Procaine benzylpenicillin (lecithin coated) 200 mg (eq. 200 000 I.U.) Dihydrostreptomycin sulphate eq. 200 mg Dihydrostreptomycin Procaine hydrochloride – Polyvidone Sodium citrate (E331) – Sodium formaldehyde sulfoxylate – Sodium methyl parahydroxybenzoate (E219) 1.14 mg – Water for injections up to 1 ml.	Composition
Infections caused by penicillin G and/or DHS susceptible microorganisms such as respiratory tract infections (shipping fever, pasteurellosis, bronchopneumonia, pleuropneumonia, rhinitis, laryngitis), urogenital tract infections (p.e. Pyelonephritis, nephritis, endometritis), infections of skin and wounds, peritonitis, strangles in horses, mastitis, meningitis (p.e. by streptococci), erysipelas in pigs, otitis in dogs and cats, panaritium, clostridial infections, tetanus, anthrax, leptospirosis, actinomycosis in cattle, actinobacillosis in horses, polyarthritis (navel ill) and septicaemia. The drug also can be used in postoperative prevent	Indications
Do not administer to animals known to be hypersensitive to one of the components Renal insufficiency Do not use intravenously	Contraindications
Allergic reactions (anaphylactic shock, urticaria, oedema) may occur in animals hypersensitive towards penicillins, cephalosporins and dihydrostreptomycin. Acute side-effects reported after intramuscular use of procaine penicillin G probably may be attributed to the procaine moiety of the antibiotic (nervous stimulation in horses; shivering, vomiting, pyrexia and abortion in pigs) or to inadvertent intravascular injection (embolic shock, procaine toxicity). Massive doses of dihydrostreptomycin may cause neuromuscular block particularly after intra peritoneal or accidental I.V. injection Prolonged administration of high doses may lead to deafness, vestibulotoxic (ataxia, incoordination, nystagmus) and nephrotoxic signs If you notice any serious effects or other effects not mentioned in this leaflet	Adverse reactions
Horse, cattle, pig, sheep, goat, dog, cat.	Target species
Horses, cattle, pigs, goats, sheep, dogs, cats. By Intramuscular, subcutaneous or intraperitoneal injection. Shake before use. Dosage: 200 000 I.U. of penicillin G and 200 mg dihydrostreptomycin (base) or 1 ml of the suspension per 10 - 20 kg of body weight once daily - Adult horse, cattle, pigs: 12.5 ml/200 kg b.w./day - Calves, sheep, goats: 5 ml/50 kg b.w./day - Piglets, dogs, cats: 0.5 ml/5 kg b.w./day Duration of treatment: cattle: 2-4 days; pigs: 1-4 days, sheep, goats: 3-5 days dogs 1-7 days; cats: 2-5 days	Administration & dosage
Shake well before use. Avoid mixing of the suspension with other injectables in the same syringe. Avoid direct contact with the drug. To avoid accidental intravascular injection of the suspension, it is advised to aspirate before administration.	Advice on correct administration
Slaughter: 30 days - Milk delivery: 4 days.	Withdrawal period
Treatment of allergic reactions: glucocorticosteroids and/or antihistaminics. Anaesthetics and muscle relaxants potentiate the neuromuscular blocking effects of dihydrostreptomycin. Treatment of neuromuscular block: calcium infuse, neostigmine.	Warning
Store cool (2-8°C) and protected from light. Do not use after the expiry date stated on the label. Shelf life: 2 years Shelf-life after first opening the	Storage
Vials with 50 ml, 100 ml and 250 ml of suspension.	Packaging
KELA N.V., St. Lenaartseweg 48, 2320 Hoogstraten, Belgium.	Manufacturer