Draxxin (tulathromycin) – Package leaflet - QJ01FA94

Article Contents

PACKAGE LEAFLET:

Draxxin 100 mg/ml solution for injection for cattle, pigs and sheep

1.NAME AND ADDRESS OF THE MARKETING AUTHORISATION HOLDER AND OF THE MANUFACTURING AUTHORISATION HOLDER RESPONSIBLE FOR BATCH RELEASE, IF DIFFERENT

Marketing authorisation holder: Zoetis Belgium SA

Rue Laid Burniat 1 1348 Louvain-la-Neuve BELGIUM

Manufacturers responsible for batch release: FAREVA AMBOISE

Zone Industrielle,

29 route des Industries

37530 Pocé-sur-Cisse FRANCE

Zoetis Manufacturing & Research Spain, S.L.

Ctra. De Camprodon, s/n

Finca La Riba

Vall de Bianya 17813 (Girona)

SPAIN

2.NAME OF THE VETERINARY MEDICINAL PRODUCT

Draxxin 100 mg/ml solution for injection for cattle, pigs and sheep

Tulathromycin

3.STATEMENT OF THE ACTIVE SUBSTANCE(S) AND OTHER INGREDIENT(S)

Tulathromycin

100 mg/ml

Monothioglycerol

5 mg/ml

Clear colourless to slightly yellow solution for injection.

4.INDICATIONS

Cattle

Treatment and metaphylaxis of bovine respiratory disease associated with Mannheimia haemolytica,

Pasteurella multocida, Histophilus somni and Mycoplasma bovis sensitive to tulathromycin. The presence of the disease in the herd should be established before metaphylactic treatment.

Treatment of infectious bovine keratoconjunctivitis (IBK) associated with Moraxella bovis sensitive to tulathromycin.

Pigs

Treatment and metaphylaxis of swine respiratory disease associated with Actinobacillus pleuropneumoniae, Pasteurella multocida, Mycoplasma hyopneumoniae, Haemophilus parasuis and

Bordetella bronchiseptica sensitive to tulathromycin. The presence of the disease in the herd should be established before metaphylactic treatment. Draxxin should only be used if pigs are expected to develop the disease within 2–3 days.

Sheep

Treatment of the early stages of infectious pododermatitis (foot rot) associated with virulent Dichelobacter nodosus requiring systemic treatment.

5.CONTRAINDICATIONS

Do not use in case of hypersensitivity of the target animals to macrolide antibiotics. Do not use simultaneously with other macrolides or lincosamides.

Do not use in lactating animals producing milk for human consumption.

Do not use in pregnant animals, which are intended to produce milk for human consumption, within 2 months of expected parturition.

6.ADVERSE REACTIONS

Subcutaneous administration of Draxxin to cattle causes very commonly transient pain reactions and local swellings at the injection site that can persist for up to 30 days. No such reactions have been observed in pigs and sheep after intramuscular administration. Pathomorphological injection site reactions (including reversible changes of congestion, oedema, fibrosis and haemorrhage) are very common for approximately 30 days after injection in cattle and pigs.

In sheep, transient signs of discomfort (head shaking, rubbing injection site, backing away) are very common after intramuscular injection. These signs resolve within a few minutes.

The frequency of adverse reactions is defined using the following convention:

-very common (more than 1 in 10 animals treated displaying adverse reaction(s))

-common (more than 1 but less than 10 animals in 100 animals treated)

-uncommon (more than 1 but less than 10 animals in 1,000 animals treated)

-rare (more than 1 but less than 10 animals in 10,000 animals treated)

-very rare (less than 1 animal in 10,000 animals treated, including isolated reports).

If you notice any side effects, even those not already listed in this package leaflet or you think that the medicine has not worked, please inform your veterinary surgeon.

7.TARGET SPECIES

Cattle, pigs and sheep

8.DOSAGE FOR EACH SPECIES, ROUTE(S) AND METHOD OF ADMINISTRATION

Cattle (treatment and metaphylaxis)

2.5 mg tulathromycin/kg bodyweight (equivalent to 1 ml/40 kg bodyweight).

A single subcutaneous injection. For treatment of cattle over 300 kg bodyweight, divide the dose so that no more than 7.5 ml are injected at one site.

Pigs

2.5 mg tulathromycin/kg bodyweight (equivalent to 1 ml/40 kg bodyweight).

A single intramuscular injection in the neck. For treatment of pigs over 80 kg bodyweight, divide the dose so that no more than 2 ml are injected at one site.

