Brand: PANACUR ® 10% Oral Suspension
Company: MERCK ANIMAL HEALTH
INDICATIONS: CATTLE, SHEEP & HORSES
PARASITES CONTROLLED* (spectrum of activity)
* Country-specific differences may apply: read the product label.
- Tapeworms: Moniezia spp.
- Tapeworms: Moniezia spp.
- Large strongyles (adults and migrating larval stages of Strongylus vulgaris; adults and tissue larval stages of Strongylus edentatus).
- Small strongyles (Cyathostomes). Panacur is also effective for the treatment and control of encysted mucosal 3rd and 4th stage small strongyle larvae and is also effective against encysted inhibited 3rd stage small strongyle larvae in the mucosa.
- Adult and immature Oxyuris spp, Strongyloides spp and Parascaris equorum.
* Country-specific differences may apply: read the product label.
- Cattle: 1 mL product/13 kg bw (equivalent to 7.5 mg of fenbendazole/kg)
- Sheep: 0.5 mL product/10 kg bw (equivalent to 5.0 mg of fenbendazole/kg)
- Horses: 1 mL product/13 kg bw (equivalent to 7.5 mg of fenbendazole/kg). For administration to horses, thoroughly mix the product with grain or concentrate feed and give the full dosage as one administration. Read the product label for more detailed use recommendations for horses.
- LD50 (acute oral) in rats: >10000 mg/kg (for the a.i. according to MSDS)
- LD50 (acute dermal) in rats: n.a.
Suspected poisoning? Read the article on fenbendazole safety in this site.
Withholding periods (=withdrawal times) in days for meat & milk (country-specific differences may apply: read the product label)
- Cattle: UK 12 days. Do not use in calves to be processed for veal.
- Sheep: UK 15 days.
- Horses: UK Treated horses may never be slaughtered for human consumption. The horse must have been declared as not intended for human consumption under national horse passport legislation.
- Milk for human consumption:
- Cattle: UK 5 days
- Sheep: UK 7 days
Risk of resistance? YES, resistance of gastrointestinal roundworms to all benzimidazoles (incl. fenbendazole) in ruminants is a very serious and increasing problem worldwide, particularly in sheep and goats, but also in cattle. The most affected worm species are:
- Sheep & goats: Haemonchus spp, Ostertagia spp /Teladorsagia spp, Trichostrongylus spp, Nematodirus spp, Chabertia ovina.
- Cattle: Cooperia spp, Haemonchus spp, Ostertagia spp, Trichostrongylus spp, Oesophagostomum spp.
This means that if this product does not achieve the expected efficacy against the mentioned parasites, it can be due to resistance and not to incorrect use, which is usually the most frequent cause of product failure.
- Macrocyclic lactones (e.g. abamectin, doramectin, eprinomectin, ivermectin, moxidectin, etc.). Resistance to macrocyclic lactones is also increasing and strengthening quickly in many countries.
- Levamisole. Resistance to levamisole has been reported in most countries, but is usually less strong and frequent than to benzimidazoles.
- Monepantel: available only only for sheep & goats in some countries (e.g. Australia, UK & EU, New Zealand). First cases of resistance reported in New Zealand in 2013.
- Salicylanilides (e.g. closantel): effective only against certain gastrointestinal roundworms. Not available in some countries. Resistance to closantel has been reported in some countries.
- Tetrahydropyrimidines (e.g. morantel, pyrantel): effective only against certain gastrointestinal roundworms. Not available in some countries. Resistance to morantel has been reported in some countries.
- Nitroxinil: effective only against certain gastrointestinal roundworms (e.g. Bunostomum spp, Haemonchus spp, Oesophagostomum spp). Not available in some countries.
These alternative products may not be available in all countries, or may not be available as drenches, or may not be effective against all the concerned parasites.
It is highly recommended to periodically check the resistance status of each property performing appropriate tests (e.g. fecal egg counts) under supervision of a veterinary doctor. Such tests are now routinely available for most producers in developed countries.
Are the active ingredients of this product ORIGINAL* or GENERICS**?
*Meaning that they are still patent protected and generics are not yet available
**Meaning that they have lost patent protection and may be acquired from manufacturers of generic active ingredients other than the holder of the original patent.
COUNTRIES where this brand/product is marketed: UK and other EU countries.
