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               <text>
                  <paragraph>
                     <content styleCode="bold">vet</content>one<sup>®</sup>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">Selarid</content>
                     <sup>®</sup>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">(selamectin)</content>
                  </paragraph>
                  <paragraph>Topical Parasiticide For Dogs and Cats
</paragraph>
                  <paragraph>
                     <content styleCode="bold">CAUTION:</content>
                  </paragraph>
                  <paragraph>US Federal law restricts this drug to use by or on the order of a licensed veterinarian.
</paragraph>
               </text>
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               <title>DESCRIPTION:
</title>
               <text>
                  <paragraph>Selarid<sup>®</sup> (selamectin) Topical Parasiticide is available as a colorless to yellow, ready to use solution in single dose applicators for topical (dermal) treatment of dogs six weeks of age and older and cats eight weeks of age and older. The content of each applicator is formulated to provide a minimum of 2.7 mg/lb (6 mg/kg) of body weight of selamectin. The chemical composition of selamectin is (5Z,25S)-25-cyclohexyl-4'-<content styleCode="italics">0</content>-de (2,6-dideoxy-3-<content styleCode="italics">0</content>-methyl-α-L-<content styleCode="italics">arabino</content>-hexopyranosyl)-5-demethoxy-25-de(1-methylpropyl)-22,23- dihydro-5-hydroxyiminoavermectin A<sub>1a</sub>.
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               <title>INDICATIONS:
</title>
               <text>
                  <paragraph>Selarid is recommended for use in dogs six weeks of age or older and cats eight weeks of age and older for the following parasites and indications:
</paragraph>
               </text>
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                     <code code="42229-5" codeSystem="2.16.840.1.113883.6.1" displayName="SPL UNCLASSIFIED SECTION"/>
                     <title>Dogs:
</title>
                     <text>
                        <paragraph>Selarid kills adult fleas and prevents flea eggs from hatching for one month and is indicated for the prevention and control of flea infestations <content styleCode="italics">(Ctenocephalides felis),</content> prevention of heartworm disease caused by <content styleCode="italics">Dirofilaria immitis,</content> and the treatment and control of ear mite <content styleCode="italics">(Otodectes cynotis)</content> infestations. Selarid also is indicated for the treatment and control of sarcoptic mange <content styleCode="italics">(Sarcoptes scabiei)</content> and for the control of tick infestations due to <content styleCode="italics">Dermacentor variabilis.</content>
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                     <code code="42229-5" codeSystem="2.16.840.1.113883.6.1" displayName="SPL UNCLASSIFIED SECTION"/>
                     <title>Cats:
</title>
                     <text>
                        <paragraph>Selarid kills adult fleas and prevents flea eggs from hatching for one month and is indicated for the prevention and control of flea infestations <content styleCode="italics">(Ctenocephalides felis),</content> prevention of heartworm disease caused by <content styleCode="italics">Dirofilaria immitis,</content> and the treatment and control of ear mite <content styleCode="italics">(Otodectes cynotis)</content> infestations. Selarid is also indicated for the treatment and control of roundworm <content styleCode="italics">(Toxocara cati)</content> and intestinal hookworm <content styleCode="italics">(Ancylostoma tubaeforme)</content> infections in cats.
</paragraph>
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               <title>DOSAGE AND ADMINISTRATION:
</title>
               <text>
                  <paragraph>The recommended minimum dose is 2.7 mg selamectin per pound (6 mg/kg) of body weight.
</paragraph>
                  <paragraph>Administer the entire contents of a single dose applicator (or two applicators used in combination for dogs weighing over 130 pounds) of Selarid topically in accordance with the following tables.
</paragraph>
                  <table width="100%">
                     <col width="20.100%" align="left"/>
                     <col width="19.940%" align="left"/>
                     <col width="18.680%" align="left"/>
                     <col width="16.120%" align="left"/>
                     <col width="25.160%" align="left"/>
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                           <td align="center" valign="top" styleCode="Toprule Botrule Lrule Rrule">
                              <content styleCode="bold">Cats (lb)</content>
                           </td>
                           <td align="center" valign="bottom" styleCode="Toprule Botrule Rrule">
                              <content styleCode="bold">Package color</content>
                           </td>
                           <td align="center" valign="bottom" styleCode="Toprule Botrule Rrule">
                              <content styleCode="bold">mg per applicator</content>
                           </td>
                           <td align="center" valign="bottom" styleCode="Toprule Botrule Rrule">
                              <content styleCode="bold">Potency (mg/mL)</content>
                           </td>
                           <td align="center" valign="bottom" styleCode="Toprule Botrule Rrule">
                              <content styleCode="bold">Administered volume (mL)</content>
                           </td>
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                        <tr>
                           <td align="center" valign="bottom" styleCode="Botrule Lrule Rrule">Up to 5
</td>
                           <td align="center" valign="bottom" styleCode="Botrule Rrule">Mauve
</td>
                           <td align="center" valign="bottom" styleCode="Botrule Rrule">15 mg
</td>
                           <td align="center" valign="bottom" styleCode="Botrule Rrule">60
</td>
                           <td align="center" valign="bottom" styleCode="Botrule Rrule">0.25
</td>
                        </tr>
                        <tr>
                           <td align="center" valign="bottom" styleCode="Botrule Lrule Rrule">5.1-15
</td>
                           <td align="center" valign="bottom" styleCode="Botrule Rrule">Blue
</td>
                           <td align="center" valign="bottom" styleCode="Botrule Rrule">45 mg
</td>
                           <td align="center" valign="bottom" styleCode="Botrule Rrule">60
</td>
                           <td align="center" valign="bottom" styleCode="Botrule Rrule">0.75
</td>
                        </tr>
                        <tr>
                           <td align="center" valign="bottom" styleCode="Botrule Lrule Rrule">15.1-22
</td>
                           <td align="center" valign="middle" styleCode="Botrule Rrule">Taupe
</td>
                           <td align="center" valign="middle" styleCode="Botrule Rrule">60 mg
</td>
                           <td align="center" valign="bottom" styleCode="Botrule Rrule">60
