Label: DENAGARD- tiamulin fumarate concentrate

  • NDC Code(s): 58198-7425-1, 58198-7425-2
  • Packager: Elanco US Inc.
  • Category: OTC ANIMAL DRUG LABEL
  • DEA Schedule: None
  • Marketing Status: New Animal Drug Application

Drug Label Information

Updated October 18, 2024

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  • SPL UNCLASSIFIED SECTION

    Liquid Concentrate

  • Description:

    Denagard (tiamulin hydrogen fumarate) Liquid Concentrate is a solution containing 12.5 % tiamulin hydrogen fumarate (w/v) in an aqueous solution.

    The active ingredient, tiamulin hydrogen fumarate, chemically is 14-desoxy-14-[(2‑diethylaminoethyl) mercaptoacetoxy] mutilin hydrogen fumarate, a semi-synthetic diterpene antibiotic. Denagard Liquid Concentrate is for use only in preparing medicated drinking water for swine.

  • Actions:

    Tiamulin is active against Brachyspira (formerly Serpulina or Treponema) hyodysenteriae and Actinobacillus pleuropneumoniae. It is readily absorbed from the gut and can be found in the blood within 30 minutes after dosing.

  • Indications:

    Denagard (tiamulin hydrogen fumarate), when administered in the drinking water for five consecutive days, is an effective antibiotic for the treatment of swine dysentery associated with Brachyspira (formerly Serpulina or Treponema) hyodysenteriae susceptible to tiamulin at a dose level of 3.5 mg tiamulin hydrogen fumarate per pound of body weight daily and for treatment of swine pneumonia due to Actinobacillus pleuropneumoniae susceptible to tiamulin when given at 10.5 mg tiamulin hydrogen fumarate per pound of body weight daily.

  • Contraindications:

    Swine being treated with Denagard (tiamulin hydrogen fumarate) should not have access to feeds containing polyether ionophores (e.g., monensin, lasalocid, narasin, salinomycin and semduramicin) as adverse reactions may occur.

  • Warning:

    Keep out of reach of children. Avoid contact with skin. Direct contact with skin or mucous membranes may cause irritation.

  • Residue Warnings:

    Withdraw medicated water 3 days before slaughter after treatment at 3.5 mg per pound body weight and 7 days before slaughter after treatment at 10.5 mg per pound body weight.

    Caution: For use in drinking water of swine only - Not for use in humans.

    Prepare fresh medicated water daily. Use as the only source of drinking water for 5 days. The effects of tiamulin on swine reproductive performance, pregnancy and lactation have not been determined.

  • Adverse Reactions:

    Overdoses of Denagard have sometimes produced transitory salivation, vomiting and an apparent calming effect on the pig. If signs of toxicity occur, discontinue use of medicated water and replace with clean, fresh water. In rare cases, redness of the skin primarily over the ham and underline has been observed during medication. If these signs appear, discontinue use of this drug. Provide ample clean drinking water. Thoroughly rinse (hose down) the housing to remove urine and feces from animal contact surfaces or move the animals to clean pens. If the condition persists, consult your veterinarian.

    Studies to evaluate the safety of the water soluble form of tiamulin in breeding swine have not been done.

  • Use Directions:

    The concentration of tiamulin hydrogen fumarate in the drinking water must be adjusted to compensate for variation in water consumption due to weight or size of the pig, environmental temperature and other factors. It is important that pigs receive the proper drug dose, 3.5 mg tiamulin hydrogen fumarate per pound for swine dysentery or 10.5 mg tiamulin hydrogen fumarate per pound for swine pneumonia, each day for 5 consecutive days.

  • Directions for preparing Denagard medicated solutions

    Determine the amount of Denagard Liquid Concentrate needed to medicate the desired volume of drinking water at the proper concentration. Carefully measure out this amount, add it to the water and stir to thoroughly mix.

    1. Prepare fresh medicated drinking water every day for the 5 day treatment period.
    2. Water medicated with Denagard should be the only source of drinking water during the treatment period.
    *3. Increase or decrease dilution rate as required to obtain proper daily drug dose.

    Number of pigs this bottle will treat for ONE day based on water consumption per pig

    One Liter

    Net tiamulin hydrogen fumarate content:

    125,000 mg

    Diseases to be treated:

    Swine Dysentery

    Swine Pneumonia

    Daily tiamulin hydrogen fumarate required per pound body weight:

    3.5 mg

    10.5 mg

    Required treatment duration:

    5 days

    5 days

    Pig Wt, lb

    Water Intake, gal

    # of Pigs

    # of Pigs

    20

    0.3 - 0.5

    1,786

    595

    45

    0.4 - 1.1

    794

    265

    75

    0.7 - 1.5

    476

    159

    125

    1.0 - 2.0

    286

    95

    180

    1.2 - 3.0

    198

    66

    Suggested final dilution of:

    1 bottle (1 Liter)

    550 gal

    183 gal

    3 bottles (3 Liters)

    1650 gal

    550 gal

    1/2 bottle (0.5 Liters)

    275 gal

    92 gal

    Tiamulin hydrogen fumarate concentration per gallon at suggested final dilution*

    227 mg

    681 mg

    (60 ppm)

    (180 ppm)

  • Directions for using Denagard

    In medicated proportioners: One liter of Denagard Liquid Concentrate mixed with water to make 4.3 gallons of stock solution and this stock solution metered at one fluid ounce per gallon will provide 227 mg of tiamulin hydrogen fumarate per gallon to 550 gallons of drinking water for treatment of swine dysentery. Three liters of Denagard Liquid Concentrate mixed with water to make 4.3 gallons of stock solution and this stock solution metered at one fluid ounce per gallon will provide 681 mg tiamulin hydrogen fumarate per gallon to a total of 550 gallons of drinking water for treatment of swine pneumonia.

    In barrels or tanks: One liter (1000 mL) of Denagard Liquid Concentrate will medicate 550 gallons of drinking water at 227 mg per gallon for treatment of swine dysentery or 183 gallons at 681 mg per gallon for treatment of swine pneumonia.

    Measure Denagard Liquid Concentrate carefully, pour into the proper amount of water and thoroughly mix. The concentration of tiamulin hydrogen fumarate in the stock solution and in the drinking water delivered must be adjusted to compensate for variation in water consumption by pigs due to body weight, environmental and other factors. It is important that the pigs receive the proper drug dose of 3.5 mg of tiamulin hydrogen fumarate per pound of body weight daily for 5 consecutive days for treatment of swine dysentery or a dose of 10.5 mg per pound body weight daily for 5 consecutive days for treatment of swine pneumonia.

    Attention: If no response to treatment is obtained within 5 days re-establish the diagnosis. Failure of response may be related to the presence of non-susceptible organisms of other complicating disease conditions. Because of the tendency for the disease to recur on premises with a history of swine dysentery or with swine pneumonia, a control program should be implemented after treatment. Drugs are not substitutes for proper sanitary measures or good management, but should be used in conjunction with such practices.

  • How supplied:

    Container Size

    Active Ingredients

    1 Liter bottle

    12.5% (125.0 g)

    (33.8 fl oz; 1000 mL)

    Tiamulin hydrogen fumarate

    5 Liter bottle

    12.5% (625.0 g)

    (169 fl oz; 5000 mL)

    Tiamulin hydrogen fumarate

    Protect from direct sunlight. Store at controlled room temperature, 59 °–77 °F (15 °–25 °C).

    Observe expiration date.

    Restricted Drug (California): Use only as directed

    Approved by FDA under NADA # 140-916

    Denagard, Elanco and the diagonal bar logo are trademarks of Elanco or its affiliates.

    © 2024 Elanco or its affiliates

    Product of Italy
    Manufactured for: Elanco US Inc.
    Greenfield, IN 46140, USA

    Elanco™

  • Principal Display Panel - Denagard 1000 mL Bottle Label

    Dengard™ 12.5%

    (tiamulin hydrogen fumarate)

    Liquid Concentrate

    12.5% Tiamulin hydrogen fumarate

    Approved by FDA under NADA # 140-916

    One Liter (1.057 Quarts)

    (33.8 fl oz; 1000 mL)

    Denagard 12.5% (tiamulin hydrogen fumarate) Liquid Concentrate 1000 mL label
  • Principal Display Panel - Denagard 5000 mL Bottle Label

    Dengard™ 12.5%

    (tiamulin hydrogen fumarate)

    5L Liquid Concentrate

    12.5% Tiamulin hydrogen fumarate

    Approved by FDA under NADA # 140-916

    Five Liter (5.285 Quarts)

    (169 fl oz; 5000 mL)

    Denagard 12.5% (tiamulin hydrogen fumarate) 5L Liquid Concentrate 5000 mL label
  • INGREDIENTS AND APPEARANCE
    DENAGARD 
    tiamulin fumarate concentrate
    Product Information
    Product TypeOTC ANIMAL DRUGItem Code (Source)NDC:58198-7425
    Route of AdministrationORAL
    Active Ingredient/Active Moiety
    Ingredient NameBasis of StrengthStrength
    tiamulin fumarate (UNII: ION1Q02ZCX) (TIAMULIN - UNII:E38WZ4U54R) tiamulin fumarate0.125 g  in 1 mL
    Packaging
    #Item CodePackage DescriptionMarketing Start DateMarketing End Date
    1NDC:58198-7425-11000 mL in 1 BOTTLE
    2NDC:58198-7425-25000 mL in 1 BOTTLE, PLASTIC
    Marketing Information
    Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
    NADANADA14091606/14/2010
    Labeler - Elanco US Inc. (966985624)