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Goes directly to skin. Does not pass through
the stomach, intestines, liver or circulatory system.
The first topical spray that's as effective for
flea allergic dermatitis as prednisone.
Now you don't have to subject dogs to systemic
steroid treatments for control of allergic dermatitis. Genesis Topical
Spray delivers an ultra-low concentration (0.015%) of triamcinolone acetonide,
clinically proven as effective as oral prednisone.
What's more, Genesis has only minimal side
effects - comparable to a placebo of denatured alcohol and water. Contains
no dyes or fragrance.
So for effective treatment for allergic
dermatitis, go directly to the skin - go with Genesis Topical Spray.
Solution of 0.015%
triamcinolone acetonide
NADA 141-210, Approved by FDA
FOR TOPICAL USE IN DOGS
ONLY
CAUTION
Federal law (USA) restricts
this drug to use by or on the order of a licensed veterinarian.
DESCRIPTION
Genesis Topical Spray contains
0.015% triamcinolone acetonide for dermatologic use.
Each mL of Genesis Topical
Spray contains 0.15 mg triamcinolone acetonide in an aqueous solution containing
propylene glycol, specially denatured alcohol, and DMDM hydantoin.
PHARMACOLOGY
Triamcinolone acetonide is a
highly potent synthetic glucocorticoid, which is primarily effective because of
its anti-inflammatory activity. Topical corticosteroids can be absorbed from
normal intact skin. Studies have demonstrated that topical preparations of
triamcinolone have decreased plasma cortisol levels and suppressed the response
to ACTH.
INDICATIONS
Genesis Topical Spray is
indicated for the control of pruritus associated with allergic dermatitis in
dogs.
DOSAGE AND ADMINISTRATION
Apply sufficient pump sprays
to uniformly and thoroughly wet the affected areas while avoiding run-off of
excess product. Avoid getting the spray in dog’s eyes. Genesis Topical Spray
should be administered twice daily for seven days, once daily for the next seven
days, then every other day for an additional 14 days (28 days total).
To avoid overdosing the
product, use the following table to determine the maximum number of pump sprays
per treatment application. For mild pruritus or for small treatment surface
areas, the number of pumps used should be less than this maximum amount.
Table 1. Maximum allowable
dosage
|
Dog
weight
|
Maximum
number of pumps per single application*
|
Total
maximum volume (mL) per 28 day treatment regimen
|
|
lb
|
kg
|
|
11
|
5
|
4
|
101
|
|
22
|
10
|
7
|
176
|
|
33
|
15
|
11
|
277
|
|
44
|
20
|
15
|
378
|
|
55
|
25
|
19
|
478
(one 16-oz bottle)
|
|
66
|
30
|
22
|
554
|
|
77
|
35
|
26
|
655
|
|
88
|
40
|
30
|
756
|
|
99
|
45
|
33
|
832
|
|
110
|
50
|
37
|
932
(two 16-oz bottles)
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*Using the recommended dosing
regimen, there are two applications per day for the first week, one application
per day for the second week and one application every other day for the last two
weeks of treatment.
WARNINGS
User Safety: Wear
gloves when applying the product. Spray in a well ventilated area. If the spray
causes irritation to mucous membranes, discontinue use. Keep this and all
drugs out of reach of children.
Animal Safety: Clinical
and experimental data have demonstrated that corticosteroids administered orally
or by injection to animals may induce the first stage of parturition if used
during the last trimester of pregnancy and may precipitate premature parturition
followed by dystocia, fetal death, retained placenta, and metritis.
Additionally, corticosteroids administered to dogs, rabbits, and rodents during
pregnancy have resulted in cleft palates in offspring. Corticosteroids
administered to dogs during pregnancy have also resulted in other congenital
anomalies including deformed forelegs, phocomelia, and anasarca.
PRECAUTIONS
The safety of this product for
dogs less than eight pounds or for dogs less than one year of age has not been
evaluated. The safety of this product in breeding, pregnant or lactating dogs
has not been evaluated (see WARNINGS). The safety of long term or
repeated use of this product (greater than 28 days) has not been evaluated.
Prolonged use or overdosage of any corticosteroid may produce adverse effects.
Because absorption of triamcinolone acetonide through topical application on the
skin and by licking may occur, dogs receiving triamcinolone acetonide therapy
should be observed closely for evidence of hypothalamic-pituitary-adrenal (HPA)
axis suppression. When the product was applied at approximately 6 times the
maximum allowable dose (100mL) once daily to normal skin of two dogs for five
days, plasma cortisol levels were decreased after the first treatment and
response to ACTH was reduced.
If adverse clinical signs are
observed, treatment should be discontinued. Once the signs have disappeared,
treatment can be resumed at a lower dose or frequency of application. If
hypersensitivity to the product occurs, treatment should be discontinued and
appropriate therapy instituted. In the presence of dermatological infections,
use of an appropriate antifungal or antibacterial agent should be instituted. If
a favorable response does not occur promptly, the corticosteroid should be
discontinued until the infection has been adequately controlled.
ADVERSE REACTIONS
In a field study with Genesis
Topical Spray, polyuria was reported in 3 of 57 dogs (5.3%) and polyphagia in 1
of 57 dogs (1.8%). Mild (within reference range) decreases in total leukocyte,
lymphocyte and eosinophil counts were also reported. The following local
reactions were reported in ¡Ü 3.6% of 110 dogs treated with Genesis Topical
Spray or the product vehicle: aversion/discomfort, sneezing and watery eyes.
EFFECTIVENESS
In a 28-day field study to
demonstrate the effectiveness of Genesis Topical Spray in controlling pruritus
associated with allergic dermatitis in dogs under field conditions, 105 dogs
with atopy, unspecified allergic dermatitis, flea allergy, and food allergy were
treated with Genesis Topical Spray at the recommended use level or placebo.
Results are shown in Table 2.
Table 2. Percent of cases
considered treatment successes
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Treatment
|
Percent
success1
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Genesis
Topical Spray
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35/54
= 64.8%*
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Placebo
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12/51
= 23.5%
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1Success
= reduction in the level of severity by two or more grades in the
investigator's overall evaluation from the pre-treatment to the
post-treatment evaluation period.
*Significantly
different from placebo at p < 0.05
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STORAGE CONDITIONS
Store at room temperature, 15°
– 30°C (59° – 86°F).
HOW SUPPLIED
Genesis Topical Spray is
supplied in 16 ounce (478 mL) bottles with spray applicators.
For technical information or
to report adverse reactions, please call (800) 338-3659.
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