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POM-VPS Prescription Required

Premadex 10 mg/ml Solution for Injection

Active ingredient: Ivermectin

Form

Injection

Species

Cattle Pigs Sheep

Manufacturer

Eco Animal Health Ltd

VMD MA No.

13277/5007

What it's used for

Cattle: For the treatment of gastrointestinal nematodes, lungworms, eyeworms, warble flies, mites and lice (as shown below) of beef and non-lactating dairy...

Full indications, dosage and side effects ↓
View official SPC (PDF)

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Paying less for Ivermectin

  1. 1

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  2. 2

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    The CMA found online pharmacies 50–60% cheaper than practice dispensing on common medicines — typically £200–£300 a year.

Prescription required

Your vet must provide a written prescription on request. You can then purchase from any licensed online retailer.

Clinical information

Premadex 10 mg/ml Solution for Injection — SPC Details

Source: VMD Summary of Product Characteristics (SPC). Last updated 26 Mar 2026.

Cattle:
For the treatment of gastrointestinal nematodes, lungworms, eyeworms, warble
flies, mites and lice (as shown below) of beef and non-lactating dairy cattle:
Gastrointestinal worms (adults and 4
th
stage larvae):
Ostertagia ostertagi
Ostertagia lyrata
Haemonchus placei
Trichostrongylus colubriformis
Cooperia oncophora
Cooperia punctata
Cooperia pectinata
Bunostomum phlebotomum
Oesophagostomum radiatum
Lungworms (adult and 4th stage larvae):
Dictyocaulus viviparus
Eyeworms (adult):
Thelazia spp

Revised: October 2025
MA split from NI MA following AN: 01927/2025
Warble flies (parasitic stages):
Hypoderma bovis
H. lineatum
Mites:
Psoroptes ovis
Sarcoptes scabiei var. bovis
Sucking lice:
Linognathus vituli
Haematopinus eurysternus
Solenopotes capillatus
May also be used as an aid in the control of the mange mite
complete elimination may not occur.
Treatment with Qualimec 10 mg/ml Solution for Injection at the recommended
dose rate prevents re-infection with
Cooperia pectinata
Ostertagia ostertagi
and
Sheep
For the treatment of psoroptic mange (sheep scab), gastrointestinal nematodes,
lungworms and nasal bots of sheep:
Gastrointestinal roundworms (adults):
Ostertagia circumcincta
Haemonchus contortus
Trichostrongylus axei
T. colubriformis and T. vitrinus
Cooperia curticei
Nematodirus filicollis
Variable activity may be observed against
filicollis
Lungworms:
Dictyocaulus filaria
Mange mites:
Psoroptes ovis
Nasal bot:
Oestrus ovis
Pigs
For the treatment of gastro-intestinal nematodes, lungworms, lice and mange
mites of pigs.

Revised: October 2025
MA split from NI MA following AN: 01927/2025
Gastro-intestinal worms (adult and fourth stage larvae):
Ascaris suum
Hyostrongylus rubidus
Oesophagostomum spp.
Strongyloides ransomi
Lungworms:
Metastrongylus spp. (adults)
Lice:
Haematopinus suis
Mange Mites:
Sarcoptes scabiei var. suis
For single administration only (except for the treatment of
infections in sheep).
To ensure administration of a correct dose, bodyweight should be determined as
accurately as possible. Accuracy of the dosing device should be checked.
If animals are to be treated collectively rather than individually, they should be
grouped according to their bodyweight and dosed accordingly, in order to avoid
under- or over-dosing.
Cattle
Dosage:
1.0 ml per 50 kg bodyweight (based on a recommended dosage level of 200
micrograms ivermectin per kg bodyweight).
Administration:
Inject subcutaneously in front of, or behind, the shoulder using aseptic technique.
A sterile 1.4 x 15 mm (17G x ½ inch) needle is recommended.
SHEEP
Dosage:
0.5 ml per 25 kg of bodyweight (based on a recommended level of 200
micrograms ivermectin per kg bodyweight).
Administration:
For the treatment of gastrointestinal roundworms, lungworms and nasal bots inject
once subcutaneously in the neck, using aseptic precautions; a sterile 1.4 x 15 mm
(17G x ½ inch) needle is recommended. For the treatment of
(sheep scab), two injections with a seven day interval are required to treat clinical
signs of scab and to eliminate living mites.
For young lambs weighing less than 20.0 kg give 0.1 ml per 5 kg. In these lambs
the use of a syringe which can deliver as little as 0.1 ml is recommended.
Pigs
Dosage:
1.5 ml per 50 kg bodyweight (based on a recommended dosage level of 300
micrograms ivermectin per kg bodyweight)
Administration:
The recommended route of administration is by subcutaneous injection into the
neck using aseptic technique and a sterile 1.4 x 15 mm (17G x ½ inch) needle.
For piglets weighing less than 16 kg give 0.1 ml per 3 kg. In these piglets the use
of a syringe which can deliver as little as 0.1 ml is recommended.

