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Update Position Paper Availability Veterinary Medicines Agreed 9 February 2000 en
Update Position Paper Availability Veterinary Medicines Agreed 9 February 2000 en
EMEA/CVMP/130/00-FINAL
The Committee for Veterinary Medicinal Products (CVMP) adopted at its meeting on 16-18
March 1999 a Position Paper on Availability of Veterinary Medicines (EMEA/CVMP/151/99-
FINAL), presenting recommendations in respect of the problem that insufficient medicinal
products are available for the treatment of certain diseases and certain animal species. In this
document the CVMP also identified from the lists of substances no longer available, 10
substances as being essential. These were: narcobarbital, thiamylal, thiopental, pentobarbital
(had to be withdrawn later, as no product containing the substance has ever been licensed for
food producing animals), etorphine/diprenophine, propionylpromazine, acepromazine,
metomidate, diazepam, yohimbine. Subsequent to further scrutiny of the substances evaluated in
the following 6 months, for which no MRLs could be established, the list of substances
considered essential in veterinary medicine was updated at the meeting on 12-14 October
(EMEA/CVMP/731/99-FINAL) to include also fumagillin. At the meeting on 7-9 December
1999 the CVMP added guaifenesin to this list.
Having reached the deadline of 31 December 1999 by which MRLs had to be set for old
defended substances, the CVMP then undertook the review of those substances evaluated since
October 1999, for which no MRLs could be established, particularly considering the
outstanding substances, for which no response to the list of questions was submitted by the
applicants. The Committee then further updated the list of substances considered essential at the
meeting on 8-10 February 2000.
Since March 1999 the CVMP undertook additional efforts to salvage the essential substances
identified and to obtain further data which might be available in the public domain, or within
institutions outside the EU, which had not previously been included in the dossier or the
assessment in order to set MRLs.
Additional data were obtained which allowed the CVMP to recommend the inclusion of
Thiopental sodium and Thiamylal in Annex II of Council Regulation (EEC) No. 2377/90. The
CVMP however had to conclude that despite concerted efforts made to obtain further data, no
recommendation to include narcobarbital, etorphine, diprenophine, propionylpromazine,
acepromazine, diazepam, yohimbine or fumagillin in any of the annexes to Council Regulation
(EEC) No. 2377/90 was possible.
The remaining substances and indications identified as essential as per February 2000 are:
The lists of substances which served as working documents for the CVMP in its attempts to
identify those products which are essential in veterinary medicine today are attached to this
document (Annexes 1 and 2).
It should be noted that this list might need to be updated again once the procedures of the
remaining MRL applications for 3 old substances have been closed (1 substance for which the
response to the list of questions was submitted only shortly before 31 December 1999 is still
regarded as being “under evaluation”, and for 2 other substances going through an appeal
procedure).
Any enquiries regarding this document may be directed to the attention of Dr Kornelia Grein,
Head of Sector (Safety of Veterinary Medicines) at the EMEA, 7 Westferry Circus, Canary
Wharf, London E14 4HB, telephone +44 20 7 418 8432.