Sheep

2.5 mg tulathromycin/kg bodyweight (equivalent to 1 ml/40 kg bodyweight).

A single intramuscular injection in the neck.

9.ADVICE ON CORRECT ADMINISTRATION

It is recommended to treat animals in the early stages of the disease and to evaluate the response to treatment within 48 hours after injection. If clinical signs of respiratory disease persist or increase, or if relapse occurs, treatment should be changed, using another antibiotic, and continued until clinical signs have resolved.

To ensure correct dosage bodyweight should be determined as accurately as possible to avoid underdosing. For multiple vial entry, an aspirating needle or multi-dose syringe is recommended to avoid excessive broaching of the stopper.

10.WITHDRAWAL PERIOD(S)

Cattle (meat and offal): 22 days.

Pigs (meat and offal): 13 days.

Sheep (meat and offal): 16 days.

Not authorised for use in lactating animals producing milk for human consumption.

Do not use in pregnant animals, which are intended to produce milk for human consumption, within 2 months of expected parturition.

11.SPECIAL STORAGE PRECAUTIONS

Keep out of the sight and reach of children.

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

Do not use this veterinary medicinal product after the expiry date which is stated on the label after EXP.

Shelf life after first opening the container: 28 days.

12.SPECIAL WARNING(S)

Special warnings for sheep:

The efficacy of antimicrobial treatment of foot rot might be reduced by others factors, such as wet environmental conditions, as well as inappropriate farm management. Treatment of foot rot should therefore be undertaken along with other flock management tools, for example providing dry environment.

Antibiotic treatment of benign foot rot is not considered appropriate. Draxxin showed limited efficacy in sheep with severe clinical signs or chronic foot rot, and should therefore only be given at an early stage of foot rot.

Special precautions for use in animals:

Use of the product should be based on susceptibility testing of the bacteria isolated from the animal. Official, national and regional antimicrobial policies should be taken into account when the product is used.

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

Tulathromycin is irritating to eyes. In case of accidental eye exposure, flush the eyes immediately with clean water.

Tulathromycin may cause sensitisation by skin contact. In case of accidental spillage onto skin, wash the skin immediately with soap and water.

Wash hands after use.

In case of accidental self-injection, seek medical advice immediately and show the package leaflet or the label to the physician.

Pregnancy and lactation:

Laboratory studies in rats and rabbits have not produced any evidence of teratogenic, foetotoxic or maternotoxic effects. The safety of the veterinary medicinal product has not been established during pregnancy and lactation. Use only according to the benefit/risk assessment by the responsible veterinarian.

Interaction with other medicinal products and other forms of interaction:

Do not administer simultaneously with antimicrobials with a similar mode of action such as other macrolides or lincosamides.

Overdose (symptoms, emergency procedures, antidotes):

In cattle at dosages of three, five or ten times the recommended dose, transient signs attributed to injection site discomfort were observed and included restlessness, head-shaking, pawing the ground, and brief decrease in feed intake. Mild myocardial degeneration has been observed in cattle receiving 5 to 6 times the recommended dose.

In young pigs weighing approximately 10 kg given three or five times the therapeutic dose transient signs attributed to injection site discomfort were observed and included excessive vocalisation and restlessness. Lameness was also observed when the hind leg was used as the injection site.

In lambs (approx. 6 weeks old), at dosages of three or five times the recommended dose, transient signs attributed to injection site discomfort were observed and included walking backwards, head shaking, rubbing the injection site, lying down and getting up, bleating.

Incompatibilities:

In the absence of compatibility studies, this veterinary medicinal product must not be mixed with other veterinary medicinal products.

13.SPECIAL PRECAUTIONS FOR THE DISPOSAL OF UNUSED PRODUCT OR WASTE MATERIALS, IF ANY

Ask your veterinary surgeon how to dispose of medicines no longer required. These measures should help to protect the environment.

14.DATE ON WHICH THE PACKAGE LEAFLET WAS LAST APPROVED

Detailed information on this veterinary medicinal product is available on the website of the European Medicines Agency (http://www.ema.europa.eu/).

15.OTHER INFORMATION

Tulathromycin is a semi-synthetic macrolide antimicrobial agent, which originates from a fermentation product. It differs from many other macrolides in that it has a long duration of action that is, in part, due to its three amine groups; therefore it has been given the chemical subclass designation of triamilide.