</td>
                           <td align="center" valign="bottom" styleCode="Botrule Rrule">1.0
</td>
                        </tr>
                     </tbody>
                  </table>
                  <paragraph>For cats over 22 lbs use the appropriate combination of applicators
</paragraph>
                  <table width="100%">
                     <col width="19.944%" align="left"/>
                     <col width="19.944%" align="left"/>
                     <col width="18.684%" align="left"/>
                     <col width="16.123%" align="left"/>
                     <col width="25.305%" align="left"/>
                     <tbody>
                        <tr>
                           <td align="center" valign="top" styleCode="Toprule Botrule Lrule Rrule">
                              <content styleCode="bold">Dogs (lb)</content>
                           </td>
                           <td align="center" valign="bottom" styleCode="Toprule Botrule Rrule">
                              <content styleCode="bold">Package color</content>
                           </td>
                           <td align="center" valign="bottom" styleCode="Toprule Botrule Rrule">
                              <content styleCode="bold">mg per applicator</content>
                           </td>
                           <td align="center" valign="bottom" styleCode="Toprule Botrule Rrule">
                              <content styleCode="bold">Potency (mg/mL)</content>
                           </td>
                           <td align="center" valign="bottom" styleCode="Toprule Botrule Rrule">
                              <content styleCode="bold">Administered volume (mL)</content>
                           </td>
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                        <tr>
                           <td align="center" valign="bottom" styleCode="Botrule Lrule Rrule">Up to 5
</td>
                           <td align="center" valign="bottom" styleCode="Botrule Rrule">Mauve
</td>
                           <td align="center" valign="bottom" styleCode="Botrule Rrule">15 mg
</td>
                           <td align="center" valign="bottom" styleCode="Botrule Rrule">60
</td>
                           <td align="center" valign="bottom" styleCode="Botrule Rrule">0.25
</td>
                        </tr>
                        <tr>
                           <td align="center" valign="bottom" styleCode="Botrule Lrule Rrule">5.1-10
</td>
                           <td align="center" valign="bottom" styleCode="Botrule Rrule">Purple
</td>
                           <td align="center" valign="bottom" styleCode="Botrule Rrule">30 mg
</td>
                           <td align="center" valign="bottom" styleCode="Botrule Rrule">120
</td>
                           <td align="center" valign="bottom" styleCode="Botrule Rrule">0.25
</td>
                        </tr>
                        <tr>
                           <td align="center" valign="middle" styleCode="Botrule Lrule Rrule">10.1-20
</td>
                           <td align="center" valign="middle" styleCode="Botrule Rrule">Brown
</td>
                           <td align="center" valign="middle" styleCode="Botrule Rrule">60 mg
</td>
                           <td align="center" valign="bottom" styleCode="Botrule Rrule">120
</td>
                           <td align="center" valign="middle" styleCode="Botrule Rrule">0.5
</td>
                        </tr>
                        <tr>
                           <td align="center" valign="middle" styleCode="Botrule Lrule Rrule">20.1 -40
</td>
                           <td align="center" valign="middle" styleCode="Botrule Rrule">Red
</td>
                           <td align="center" valign="middle" styleCode="Botrule Rrule">120 mg
</td>
                           <td align="center" valign="middle" styleCode="Botrule Rrule">120
</td>
                           <td align="center" valign="middle" styleCode="Botrule Rrule">1.0
</td>
                        </tr>
                        <tr>
                           <td align="center" valign="top" styleCode="Botrule Lrule Rrule">40.1 -85
</td>
                           <td align="center" valign="top" styleCode="Botrule Rrule">Teal
</td>
                           <td align="center" valign="top" styleCode="Botrule Rrule">240 mg
</td>
                           <td align="center" valign="middle" styleCode="Botrule Rrule">120
</td>
                           <td align="center" valign="middle" styleCode="Botrule Rrule">2.0
</td>
                        </tr>
                        <tr>
                           <td align="center" valign="top" styleCode="Botrule Lrule Rrule">85.1-130
</td>
                           <td align="center" valign="top" styleCode="Botrule Rrule">Plum
</td>
                           <td align="center" valign="top" styleCode="Botrule Rrule">360 mg
</td>
                           <td align="center" valign="bottom" styleCode="Botrule Rrule">120
</td>
                           <td align="center" valign="top" styleCode="Botrule Rrule">3.0
</td>
                        </tr>
                     </tbody>
                  </table>
                  <paragraph>For dogs over 130 lbs use the appropriate combination of applicators. Recommended for use in dogs 6 weeks of age and older and in cats 8 weeks of age and older.
</paragraph>
                  <paragraph>A veterinarian or veterinary technician should demonstrate or instruct the pet owner regarding the appropriate technique for applying Selarid topically to dogs and cats prior to first use.
</paragraph>
                  <paragraph>
                     <renderMultiMedia ID="f01" referencedObject="mm01"/>
                  </paragraph>
                  <paragraph>Remove the applicator from the outer pouch using scissors or fold along diagonal line to expose nick; tear back at nick. Hold the applicator upright. Tap the narrow part of the applicator to ensure the contents remain within the main body of the applicator. Twist or snap back the tip. To administer the product, part the hair on the back of the animal at the base of the neck in front of the shoulder blades until the skin is visible. Place the tip of the applicator on the skin and squeeze the applicator 3 or 4 times to empty its entire contents directly onto the skin in one spot. Keeping the applicator squeezed, drag it away from the liquid and lift to remove. Check the applicator to ensure that it is empty. Do not massage the product into the skin. Due to alcohol content, do not apply to broken skin. Avoid contact between the product and fingers. Do not apply when the haircoat is wet. Bathing or shampooing the dog 2 or more hours after treatment will not reduce the effectiveness of Selarid against fleas or heartworm. Bathing or shampooing the cat 2 hours after treatment will not reduce the effectiveness of Selarid against fleas. Bathing or shampooing the cat 24 hours after treatment will not reduce the effectiveness of Selarid against heartworm. Stiff hair, clumping of hair, hair discoloration, or a slight powdery residue may be observed at the treatment site in some animals. These effects are temporary and do not affect the safety or effectiveness of the product. Discard empty applicators in your ordinary household refuse.
