ToMORROW (cephapirin benzathine)

Company: Boehringer Ingelheim Animal Health

cephapirin benzathine

Approved by FDA under NADA # 108-114

FOR INTRAMAMMARY INFUSION INTO THE DRY COW

ToMORROW (cephapirin benzathine) Caution

Federal law restricts this drug to use by or on the order of a licensed veterinarian.

Description

ToMORROW (cephapirin benzathine) for INTRAMAMMARY INFUSION into the DRY COW is a product which provides a wide range of bactericidal activity against gram-positive and gram-negative organisms. It is derived biosynthetically from 7-aminocephalosporanic acid.

Each 10 mL disposable syringe contains 300 mg of cephapirin activity in a stable peanut oil gel. This product was manufactured by a non-sterilizing process.

Store at or below 25°C (77°F). Do not freeze. Avoid excessive heat.

Action

In the non-lactating mammary gland, ToMORROW (cephapirin benzathine) provides bactericidal levels of the active antibiotic, cephapirin, for a prolonged period of time. This prolonged activity is due to the low solubility of the cephapirin benzathine and to the slow release gel base.

Cephapirin is bactericidal to susceptible organisms; it is known to be highly active against Streptococcus agalactiae and Staphylococcus aureus including strains resistant to penicillin.

To determine the susceptibility of bacteria to cephapirin in the laboratory, the class disc, Cephalothin Susceptibility Test Discs, 30 mcg, should be used.

ToMORROW (cephapirin benzathine) Indications

For the treatment of mastitis in dairy cows during the dry period.

ToMORROW has been shown by extensive clinical studies to be efficacious in the treatment of mastitis in dry cows, when caused by Streptococcus agalactiae and Staphylococcus aureus including penicillin-resistant strains.

Treatment of the dry cow with ToMORROW is indicated in any cow known to harbor any of these organisms in the udder at drying off.

Dosage And Directions For Use

ToMORROW (cephapirin benzathine) is for use in dry cows only. Infuse each quarter at the time of drying off with a single 10 mL syringe. Use no later than 30 days prior to calving.

Completely milk out all four quarters. The udder and teats should be thoroughly washed with warm water containing a suitable dairy antiseptic and dried, preferably using individual paper towels. Carefully scrub the teat end and orifice with 70% alcohol, using a separate swab for each teat. Allow to dry.

ToMORROW is packaged with the Opti-Sert^® Protective Cap.

For partial insertion: Twist off upper portion of the Opti-Sert Protective Cap to expose 3-4 mm of the syringe tip.

For full insertion: Remove protective cap to expose the full length of the syringe tip.

Insert syringe tip into the teat canal and expel the entire contents of syringe into the quarter. Withdraw the syringe and gently massage the quarter to distribute the medication.

Do not infuse contents of the mastitis syringe into the teat canal if the Opti-Sert Protective Cap is broken or damaged.

Precautions

ToMORROW should be administered with caution to subjects which have demonstrated some form of allergy, particularly to penicillin. Such reactions are rare; however, should they occur, consult your veterinarian.

HOW SUPPLIED

ToMORROW (cephapirin benzathine) for Intramammary Infusion into the Dry Cow. Cephapirin benzathine equivalent to 300 mg cephapirin activity per syringe.

Each pail contains 144 x 10 mL syringes and 144 convenient single use alcohol pads. NDC 0010-4755-02.

ToMORROW is also supplied in cartons containing 12 x 10 mL syringes with 12 convenient single use alcohol pads. NDC 0010-4755-01.

Not for Human Use.

© 2022 Boehringer Ingelheim Animal Health USA Inc. All rights reserved.

ToMORROW is a registered trademark of Boehringer Ingelheim Animal Health USA Inc.

Opti-Sert is a registered trademark of Zoetis W LLC - used under license.

Origin China

Marketed by:

Boehringer Ingelheim Animal Health USA Inc., Duluth, GA 30096

471801-02

Revised 07/2022

51747332

CPN: 1028224.4