPM may be dependent upon the severity of disease and the duration of the infection prior to treatment. The safe use of Marquis (ponazuril) in horses used for breeding purposes, during pregnancy, or in lactating mares, has not been evaluated. The safety of Marquis (ponazuril) with concomitant therapies in horses has not been evaluated. ADVERSE REACTIONS: In the field study, eight animals were noted to have unusual daily observations. Two horses exhibited blisters on the nose and mouth at some point in the field study, three animals showed a skin rash or hives for up to 18 days, one animal had loose stools throughout the treatment period, one had a mild colic on one day and one animal had a seizure while on medication. The association of these reactions to treatment was not established. STORAGE: Store at Controlled Room Temperature 15-30° C (59-86° F). All pharmaceutical products are shipped according to the manufacturer’s guidelines. For Oral Use Only In accordance with state and federal regulations, we are unable to accept returns on any pharmaceutical items. For all expedited deliveries UPS is responsible for delivering the package on time. Certain circumstances can arise where UPS is unable to deliver expedites on time due to weather, remoteness of location, etc. All efforts will be made by SmartPak to ensure that packages arrive on time as ordered, but we cannot guarantee that UPS will always act accordingly. In particular, orders indicated for Saturday delivery cannot be guaranteed. We strongly recommend that if the order is for a particular health emergency, customers should seek immediate assistance from their vet. If a UPS expedited delivery fails to arrive on time as ordered, SmartPak will refund the additional shipping charges incurred.

Note From SmartPak Equine

If you have any questions about the use of this product, please consult your veterinarian. For additional information about our pharmacy, please contact SmartPak Equine at the number below.

SmartPak Equine LLC

40 Grissom Road, Suite 500

Plymouth, MA 02360

www.SmartPakEquine.com

Note About Our Pricing

We do our best to keep our prices low, to pass along savings where we can, and to give advanced notice of price increases whenever possible. Because supplement prices can fluctuate with commodity prices, our pricing is sometimes subject to change without prior notice.