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   <title>Ivermectin Paste </title>
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                        <name>Ivermectin</name>
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                              <name>Ivermectin</name>
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                              <name>IVERMECTIN</name>
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                                    <name>IVERMECTIN</name>
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                  <paragraph>Approved by FDA under ANADA # 200-390<br/>
                     <br/>1.87% Anthelmintic and Boticide<br/>Removes worms and bots with a single dose.</paragraph>
                  <paragraph/>
                  <paragraph>Each Syringe Contains 0.21 oz. (6.08 g) IVERMECTIN PASTE</paragraph>
                  <paragraph>Net Wt: 0.21 oz (6.08 g)<br/>
                     <content styleCode="italics">Contents will treat up to 1250 lbs body weight.</content>
                  </paragraph>
                  <paragraph/>
                  <paragraph>
                     <content styleCode="bold">For Oral Use in Horses Only</content>
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                  <paragraph>
                     <content styleCode="bold">INDICATIONS</content>: Consult your veterinarian for assistance in the diagnosis, treatment, and control of parasitism. Ivermectin Paste provides effective treatment and control of the following parasites in horses.  <content styleCode="bold">Large Strongyles</content> (adults) – <content styleCode="italics">Strongylus</content>
                     <content styleCode="italics"> vulgaris</content> (also early forms in blood vessels), <content styleCode="italics">S</content>. <content styleCode="italics">edentatus</content> (also tissue stages), <content styleCode="italics">S</content>. <content styleCode="italics">equinus</content>, <content styleCode="italics">Triodontophorus</content> spp. including <content styleCode="italics">T</content>. <content styleCode="italics">brevicauda</content> and <content styleCode="italics">T</content>. <content styleCode="italics">serratus</content> and <content styleCode="italics">Craterostomum</content>
                     <content styleCode="italics"> acuticaudatum</content>; <content styleCode="bold">Small Strongyles</content> (adults, including those resistant to some benzimidazole class compounds) – <content styleCode="italics">Coronocyclus</content> spp. including <content styleCode="italics">C</content>. <content styleCode="italics">coronatus</content>, <content styleCode="italics">C</content>. <content styleCode="italics">labiatus</content> and <content styleCode="italics">C</content>. <content styleCode="italics">labratus</content>, <content styleCode="italics">Cyathostomum</content> spp. including <content styleCode="italics">C</content>. <content styleCode="italics">catinatum</content> and <content styleCode="italics">C</content>. <content styleCode="italics">pateratum</content>, <content styleCode="italics">Cylicocyclus</content> spp. including <content styleCode="italics">C</content>. <content styleCode="italics">insigne</content>, <content styleCode="italics">C</content>. <content styleCode="italics">leptostomum</content>, <content styleCode="italics">C</content>. <content styleCode="italics">nassatus</content> and <content styleCode="italics">C</content>. <content styleCode="italics">brevicapsulatus</content>, <content styleCode="italics">Cylicodontophorus</content> spp., <content styleCode="italics">Cylicostephanus</content> spp. including <content styleCode="italics">C</content>. <content styleCode="italics">calicatus</content>, <content styleCode="italics">C</content>. <content styleCode="italics">goldi</content>, <content styleCode="italics">C</content>. <content styleCode="italics">longibursatus</content> and <content styleCode="italics">C</content>. <content styleCode="italics">minutus</content>, and <content styleCode="italics">Petrovinema </content>
                     <content styleCode="italics">poculatum</content>; <content styleCode="bold">Small Strongyles</content> – Fourth-stage larvae; <content styleCode="bold">Pinworms</content> (adults and fourth-stage larvae) – <content styleCode="italics">Oxyuris</content>
                     <content styleCode="italics"> equi</content>; <content styleCode="bold">Ascarids</content> (adults and third- and fourth-stage larvae) – <content styleCode="italics">Parascaris</content>
