Equimax Oral Gel for Horses

Care should be taken to avoid the following practices because they increase the risk
of the development of resistance and could ultimately result in ineffective therapy:
•
extended period of time.
•
misadministration of the veterinary medicinal
dosing device (if any).
Suspected clinical cases of resistance to anthelmintics should be further investigated
using appropriate tests (e.g. Faecal Egg Count Reduction Test). Where the results of
the test(s) strongly suggest resistance to a particular anthelmintic, an anthelmintic
belonging to another pharmacological class and having a different mode of action
should be used.
Resistance to ivermectin (an avermectin) has been reported in
in horses in a number of countries including the EU.
Therefore the use of this veterinary medicinal product should be based on local
(regional farm) epidemiological information about susceptibility of nematodes and
recommendations on how to limit further selection for resistance to anthelmintics.
Parasite resistance to a particular class of anthelmintic may develop following
frequent, repeated use of an anthelmintic of that class.

Special precautions for safe use in the target species:
Not applicable.
Special precautions to be taken by the person administering the veterinary medicinal
product to animals:
Wash hands after use (to be sure that eye contamination can not occur).
Avoid contact with the eyes. In the case of accidental contact, rinse with abundant
quantities of water. In case of eye irritation, seek medical attention.
Do not eat, drink or smoke while handling this veterinary medicinal product.
In case of accidental ingestion, seek medical advice immediately and show the
package leaflet or the label to the physician.
Special precautions for the protection of the environment:
Not applicable.
Other precautions:
Avermectins may not be well tolerated in all non-target species. Cases of intolerance
are reported in dogs, especially Collies, Old English Sheepdogs and related breeds
or crosses, and also in turtles and tortoises.
Dogs and cats should not be allowed to ingest spilled paste or access to used
syringes due to the potential for adverse effects related to ivermectin toxicity.