Label: ADEQUAN I.M.- polysulfated glycosaminoglycan injection, solution

  • Category: PRESCRIPTION ANIMAL DRUG LABEL
  • DEA Schedule: None
  • Marketing Status: New Animal Drug Application

Drug Label Information

Updated October 9, 2023

If you are a consumer or patient please visit this version.

  • SPL UNCLASSIFIED SECTION

    MULTI-DOSE
    Solution 100 mg/mL in a 50 mL Preserved Multi-Dose Vial
    For Intramuscular Use In Horses Only. Not for Intra-Articular Use.

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

  • DESCRIPTION:

    Each mL contains Polysulfated Glycosaminoglycan (PSGAG) 100 mg, Benzyl Alcohol 0.9% v/v as a preservative, and Water for Injection q.s. Sodium Hydroxide and/or Hydrochloric Acid added when necessary to adjust pH. The solution is clear, colorless to slightly yellow.

  • PHARMACOLOGY:

    Polysulfated Glycosaminoglycan is chemically similar to the glycosaminoglycans in articular cartilage matrix. PSGAG is a potent proteolytic enzyme inhibitor and diminishes or reverses the pathologic processes of traumatic or degenerative joint disease which result in a net loss of cartilage matrix components. PSGAG improves joint function by reducing synovial fluid protein levels and increasing synovial fluid hyaluronic acid concentration in traumatized equine carpal and hock joints.

  • INDICATIONS:

    Adequan® i.m. Multi-Dose is recommended for the intramuscular treatment of non-infectious degenerative and/or traumatic joint dysfunction and associated lameness of the carpal and hock joints in horses.

  • DOSAGE AND ADMINISTRATION:

    Practice aseptic techniques in withdrawing each dose to decrease the possibility of post-injection bacterial infections. Adequately clean and disinfect the stopper prior to entry with a sterile needle and syringe. Use only sterile needles, and use each needle only once.

    The vial stopper may be punctured a maximum of 10 times.

    The recommended dose of Adequan® i.m. Multi-Dose in horses is 500 mg every 4 days for 28 days intramuscularly. The injection site must be thoroughly cleansed prior to injection. Do not mix Adequan® i.m. Multi-Dose with other drugs or solvents.

  • CONTRAINDICATIONS:

    There are no known contraindications to the use of intramuscular Polysulfated Glycosaminoglycan.

  • WARNINGS:

    Do not use in horses intended for human consumption. Not for use in humans. Keep this and all medications out of the reach of children.

  • PRECAUTIONS:

    The safe use of Adequan® i.m. Multi-Dose in horses used for breeding purposes, during pregnancy, or in lactating mares has not been evaluated.

  • SAFETY AND EFFICACY:

    Safety and efficacy studies utilizing Adequan® i.m. Multi-Dose were not performed. Adequan® i.m. Multi-Dose was approved based on the conclusion that the safety and effectiveness of Adequan® i.m. Multi-Dose will not differ from that demonstrated for the original formulation of Adequan® i.m.

  • ANIMAL SAFETY:

    Animal Safety studies utilizing Adequan® i.m. Multi-Dose were not performed. Safety studies were conducted in horses using the single dose formulation. Doses as high as 2,500 mg were administered intramuscularly to 6 horses twice a week for 12 weeks. This dosage is 5 times the recommended dosage and 3 times the recommended therapeutic regimen. Clinical observations revealed no soreness or swelling at the injection site or in the affected joint. No animal had any clinical or laboratory evidence of toxicity.

  • STORAGE CONDITIONS:

    Store at 20°-25°C (68°-77°F); excursions permitted to 15°-30°C (59°-86°F) (See USP Controlled Room Temperature).  Avoid prolonged exposure to temperatures ≥ 40°C (104°F).

    Use within 28 days of first puncture and puncture a maximum of 10 times. Dispose of spent needles in accordance with all federal, state and local environmental laws. 

  • HOW SUPPLIED:

    Adequan® i.m. Multi-Dose solution, 5,0000 mg/50 mL (100 mg/mL) in 50 mL multi-dose glass vials.

    NDC 10797-959-01     50 mL Multi-Dose Vials     Packaged 1 vial per box

    AMERICAN REGENT, INC.
    ANIMAL HEALTH

    Shirley, NY 11967
    (1-888-354-4857)

    Made in U.S.A.
    IN959
    Rev. 9/2021
    MG# 44453

    Approved by FDA under NADA #140-901

  • Container Label

    NDC 10797-959-01

    Adequan i.m.®
    polysulfated glycosaminoglycan

    Multi-Dose

    100 mg/mL
    50 mL
    Preserved Multiple Dose Vial

     For Intramuscular Use in Horses Only. Not for Intra-Articular Use.

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

    Use within 28 days of first puncture.

    WARNING: Do not use in horses intended for human consumption.

    Store at 20° to 25°C (68° to 77°F).  Avoid prolonged exposure to temperatures ≥ 40°C (104°F).

    See package insert for full directions.

    AMERICAN REGENT, INC.
    ANIMAL HEALTH

    Shirley, NY 11967

    Approved by the FDA under NADA # 140-901

    Rev. 09/2021

    Container Label

  • Carton Labeling

    NDC 10797-959-01

    Adequani.m.®
    polysulfated glycosaminoglycan

    PSGAG Injection

    100 mg/mL

    For 
    intramuscular use in horses only. Not for intra-articular use.

    MULTIPLE DOSE VIAL

    1 Preserved Vial
    [50 mL]

    AMERICAN REGENT, INC.
    ANIMAL HEALTH

    Approved by FDA under NADA # 140-901

    Carton Labeling




  • Serialization Label

    Serialization Label

  • INGREDIENTS AND APPEARANCE
    ADEQUAN I.M. 
    polysulfated glycosaminoglycan injection, solution
    Product Information
    Product TypePRESCRIPTION ANIMAL DRUGItem Code (Source)NDC:10797-959
    Route of AdministrationINTRAMUSCULAR
    Active Ingredient/Active Moiety
    Ingredient NameBasis of StrengthStrength
    POLYSULFATED GLYCOSAMINOGLYCAN (UNII: 268AW7000T) (POLYSULFATED GLYCOSAMINOGLYCAN - UNII:268AW7000T) POLYSULFATED GLYCOSAMINOGLYCAN100 mg  in 1 mL
    Inactive Ingredients
    Ingredient NameStrength
    BENZYL ALCOHOL (UNII: LKG8494WBH)  
    WATER (UNII: 059QF0KO0R)  
    Packaging
    #Item CodePackage DescriptionMarketing Start DateMarketing End Date
    1NDC:10797-959-011 in 1 CARTON
    150 mL in 1 VIAL, MULTI-DOSE
    Marketing Information
    Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
    NADANADA14090112/20/2009
    Labeler - American Regent, Inc. (002033710)
    Establishment
    NameAddressID/FEIBusiness Operations
    American Regent, Inc.002033710analysis, manufacture