                     <content styleCode="italics"> equorum</content>; <content styleCode="bold">Hairworms</content> (adults) – <content styleCode="italics">Trichostrongylus</content>
                     <content styleCode="italics"> axei</content>;  <content styleCode="bold">Large-mouth</content>
                     <content styleCode="bold"> Stomach </content>
                     <content styleCode="bold">Worms</content> (adults) – <content styleCode="italics">Habronema</content>
                     <content styleCode="italics"> muscae</content>; <content styleCode="bold">Bots</content> (oral and gastric stages) – <content styleCode="italics">Gasterophilus</content> spp. including <content styleCode="italics">G</content>. <content styleCode="italics">intestinalis</content> and <content styleCode="italics">G</content>. <content styleCode="italics">nasalis</content>; <content styleCode="bold">Lungworms</content> (adults and fourth-stage larvae) – <content styleCode="italics">Dictyocaulus</content>
                     <content styleCode="italics"> arnfieldi</content>; <content styleCode="bold">Intestinal</content>
                     <content styleCode="bold"> Threadworms</content> (adults) – <content styleCode="italics">Strongyloides</content>
                     <content styleCode="italics"> westeri</content>; <content styleCode="bold">Summer </content>
                     <content styleCode="bold">Sores</content> caused by <content styleCode="italics">Habronema</content> and <content styleCode="italics">Draschia</content> spp. cutaneous third-stage larvae; Dermatitis caused by neck threadworm microfilariae, <content styleCode="italics">Onchocerca</content> sp.</paragraph>
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               <code code="34068-7" codeSystem="2.16.840.1.113883.6.1" displayName="DOSAGE &amp; ADMINISTRATION SECTION"/>
               <text>
                  <paragraph>
                     <content styleCode="bold">DOSAGE: </content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">Ivermectin Paste 1.87%        Net Wt: 0.21 oz (6.08 g)</content>
                  </paragraph>
                  <paragraph>This syringe contains sufficient paste to treat one 1250 lb horse at the recommended dose rate of 91 mcg Ivermectin per lb (200 mcg/kg) body weight. Each weight marking on the syringe plunger delivers enough paste to treat 250 lb body weight.</paragraph>
                  <paragraph/>
                  <paragraph>
                     <content styleCode="bold">ADMINISTRATION:</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">(1) While holding plunger, turn the knurled ring on the plunger 1/4 turn to the left and slide it so the side nearest the barrel is at the prescribed weight marking.</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">(2) Lock the ring in place by making a 1/4 turn to the right.</content>
                  </paragraph>
                  <paragraph>(3) Make sure that the horse's mouth contains no feed.</paragraph>
                  <paragraph>(4) Remove the cover from the tip of the syringe.</paragraph>
                  <paragraph>(5) Insert the syringe tip into the horse's mouth at the space between the teeth.</paragraph>
                  <paragraph>(6) Depress the plunger as far as it will go, depositing paste on the back of the tongue.</paragraph>
                  <paragraph>(7) Immediately raise the horse's head for a few seconds after dosing.</paragraph>
                  <paragraph/>
                  <paragraph>
                     <content styleCode="bold">PARASITE CONTROL PROGRAM</content>
                     <content>: All horses should be included in a regular parasite control program with particular attention being paid to mares, foals and yearlings. Foals should be treated initially at 6 to 8 weeks of age, and routine treatment repeated as appropriate. Consult your veterinarian for a control program to meet your specific needs. Ivermectin Paste effectively controls gastrointestinal nematodes and bots of horses. Regular treatment will reduce the chances of verminous arteritis caused by </content>
                     <content styleCode="italics">Strongylus</content>
                     <content styleCode="italics"> vulgaris</content>
                     <content>.</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">PRODUCT ADVANTAGES</content>: <content styleCode="bold">Broad-spectrum Control</content>–  Ivermectin Paste 1.87% kills important internal parasites, including bots and the arterial stages of <content styleCode="italics">S</content>. <content styleCode="italics">vulgaris</content>, with a single dose.  Ivermectin Paste is a potent antiparasitic agent that is neither a benzimidazole nor an organophosphate.</paragraph>