Macrolides are bacteriostatic acting antibiotics and inhibit essential protein biosynthesis by virtue of their selective binding to bacterial ribosomal RNA. They act by stimulating the dissociation of peptidyl-tRNA from the ribosome during the translocation process.

Tulathromycin possesses in vitro activity against Mannheimia haemolytica, Pasteurella multocida, Histophilus somni and Mycoplasma bovis, and Actinobacillus pleuropneumoniae, Pasteurella multocida, Mycoplasma hyopneumoniae, Haemophilus parasuis and Bordetella bronchiseptica the bacterial pathogens most commonly associated with bovine and swine respiratory disease, respectively. Increased minimum inhibitory concentration (MIC) values have been found in some isolates of Histophilus somni and Actinobacillus pleuropneumoniae. . In vitro activity against

Dichelobacter nodosus (vir), the bacterial pathogen most commonly associated with infectious pododermatitis (foot rot) in sheep has been demonstrated.

Tulathromycin also possesses in vitro activity against Moraxella bovis, the bacterial pathogen most commonly associated with infectious bovine keratoconjunctivitis (IBK).

Resistance to macrolides can develop by mutations in genes encoding ribosomal RNA (rRNA) or some ribosomal proteins; by enzymatic modification (methylation) of the 23S rRNA target site, generally giving rise to cross-resistance with lincosamides and group B streptogramins (MLSB resistance); by enzymatic inactivation; or by macrolide efflux. MLSB resistance may be constitutive or inducible. Resistance may be chromosomal or plasmid-encoded and may be transferable if associated with transposons or plasmids.

In addition to its antimicrobial properties, tulathromycin demonstrates immune-modulating and anti- inflammatory actions in experimental studies. In both bovine and porcine polymorphonuclear cells (PMNs; neutrophils), tulathromycin promotes apoptosis (programmed cell death) and the clearance of apoptotic cells by macrophages. It lowers the production of the pro-inflammatory mediators leukotriene B4 and CXCL-8 and induces the production of anti-inflammatory and pro-resolving lipid lipoxin A4.

In cattle, the pharmacokinetic profile of tulathromycin when administered as a single subcutaneous dose of 2.5 mg/kg bodyweight, was characterised by rapid and extensive absorption followed by high distribution and slow elimination. The maximum concentration (Cmax) in plasma was approximately 0.5 µg/ml; this was achieved approximately 30 minutes post-dosing (Tmax). Tulathromycin concentrations in lung homogenate were considerably higher than those in plasma. There is strong evidence of substantial accumulation of tulathromycin in neutrophils and alveolar macrophages. However, the in vivo concentration of tulathromycin at the infection site of the lung is not known. Peak concentrations were followed by a slow decline in systemic exposure with an apparent elimination half-life (t1/2) of 90 hours in plasma. Plasma protein binding was low, approximately 40%.The volume of distribution at steady-state (VSS) determined after intravenous administration was 11 l/kg. The bioavailability of tulathromycin after subcutaneous administration in cattle was approximately 90%.

In pigs, the pharmacokinetic profile of tulathromycin when administered as a single intramuscular

dose of 2.5 mg/kg bodyweight, was also characterised by rapid and extensive absorption followed by high distribution and slow elimination. The maximum concentration (Cmax) in plasma was approximately 0.6 µg/ml; this was achieved approximately 30 minutes post-dosing (Tmax). Tulathromycin concentrations in lung homogenate were considerably higher than those in plasma. There is strong evidence of substantial accumulation of tulathromycin in neutrophils and alveolar macrophages. However, the in vivo concentration of tulathromycin at the infection site of the lung is not known. Peak concentrations were followed by a slow decline in systemic exposure with an apparent elimination half-life (t1/2) of approximately 91 hours in plasma. Plasma protein binding was low, approximately 40%.The volume of distribution at steady-state (VSS) determined after intravenous administration was 13.2 l/kg. The bioavailability of tulathromycin after intramuscular administration in pigs was approximately 88%.

In sheep, the pharmacokinetic profile of tulathromycin, when administered as a single intramuscular dose of 2.5 mg/kg bodyweight, achieved a maximum plasma concentration (Cmax) of 1.19 µg/ml in approximately 15 minutes (Tmax) post-dosing and had an elimination half-life (t1/2) of 69.7 hours.

Plasma protein binding was approximately 60-75%. Following intravenous dosing the volume of distribution at steady-state (Vss) was 31.7 l/kg. The bioavailability of tulathromycin after intramuscular administration in sheep was 100%.

Not all pack sizes may be marketed.

