Eqvalan Duo, Oral Paste

Care should be taken to avoid the following practices because they increase the risk
of development of resistance and could ultimately result in ineffective therapy:
- Too frequent and repeated use of anthelmintics from the same class, over
an extended period of time.
- Underdosing, which may be due to underestimation of body weight,
misadministration of the veterinary medicinal product, or lack of calibration
of the 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 macrocyclic lactones (which includes ivermectin) has been reported in
Parascaris equorum in horses in the EU. Therefore, the use of this veterinary
medicinal product should be based on local (regional, farm) epidemiological
information about susceptibility of gastro-intestinal nematodes and recommendations
on how to limit further selection for resistance to anthelmintics.

Special precautions for safe use in the target species:
Safety studies were not conducted in foals younger than 2 months of age, or in
stallions, the use of the veterinary medicinal product, is not recommended in these
categories of animals.
Special precautions to be taken by the person administering the veterinary medicinal
product to animals:
Wash hands after use.
Do not smoke, drink or eat while handling the veterinary medicinal product.
This veterinary medicinal product may cause skin and eye irritation. Therefore, the
user should avoid contact of the veterinary medicinal product with the skin and the
eyes. In case of contact, rinse immediately with plenty of water.
In case of accidental ingestion or eye irritation after contact 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.