Substances Indication Species 1 MRL Status Examples for alternatives MRL Status for these alternatives 2
Antibacterials and antiprotozoals
Cefuroxime Treatment of clinical Cattle No rec. There are several drugs available
mastitis in lactating cattle against mastitis
and treatment of sub-
clinical infections and
reduction of the risk of
new infections in dry
cattle
Chloramphenicol Treatment of bacterial Cattle (calves), Annex IV Thiamphenicol Annex I bovine, chicken
infections (against broad- pigs, poultry
Florfenicol Annex I bovine
spectrum of bacteria)
Amoxicillin Annex I all food producing species
Dapsone Coccidiosis Cattle Annex IV Sulfonamides Annex I all food producing species
Treatment of mastitis and There are several drugs available
endometritis against mastitis and endometritis
Dimetridazole Genital trichomoniasis Cattle Annex IV No alternatives
Haemorrhagic enteritis Pigs
Histomoniasis Turkeys
Trichomoniasis Pigeons
Diminazene Treatment of Cattle, sheep, Withdrawn Imidocarb (against babesiosis) Annex III bovine, ovine
trypanosomiasis and horses No alternatives against
babesiosis trypanosomiasis
1
Species, for which MRL application was made; also species for which products are authorised in the EU, as far as information available and was included in Summary Report
2
CVMP recommendations not yet published in the OJ are written in italics
Public EMEA/CVMP/130/00-FINAL 09 February 2000 3/16
EMEA 2000
Substances Indication Species 1 MRL Status Examples for alternatives MRL Status for these alternatives 2
Furazolidone Coccidiosis Cattle Annex IV (see Dapsone)
Pigs Sulfonamides (sulphaquinoxaline) Annex I all food producing species
Rabbits Sulfonamides (sulphaquinoxaline) Annex I all food producing species
Poultry Amprolium Annex III chicken, turkey
Treatment of bacterial Toltrazuril Annex I chicken, turkey; Annex III porcine
infections (against Gram Sulfonamides Annex I all food producing species
positive and Gram Fish Sarafloxacin Annex I salmonidae
negative bacteria) Flumequine Annex I salmonidae
Kitasamycin Treatment of diseases Pigs, poultry Withdrawn Erythromycin Annex I bovine, ovine, porcine, chicken
caused by mycoplasmas Tylosin Annex I bovine, porcine, poultry
and Gram-positive Spiramycin Annex I bovine, porcine, chicken
bacteria, some Gram-
negative bacteria,
spirochetes and rickettsiae
Metronidazol Retentio secundinarium Cattle Annex IV Not of importance
(in combination with
neomycin)
Dysentery (Serpulina Pigs Tiamulin Annex I porcine, chicken; Annex III turkey
hyodysenteriae), Lincomycin Annex III porcine, sheep, chicken; Annex I
bovine
Valnemulin Annex I porcine
Nitrofurans (except Treatment of bacterial All food Annex IV There are several drugs available
Furazolidone) infections (against Gram producing against infection of Gram positive and
positive and Gram species Gram negative bacteria
negative bacteria)
Treatment of protozoal Imidocarb Annex III bovine, ovine
diseases Toltrazuril Annex I chicken, turkey; Annex III porcine
Pentetrazol Treatment of acute Cattle, sheep, Withdrawn Doxapram Annex II all mammalian food producing
respiratory disorders of pigs, horses species
new-born animals Prethcamide Annex II all food producing mammalian
species
Pentoxyverine Treatment of cough Horses No rec. Butorphanol (different mode of action) Annex II equidae
Propionylpromazine Sedation and Cattle, pigs, No rec. No alternatives
premedication of narcosis horses
Muscle relaxants
Guaifenesin Muscle relaxation Horse Withdrawn No alternatives
Local anaesthetics
Butanilicaine Local anaesthetic No No rec. Lidocain Annex II equidae (for local-regional
information on anaesthesia only)
target species Mepivacaine Annex II equidae (for intra-articular and
epidural use as anaesthetic only))
(Tetracaine) Annex II all food producing species
(Procaine) Annex II all food producing species
Agents acting on the reproductive system
Fenprostalene Synchronisation of Cattle, pigs Withdrawn Dinoprost Annex II all mammalian species
(prostaglandin and oestrus, reproductive Dinoprost tromethamine Annex II all mammalian species
analogues) disorders associated with Cloprostenol Annex II bovine, porcine, equidae
persistent corpus luteum, R-Cloprostenol Annex II bovine, porcine, equidae