</paragraph>
               </text>
               <effectiveTime value="20231204"/>
               <component>
                  <observationMedia ID="mm01">
                     <text>Figure
</text>
                     <value xsi:type="ED" mediaType="image/jpeg">
                        <reference value="sel04-0002-01.jpg"/>
                     </value>
                  </observationMedia>
               </component>
               <component>
                  <section ID="s7">
                     <id root="9d24833d-8fe3-44f7-8f57-f442fd3d2281"/>
                     <code code="42229-5" codeSystem="2.16.840.1.113883.6.1" displayName="SPL UNCLASSIFIED SECTION"/>
                     <title>Flea Control in Dogs and Cats
</title>
                     <text>
                        <paragraph>For the prevention and control of flea infestations, Selarid should be administered at monthly intervals throughout the flea season, starting one month before fleas become active. In controlled laboratory studies &gt;98% of fleas were killed within 36 hours. Results of clinical field studies using selamectin solution monthly demonstrated &gt;90% control of flea infestations within 30 days of the first dose. Dogs and cats treated with selamectin solution, including those with pre-existing flea allergy dermatitis, showed improvement in clinical signs associated with fleas as a direct result of eliminating the fleas from the animals and their environment.
</paragraph>
                        <paragraph>If the dog or cat is already infested with fleas when the first dose of Selarid is administered, adult fleas on the animal are killed and no viable fleas hatch from eggs after the first administration. However, an environmental infestation of fleas may persist for a short time after beginning treatment with Selarid because of the emergence of adult fleas from pupae.
</paragraph>
                     </text>
                     <effectiveTime value="20231204"/>
                  </section>
               </component>
               <component>
                  <section ID="s8">
                     <id root="2dcc78f5-64e6-4957-a390-d921b54b3ebf"/>
                     <code code="42229-5" codeSystem="2.16.840.1.113883.6.1" displayName="SPL UNCLASSIFIED SECTION"/>
                     <title>Heartworm Prevention in Dogs and Cats
</title>
                     <text>
                        <paragraph>For the prevention of heartworm disease, Selarid must be administered on a monthly basis. Selarid may be administered year-round or at least within one month after the animal's first exposure to mosquitoes and monthly thereafter until the end of the mosquito season. The final dose must be given within one month after the last exposure to mosquitoes. If a dose is missed and a monthly interval between dosing is exceeded then immediate administration of Selarid and resumption of monthly dosing will minimize the opportunity for the development of adult heartworms. When replacing another heartworm preventive product in a heartworm disease prevention program, the first dose of Selarid must be given within a month of the last dose of the former medication. Selamectin, the active ingredient in Selarid, is a macrocyclic lactone compound. These compounds effectively prevent the development of adult heartworms when administered to dogs and cats within one month of exposure to infective (L<sub>3</sub>) <content styleCode="italics">Dirofilaria immitis</content> larvae. Efficacy of macrocyclic lactones decreases below 100% in dogs, however, if first administered &gt;2 months after exposure to infective larvae. Thus, in heartworm endemic regions, delaying initiation of heartworm prevention using Selarid beyond 2 months of first exposure to infective larvae (e.g., starting puppies and kittens at &gt;8 weeks of age), or gaps of &gt;2 months in the administration of Selarid during periods of heartworm transmission, increases the risk of the animal acquiring heartworms. Animals with unknown heartworm history that test negative for heartworms prior to the initiation of Selarid may be harboring pre-patent infections at the time Selarid was started. Testing such animals 3-4 months after initiation of Selarid would be necessary to confirm their negative heartworm status.
</paragraph>
                        <paragraph>At the discretion of the veterinarian, cats &gt;6 months of age may be tested to determine the presence of existing heartworm infections before beginning treatment with Selarid. Cats already infected with adult heartworms can be given Selarid monthly to prevent further infections.
</paragraph>
                     </text>
                     <effectiveTime value="20231204"/>
                  </section>
               </component>
               <component>
                  <section ID="s9">
                     <id root="1194b5c0-7361-4b4a-9e65-bb4e985d5f8b"/>
                     <code code="42229-5" codeSystem="2.16.840.1.113883.6.1" displayName="SPL UNCLASSIFIED SECTION"/>
                     <title>Ear Mite Treatment in Dogs and Cats
</title>
                     <text>
                        <paragraph>For the treatment of ear mite <content styleCode="italics">(O. cynotis)</content> infestations in dogs and cats, Selarid should be administered once as a single topical dose. A second monthly dose may be required in some dogs. Monthly use of Selarid will control any subsequent ear mite infestations. In the clinical field trials ears were not cleaned, and many animals still had debris in their ears after the second dose. Cleansing of the infested ears is recommended to remove the debris.
</paragraph>
                     </text>
                     <effectiveTime value="20231204"/>
                  </section>
               </component>
               <component>
                  <section ID="s10">
                     <id root="74b99f74-0abf-4ac8-8cf0-584026114d94"/>
                     <code code="42229-5" codeSystem="2.16.840.1.113883.6.1" displayName="SPL UNCLASSIFIED SECTION"/>
                     <title>Sarcoptic Mange Treatment in Dogs
</title>
                     <text>
                        <paragraph>For the treatment of sarcoptic mange (<content styleCode="italics">S. scabiei)</content> in dogs, Selarid should be administered once as a single topical dose. A second monthly dose may be required in some dogs. Monthly use of Selarid will control any subsequent sarcoptic mange mite infestations. Because of the difficulty in finding sarcoptic mange mites on skin scrapings, effectiveness assessments also were based on resolution of clinical signs. Resolution of the pruritus associated with the mite infestations was observed in approximately 50% of the dogs 30 days after the first treatment and in approximately 90% of the dogs 30 days after the second monthly treatment.
