Acecare 2mg/ml Solution for Injection for Dogs and Cats
Acepromazine
Last verified
Veterinary medicinal product: solution for injection. Distribution category: POM-V (Veterinary Medicines Regulations 2013, Schedule 3). Active substance: Acepromazine.1
In short: questions and answers
- Does Acecare 2mg/ml Solution for Injection for Dogs and Cats need a prescription?
- Prescription only. As stated in the registration decision.1
- Which animals is Acecare 2mg/ml Solution for Injection for Dogs and Cats for?
- Cats, Dogs.1
- What is the active substance in Acecare 2mg/ml Solution for Injection for Dogs and Cats?
- Acepromazine. ATCvet code: QN05AA04.13
- What is the withdrawal period of Acecare 2mg/ml Solution for Injection for Dogs and Cats according to the leaflet?
- No withdrawal period is set for this drug: it is not intended for food-producing animals.3
- Dispensing
- Prescription only1
POM-V: Prescription Only Medicine - Veterinarian. Supplied only on a prescription written by a veterinary surgeon who has assessed the animal.12
Supplied only on a veterinarian's prescription. As stated in the registration decision.
- Active substance
- Acepromazine
- ATCvet code
- QN05AA043
- Manufacturer
- Marketing authorisation holder: Ecuphar NV
Withdrawal period
No withdrawal period is set for this drug: it is not intended for food-producing animals.3
Summary of product characteristics
Composition
Each ml of solution contains:
Active substance:
Acepromazine 2 mg
(as acepromazine maleate 2.71 mg)
Excipients:
| Qualitative composition of excipients and other constituents | Quantitative composition if that information is essential for proper administration of the veterinary medicinal product |
|---|---|
| Phenol | 3 mg |
| Sodium hydroxide | |
| Maleic acid | |
| Water for injections |
Pale yellow solution for injection.
Pharmacological properties
4.1 ATCvet code: QN05AA04
4.2 Pharmacodynamics
Acepromazine is a phenothiazine. It is a central nervous system depressant with associated activity on the autonomic system. Phenothiazines have a central action due to inhibition of dopamine pathways, resulting in alteration of mood, reduction in fear and removal of learned or conditioned responses.
Acepromazine possesses anti-emetic, hypothermic, hypotensive and anti-spasmodic properties and shows a marked potentiating effect on barbiturate anaesthesia.
4.3 Pharmacokinetics
The length of action of acepromazine appears to be prolonged and to be dose dependent.
Target species
Dogs and cats.
Indications
Anaesthetic premedication: following acepromazine administration, the amount of anaesthetic necessary to induce anaesthesia is considerably reduced. This reduction is approximately one-third of a suitable induction agent.
Tranquilisation: acepromazine tranquilisation (ataraxy) involves a modification of temperament which is not associated with hypnosis, narcosis or marked sedation. This is achieved with low doses of acepromazine.
Sedation: at higher dose rates acepromazine is a sedative.
Dosage
Intramuscular, subcutaneous or slow intravenous injection.
Premedication: 0.03 – 0.125 mg per kg bodyweight by intramuscular, subcutaneous or slow intravenous injection.
Other uses: By intramuscular or subcutaneous injection 0.0625 - 0.125 mg per kg bodyweight. Approximately equivalent to 0.625 – 1.25 ml of 2 mg/ml injection per 20 kg bodyweight. By intravenous injection - as for intramuscular, except that it is recommended the injection is made slowly.
The maximum dose that should be given is 4 mg acepromazine per animal.
Normally single doses of acepromazine are administered (see section 3.3, Contraindications).
Take adequate precautions to maintain sterility. Avoid the introduction of contamination during use. Should any apparent growth or discolouration occur, discard the product.
Do not exceed 40 broachings per vial.
Contraindications
Do not use in pregnant animals.
Do not use on a long term basis in individual animals.
Adverse reactions
Dogs and cats:
Undetermined frequency (cannot be estimated from the available data): Arrhythmia*
* after rapid intravenous injection.
Reporting adverse events is important. It allows continuous safety monitoring of a veterinary medicinal product. Reports should be sent, preferably via a veterinarian, to either the marketing authorisation holder or its local representative or the national competent authority via the national reporting system. See the package leaflet for respective contact details.
