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      <content styleCode="bold">Polyflex® <br/>(ampicillin for injectable suspension)</content>
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                        <name>POLYFLEX</name>
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                  <paragraph>For veterinary use only</paragraph>
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               <title>CAUTION:</title>
               <text>
                  <paragraph>Federal law restricts this drug to use by or on the order of a licensed veterinarian.</paragraph>
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               <effectiveTime value="20151217"/>
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               <title>DESCRIPTION:</title>
               <text>
                  <paragraph>POLYFLEX (ampicillin for injectable suspension) is a broad-spectrum penicillin which has bactericidal activity against a wide range of common gram-positive and gram-negative bacteria. </paragraph>
                  <paragraph>Each 25 g vial contains: 25 g ampicillin activity as ampicillin trihydrate, 90 mg methylparaben (as preservative), 10 mg propylparaben (as preservative), 200 mg lecithin, 500 mg povidone, 200 mg sodium chloride, 600 mg sodium citrate anhydrous.</paragraph>
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               <title>INDICATIONS: </title>
               <text>
                  <paragraph>POLYFLEX has proved effective in the treatment of many infections previously beyond the spectrum of penicillin therapy. This drug is particularly indicated in the treatment of the following infections caused by susceptible strains of organisms: </paragraph>
                  <paragraph>
                     <content styleCode="bold">Dogs and Cats — Respiratory Tract Infections:</content> Upper respiratory infections, tonsillitis and bronchopneumonia due to hemolytic streptococci, <content styleCode="italics">Staphylococcus aureus, Escherichia coli, </content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="italics">Proteus mirabilis</content> and <content styleCode="italics">Pasteurella</content> spp. </paragraph>
                  <paragraph>
                     <content styleCode="bold">Urinary Tract Infections</content> due to <content styleCode="italics">Proteus mirabilis, Escherichia coli, Staphylococcus</content> spp., hemolytic streptococci and <content styleCode="italics">Enterococcus</content> spp.</paragraph>
                  <paragraph>
                     <content styleCode="bold">Gastrointestinal Infections</content> due to <content styleCode="italics">Enterococcus</content> spp., <content styleCode="italics">Staphylococcus</content> spp. and <content styleCode="italics">Escherichia coli</content>.</paragraph>
                  <paragraph>
                     <content styleCode="bold">Skin, Soft Tissue and Post-Surgical Infections: </content>Abscesses, pustular dermatitis, cellulitis and infections of the anal gland, due to <content styleCode="italics">Escherichia coli, Proteus mirabilis,</content> hemolytic streptococci, <content styleCode="italics">Staphylococcus</content> spp. and <content styleCode="italics">Pasteurella</content> spp.</paragraph>
                  <paragraph>
                     <content styleCode="bold">Cattle and Calves Including Non-Ruminating (Veal Calves) — Respiratory Tract Infections:</content>
                  </paragraph>
                  <paragraph>Bacterial pneumonia (shipping fever, calf pneumonia and bovine pneumonia) caused by <content styleCode="italics">Aerobacter</content> spp., <content styleCode="italics">Klebsiella</content> spp., <content styleCode="italics">Staphylococcus</content> spp., <content styleCode="italics">Streptococcus</content> spp., <content styleCode="italics">Pasteurella multocida</content> and <content styleCode="italics">E. coli</content> susceptible to ampicillin trihydrate. </paragraph>
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               <title>DOSAGE:</title>
               <text>
                  <paragraph>The dosage of POLYFLEX will vary according to the animal being treated, the severity of the infection and the animal’s response.</paragraph>
                  <paragraph>
                     <content styleCode="bold">Dogs and Cats — </content>The recommended dose for dogs or cats is 3 mg/lb of body weight administered twice daily by subcutaneous or intramuscular injection.</paragraph>
                  <paragraph>
                     <content styleCode="bold">Cattle and Calves Including Non-Ruminating (Veal Calves) — </content>From 2 mg to 5 mg/lb of body weight once daily by intramuscular injection. Do not treat for more than 7 days.</paragraph>
                  <paragraph>In all species, 3 days treatment is usually adequate, but treatment should be continued for 48 to 72 hours after the animal has become afebrile or asymptomatic.</paragraph>
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               <title>DIRECTIONS FOR USE:</title>
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                  <paragraph>The multi-dose dry-filled vials should be reconstituted to the desired concentration by adding the required amount of Sterile Water for Injection, USP, according to label directions. <content styleCode="bold">SHAKE WELL.</content>
                  </paragraph>
                  <paragraph>The appearance will be white to pale yellow in color. </paragraph>
                  <paragraph>At the time of reconstitution the vial should be dated and the concentration noted on the label.</paragraph>
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               <title>CONTRAINDICATIONS:</title>