500 ml vials must not be used for pigs and sheep.

For any information about this veterinary medicinal product, please contact the local representative of the marketing authorisation holder.

België/Belgique/Belgien

Lietuva

Zoetis Belgium SA

Oriola Vilnius UAB

Tél/Tel.: +32 (0) 800 99 189

Tel: +370 610 05088

Република България

Luxembourg/Luxemburg

Zoetis Belgium SA

Zoetis Belgium SA

Teл: +359 2 4775791

Tél/Tel.: +352 8002 4026

Česká republika

Magyarország

Zoetis Česká republika, s.r.o.

Zoetis Hungary Kft.

Tel: +420 257 101 111

Tel: +361 224 5222

Danmark

Malta

Orion Pharma Animal Health

Agrimed Limited

Tlf: +45 86 14 00 00

Tel: +356 21 465 797

Deutschland

Nederland

Zoetis Deutschland GmbH

Zoetis B.V.

Tel: +49 30 330063 0

Tel: +31 (0)10 714 0900

Eesti

Norge

Oriola Vilnius UAB

Orion Pharma Animal Health

Tel: +370 610 05088

Tlf: +47 40 00 41 90

Ελλάδα

Österreich

Zoetis Hellas S.A.

Zoetis Österreich GmbH

Τηλ.: +30 210 6791900

Tel: +43 1 2701100 110

España

Polska

Zoetis Spain, S.L.

Zoetis Polska Sp. z o.o.

Tel: +34 91 4191900

Tel: +48 22 2234800

France

Portugal

Zoetis France

Zoetis Portugal, Lda.

Tél: +33 (0)810 734 937

Tel: +351 21 042 72 00

Hrvatska

România

Zoetis B.V., Podružnica Zagreb za promidžbu

Zoetis România S.R.L.

Tel: +385 1 644 1460

Tel: +40 21 202 3083

Ireland

Slovenija

Zoetis Belgium SA

Zoetis B.V., Podružnica Zagreb za promidžbu

Tel: +353 (0) 1 256 9800

Tel: +385 1 644 1460

Ìsland

Slovenská republika

Icepharma hf.

Zoetis Česká republika, s.r.o.

Sími: +354 540 80 00

Tel: +420 257 101 111

Italia

Suomi/Finland

Zoetis Italia S.r.l.

Zoetis Finland Oy

Tel: +39 06 3366 8133

Puh/Tel: +358 (0)9 4300 40

Kύπρος

Sverige

Zoetis Hellas S.A.

Orion Pharma Animal Health

Τηλ.: +30 210 6791900

Tel: +46 (0)8 623 64 40

Latvija

United Kingdom

Oriola Vilnius UAB

Zoetis UK Limited

Tel: +370 610 05088

Tel: +44 (0) 845 300 8034

PACKAGE LEAFLET:

Draxxin 25 mg/ml solution for injection for pigs

1.NAME AND ADDRESS OF THE MARKETING AUTHORISATION HOLDER AND OF THE MANUFACTURING AUTHORISATION HOLDER RESPONSIBLE FOR BATCH RELEASE, IF DIFFERENT

Marketing authorisation holder and manufacturer responsible for batch release: Zoetis Belgium SA

Rue Laid Burniat 1 1348 Louvain-la-Neuve BELGIUM

2.NAME OF THE VETERINARY MEDICINAL PRODUCT

Draxxin 25 mg/ml solution for injection for pigs

Tulathromycin

3.STATEMENT OF THE ACTIVE SUBSTANCE(S) AND OTHER INGREDIENT(S)

Tulathromycin

25 mg/ml

Monothioglycerol

5 mg/ml

Clear colourless to slightly yellow solution for injection.

4.INDICATION(S)

Treatment and metaphylaxis of swine respiratory disease associated with Actinobacillus pleuropneumoniae, Pasteurella multocida, Mycoplasma hyopneumoniae, Haemophilus parasuis and Bordetella bronchiseptica sensitive to tulathromycin. The presence of the disease in the herd should be established before metaphylactic treatment. Draxxin should only be used if pigs are expected to develop the disease within 2–3 days.

5.CONTRAINDICATIONS

Do not use in case of hypersensitivity of the target animals to macrolide antibiotics. Do not use simultaneously with other macrolides or lincosamides.

6.ADVERSE REACTIONS

Pathomorphological injection site reactions (including reversible changes of congestion, oedema, fibrosis and haemorrhage) are present for approximately 30 days after injection.