</paragraph>
                     </text>
                     <effectiveTime value="20231204"/>
                  </section>
               </component>
               <component>
                  <section ID="s11">
                     <id root="c3ae67bb-b872-4725-80b7-eb3495e38de7"/>
                     <code code="42229-5" codeSystem="2.16.840.1.113883.6.1" displayName="SPL UNCLASSIFIED SECTION"/>
                     <title>Tick Control in Dogs
</title>
                     <text>
                        <paragraph>For the control of tick <content styleCode="italics">(Dermacentor variabilis)</content> infestations in dogs, Selarid should be administered on a monthly basis. In heavy tick infestations, complete efficacy may not be achieved after the first dose. In these cases, one additional dose may be administered two weeks after the previous dose, with monthly dosing continued thereafter.
</paragraph>
                     </text>
                     <effectiveTime value="20231204"/>
                  </section>
               </component>
               <component>
                  <section ID="s12">
                     <id root="ebaf8fc5-31f6-4675-8f76-26205f80e9c4"/>
                     <code code="42229-5" codeSystem="2.16.840.1.113883.6.1" displayName="SPL UNCLASSIFIED SECTION"/>
                     <title>Nematode Treatment in Cats
</title>
                     <text>
                        <paragraph>For the treatment and control of intestinal hookworm (A. <content styleCode="italics">tubaeforme)</content> and roundworm <content styleCode="italics">(T. cati)</content> infections, Selarid should be applied once as a single topical dose.
</paragraph>
                     </text>
                     <effectiveTime value="20231204"/>
                  </section>
               </component>
            </section>
         </component>
         <component>
            <section ID="s13">
               <id root="5c76f33d-e66d-4b3a-aff1-3b5a7571a365"/>
               <code code="34071-1" codeSystem="2.16.840.1.113883.6.1" displayName="WARNINGS SECTION"/>
               <title>WARNINGS:
</title>
               <text>
                  <paragraph>
                     <content styleCode="bold">User Safety Warnings</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">Not for human use. Keep out of reach of children.</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">In humans, Selarid may be irritating to skin and eyes.</content>
                  </paragraph>
                  <paragraph>Reactions such as hives, itching and skin redness have been reported in humans. Individuals with known hypersensitivity to Selarid should use the product with caution or consult a health care professional. Selarid contains isopropyl alcohol and the preservative butylated hydroxytoluene (BHT).
</paragraph>
                  <paragraph>Wash hands after use and wash off any product in contact with the skin immediately with soap and water.
</paragraph>
                  <paragraph>If contact with eyes occurs, then flush eyes copiously with water; if wearing contact lenses, rinse the eyes first then remove contact lenses and continue to rinse for 5-10 minutes and seek medical attention. In case of ingestion by a human, contact a physician immediately.
</paragraph>
                  <paragraph>The safety data sheet (SDS) provides more detailed occupational safety information. To obtain a SDS contact 1 -866-591 -5777 or www.norbrook.com.
</paragraph>
                  <paragraph>Flammable - Keep away from heat, sparks, open flames or other sources of ignition.
</paragraph>
               </text>
               <effectiveTime value="20231204"/>
               <component>
                  <section ID="s14">
                     <id root="f3babce9-23e5-4eb9-9da1-b748cc043776"/>
                     <code code="34091-9" codeSystem="2.16.840.1.113883.6.1" displayName="ANIMAL PHARMACOLOGY &amp; OR TOXICOLOGY SECTION"/>
                     <title>Animal Safety Warnings
</title>
                     <text>
                        <paragraph>
                           <content styleCode="bold">Do not use in sick, debilitated or underweight animals (see <linkHtml href="#s20">TARGET ANIMAL SAFETY</linkHtml>).</content>
                        </paragraph>
                     </text>
                     <effectiveTime value="20231204"/>
                  </section>
               </component>
            </section>
         </component>
         <component>
            <section ID="s15">
               <id root="06a4b8d5-4a48-4848-a0ef-eee57ced7694"/>
               <code code="42232-9" codeSystem="2.16.840.1.113883.6.1" displayName="PRECAUTIONS SECTION"/>
               <title>PRECAUTIONS:
</title>
               <text>
                  <paragraph>Prior to administration of Selarid, dogs should be tested for existing heartworm infections. At the discretion of the veterinarian, infected dogs should be treated to remove adult heartworms. Selarid is not effective against adult <content styleCode="italics">D. immitis</content> and, while the number of circulating microfilariae may decrease following treatment, Selarid is not effective for microfilariae clearance.
</paragraph>
                  <paragraph>Hypersensitivity reactions have not been observed in dogs with patent heartworm infections administered selamectin solution (see <content styleCode="bold">
                        <linkHtml href="#s20">TARGET ANIMAL SAFETY</linkHtml>).</content>
                  </paragraph>
               </text>
               <effectiveTime value="20231204"/>
            </section>
         </component>
         <component>
            <section ID="s16">
               <id root="8c56cd66-0315-4c62-9b03-951947574dc5"/>
               <code code="34084-4" codeSystem="2.16.840.1.113883.6.1" displayName="ADVERSE REACTIONS SECTION"/>
               <title>ADVERSE REACTIONS:
</title>
               <effectiveTime value="20231204"/>
               <component>
                  <section ID="s17">
                     <id root="95cdf2f4-bc87-42a0-924a-5c5041ab32c2"/>
                     <code code="90374-0" codeSystem="2.16.840.1.113883.6.1" displayName="CLINICAL TRIALS EXPERIENCE SECTION"/>
                     <title>Pre-approval Clinical Trials:
</title>
                     <text>
                        <paragraph>Following treatment with selamection solution, transient localized alopecia with or without inflammation at or near the site of application was observed in approximately 1 % of 691 treated cats. Other signs observed (&lt;0.5% of 1743 treated cats and dogs) included vomiting, loose stool or diarrhea with or without blood, anorexia, lethargy, salivation, tachypnea, and muscle tremors.