termination of unwanted Tiaprost Annex II bovine, ovine, porcine, equidae
pregnancies (cattle), Etiproston tromethamine Annex II bovine, porcine
induction of parturation
Luprostiol Annex II all mammalian species
(cattle, pigs)
Testosterone Androgen therapy Cattle, pigs, Withdrawn Not of importance
horses
Antiinflammatory agents
Diclofenac The non-steroidal anti- Cattle, pigs No rec. Ketoprofen Annex II bovine, porcine, equidae
inflammatory drug Tolfenamic acid Annex I bovine, porcine
Substances Indication Species 3 Examples for alternatives MRL Status for these alternatives 4
Anti-infectious agents
2-Hydroxy-propyl-tri- Treatment of actinomycosis Cattle, sheep Iodine salts Annex II all food producing species
ammonium iodide (Penicillins) Annex I all food producing species
Nalidixic acid Treatment of urinary tract Cattle, pigs, rabbits, Enrofloxacin Annex I bovine, porcine, poultry, rabbits
infections and septicaemia chicken, turkey Danofloxacin Annex I porcine
Broad spectrum penicillins:
Amoxicillin Annex I all food producing species
Antimycotics
Griseofulvin Treatment of fungal diseases, Cattle, horses Natamycin (for topical use only) Annex II bovine, equidae
treatment of dermatophytoses Enilconazole (for topical use only) Annex II bovine, equidae
Antiparasitic agents
Pyrimethamine Treatment of coccidiosis and Rabbits Sulfonamides (sulphaquinoxaline) Annex I all food producing species, but
bacterial infections only used in combination products with
diaminopyrimidines/trimethoprim
Agents acting on the central nervous system
Fluanisone + fentanyl Neuroleptanalgesia Rabbits Only used for pets and laboratory
animals, i.e. not relevant for food
producing animals
Halothane Inhalation anaesthetic for Cattle, sheep, goats, pigs, Isoflurane Annex II equidae
general anaesthesia horses, donkey Xylazine hydrochloride (different Annex II bovine, equidae
application route)
Comment: as far as known halothane is
used only for horses, companion
animals and laboratory animals. Not
used as anaesthesia for pigs.
3
Species, indicated by Member States
4
CVMP recommendations not yet published in the OJ are written in italics
Public EMEA/CVMP/130/00-FINAL 09 February 2000 15/16
EMEA 2000
Substances Indication Species 3 Examples for alternatives MRL Status for these alternatives 4
Metomidate Sedation Pigs No alternatives
(Alternatives with other mode of
action, e.g. barbiturates, but no MRL)
Nikethamide Respiratory stimulant for Cattle, pigs, horses, donkey Doxapram Annex II all mammalian food producing
treatment of acute respiratory species
disorders Prethcamide Annex II all food producing mammalian
species
Pethidine Analgesia Horses, donkey Butorphanol tartrate Annex II equidae
Agents acting on the autonomic nervous system
Adiphenine Parasympatholytic for Cattle, sheep, goats, pigs, Atropine Annex II all food producing species
hydrochloride treatment of colics and horses, donkey Atropa belladonna Annex II all food producing species
spasmodic syndromes Butylscopolaminium bromide Annex II all food producing species
Carbachol Parasympathomimetic for Cattle, pigs, horses, donkey Neostigmine Annex II all food producing species
treatment of atony of
gastrointestinal tract, urinary
bladder and uterus.
Treatment of ruminal atony and
impaction
Etorphine Neuroleptanalgesia Cattle No alternatives
Prifinium bromide Parasympatholytic for Cattle, horses, donkey Atropine Annex II all food producing species
treatment of gastro-intestinal Atropa belladonna Annex II all food producing species
and urinal tract spasms Butylscopolaminium bromide Annex II all food producing species
Sinefrene Treatment of shock, cardiac Cattle, pigs Epinephrine Annex II all food producing species
syncope and anaphylactic Ergometrine maleate Annex II All mammalian food producing
emergencies species
Yohimbine Reversal of effects of a2 - Cattle, deer No alternatives
antagonist, e.g. Xylazine
Miscellaneous
Aminopromazine Spasmolytic for treatment of Cattle, sheep, pigs, horses, Isoxsuprine Annex II bovine, equidae
gastro-intestinal, bronchial and donkey Butylscopolaminium bromide Annex II all food producing species
genito-urinary tract spasms Clenbuterol Annex III bovine, equidae
According to the indications there are
several different drugs available