If you notice any side effects, even those not already listed in this package leaflet or you think that the medicine has not worked, please inform your veterinary surgeon.

7.TARGET SPECIES

Pigs

8.DOSAGE FOR EACH SPECIES, ROUTE(S) AND METHOD OF ADMINISTRATION

A single intramuscular injection of 2.5 mg tulathromycin/kg bodyweight (equivalent to 1 ml/10 kg bodyweight) in the neck.

For treatment of pigs over 40 kg bodyweight, divide the dose so that no more than 4 ml are injected at one site.

9.ADVICE ON CORRECT ADMINISTRATION

It is recommended to treat animals in the early stages of the disease and to evaluate the response to treatment within 48 hours after injection. If clinical signs of respiratory disease persist or increase, or if relapse occurs, treatment should be changed, using another antibiotic, and continued until clinical signs have resolved.

To ensure correct dosage bodyweight should be determined as accurately as possible to avoid underdosing. For multiple vial entry, an aspirating needle or multi-dose syringe is recommended to avoid excessive broaching of the stopper.

10.WITHDRAWAL PERIOD(S)

Meat and offal: 13 days.

11.SPECIAL STORAGE PRECAUTIONS

Keep out of the sight and reach of children.

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

Do not use this veterinary medicinal product after the expiry date which is stated on the label after EXP.

Shelf life after first opening the container: 28 days.

12.SPECIAL WARNING(S)

Special precautions for use in animals:

Use of the product should be based on susceptibility testing of the bacteria isolated from the animal. Official, national and regional antimicrobial policies should be taken into account when the product is used.

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

Tulathromycin is irritating to eyes. In case of accidental eye exposure, flush the eyes immediately with clean water.

Tulathromycin may cause sensitisation by skin contact. In case of accidental spillage onto skin, wash the skin immediately with soap and water.

Wash hands after use.

In case of accidental self-injection, seek medical advice immediately and show the package leaflet or the label to the physician.

Pregnancy and lactation:

Laboratory studies in rats and rabbits have not produced any evidence of teratogenic, foetotoxic or maternotoxic effects. The safety of tulathromycin during pregnancy and lactation has not been established in cattle and pigs. Use only according to the benefit/risk assessment by the responsible veterinarian.

Interaction with other medicinal products and other forms of interaction:

Do not administer simultaneously with antimicrobials with a similar mode of action such as other macrolides or lincosamides.

Overdose (symptoms, emergency procedures, antidotes):

In young pigs weighing approximately 10 kg given three or five times the therapeutic dose transient signs attributed to injection site discomfort were observed and included excessive vocalisation and restlessness. Lameness was also observed when the hind leg was used as the injection site.

Incompatibilities:

In the absence of compatibility studies, this veterinary medicinal product must not be mixed with other veterinary medicinal products.

13.SPECIAL PRECAUTIONS FOR THE DISPOSAL OF UNUSED PRODUCT OR WASTE MATERIALS, IF ANY

Ask your veterinary surgeon how to dispose of medicines no longer required. These measures should help to protect the environment.

14.DATE ON WHICH THE PACKAGE LEAFLET WAS LAST APPROVED

Detailed information on this veterinary medicinal product is available on the website of the European Medicines Agency (http://www.ema.europa.eu/).

15.OTHER INFORMATION

Tulathromycin is a semi-synthetic macrolide antimicrobial agent, which originates from a fermentation product. It differs from many other macrolides in that it has a long duration of action that is, in part, due to its three amine groups; therefore it has been given the chemical subclass designation of triamilide.

Macrolides are bacteriostatic acting antibiotics and inhibit essential protein biosynthesis by virtue of their selective binding to bacterial ribosomal RNA. They act by stimulating the dissociation of peptidyl-tRNA from the ribosome during the translocation process.

Tulathromycin possesses in vitro activity against Mannheimia haemolytica, Pasteurella multocida, Histophilus somni and Mycoplasma bovis and Actinobacillus pleuropneumoniae, Pasteurella multocida, Mycoplasma hyopneumoniae, Haemophilus parasuis and Bordetella bronchiseptica the bacterial pathogens most commonly associated with bovine and swine respiratory disease, respectively. Increased minimum inhibitory concentration (MIC) values have been found in some isolates of Histophilus somni and Actinobacillus pleuropneumoniae.

