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   <title>Muricin<sup>®</sup>
      <br/> (mupirocin ointment) 2%</title>
   <effectiveTime value="20221221"/>
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            <name>Dechra Veterinary Products</name>
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                  <name>Fougera Pharmaceuticals Inc.</name>
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                        <name>MURICIN</name>
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                              <name>mupirocin</name>
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                              <denominator unit="g" value="1"/>
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                              <name>MUPIROCIN</name>
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                                 <activeMoiety>
                                    <code code="D0GX863OA5" codeSystem="2.16.840.1.113883.4.9"/>
                                    <name>MUPIROCIN</name>
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                              </activeMoiety>
                           </ingredientSubstance>
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                           <ingredientSubstance>
                              <code code="G2M7P15E5P" codeSystem="2.16.840.1.113883.4.9"/>
                              <name>POLYETHYLENE GLYCOL 3350</name>
                           </ingredientSubstance>
                        </ingredient>
                        <ingredient classCode="IACT">
                           <ingredientSubstance>
                              <code code="B697894SGQ" codeSystem="2.16.840.1.113883.4.9"/>
                              <name>POLYETHYLENE GLYCOL 400</name>
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                              <numerator unit="g" value="15"/>
                              <denominator value="1"/>
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                                    <numerator unit="1" value="1"/>
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                                    <code code="USA" codeSystem="2.16.840.1.113883.5.28"/>
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                  <paragraph>For dermatologic use on dogs.</paragraph>
                  <paragraph>
                     <content styleCode="bold">CAUTION: </content>Federal law restricts this drug to use by or on the order of a licensed veterinarian.</paragraph>
               </text>
               <effectiveTime value="20221221"/>
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               <code code="34089-3" codeSystem="2.16.840.1.113883.6.1" displayName="DESCRIPTION SECTION"/>
               <title>DESCRIPTION:</title>
               <text>
                  <paragraph>Each gram of Muricin ointment contains 20 mg of mupirocin in a bland, water-washable ointment base consisting of polyethylene glycol 400 and polyethylene glycol 3350 (polyethylene glycol ointment, NF). Mupirocin is a naturally-occurring, broadspectrum antibiotic.  The chemical name is (<content styleCode="italics">E</content>)-(2<content styleCode="italics">S</content>,3<content styleCode="italics">R</content>,4<content styleCode="italics">R</content>,5<content styleCode="italics">S</content>)-5-[(2<content styleCode="italics">S</content>,3<content styleCode="italics">S</content>,4<content styleCode="italics">S</content>,5<content styleCode="italics">S</content>)-2,3-Epoxy-5-hydroxy-4-methylhexyl]tetrahydro-3,4-dihydroxy-β-methyl-2<content styleCode="italics">H</content>-pyran-2-crotonic acid, ester with 9-hydroxynonanoic acid. The chemical structure is: </paragraph>
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               <code code="34090-1" codeSystem="2.16.840.1.113883.6.1" displayName="CLINICAL PHARMACOLOGY SECTION"/>
               <title>CLINICAL PHARMACOLOGY:</title>
               <text>
                  <paragraph>Mupirocin is a chemical entity produced by fermentation of the organism <content styleCode="italics">Pseudomonas fluorescens.</content> Mupirocin inhibits bacterial protein synthesis by reversibly and specifically binding to bacterial isoleucyl transfer-RNA synthetase. Due to this mode of action, mupirocin shows no cross resistance with chloramphenicol, erythromycin, gentamicin, lincomycin, neomycin, novobiocin, penicillin, streptomycin, and tetracycline. Mupirocin is an antimicrobial agent that inhibits the growth of Gram-positive and Gram-negative bacteria. Bacteria susceptible to the action of mupirocin <content styleCode="italics">in vitro</content> include the aerobic isolates of <content styleCode="italics">Staphylococcus aureus</content> (including methicillin-resistant strains and β-lactamase-producing strains), <content styleCode="italics">Staphylococcus intermedius, Staphylococcus epidermidis, </content>other coagulase positive or negative Staphylococci, α-hemolytic Streptococci, β group A Streptococci (including <content styleCode="italics">S. pyogenes</content>), other β Streptococci (including <content styleCode="italics">S. agalactiae</content>), group D Streptococci (including <content styleCode="italics">S. faecalis</content> and <content styleCode="italics">S. faecium</content>), group Viridans Streptococci, <content styleCode="italics">Streptococcus pneumoniae, Corynebacterium hofmanii, Bacillus subtilis, Escherichia coli, Klebsiella pneumoniae, Proteus mirabilis, Proteus vulgaris, Enterobacter cloacae, Enterobacter aerogenes, Citrobacter freundii, Hemophilus influenzae</content> (including β-lactamase-producing strains), <content styleCode="italics">Neisseria gonorrheae</content> (including β-lactamase-producing strains), <content styleCode="italics">Neisseria meningitidis, Branhamella catarrhalis</content> and <content styleCode="italics">Pasteurella multocida,</content> and the anaerobic isolates of <content styleCode="italics">Peptostreptococcus anaerobius, Clostridium difficile,</content> and <content styleCode="italics">Clostridium sporogenes.</content>
                  </paragraph>
                  <paragraph>Clinical significance of the <content styleCode="italics">in vitro</content> data is unknown except for susceptible strains of <content styleCode="italics">Staphylococcus aureus</content> and <content styleCode="italics">Staphylococcus intermedius.</content>
