Sureseal 2.6 g Intramammary Suspension for Cattle

Composition

Each 4 g Intramammary syringe contains:

Active substance:

Bismuth subnitrate, heavy 2.6 g

Excipients:

Qualitative composition of excipients and other constituents

Aluminium di-/tri Stearate

Povidone, iodinated

Liquid Paraffin

Light brown suspension.

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Pharmacological properties

4.1ATCvet code: QG52X

4.2 Pharmacodynamics

Infusion of the veterinary medicinal product into each udder quarter produces a physical barrier against the penetration of bacteria thereby reducing the incidence of ascending intramammary infections during the dry period.

4.3 Pharmacokinetics

Bismuth subnitrate, heavy is not systemically absorbed from the mammary gland, but resides as a seal in the teat until physically removed (Shown in cows with a dry period up to 100 days).

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Target species

Cattle (dairy cows).

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Indications

Prevention of new intramammary infections throughout the dry period.

In cows considered likely to be free of sub-clinical mastitis, the veterinary medicinal product may be suitable for use on its own in dry cow management for mastitis control.

Selection of cows for treatment with the veterinary medicinal product should be based on veterinary clinical judgement. Selection criteria may be based on the mastitis and cell count history of individual cows, or recognised tests for the detection of sub-clinical mastitis such as bacteriological sampling.

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Dosage

Intramammary use.

Infuse the content of one syringe of the veterinary medicinal product into each udder quarter immediately after the last milking of the lactation (at drying off). Do not massage the teat or udder after infusion of the product.

Care must be taken not to introduce pathogens into the teat in order to reduce the risk of post-infusion mastitis (aseptic technique).

It is essential that the teat is thoroughly cleaned and disinfected, with surgical spirit or alcohol-impregnated wipes. The teats should be wiped until the wipes are no longer visibly dirty. Teats should be allowed to dry prior to infusion. Infuse aseptically and avoid contamination of the syringe nozzle. Following infusion it is advisable to use an appropriate teat dip or spray.

Under cold conditions the veterinary medicinal product may be warmed to room temperature in a warm environment to aid syringeability.

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Contraindications

See section 3.7. Do not use in lactating cows. Do not use the veterinary medicinal product alone in cows with sub-clinical mastitis at drying off. Do not use in cows with clinical mastitis at drying off.

Do not use in cases of hypersensitivity to the active substance or to any of the excipients.

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Adverse reactions

1 Primarily due to the poor infusion technique and lack of hygiene. See sections 3.5 and 3.9 regarding the importance of aseptic technique.

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.

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Warnings

Special precautions for safe use in the target species

It is good practice to observe dry cows regularly for signs of clinical mastitis. If a sealed quarter develops clinical mastitis, the affected quarter should be stripped out manually before appropriate therapy is instituted.

To reduce the risk of contamination, do not immerse the syringe in water.

Use the syringe only once

Since the veterinary medicinal product does not have antimicrobial activity, in order to minimise the risk of acute mastitis due to poor infusion technique and lack of hygiene (see section 3.6), it is crucial to follow the aseptic technique of administration described in section 3.9.

Do not administer any other intramammary product following administration of the veterinary medicinal product.

In cows that may have sub-clinical mastitis, the veterinary medicinal product may be used following administration of a suitable dry cow antibiotic treatment to the infected quarter.

Special precautions to be taken by the person administering the veterinary medicinal product to animals

Avoid contact with skin or eyes.

Should skin or eye contact occur, wash the affected area thoroughly with water. If irritation persists, seek medical advice and show the package leaflet or label to the physician.

People with known hypersensitivity to the active substance should avoid contact with the veterinary medicinal product.

Wash hands after use.

Special precautions for the protection of the environment:

Not applicable.

3.11 Special restrictions for use and special conditions for use, including restrictions on the use of antimicrobial and antiparasitic veterinary medicinal products in order to limit the risk of development of resistance

Not applicable

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Use during pregnancy, lactation or lay

Pregnancy:

As the veterinary medicinal product is not systemically absorbed following intramammary infusion, the product can be used in pregnant animals. At calving, the seal may be ingested by the calf. Ingestion of the veterinary medicinal product by the calf is safe and produces no adverse effects.

Lactation:

If accidentally used in a lactating cow, a transient rise in somatic cell count (up to 2-fold) may be observed. In such an event, strip out the seal manually, no additional precautions are necessary.

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Interactions

In clinical trials, the compatibility of the veterinary medicinal product has only been shown with a cloxacillin-containing dry cow preparation.

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Overdose

Twice the recommended dose has been administered to cows without any clinical adverse effects.

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Special warnings

None.

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Withdrawal period

Meat & offal: zero days.

Milk: zero hours.

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Incompatibilities

None known.

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Immediate packaging

Low density polyethylene syringe with a smooth tapered hermetically sealed nozzle. Pack sizes:

Cartons of 24 and 60 syringes or buckets of 120 syringes including 24, 60 or 120 individually wrapped teat cleaning towels.

Not all pack sizes may be marketed.

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Storage

This veterinary medicinal product does not require any special storage conditions.

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Shelf life

Shelf-life of the veterinary medicinal product as packaged for sale: 3 years.

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Disposal of unused product

Medicines should not be disposed of via wastewater or household waste.

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.

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Additional information

Vm 02000/5024

8 DATE OF FIRST AUTHORISATION

05 August 2013

9 DATE OF THE LAST REVISION OF THE SUMMARY OF PRODUCT CHARACTERISTICS

October 2025

10 CLASSIFICATION OF VETERINARY MEDICINAL PRODUCTS

Veterinary medicinal product subject to prescription.

Find more product information by searching for the ‘Product Information Database’ on www.gov.uk.

Approved: 17 October 2025

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Registration holder

Norbrook Laboratories Limited

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