</paragraph>
                     </text>
                     <effectiveTime value="20231204"/>
                  </section>
               </component>
               <component>
                  <section ID="s18">
                     <id root="30cd34d7-5634-4e8d-9258-d5c768c159c8"/>
                     <code code="42229-5" codeSystem="2.16.840.1.113883.6.1" displayName="SPL UNCLASSIFIED SECTION"/>
                     <title>Post-Approval Experience (2021):
</title>
                     <text>
                        <paragraph>The following adverse events are based on post-approval adverse drug experience reporting for selamectin solution. Not all adverse events are reported to FDA/CVM. It is not always possible to reliably estimate the adverse event frequency or establish a causal relationship to product exposure using this data.
</paragraph>
                        <paragraph>The following adverse events reported for <content styleCode="bold">dogs</content> are listed in decreasing order of reporting frequency:
</paragraph>
                        <paragraph>Lethargy, vomiting, diarrhea, anorexia, generalized pruritus, seizures, application site reactions (including alopecia, lesions, erythema, pruritus, and inflammation), tremors, ataxia, death, and dermatitis. The following adverse events reported for <content styleCode="bold">cats</content> are listed in decreasing order of reporting frequency:
</paragraph>
                        <paragraph>Application site reactions (including alopecia, lesions, erythema, pruritus, inflammation, vesicles, blisters, and excoriations), lethargy, anorexia, vomiting, death, generalized pruritus, diarrhea, ataxia, fever, generalized alopecia, tremors, hypersalivation, dermatitis, and seizures.
</paragraph>
                     </text>
                     <effectiveTime value="20231204"/>
                  </section>
               </component>
            </section>
         </component>
         <component>
            <section ID="s19">
               <id root="430cf23e-1225-46db-be11-3a15d092d33e"/>
               <code code="42229-5" codeSystem="2.16.840.1.113883.6.1" displayName="SPL UNCLASSIFIED SECTION"/>
               <title>CONTACT INFORMATION:
</title>
               <text>
                  <paragraph>Contact 1 -866-591 -5777 or www.norbrook.com. To report suspected adverse drug experiences, contact 1 -866-591 -5777. For additional information about reporting adverse drug experiences for animal drugs, contact FDA at 1 -888-FDA-VETS or http://www.fda.gov/reportanimalae
</paragraph>
               </text>
               <effectiveTime value="20231204"/>
            </section>
         </component>
         <component>
            <section ID="s20">
               <id root="c00de32d-78d9-45fc-8a20-75c1a1e383d8"/>
               <code code="42229-5" codeSystem="2.16.840.1.113883.6.1" displayName="SPL UNCLASSIFIED SECTION"/>
               <title>TARGET ANIMAL SAFETY:
</title>
               <text>
                  <paragraph>Selamectin solution has been tested safe in over 100 different pure and mixed breeds of healthy dogs and over 15 different pure and mixed breeds of healthy cats, including pregnant and lactating females, breeding males and females, puppies six weeks of age and older, kittens eight weeks of age and older, and avermectin-sensitive collies. A kitten, estimated to be 5-6 weeks old (0.3 kg), died 8<sup>1</sup>/2 hours after receiving a single treatment of selamectin solution at the recommended dosage. The kitten displayed clinical signs which included muscle spasms, salivation and neurological signs. The kitten was a stray with an unknown history and was malnourished and underweight (see <content styleCode="bold">
                        <linkHtml href="#s13">WARNINGS</linkHtml>).</content>
                  </paragraph>
                  <paragraph>DOGS: In safety studies, selamectin solution was administered at 1, 3, 5, and 10 times the recommended dose to six-week-old puppies, and no adverse reactions were observed. The safety of selamectin solution administered orally also was tested in case of accidental oral ingestion. Oral administration of selamectin solution at the recommended topical dose in 5- to 8-month-old beagles did not cause any adverse reactions. In a pre-clinical study selamectin was dosed orally to ivermectin-sensitive collies. Oral administration of 2.5, 10, and 15 mg/kg in this dose escalating study did not cause any adverse reactions; however, eight hours after receiving 5 mg/kg orally, one avermectin-sensitive collie became ataxic for several hours, but did not show any other adverse reactions after receiving subsequent doses of 10 and 15 mg/kg orally. In a topical safety study conducted with avermectin-sensitive collies at 1, 3 and 5 times the recommended dose of selamectin solution, salivation was observed in all treatment groups, including the vehicle control. Selamectin solution also was administered at 3 times the recommended dose to heartworm infected dogs, and no adverse effects were observed. CATS: In safety studies, selamectin solution was applied at 1, 3, 5, and 10 times the recommended dose to six-week-old kittens. No adverse reactions were observed. The safety of selamectin solution administered orally also was tested in case of accidental oral ingestion. Oral administration of the recommended topical dose of selamectin solution to cats caused salivation and intermittent vomiting. Selamectin solution also was applied at 4 times the recommended dose to patent heartworm infected cats, and no adverse reactions were observed.
</paragraph>
                  <paragraph>In well-controlled clinical studies, selamectin solution was used safely in animals receiving other frequently used veterinary products such as vaccines, anthelmintics, antiparasitics, antibiotics, steroids, collars, shampoos and dips.
