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Brand Name :
Zuprevo
Synonyms :
tildipirosin
Class :
Anti-Bacterial Agents, CYP3A4 Inhibitors
Dosage Forms & Strengths:Â
SolutionÂ
18%Â
bovine :
4 mg/kg subcutaneous injection, administered at a dose (1 mL/100 lb) based on weight through the neck. Do not use more than 10 ml per injection site
Safety and efficacy not determined. Â
Refer to the adult dosing regimen
Actions and spectrum:Â
Tildipirosin has antibacterial properties, so they bind to the 50S subunit of bacterial ribosomes. It inhibits the protein synthesis in susceptible bacteria.Â
Frequency not determinedÂ
Allergic reactionsÂ
Black Box Warning:
there is no specific black box warning for tildipirosin.
Contraindication/Caution:Â
The drug should be contraindicated in following situations:Â
HypersensitivityÂ
Use in Non-Target SpeciesÂ
Presence of Resistant Bacterial StrainsÂ
Pregnancy Warnings: Â
Pregnancy category: N/A Â
Lactation: Â
Excretion of the drug in human breast milk is unknown Â
Pregnancy Categories:   Â
Category A: Satisfactory and well-controlled studies show no evidence of risk to the fetus in the first trimester or in the later trimester.   Â
<b>Category B: No evidence of risk to fetus found in animal reproduction studies and there are not enough studies on pregnant women.   Â
Category C: Adverse effects on the fetus found with evidence in animal reproduction studies and no adequate evidence for an effect in humans, care must be taken for potential risks in pregnant women.   Â
Category D: There is adequate data available with sufficient evidence of human fetal risk from various platforms, but despite potential risks may be used only in emergency cases for potential benefits.   Â
Category X: Drugs listed in this category clearly outweigh risks over benefits. These category drugs should be prohibited for pregnant women.   Â
Category N: There is no data available for the drug under this category.   
Pharmacology:Â
It mainly inhibits bacterial protein synthesis, and it binds with 50S ribosomal subunit. Â
Pharmacodynamics:Â
The drug interferes with the movement of transfer RNA. This interaction disrupts the elongation of protein synthesis.Â
Pharmacokinetics:Â
Absorption:Â Â
Tildipirosin is administered through injection, and its absorption occurs at the site of injection. Â
Distribution:Â Â
It is distributed throughout the body.Â
Metabolism:Â Â
It undergoes primarily hepatic metabolism.Â
Excretion:Â Â
The drug is eliminated in bile and feces. Â
Administration:Â
The drug is given as injectables solution specifically in intramuscular and subcutaneous route. Â
Patient information leafletÂ
Generic Name: tildipirosinÂ
Why do we use tildipirosin?Â
Tildipirosin is indicated in the treatment of bovine respiratory disease complex in cattle.