Warnings
Special precautions for safe use in the target species:
Acepromazine is hypotensive. Particular care should therefore be taken in hypovolaemic animals; rehydration should precede acepromazine administration.
Acepromazine may cause hypothermia due to depression of the thermoregulatory centre and peripheral vasodilation.
In some dogs, particularly Boxers and other short-nosed breeds, spontaneous fainting or syncope may occur due to sinoatrial block caused by excessive vagal tone. An attack may be precipitated by an injection of acepromazine, so a low dose should be used.
Where there is a history of this type of syncope, or if it is suspected because of excessive sinus arrhythmia, it may be advantageous to control the dysrhythmia with atropine given just before the acepromazine.
Large breeds: It has been noted that large breeds of dogs are particularly sensitive to acepromazine and the minimum dose possible should be used in these breeds.
Special precautions to be taken by the person administering the veterinary medicinal product to animals:
Care should be taken when handling and administering this product to avoid exposure.
This product contains a potent sedative. Take precautions to avoid accidental injection. In case of accidental self-injection, seek medical advice immediately and show the package leaflet or the label to the physician but DO NOT DRIVE as sedation may occur. Symptomatic treatment may be required.
Avoid contact with eyes. If accidental eye contact occurs, flush gently with fresh running water for 15 minutes and seek medical advice if any irritation persists.
In the event of accidental skin contact wash the contaminated area with large amounts of soap and water. Medical advice should be sought if irritation persists.
Wash hands and exposed skin thoroughly after use.
Special precautions for the protection of the environment:
Not applicable.
Use during pregnancy, lactation or lay
The safety of the veterinary medicinal product has not been established during pregnancy.
Interactions
Acepromazine is additive to the actions of other depressants and will potentiate general anaesthesia (see section 3.2, indications for use). Do not use this product in conjunction with organophosphates and/or procaine hydrochloride, as it may enhance activity and potential toxicity.
Overdose
Transient dose-dependent hypotension may occur in cases of accidental overdose. Therapy should consist of discontinuing any other hypotensive treatment, supportive care such as intravenous infusion of warm isotonic saline to correct hypotension and close monitoring.
Epinephrine (adrenaline) is contra-indicated in the treatment of acute hypotension produced by overdosage of acepromazine maleate, since further depression of systemic blood pressure can result.
Special warnings
None.
Withdrawal period
Not applicable.
Incompatibilities
In the absence of compatibility studies, this veterinary medicinal product must not be mixed with other veterinary medicinal products.
Immediate packaging
20 ml clear glass (Type II) vial. Closed with a grey bromobutyl coated rubber bung and aluminium crimped seal.
Cardboard box containing 1 vial of 20 ml.
Storage
Do not store above 25 oC.
Keep the vial in the outer carton in order to protect from light.
Following withdrawal of the first dose, use remainder of the product within 28 days. Discard unused material.
Shelf life
Shelf life of the veterinary medicinal product as packaged for sale: 30 months. Shelf life after first opening the immediate packaging: 28 days.
Disposal of unused product
Medicines should not be disposed of via wastewater.
Use take-back schemes for the disposal of any unused veterinary medicinal product or waste materials derived thereof in accordance with local requirements and with any national collection systems applicable to the veterinary medicinal product concerned.
Additional information
Vm 32742/4018
8 DATE OF FIRST AUTHORISATION
28 July 2016
9 DATE OF THE LAST REVISION OF THE SUMMARY OF THE PRODUCT CHARACTERISTICS
November 2025
10 CLASSIFICATION OF VETERINARY MEDICINAL PRODUCTS
Veterinary medicinal product subject to prescription.
Detailed information on this veterinary medicinal product is available in the Union Product Database (https://medicines.health.europa.eu/veterinary).
Registration holder
Ecuphar NV
Regulations
- Veterinary Medicines Regulations 2013 (SI 2013/2033), Schedule 32
Sources
- VMD Product Information Database: Acecare 2mg/ml Solution for Injection for Dogs and Cats, 32742/4018
- The Veterinary Medicines Regulations 2013, Schedule 3 (categories of veterinary medicinal products)
- Summary of Product Characteristics: Acecare 2mg/ml Solution for Injection for Dogs and Cats
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