</paragraph>
               </text>
               <effectiveTime value="20231204"/>
            </section>
         </component>
         <component>
            <section ID="s21">
               <id root="6df6f96d-67eb-4b5f-9b5d-03d00da91359"/>
               <code code="44425-7" codeSystem="2.16.840.1.113883.6.1" displayName="STORAGE AND HANDLING SECTION"/>
               <title>STORAGE CONDITIONS:
</title>
               <text>
                  <paragraph>Store below 86°F (30°C).
</paragraph>
               </text>
               <effectiveTime value="20231204"/>
            </section>
         </component>
         <component>
            <section ID="s22">
               <id root="6b546899-e4eb-4f98-8733-f3da4b3753f9"/>
               <code code="34069-5" codeSystem="2.16.840.1.113883.6.1" displayName="HOW SUPPLIED SECTION"/>
               <title>HOW SUPPLIED:
</title>
               <text>
                  <paragraph>Available in eight separate dose strengths for dogs and cats of different weights (see <content styleCode="bold">
                        <linkHtml href="#s6">DOSAGE</linkHtml>).</content> Selarid for puppies and kittens is available in cartons containing 3 single dose applicators. Selarid for cats and dogs is available in cartons containing 6 single dose applicators.
</paragraph>
                  <paragraph>Approved by FDA under ANADA # 200-663
</paragraph>
                  <paragraph>Selarid<sup>®</sup> is a registered trademark of Norbrook Laboratories Limited
</paragraph>
                  <paragraph>Made in Ireland
</paragraph>
                  <paragraph>Distributed by: <br/>MWI, Boise, ID
</paragraph>
                  <paragraph>www.VetOne.net
</paragraph>
                  <paragraph>Rev. 10/23
</paragraph>
               </text>
               <effectiveTime value="20231204"/>
            </section>
         </component>
         <component>
            <section ID="s23">
               <id root="55a2eddc-f9d6-4e90-972a-d5796b758d6f"/>
               <code code="42230-3" codeSystem="2.16.840.1.113883.6.1" displayName="SPL PATIENT PACKAGE INSERT SECTION"/>
               <title>Client Information About
</title>
               <text>
                  <paragraph>
                     <content styleCode="bold">vet</content> one<sup>®</sup>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">Selarid<sup>®</sup>
                     </content>
                  </paragraph>
                  <paragraph>(selamectin)
</paragraph>
                  <paragraph>
                     <content styleCode="bold">Selarid (pronounced "Sel-a-rid")</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">Generic name: selamectin ("sel-a-mec-tin")</content>
                  </paragraph>
                  <paragraph>This summary contains important information about Selarid<sup>®</sup>. You should read this information before you start using Selarid on your dog or cat and review it each time your prescription is refilled. This sheet is provided only as a summary and does not take the place of instructions from your veterinarian. Talk to your veterinarian if you do not understand any of this information or if you want to know more about Selarid.
</paragraph>
                  <paragraph>
                     <content styleCode="bold">What is Selarid?</content>
                  </paragraph>
                  <paragraph>Selarid is a topical parasiticide that is applied to the skin of dogs six weeks of age and older and cats eight weeks of age and older to kill adult fleas and prevent flea eggs from hatching, prevent heartworm disease and protect your pet against other parasites (see below).
</paragraph>
                  <paragraph>
                     <content styleCode="bold">Why has my veterinarian prescribed Selarid?</content>
                  </paragraph>
                  <paragraph>Selarid has been prescribed by your veterinarian to treat, prevent and/or control the following parasites in your dog or cat:
</paragraph>
                  <paragraph>
                     <content styleCode="bold">Dog Parasites:</content>
                  </paragraph>
                  <list listType="unordered" styleCode="Disc">
                     <item>Control and prevention of flea infestation <content styleCode="italics">(Ctenocephalides felis)</content>
                     </item>
                     <item>Prevention of heartworm disease <content styleCode="italics">(Dirofilaria immitis)</content>
                     </item>
                     <item>Treatment and control of ear mite infestation <content styleCode="italics">(Otodectes cynotis)</content>
                     </item>
                     <item>Treatment and control of sarcoptic mange <content styleCode="italics">(Sarcoptes scabiei)</content>
                     </item>
                     <item>Control of the American Dog Tick <content styleCode="italics">(Dermacentor variabilis)</content>
                     </item>
                  </list>
                  <paragraph>
                     <content styleCode="bold">Cat Parasites:</content>
                  </paragraph>
                  <list listType="unordered" styleCode="Disc">
                     <item>Control and prevention of flea infestation <content styleCode="italics">(Ctenocephalides felis)</content>
                     </item>
                     <item>Prevention of heartworm disease <content styleCode="italics">(Dirofilaria immitis)</content>
                     </item>
                     <item>Treatment and control of ear mite infestation <content styleCode="italics">(Otodectes cynotis)</content>
                     </item>
                     <item>Treatment and control of intestinal worms Roundworm <content styleCode="italics">(Toxocara cati)</content> Hookworm <content styleCode="italics">(Ancylostoma tubaeforme)</content>
                     </item>
                  </list>
                  <paragraph>
                     <content styleCode="bold">What should I discuss with my veterinarian before Selarid is prescribed?</content>
                  </paragraph>
                  <paragraph>Your veterinarian is best suited to discuss and recommend appropriate medications for your dog or cat. It is important to discuss your pet's health history with your veterinarian so he/she can decide if Selarid is right for your animal.
</paragraph>
                  <paragraph>
                     <content styleCode="bold">Selarid should not be used in sick, debilitated or underweight animals.</content>
                  </paragraph>
                  <paragraph>Dogs should be tested for heartworm disease prior to giving Selarid. If your dog tests positive for adult heartworms, your veterinarian can recommend appropriate treatment.
</paragraph>
                  <paragraph>Dogs infected with adult heartworms can safely be given Selarid.