                  </paragraph>
               </text>
               <effectiveTime value="20221221"/>
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               <code code="34067-9" codeSystem="2.16.840.1.113883.6.1" displayName="INDICATIONS &amp; USAGE SECTION"/>
               <title>INDICATIONS FOR USE:</title>
               <text>
                  <paragraph>Muricin ointment is indicated for the topical treatment of canine bacterial infections of the skin, including superficial pyoderma, caused by susceptible strains of <content styleCode="italics">Staphylococcus aureus</content> and <content styleCode="italics">Staphylococcus intermedius.</content>
                  </paragraph>
               </text>
               <effectiveTime value="20221221"/>
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               <code code="34070-3" codeSystem="2.16.840.1.113883.6.1" displayName="CONTRAINDICATIONS SECTION"/>
               <title>CONTRAINDICATIONS:</title>
               <text>
                  <paragraph>This drug is contraindicated in animals with a history of sensitivity reactions to any of its components.</paragraph>
               </text>
               <effectiveTime value="20221221"/>
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               <code code="34071-1" codeSystem="2.16.840.1.113883.6.1" displayName="WARNINGS SECTION"/>
               <title>WARNINGS:</title>
               <text>
                  <list listType="ordered">
                     <item>
                        <caption> </caption>Because of the potential hazard of nephrotoxicity due to the polyethylene glycol content of the base, care should be exercised when using this product in treating extensive deep lesions where absorption of large quantities of polyethylene glycol is possible. </item>
                     <item>
                        <caption> </caption>Safety of use in pregnant or breeding animals has not been determined. Muricin ointment is not for ophthalmic use. </item>
                  </list>
               </text>
               <effectiveTime value="20221221"/>
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               <code code="34084-4" codeSystem="2.16.840.1.113883.6.1" displayName="ADVERSE REACTIONS SECTION"/>
               <title>ADVERSE REACTIONS:</title>
               <text>
                  <paragraph>No adverse reactions have been reported with this product. If a skin reaction such as irritation should occur, treatment should be discontinued and appropriate therapy instituted.</paragraph>
                  <paragraph>To report suspected adverse drug events, for technical assistance, or to obtain a copy of the Safety Data Sheet, contact Dechra Veterinary Products at (866) 933-2472.</paragraph>
                  <list listType="ordered">
                     <item>
                        <caption> </caption>For additional information about adverse drug experience reporting for animal drugs, contact FDA at 1-888-FDA-VETS or http://www.fda.gov/reportanimalae.</item>
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               <effectiveTime value="20221221"/>
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               <title>DOSAGE AND ADMINISTRATION:</title>
               <text>
                  <list listType="ordered">
                     <item>
                        <caption> </caption>Prior to treatment, the lesion should be cleansed. Muricin ointment should be applied to the affected area twice a day. Apply a sufficient amount of ointment to completely cover the infected area. Maximum duration of treatment should not exceed 30 days. </item>
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               <effectiveTime value="20221221"/>
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               <title>HOW SUPPLIED:</title>
               <text>
                  <list listType="ordered">
                     <item>
                        <caption> </caption>Muricin ointment is supplied in 15-gram tubes. </item>
                  </list>
                  <paragraph>NDC 17033-420-15.</paragraph>
                  <paragraph>Store between 15° and 30°C (59° and 86°F).</paragraph>
                  <paragraph>Keep out of reach of children.</paragraph>
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               <code code="42229-5" codeSystem="2.16.840.1.113883.6.1" displayName="SPL UNCLASSIFIED SECTION"/>
               <title>IMPORTANT:</title>
               <text>
                  <paragraph>The opening of this product is covered by a metal tamper-evident seal.                   </paragraph>
                  <paragraph>If this seal has been punctured or is not visible, do not use and return product to place of purchase.</paragraph>
                  <paragraph>Approved by FDA under ANADA # 200-418</paragraph>
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                  <paragraph>
                     <content styleCode="bold">Manufactured for:</content>
                  </paragraph>
                  <paragraph>Dechra Veterinary Products</paragraph>
                  <paragraph>Overland Park, KS 66211 USA</paragraph>
                  <paragraph>
                     <content styleCode="bold">Manufactured by:</content>
                  </paragraph>
                  <paragraph>Fougera Pharmaceuticals Inc.</paragraph>
                  <paragraph>Melville, NY 11747 USA</paragraph>
                  <paragraph>46269504</paragraph>
                  <paragraph>Rev. December 2022</paragraph>
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                     <text>directions</text>
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               <title>PRINCIPAL DISPLAY PANEL - 15 g Carton</title>
               <text>
                  <paragraph>
                     <content styleCode="bold">Muricin<sup>®</sup>
                     </content>
                     <br/>(mupirocin ointment) 2%<br/>
                     <content styleCode="bold">For dermatologic use on dogs</content>
                     <br/>
                     <content styleCode="bold">NET WT 15 g</content>
                     <br/>
                     <content styleCode="bold">NDC</content> 17033-420-15<br/>
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