Revised: October 2025
MA split from NI MA following AN: 01927/2025
When using the 200, 250 or 500ml pack sizes, use only automatic syringe
equipment. For the 50ml pack size, use of a multiple dose syringe is
recommended. To refill the syringe, use of a draw-off needle is recommended
to avoid excessive broaching of the stopper.
Do not use in lactating dairy cows and sheep producing milk for human
consumption. Do not use in non-lactating dairy cows, including pregnant dairy
heifers or non-lactating dairy sheep within 60 days of calving/lambing.
Do not use in cases of known hypersensitivity to ivermectin.
Do not administer by the intravenous or intramuscular route.
Transitory discomfort has been observed in some animals immediately following
subcutaneous administration. In cattle this may include jumping and rolling, but
behaviour returns to normal after 15 minutes.
Soft tissue swelling and thickening of the skin at the injection site has been
observed in treated animals. Typically these reactions are transient and
disappear within one to four weeks
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:
•
over an extended period of time
•
misadministration of the 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.
Treatment of psoroptic mange (sheep scab) with one injection is not
recommended because, although clinical improvement may be seen, elimination
of all mites may not occur.
Sheep scab (
sheep. Following treatment of infected sheep great care must be taken to avoid
re-infestation as mites may be viable for up to 15 days off the sheep. It is
important to ensure all sheep which have been in contact with infected sheep are
treated. Contact between treated infected and non-treated, non-infected flocks
must be avoided until at least 7 days after the last treatment.
Resistance to ivermectin has been reported in
lambs and in in cattle. Therefore, the use of this product
should be based on local (regional, farm) epidemiological information about

Revised: October 2025
MA split from NI MA following AN: 01927/2025
susceptibility of these
further selection for resistance to anthelmintics

Special precautions for use in animals
Avermectins may not be well tolerated in non-target species. Cases of intolerance
with fatal results are reported in dogs – especially Collies, Old English Sheepdogs
and related breeds and crosses, and also in turtles/tortoises.
Do not combine treatment with vaccination against lungworms. If vaccinated
animals are to be treated, treatment should not be carried out within a period of
28 days before or after vaccination.
The shedding of nematode eggs can continue for some time after treatment.
In Cattle: To avoid secondary reactions due to the death of larvae
in the oesophagus or in the spine, it is recommended to administer the product
at the end of warble fly activity and before the larvae reach their resting sites.
Swab septum before removing each dose.
Special precautions to be taken by the person administering the
veterinary medicinal product to animals
Do not smoke, eat or drink while handling the product.
Wash hands after use.
Take care to avoid self injection: the product may cause local irritation and/or pain
at the site of injection.
Do not combine ivermectin treatment with vaccination against lungworms. If
vaccinated animals are to be treated, treatment should not be carried out within
a period of 28 days before or after vaccination (see section 4.5).

Revised: October 2025
MA split from NI MA following AN: 01927/2025
The fertility of males is not affected by administration of the product.
4.8 Interaction with other medicinal products and other forms of interaction
Do not combine ivermectin treatment with vaccination against lungworms. If
vaccinated animals are to be treated, treatment should not be carried out within
a period of 28 days before or after vaccination (see section 4.5).

Revised: October 2025
MA split from NI MA following AN: 01927/2025
4.9 Amounts to be administered and administration route
For single administration only (except for the treatment of
infections in sheep).
To ensure administration of a correct dose, bodyweight should be determined as
accurately as possible. Accuracy of the dosing device should be checked.
If animals are to be treated collectively rather than individually, they should be
grouped according to their bodyweight and dosed accordingly, in order to avoid
under- or over-dosing.
Cattle
Dosage:
1.0 ml per 50 kg bodyweight (based on a recommended dosage level of 200
micrograms ivermectin per kg bodyweight).
Administration:
Inject subcutaneously in front of, or behind, the shoulder using aseptic technique.
A sterile 1.4 x 15 mm (17G x ½ inch) needle is recommended.
SHEEP
Dosage:
0.5 ml per 25 kg of bodyweight (based on a recommended level of 200
micrograms ivermectin per kg bodyweight).
Administration:
For the treatment of gastrointestinal roundworms, lungworms and nasal bots inject
once subcutaneously in the neck, using aseptic precautions; a sterile 1.4 x 15 mm
(17G x ½ inch) needle is recommended. For the treatment of
(sheep scab), two injections with a seven day interval are required to treat clinical
signs of scab and to eliminate living mites.
For young lambs weighing less than 20.0 kg give 0.1 ml per 5 kg. In these lambs
the use of a syringe which can deliver as little as 0.1 ml is recommended.
Pigs
Dosage:
1.5 ml per 50 kg bodyweight (based on a recommended dosage level of 300
micrograms ivermectin per kg bodyweight)
Administration:
The recommended route of administration is by subcutaneous injection into the
neck using aseptic technique and a sterile 1.4 x 15 mm (17G x ½ inch) needle.
For piglets weighing less than 16 kg give 0.1 ml per 3 kg. In these piglets the use
of a syringe which can deliver as little as 0.1 ml is recommended.

Revised: October 2025
MA split from NI MA following AN: 01927/2025
When using the 200, 250 or 500ml pack sizes, use only automatic syringe
equipment. For the 50ml pack size, use of a multiple dose syringe is
recommended. To refill the syringe, use of a draw-off needle is recommended
to avoid excessive broaching of the stopper.
4.10 Overdose (symptoms, emergency procedures, antidotes), if necessary
Clinical symptoms of ivermectin toxicity include ataxia and depression. No
antidote has been identified. In case of overdose, symptomatic treatment should
be given. No signs of toxicity were observed in animals treated at up to 3 times
the recommended dose rate.
4.11 Withdrawal period(s)
Cattle:
Meat and offal: 49 days.
Do not use in lactating cows producing milk for human consumption. Do not use
in non-lactating dairy cows, including pregnant dairy heifers, within 60 days of
calving.
Sheep:
Meat and offal: 42 days.
Do not use in lactating ewes producing milk for human consumption. Do not use
in sheep which are intended to produce milk for human consumption within 60
days of lambing.
Pigs:
Meat and offal: 28 days
5.

This information is sourced from the official Summary of Product Characteristics (SPC) published by the Veterinary Medicines Directorate (VMD). It is provided for informational purposes only and does not replace professional veterinary advice. Always consult your vet before administering any medication.

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