                  <paragraph>
                     <content styleCode="bold">ANIMAL SAFETY</content>: Ivermectin Paste 1.87% may be used in horses of all ages, including mares at any stage of pregnancy. Stallions may be treated without adversely affecting their fertility.</paragraph>
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               <code code="34071-1" codeSystem="2.16.840.1.113883.6.1" displayName="WARNINGS SECTION"/>
               <text>
                  <paragraph>
                     <content styleCode="bold">WARNING</content>: <content styleCode="bold">Do not use in horses intended for human consumption</content>.<br/>
                     <content styleCode="bold">Not for use in humans. Keep this and all drugs out of reach of children.</content>
                     <br/>
                     <br/>Refrain from smoking and eating when handling.   Wash hands after use.   Avoid contact with eyes. </paragraph>
                  <paragraph>
                     <content>The Safety Data Sheet (SDS) contains more detailed occupational safety information.</content>
                  </paragraph>
                  <paragraph/>
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                  <paragraph>
                     <content styleCode="bold">PRECAUTIONS</content>: Ivermectin Paste 1.87% has been formulated specifically for use in horses <content styleCode="bold">only</content>.</paragraph>
                  <paragraph>This product should not be used in other animal species as severe adverse reactions, including fatalities in dogs, may result.</paragraph>
                  <paragraph/>
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               <code code="50742-6" codeSystem="2.16.840.1.113883.6.1" displayName="ENVIRONMENTAL WARNING SECTION"/>
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                  <paragraph>
                     <content styleCode="bold">Environmental Safety</content>: Ivermectin and excreted ivermectin residues may adversely affect aquatic organisms. Do not contaminate ground or surface water. Dispose of the syringe in an approved landfill or by incineration.</paragraph>
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               <code code="50744-2" codeSystem="2.16.840.1.113883.6.1" displayName="INFORMATION FOR OWNERS/CAREGIVERS SECTION"/>
               <text>
                  <paragraph>
                     <content styleCode="bold">INFORMATION FOR HORSE OWNERS</content>: Swelling and itching reactions after treatment with Ivermectin Paste have occurred in horses carrying heavy infections of neck threadworm microfilariae (<content styleCode="italics">Onchocerca</content> sp.) . These reactions were most likely the result of microfilariae dying in large numbers. Symptomatic treatment may be advisable. Consult your veterinarian should any such reactions occur. Healing of summer sores involving extensive tissue changes may require other appropriate therapy in conjunction with treatment with Ivermectin Paste. Reinfection, and measures for its prevention, should also be considered. Consult your veterinarian if the condition does not improve.</paragraph>
                  <paragraph/>
                  <paragraph>
                     <content styleCode="bold">CONTACT INFORMATION:</content>
                     <br/>To report suspected adverse drug events, for technical assistance or to obtain a copy of the Safety Data Sheet (SDS), contact Dechra at (866) 933-2472. For additional information about adverse drug experience reporting for animal drugs, contact FDA at 1-888-FDA-VETS or online at http://www.fda.gov/reportanimalae</paragraph>
                  <paragraph/>
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                     <content styleCode="bold">STORAGE:</content>
                  </paragraph>
                  <paragraph>Store at 20°C to 25°C  (68°F to 77°F), excursions permitted between 15°C and 30°C (between 59°F and 86°F).</paragraph>
                  <paragraph/>
                  <paragraph/>
                  <paragraph>
                     <content styleCode="bold">Manufactured for:</content>
                     <br/>Dechra Veterinary Products, LLC<br/>Overland Park, KS 66211</paragraph>
                  <paragraph/>
                  <paragraph>Rev. 02/2024</paragraph>
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