</paragraph>
                  <paragraph>If your cat is older than six months of age, your veterinarian may decide to test him/her for heartworm disease before prescribing Selarid. Cats infected with adult heartworms can be given Selarid to prevent further infections.
</paragraph>
                  <paragraph>
                     <content styleCode="bold">What dose of Selarid do I use on my dog or cat?</content>
                  </paragraph>
                  <paragraph>Your veterinarian will recommend the appropriate dose for your dog or cat based on your animal's body weight. You should not administer Selarid to dogs younger than 6 weeks of age or cats younger than 8 weeks of age. Selarid is available in eight separate dose strengths for dogs and cats of different weights.
</paragraph>
                  <paragraph>
                     <content styleCode="bold">What should I do if I do not give Selarid on time or miss a dose?</content>
                  </paragraph>
                  <paragraph>If you forget to apply a monthly dose of Selarid, immediately apply Selarid, resume monthly applications, and notify your veterinarian.
</paragraph>
                  <paragraph>
                     <content styleCode="bold">What if I administer more than the prescribed amount of Selarid to my dog or cat?</content>
                  </paragraph>
                  <paragraph>Contact your veterinarian if you administer more than the prescribed amount of Selarid.
</paragraph>
                  <paragraph>
                     <content styleCode="bold">How should Selarid be applied?</content>
                  </paragraph>
                  <list listType="unordered" styleCode="Disc">
                     <item>Remove the applicator from the outer pouch using scissors or fold along diagonal line to expose nick; tear back at nick.<paragraph>
                           <renderMultiMedia ID="f03" referencedObject="mm03"/>
                        </paragraph>
                     </item>
                     <item>Hold the applicator upright. Tap the narrow part of the applicator to ensure the contents remain within the main body of the applicator. Twist or snap back the tip.<paragraph>
                           <renderMultiMedia ID="f04" referencedObject="mm04"/>
                        </paragraph>
                     </item>
                     <item>Part the hair on the back of the animal at the base of the neck, in front of the shoulder blades, until the skin is visible.<paragraph>
                           <renderMultiMedia ID="f05" referencedObject="mm05"/>
                        </paragraph>
                     </item>
                     <item>Apply the tip of the Selarid applicator directly to the skin. Squeeze the applicator firmly 3-4 times in one spot until empty. Keep applicator compressed on the final squeeze to avoid drawing liquid back into applicator. Avoid contact between Selarid and your fingers.<paragraph>
                           <renderMultiMedia ID="f06" referencedObject="mm06"/>
                        </paragraph>
                     </item>
                     <item>While keeping applicator squeezed, drag it away from liquid and lift up to remove.
</item>
                     <item>Ensure applicator is empty.
</item>
                  </list>
                  <paragraph>
                     <content styleCode="bold">Do not massage Selarid into the skin.</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">Do not apply when the haircoat is wet</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">Do not apply to broken skin - Selarid contains alcohol.</content>
                  </paragraph>
                  <paragraph>Stiff hair, clumping of hair, hair discoloration, or a slight powdery residue may be observed at the site in some animals. These effects are usually temporary and do not affect the safety or effectiveness of the product.
</paragraph>
                  <paragraph>
                     <content styleCode="bold">Can I give my pet a bath after applying Selarid?</content>
                  </paragraph>
                  <paragraph>Yes. Bathing or shampooing the dog 2 or more hours after treatment will not reduce the effectiveness of Selarid against fleas or heartworm. Bathing or shampooing the cat 24 hours after treatment will not reduce the effectiveness of Selarid against fleas or heartworm.
</paragraph>
                  <paragraph>
                     <content styleCode="bold">When can I play with my pet following treatment with Selarid?</content>
                  </paragraph>
                  <paragraph>You should avoid contact with application site when wet.
</paragraph>
                  <paragraph>You may hold or play with your pet any time after the area on which Selarid was applied is dry.
</paragraph>
                  <paragraph>
                     <renderMultiMedia ID="f02" referencedObject="mm02"/>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">I see fleas on my dog or cat. Is Selarid working?</content>
                  </paragraph>
                  <paragraph>Selarid kills adult fleas and prevents flea eggs from hatching. You may occasionally see a few fleas on dogs or cats treated with Selarid but more than 98% of adult fleas are killed within 36 hours.
</paragraph>
                  <paragraph>Immature stages of the flea called pupae may be present in your pets' environment (yard, flooring, carpet, bedding, etc.). These pupae are not killed by parasiticides (including Selarid) and as such may emerge as adult fleas.
</paragraph>
                  <paragraph>These adult fleas may hop onto your pet at anytime. They must be exposed to Selarid on your dog or cat before being killed. It can take from 3-5 weeks (or longer depending on environmental conditions) for most fleas to complete their 4-stage life cycle (egg, larvae, pupae, and adult) and reach the adult stage before being seen on your pet. Due to the presence of immature flea stages in infested environments it can take up to 2 to 3 monthly applications for Selarid to maximally control the infestation of fleas in the environment. Once the flea population is controlled you will be less likely to see fleas.
</paragraph>
                  <paragraph>
                     <content styleCode="bold">I see ticks on my dog. Is Selarid working?</content>
                  </paragraph>
                  <paragraph>Selarid controls tick infestations only due to the American Dog Tick <content styleCode="italics">(Dermacentor variabilis),</content> a tick commonly found on dogs. There are other common species of ticks that are not killed or controlled by Selarid. Your veterinarian can recommend appropriate products to control or kill ticks common to your area. For the control of the American Dog Tick, Selarid should be applied once a month; however, your veterinarian may recommend a second administration applied 14 days after the first dose if your dog has a heavy tick infestation and/or recommend additional tick control methods. It may take up to 5 days to kill the majority of ticks on your dog.