Resistance to macrolides can develop by mutations in genes encoding ribosomal RNA (rRNA) or some ribosomal proteins; by enzymatic modification (methylation) of the 23S rRNA target site, generally giving rise to cross-resistance with lincosamides and group B streptogramins (MLSB

resistance); by enzymatic inactivation; or by macrolide efflux. MLSB resistance may be constitutive or inducible. Resistance may be chromosomal or plasmid-encoded and may be transferable if associated with transposons or plasmids.

In addition to its antimicrobial properties, tulathromycin demonstrates immune-modulating and anti- inflammatory actions in experimental studies. In both bovine and porcine polymorphonuclear cells (PMNs; neutrophils), tulathromycin promotes apoptosis (programmed cell death) and the clearance of apoptotic cells by macrophages. It lowers the production of the pro-inflammatory mediators leukotriene B4 and CXCL-8 and induces the production of anti-inflammatory and pro-resolving lipid lipoxin A4.

In pigs, the pharmacokinetic profile of tulathromycin when administered as a single intramuscular dose of 2.5 mg/kg bodyweight, was also characterised by rapid and extensive absorption followed by high distribution and slow elimination. The maximum concentration (Cmax) in plasma was approximately 0.6 µg/ml; this was achieved approximately 30 minutes post-dosing (Tmax). Tulathromycin concentrations in lung homogenate were considerably higher than those in plasma. There is strong evidence of substantial accumulation of tulathromycin in neutrophils and alveolar macrophages. However, the in vivo concentration of tulathromycin at the infection site of the lung is not known. Peak concentrations were followed by a slow decline in systemic exposure with an apparent elimination half-life (t1/2) of approximately 91 hours in plasma. Plasma protein binding was low, approximately 40%.The volume of distribution at steady-state (Vss) determined after intravenous administration was 13.2 L/kg. The bioavailability of tulathromycin after intramuscular administration in pigs was approximately 88%.

Not all pack sizes may be marketed.

For any information about this veterinary medicinal product, please contact the local representative of the marketing authorisation holder.

België/Belgique/Belgien

Lietuva

Zoetis Belgium SA

Oriola Vilnius UAB

Tél/Tel.: +32 (0) 800 99 189

Tel: +370 610 05088

Република България

Luxembourg/Luxemburg

Zoetis Belgium SA

Zoetis Belgium SA

Teл: +359 2 4775791

Tél/Tel.: +352 8002 4026

Česká republika

Magyarország

Zoetis Česká republika, s.r.o.

Zoetis Hungary Kft.

Tel: +420 257 101 111

Tel: +361 224 5222

Danmark

Malta

Orion Pharma Animal Health

Agrimed Limited

Tlf: +45 86 14 00 00

Tel: +356 21 465 797

Deutschland

Nederland

Zoetis Deutschland GmbH

Zoetis B.V.

Tel: +49 30 330063 0

Tel: +31 (0)10 714 0900

Eesti

Norge

Oriola Vilnius UAB

Orion Pharma Animal Health

Tel: +370 610 05088

Tlf: +47 40 00 41 90

Ελλάδα

Österreich

Zoetis Hellas S.A.

Zoetis Österreich GmbH

Τηλ.: +30 210 6791900

Tel: +43 1 2701100 110

España

Polska

Zoetis Spain, S.L.

Zoetis Polska Sp. z o.o.

Tel: +34 91 4191900

Tel: +48 22 2234800

France

Portugal

Zoetis France

Zoetis Portugal, Lda.

Tél: +33 (0)810 734 937

Tel: +351 21 042 72 00

Hrvatska

România

Zoetis B.V., Podružnica Zagreb za promidžbu

Zoetis România S.R.L.

Tel: +385 1 644 1460

Tel: +40 21 202 3083

Ireland

Slovenija

Zoetis Belgium SA

Zoetis B.V., Podružnica Zagreb za promidžbu

Tel: +353 (0) 1 256 9800

Tel: +385 1 644 1460

Ìsland

Slovenská republika

Icepharma hf.

Zoetis Česká republika, s.r.o.

Sími: +354 540 80 00

Tel: +420 257 101 111

Italia

Suomi/Finland

Zoetis Italia S.r.l.

Zoetis Finland Oy

Tel: +39 06 3366 8133

Puh/Tel: +358 (0)9 4300 40

Kύπρος

Sverige

Zoetis Hellas S.A.

Orion Pharma Animal Health

Τηλ.: +30 210 6791900

Tel: +46 (0)8 623 64 40

Latvija

United Kingdom

Oriola Vilnius UAB

Zoetis UK Limited

Tel: +370 610 05088

Tel: +44 (0) 845 300 8034

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