Lexylan 180 mg/ml Suspension for Injection for Cattle, Dogs and Cats

Cross-resistance has been shown between cefalexin and other Use of the
cefalexin should be carefully considered when susceptibility testing has shown
resistance to other because its effectiveness may be reduced.
Pseudomonas spp., Enterobacter spp. and other Proteus are resistant.

Special precautions for safe use in the target species:
The veterinary medicinal product is not suited for intravenous or intrathecal injection.
Shake the vial to achieve full resuspension before use.
Susceptibility of pathogens can change in time. An antibiogram can be useful before
treatment.
Use of the product should be based on identification and susceptibility testing of the
target pathogen(s). If this is not possible, therapy should be based on
epidemiological information and knowledge of susceptibility of the target pathogens
at farm level, or at local/regional level.
Use of the product should be in accordance with official, national and regional
antimicrobial policies.
An antibiotic with a lower risk of antimicrobial resistance selection (lower AMEG
category) should be used for first line treatment where susceptibility testing suggests
the likely efficacy of this approach.
Special precautions to be taken by the person administering the veterinary medicinal
product to animals
Penicillins and cephalosporins may cause hypersensitivity (allergy) following
injection, inhalation, ingestion or skin contact. Hypersensitivity to penicillins may lead
to cross-reactions to cephalosporins and vice versa. Allergic reactions to these
substances may occasionally be serious. Do not handle this product if you know you
are sensitised, or if you have been advised not to work with such preparations. Care
should be taken to avoid accidental injection and contact with the skin. Handle this
product with great care to avoid exposure, taking all recommended precautions. If
you develop symptoms following exposure such as skin rash, you should seek
medical advice and show the doctor this warning. Swelling of the face, lips or eyes or
difficulty with breathing, are more serious symptoms and require urgent medical
attention. Wash hands after use.
To the user:
This veterinary medicinal product contains a synthetic vegetable oil. Accidental
injection/self-injection may result in severe pain and swelling, particularly if injected
into a joint or finger, and in rare cases could result in the loss of the affected finger if
prompt medical attention is not given. If you are accidentally injected with this
veterinary medicinal product, seek prompt medical advice even if only a very small
amount is injected and take the package leaflet with you. If pain persists for more
than 12 hours after medical examination, seek medical advice again.
To the physician:
This veterinary medicinal product contains a synthetic vegetable oil. Even if small
amounts have been injected, accidental injection with this veterinary medicinal
product can cause intense swelling, which may, for example, result in ischaemic
necrosis and even the loss of a digit. Expert, PROMPT, surgical attention is required
and may necessitate early incision and irrigation of the injected area, especially
where there is involvement of finger pulp or tendon.
Special precautions for the protection of the environment:
Not applicable.