</paragraph>
                  <paragraph>
                     <content styleCode="bold">What are the possible side effects of Selarid?</content>
                  </paragraph>
                  <paragraph>Following the use of Selarid, the following side effects have been seen, listed in decreasing order of frequency for each species.
</paragraph>
                  <paragraph>
                     <content styleCode="bold">Dogs-</content> Sluggishness, vomiting, diarrhea (with or without blood), decreased appetite, generalized itching, seizures, hair loss or skin redness at the application site, trembling, incoordination, skin inflammation, drooling, and rapid breathing.
</paragraph>
                  <paragraph>In some cases, death has been reported in dogs.
</paragraph>
                  <paragraph>
                     <content styleCode="bold">Cats-</content> Hair loss at the site of application with or without redness, flaking, or itching, sluggishness, decreased appetite, vomiting, generalized itching, diarrhea (with or without blood), incoordination, fever, hair loss, trembling, drooling, skin inflammation, and seizures.
</paragraph>
                  <paragraph>Severe application site reactions like blisters, scabbing, and infection have been reported in cats.
</paragraph>
                  <paragraph>In some cases, death has been reported in cats.
</paragraph>
                  <paragraph>
                     <content styleCode="bold">Can Selarid be given with other medicines?</content>
                  </paragraph>
                  <paragraph>In well-controlled clinical studies, selamectin solution was used safely in dogs and cats receiving other veterinary products such as vaccines, anthelmintics, antiparasitics, antibiotics, steroids, collars, shampoos and dips.
</paragraph>
                  <paragraph>Tell your veterinarian about all medicines you have given your dog or cat in the past, and any medicines that you are planning to use with Selarid. This should include other medicines that you can get without a prescription. Your veterinarian may want to check that all of your dog's or cat's medicines can be given together.
</paragraph>
                  <paragraph>
                     <content styleCode="bold">How should Selarid be stored?</content>
                  </paragraph>
                  <paragraph>Selarid is flammable - Keep away from heat, sparks, open flames or other sources of ignition. Store below 86°F (30°C). After application, empty applicators can be placed in your normal household refuse for disposal.
</paragraph>
                  <paragraph>
                     <content styleCode="bold">What else should I know about Selarid?</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">Selarid is not for use in humans.</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">Selarid should be kept out of reach of children.</content>
                  </paragraph>
                  <paragraph>In humans, Selarid may be irritating to skin and eyes. Reactions such as hives, itching and skin redness have been reported in humans. Individuals with known hypersensitivity to Selarid should use the product with caution or consult a health care professional. Selarid contains isopropyl alcohol and the preservative butylated hydroxytoluene (BHT). Wash hands after use and wash off any product in contact with skin immediately with soap and water. In case of human ingestion contact a doctor immediately.
</paragraph>
                  <paragraph>Rev. 10/23
</paragraph>
                  <paragraph>Distributed by:<br/>MWI, Boise, ID<br/>www.VetOne.net
</paragraph>
                  <paragraph>966684I02
</paragraph>
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                     <text>Figure
</text>
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                     <text>Figure
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                        <reference value="sel04-0002-03.jpg"/>
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               <component>
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                     <text>Figure
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                        <reference value="sel04-0002-04.jpg"/>
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               <component>
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                     <text>Figure
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                        <reference value="sel04-0002-05.jpg"/>
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               <component>
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                     <text>Figure
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</title>
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                  <paragraph>0.75 mL
</paragraph>
                  <paragraph>Topical solution for <content styleCode="bold">cats 5.1 - 15 lbs</content> in weight<br/>and at least 8 weeks of age
</paragraph>
                  <paragraph>
                     <content styleCode="italics">Six single-dose applicators each containing 0.75 mL (45 mg) of selamectin</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">Administer topically once a month<br/>for protection against fleas and<br/>heartworm disease and treatment<br/>and control of hookworms,<br/>roundworms and ear mites</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">NDC</content> 13985-966-45
</paragraph>
                  <paragraph>
                     <content styleCode="bold">Selarid<sup>®</sup>
                        <br/>(selamectin)</content>
                  </paragraph>
                  <paragraph>Caution: U.S. Federal law restricts this drug to use by or<br/>on the order of a licensed veterinarian.
</paragraph>
                  <paragraph>For use in animals only. Keep out of reach of children.
</paragraph>
                  <paragraph>Approved by FDA under ANADA # 200-663
</paragraph>
                  <paragraph>
                     <content styleCode="bold">6<br/>DOSES</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">VETone</content>
                     <sup>®</sup>
                  </paragraph>
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               <title>Principal Display Panel – 1.0 mL Carton Label
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               <text>
                  <paragraph>1.0 mL
</paragraph>
                  <paragraph>Topical solution for <content styleCode="bold">dogs 20.1 - 40 lbs</content> in weight<br/>and at least 6 weeks of age
</paragraph>
                  <paragraph>
                     <content styleCode="italics">Six single-dose applicators each containing 1.0 mL (120 mg) of selamectin</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">Administer topically<br/>once a month to prevent<br/>heartworm disease<br/>and prevent and control<br/>flea infestations</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">NDC</content> 13985-967-12
</paragraph>
                  <paragraph>
                     <content styleCode="bold">Selarid<sup>®</sup>
                        <br/>(selamectin)</content>
                  </paragraph>
                  <paragraph>Caution: U.S. Federal law restricts this drug to use by or<br/>on the order of a licensed veterinarian.
</paragraph>
                  <paragraph>For use in animals only. Keep out of reach of children.
</paragraph>
                  <paragraph>Approved by FDA under ANADA # 200-663
</paragraph>
                  <paragraph>
                     <content styleCode="bold">6<br/>DOSES</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">VETone<sup>®</sup>
                     </content>
                  </paragraph>
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               <effectiveTime value="20231204"/>
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                     <text>Principal Display Panel – 1.0 mL Carton Label
</text>
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