Tulissin
Authorised
This medicine is authorised for use in the European Union
tulathromycin
MedicineVeterinaryAuthorised
- Application under evaluation
- CVMP opinion
- European Commission decision
Overview
Tulissin is an antibiotic medicine that is used to treat the following diseases if they are caused by bacteria that are susceptible to it:
- bovine respiratory disease (BRD) in cattle caused by Mannheimia haemolytica, Pasteurella multocida, Histophilus somni and Mycoplasma bovis;
- infectious bovine keratoconjunctivitis (IBK) in cattle, an eye disease caused by Moraxella bovis;
- swine respiratory disease (SRD) in pigs caused by Actinobacillus pleuropneumoniae, Pasteurella multocida, Mycoplasma hyopneumoniae, Haemophilus parasuis and Bordetella bronchiseptica;
- early stages of foot rot in sheep caused by Dichelobacter nodosus, which requires treatment with a medicine given by mouth or by injection.
Tulissin can also be used for metaphylaxis of BRD and SRD. This involves treating at the same time both diseased animals and healthy animals in close contact with them, to prevent further spread of the disease. The medicine should only be used for metaphylaxis in cattle and pigs once presence of the disease in the herd has been established.
Tulissin contains the active substance tulathromycin.
Tulissin is a ‘generic medicine’. This means that Tulissin contains the same active substance and works in the same way as a ‘reference medicine’ already authorised in the European Union (EU) called Draxxin.
For more information, see the package leaflet.
The medicine can only be obtained with a prescription. Tulissin is available as an injection (25 and 100 mg/ml). The 25 mg/ml injection is for pigs only; the 100 mg/ml injection is for cattle, pigs and sheep.
Tulissin is given as a single injection of 2.5 mg per kilogram bodyweight. It is injected under the skin in cattle and into the neck muscle in pigs and sheep. Depending on the size of the dose, it may need to be injected into two sites.
It is recommended that animals are treated early for respiratory disease and that their response is evaluated within 48 hours. If symptoms persist, get worse or come back, treatment should be changed to another antibiotic.
For more information about using Tulissin, see the package leaflet or contact your veterinarian or pharmacist.
The active substance in Tulissin, tulathromycin, is an antibiotic that belongs to the class ‘macrolides’. It works by attaching to the RNA (genetic material) in the bacterial cells and preventing the bacteria from making vital proteins, thus stopping them growing and multiplying.
Tulissin is effective against the bacteria that most commonly cause BRD, SRD, IBK and foot rot.
Studies on the benefits and risks of the active substance in the authorised uses have already been carried out with the reference medicine, Draxxin, and do not need to be repeated for Tulissin.
As for every medicine, the company provided studies on the quality of Tulissin. There was no need for ‘bioequivalence’ studies to investigate whether Tulissin is absorbed similarly to the reference medicine to produce the same level of the active substance in the blood. This is because the composition of Tulissin is very similar to the reference medicine and when given by injection under the skin to cattle or into a muscle in pigs and sheep, the active substance in both products is expected to be similarly absorbed and the products are expected to have the same effects.
Because Tulissin is a generic medicine, its benefits and risks are taken as being the same as the reference medicine’s.
Safety information has been included in the summary of product characteristics and the package leaflet for Tulissin, including the appropriate precautions to be followed by healthcare professionals and animal owners or keepers. The precautions are the same as for the reference medicine since Tulissin is a generic medicine.
The withdrawal period is the time required after administration of a medicine before an animal can be slaughtered and the meat used for human consumption. It is also the time required after administration of a medicine before milk may be used for human consumption.
For cattle the meat withdrawal period is 22 days, for pigs it is 13 days and for sheep it is 16 days. Tulissin must not be used in animals that are producing milk for human consumption, or in pregnant animals intended to produce milk for human consumption, within two months of their expected date of giving birth.
The European Medicines Agency concluded that, in accordance with EU requirements, Tulissin has been shown to be comparable to Draxxin. Therefore, the Agency’s view was that, as for Draxxin, the benefit of Tulissin outweighs the identified risk and it can be authorised for use in the EU.
Tulissin received a marketing authorisation valid throughout the EU on 24 April 2020.
Product information
Latest procedure affecting product information:
IB/0007
03/12/2021
Product details
- Name of medicine
- Tulissin
- Active substance
- tulathromycin
- International non-proprietary name (INN) or common name
- tulathromycin
- Species
- Cattle
- Pigs
- Sheep
- Anatomical therapeutic chemical veterinary (ATCvet) code
- QJ01FA94
Pharmacotherapeutic group
Antibacterials for systemic useTherapeutic indication
Cattle: Treatment and metaphylaxis of bovine respiratory disease (BRD) associated with Mannheimia haemolytica, Pasteurella multocida, Histophilus somni and Mycoplasma bovis susceptible to tulathromycin. The presence of the disease in the herd should be established before metaphylactic treatment.
Treatment of infectious bovine keratoconjunctivitis (IBK) associated with Moraxella bovis susceptible to tulathromycin.
Pigs: Treatment and metaphylaxis of swine respiratory disease (SRD) associated with Actinobacillus pleuropneumoniae, Pasteurella multocida, Mycoplasma hyopneumoniae, Haemophilus parasuis and Bordetella bronchiseptica susceptible to tulathromycin. The presence of the disease in the herd should be established before metaphylactic treatment. The product should only be used if pigs are expected to develop the disease within 2–3 days.
Sheep: Treatment of the early stages of infectious pododermatitis (foot rot) associated with virulent Dichelobacter nodosus requiring systemic treatment.
News on Tulissin
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