Description:
Merial
Topical Antimicrobial-Corticosteroid
Thiabendazole-Dexamethasone-Neomycin Sulfate Solution
Active Ingredient(s): Dermatologic solution TRESADERM® (thiabendazole-dexamethasone-neomycin
sulfate solution) contains the following active ingredients per mL:
| Thiabendazole |
40 mg |
| Dexamethasone |
1 mg |
| Neomycin (from neomycin sulfate) |
3.2 mg |
Inactive ingredients: Glycerin propylene glycol, purified water, hypophosphorous
acid, calcium hypophosphite, about 8.5% ethyl alcohol and about 0.5% benzyl
alcohol.
Indications: Dermatologic solution TRESADERM® is indicated as an aid in
the treatment of certain bacterial mycotic, and inflammatory dermatoses and
otitis externa in dogs and cats. Both acute and chronic forms of these skin
disorders respond to treatment with TRESADERM®. Many forms of dermatoses are
caused by bacteria (chiefly Staphylococcus aureus, Proteus vulgaris and Pseudomonas
aeruginosa). These organisms often act as opportunistic or concurrent
pathogens that may complicate already established mycotic skin disorders, or
otoacariasis caused by Otodectes cynotis. The principle etiologic agents
of dermatomycoses in dogs and cats are species of the genera Microsporum
and Trichophyton.
The efficacy of neomycin as an antibacterial agent with activity against both
gram-negative and gram-positive pathogens, is well documented. Detailed studies
in various laboratores have verified the significant activity thiabendazole
displays against the important dermatophytes. Dexamethasone, a synthetic
adrenocorticoid steroid, inhibits the reaction of connective tissue to injury
and suppresses the classic inflammatory manifestations of skin disease. The
TRESADERM® formulation combines these several activities in a complementary
form for control of the discomfort and direct treatment of dermatisis and otitis
externa produced by the above mentioned infectious agents.
Dosage and Administration: Prior to the administration of dermatologic
solution TRESADERM® remove the ceruminous, purulent or foreign material from
the ear canal, as well as the crust which may be associated with dermatoses
affecting other parts of the body. The design of the container nozzle safely
allows partial insertion into the ear canal for ease of administration. The
amount to apply and the frequency of treatment are dependent upon the severity
and extent of the lesions. Five (5) to 15 drops should be instilled into the ear
twice a day. In treating dermatoses affecting other than the ear, the surface of
the lesions should be well moistened (2 to 4 drops per square inch) with
dermatologic solution TRESADERM® twice a day. The volume required will be
dependent upon the size of the lesion.
TRESADERM® is limited to seven (7) days maximum duration of administration.
Precaution(s): Store in refrigerator (36-46°F).
Caution(s): Federal law restricts this drug to use by or on the order of
a licensed veterinarian.
On rare occasions dogs may be sensitive to neomycin. In these animals,
application of the drug will result in erythema of the treated area, which may
last for 24 to 48 hours. Also, evidence of transient discomfort has been noted
in some dogs when the drug was applied to fissured or denuded areas. The
expression of pain may last two to five minutes. Application of dermatologic
solution TRESADERM® should be limited to periods not longer than one week.
While systemic side effects are not likely with topically applied
corticosteroids such a possibility should be considered if use of the solution
is extensive and prolonged. If signs of salt and water retention or potassium
excretion are noticed (increased thirst, weakness, lethargy, oliguria,
gastro-intestinal disturbances or tachycardia), treatment should be discontinued
and appropriate measures taken to correct the electrolyte and fluid imbalance.
Also, it should be remembered that TRESADERM® is not a hormonal replacement,
hence it will have no effect on the alopecia of hypothyroidism. For topical use
in dogs and cats.
Avoid contact with eyes. Keep out of the reach of children.
Presentation: 7.5 mL and 15 mL dropper bottles in boxes of 12.
® TRESADERM is a registered trademark of Merial Limited, Iselin, NJ.
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