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                  <paragraph>A history of allergic reactions to penicillin, cephalosporins or their analogues should be considered a contraindication for the use of this agent.</paragraph>
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               <effectiveTime value="20151217"/>
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               <title>RESIDUE WARNINGS:</title>
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                  <paragraph>Do not treat cattle for more than 7 days. Milk from treated cows must not be used for food during treatment, and for 48 hours (4 milkings) after the last treatment. Cattle must not be slaughtered for food during treatment, and for 144 hours (6 days) after the last treatment. </paragraph>
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               <effectiveTime value="20151217"/>
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               <title>PRECAUTIONS:</title>
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                  <paragraph>Because it is a derivative of 6-aminopenicillanic acid, POLYFLEX has the potential for producing allergic reactions. If they should occur, POLYFLEX should be discontinued and the subject treated with the usual agents (antihistamines, pressor amines, corticosteroids). </paragraph>
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               <title>CLINICAL PHARMACOLOGY:</title>
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                  <paragraph>The antimicrobial action of ampicillin is bactericidal, and only a small percentage of the antibiotic is serum-bound. Peak serum levels in dogs and cats are reached approximately one-half hour following subcutaneous or intramuscular injection, and in cattle 1 hour to 2 hours following intramuscular injection.</paragraph>
                  <paragraph>
                     <content styleCode="italics">In vitro</content> studies have demonstrated sensitivity of the following organisms to ampicillin: gram-positive bacteria – alpha- and beta-hemolytic streptococci, staphylococci (non-penicillinase-producing), <content styleCode="italics">Bacillus anthracis</content> and most strains of enterococci and clostridia; gram-negative bacteria – <content styleCode="italics">Proteus mirabilis, E. coli</content> and many strains of Salmonella and <content styleCode="italics">Pasteurella multocida</content>. </paragraph>
                  <paragraph>The drug does not resist destruction by penicillinase and, hence, is not effective against strains of staphylococci resistant to penicillin G. Susceptibility tests should be conducted to estimate the <content styleCode="italics">in vitro </content>susceptibility of bacterial isolates to ampicillin.</paragraph>
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               <title>STORAGE:</title>
               <text>
                  <paragraph>Store at or below 25°C (77°F) with excursions permitted up to 30°C (86°F). After reconstitution, store under refrigeration. Use within 3 months of first puncture. Avoid freezing.</paragraph>
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               <title>HOW SUPPLIED:</title>
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                  <paragraph>POLYFLEX (ampicillin for injectable suspension) is supplied in vials containing 25 g ampicillin activity as ampicillin trihydrate.</paragraph>
                  <paragraph>NDC 0010-4712-02 — 25 g per vial</paragraph>
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                  <paragraph>POLYFLEX® is a registered trademark of Boehringer Ingelheim Animal Health USA Inc.</paragraph>
                  <paragraph>© 2020 Boehringer Ingelheim Animal Health USA Inc. All rights reserved.</paragraph>
                  <paragraph>Approved by FDA under NADA # 055-030</paragraph>
                  <paragraph>
                     <content styleCode="bold">Marketed by:</content>
                  </paragraph>
                  <paragraph>Boehringer Ingelheim Animal Health USA Inc.</paragraph>
                  <paragraph>Duluth, GA 30096</paragraph>
                  <paragraph>Made in Italy</paragraph>
                  <paragraph>Rev. 9/2020<br/>471209-01</paragraph>
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               <title>Principal Display Panel – 25 g Vial Label </title>
               <text>
                  <paragraph>NDC 0010-4712-02</paragraph>
                  <paragraph>
                     <content styleCode="bold">Polyflex®</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">(ampicillin for injectable suspension)</content>
                  </paragraph>
                  <paragraph>For veterinary use only</paragraph>
                  <paragraph>
                     <content styleCode="bold">Caution:</content> Federal law restricts this drug to use by or on the order of a licensed veterinarian.</paragraph>
                  <paragraph>Equivalent to 25 g Ampicillin</paragraph>
                  <paragraph>Approved by FDA under NADA # 055-030</paragraph>
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                  <paragraph>NDC 0010-4712-02</paragraph>
                  <paragraph>
                     <content styleCode="bold">Polyflex®</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">(ampicillin for injectable suspension)</content>
                  </paragraph>
                  <paragraph>For veterinary use only</paragraph>
                  <paragraph>
                     <content styleCode="bold">Caution:</content> Federal law restricts this drug to use by or on the order of a licensed veterinarian.</paragraph>
                  <paragraph>Equivalent to 25 g Ampicillin</paragraph>
                  <paragraph>Approved by FDA under NADA # 055-030</paragraph>
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