GENERIC BRANDS available? Yes, in most countries
Click here to learn more about GENERIC vs. ORIGINAL drugs.
For an overview on the most used drench brands for livestock click here.
PANACUR is the original brand for products containing fenbendazole introduced already in the 1970s by HOECHST (later acquired by INTERVET, now MERCK MSD ANIMAL HEALTH = MSD ANIMAL HEALTH).
All benzimidazoles are veteran anthelmintics. Fenbendazole has a broad-spectrum of activity against roundworms (gastrointestinal and pulmonary) & tapeworms, but is ineffective against flukes. Fenbendazole also kills eggs of roundworms (ovicidal activity). As all benzimidazoles, fenbendazole has no efficacy whatsoever against external parasites (ticks, flies, lice, mites, etc). Among the benzimidazoles fenbendazole is quite comparable with oxfendazole in terms of efficacy and safety.
As all benzimidazoles (as well as other anthelmintics such as levamisole, monepantel, and tetrahydropyrimidines), fenbendazole administered as a drench has no residual effect, i.e. it kills the parasites shortly after administration, but does not significantly protect the animals against re-infestation by infective stages in their environment.
Fenbendazole is abundantly used worldwide in numberless generic brands for livestock, horses and pets.
Drench is the preferred delivery form for use on cattle, sheep and goats, but in many countries it is also available in the form of feed additives (mainly for pig & poultry) and other delivery forms for oral administration (boluses, tablets, pastes, etc). As most benzimidazoles it is not appropriate for intramuscular or subcutaneous injection due to its poor solubility in water, but intraruminal injection is very popular in Latin America.
Both for livestock and pets fenbendazole is often used in combinations that broaden the spectrum of activity or try to overcome potential resistance. Typical mixtures for livestock include a flukicide (e.g. closantel, etc.) and/or a macrocyclic lactone, and/or levamisole, although such mixtures are not approved everywhere. For dogs and cats it is often combined with a taenicide (e.g. praziquantel).
Unfortunately, resistance of several gastrointestinal roundworms to all benzimidazoles (including fenbendazole) is already very high and very frequent worldwide in sheep and goats, slightly lower in cattle, which has significantly reduced their usage in livestock. Nowadays more convenient pour-ons and injectables containing macrocyclic lactones (e.g. abamectin, doramectin, eprinomectin, ivermectin, moxidectin) are often preferred over drenches with benzimidazoles. Macrocyclic lactones also ensure several weeks protection against re-infestation by several worm species, in contrast with all benzimidazoles that lack any residual effect.
In ruminants, reducing the amount of feed slows down the exit flow of the rumen and prolongs the time during which the active ingredient remains there and is absorbed. Consequently it is advisable to reduce the access of animals to feed (especially to fresh pasture, not to water) 24 hours before administration. For the same reason, it is better to keep the animals away from food for about 6 hours after drenching. However sick or weak animals should not be kept away from food and fasting animals should have access to water. In cattle, a fiber-rich diet also increases the bioavailability of fenbendazole.
Fenbendazole active ingredient is a solid compound poorly soluble in water and in drenches it is formulated as a suspension (not as a solution or emulsion). A key unfavorable feature of all suspensions is that the suspended solid particles tend to fall down to the bottom of the container and sediment, very much like sand in water. This means that suspensions must be thoroughly shaken before use. How fast the suspension sediments and how easily shaking the container redistributes the suspension depends on the formulation quality. A good formulation sediments slowly and shaking will re-suspend it quickly. Bad formulations sediment quickly and shaking re-suspends them slowly.
Thoroughly shaking suspensions before use is crucial for efficacy. If the active ingredient remains in the sediment, a few animals may get most of the active ingredient and will be overdosed, and the large majority will get almost only solvents and will be underdosed.
This article IS NOT A PRODUCT LABEL. It offers complementary information that may be useful to veterinary professionals and users that are not familiar with veterinary antiparasitics.
Information offered in this article has been extracted from publications issued by manufacturers, government agencies (e.g. EMEA, FDA, USDA, etc.) or in the scientific literature. No guarantee is given on its accuracy, integrity, sufficiency, actuality and opportunity, and any liability is denied. Read the site's DISCLAIMER.
In case of doubt contact the manufacturer or a veterinary professional.