Label: CESTEX- epsiprantel tablet, film coated

  • NDC Code(s): 54771-8032-1, 54771-8032-2, 54771-8033-1, 54771-8033-2, view more
    54771-8034-1, 54771-8034-2, 54771-8035-1, 54771-8035-2
  • Packager: Zoetis Inc.
  • Category: PRESCRIPTION ANIMAL DRUG LABEL
  • DEA Schedule: None
  • Marketing Status: New Animal Drug Application

Drug Label Information

Updated October 2, 2019

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

  • Veterinary Tablets

    Cestex (epsiprantel) tablets are indicated for the removal of tapeworms in the cat (Dipylidium caninum and Taenia taeniaeformis) and dog (Dipylidium caninum and Taenia pisiformis).

  • CAUTION

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

  • DESCRIPTION

    Cestex tablets are film-coated and contain 12.5 mg, 25 mg, 50 mg or 100 mg of epsiprantel per tablet.

    Epsiprantel is an anthelmintic that is active as a single dose against the common tapeworms of cats and dogs. Epsiprantel has a molecular weight of 326 and is chemically 2-(cyclohexyl-carbonyl)-4-oxo 1,2,3,4,6,7,8,12b-octahydropyrazino[2,1-a][2]benza-zepine. It is a stable white solid which is sparingly soluble in water. Its chemical structure is presented below.

    Chemical Structure

    Action

    Epsiprantel acts directly on the tapeworm. Since it is minimally absorbed following oral administration, epsiprantel remains at the site of action within the gastrointestinal tract. Due to digestive process, tapeworm fragments or proglottids may not be readily visible in the stool.

  • INDICATIONS AND USAGE

    Cestex tablets are indicated for the removal of the following:

    Feline cestodes: Dipylidium caninum and Taenia taeniaeformis

    Canine cestodes: Dipylidium caninum and Taenia pisiformis

  • CONTRAINDICATIONS

    There are no known contraindications to the use of this drug.

  • WARNINGS

    For use in cats and dogs only. Safety of use in pregnant or breeding animals has not been determined. Keep out of reach of children. Not for use in humans.

  • PRECAUTION

    Do not use in kittens or puppies less than 7 weeks of age.

  • DOSAGE AND ADMINISTRATION

    Cestex tablets should be administered orally.

    The recommended dosage of epsiprantel is: cats, 1.25 mg/lb of body weight; dogs, 2.5 mg/lb of body weight. The following table may be used as a guide:

    Dosage Schedule
    Feline
    Body WeightDose
    Seven weeks old up to 10 lb12.5 mg
      11–20 lb 25.0 mg
    Canine
    Body WeightDose
    Seven weeks old up to 5 lb  12.5 mg
       6–10 lb  25.0 mg
      11–20 lb  50.0 mg
      21–40 lb100.0 mg
      41–50 lb125.0 mg
      51–60 lb150.0 mg
      61–80 lb200.0 mg
      81–90 lb225.0 mg
    91–100 lb250.0 mg
       101+ lb2.5 mg/lb, rounding up to next whole tablet combination

    Fasting is not necessary or recommended.

    Unless exposure to the infected intermediate hosts is controlled, reinfection is likely and retreatment may be required. In the case of D. caninum, an effective flea control program should be instituted.

  • SAFETY

    Epsiprantel has been evaluated in cats at 5 times the recommended dose given once daily for 3 days with no adverse effects noted. In tolerance studies, epsiprantel produced minimal clinical signs in cats given 40 times the recommended dose once daily for 4 days.

    Epsiprantel has been evaluated in 14-day repeat dose studies in dogs at 500 mg/kg (90 times recommended dosage) with no significant adverse results. No side effects were observed during the clinical field studies.

    Epsiprantel is not a cholinesterase inhibitor. During the course of clinical field studies, Cestex was administered concurrently with diethylcarbamazine citrate (dogs only), anti-inflammatory agents, insecticides, and nematocides with no drug incompatibilities noted.

  • STORAGE

    Store at controlled room temperature 20°-25°C (68°-77°F) with excursions between 15°-30°C (59°-86°F).

  • HOW SUPPLIED

    Cestex tablets are film-coated and contain 12.5 mg, 25 mg, 50 mg or 100 mg of epsiprantel per tablet. Cestex is supplied as described below:

    Weight (lbs) Number
    Concentration Cat Dog Tablets/Bottle
      12.5 mg10550, 100
      25.0 mg201050, 100
      50.0 mg– –2025, 50  
    100.0 mg– –4025, 50  
  • SPL UNCLASSIFIED SECTION

    Approved by FDA under NADA # 140-893

    zoetis

    Distributed by:
    Zoetis Inc.
    Kalamazoo, MI 49007

    40027642

    Revised: May 2019

  • PRINCIPAL DISPLAY PANEL - 12.5 mg Bottle Label

    Cestex®
    (epsiprantel)

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

    12.5 mg

    50 tablets

    Approved by FDA under NADA # 140-893

    zoetis

    12.5 mg bottle label
  • PRINCIPAL DISPLAY PANEL - 25 mg Bottle Label

    25 mg bottle label

  • PRINCIPAL DISPLAY PANEL - 50 mg Bottle Label

    50 mg bottle label

  • PRINCIPAL DISPLAY PANEL - 100 mg Bottle Label

    100 mg bottle label

  • INGREDIENTS AND APPEARANCE
    CESTEX 
    epsiprantel tablet, film coated
    Product Information
    Product TypePRESCRIPTION ANIMAL DRUGItem Code (Source)NDC:54771-8032
    Route of AdministrationORAL
    Active Ingredient/Active Moiety
    Ingredient NameBasis of StrengthStrength
    epsiprantel (UNII: 0C1SPQ0FSR) (epsiprantel - UNII:0C1SPQ0FSR) epsiprantel12.5 mg
    Product Characteristics
    ColorREDScore2 pieces
    ShapeROUND (bi-convex) Size6mm
    FlavorImprint Code 219
    Contains    
    Packaging
    #Item CodePackage DescriptionMarketing Start DateMarketing End Date
    1NDC:54771-8032-150 in 1 BOTTLE
    2NDC:54771-8032-2100 in 1 BOTTLE
    Marketing Information
    Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
    NADANADA14089312/01/1989
    CESTEX 
    epsiprantel tablet, film coated
    Product Information
    Product TypePRESCRIPTION ANIMAL DRUGItem Code (Source)NDC:54771-8033
    Route of AdministrationORAL
    Active Ingredient/Active Moiety
    Ingredient NameBasis of StrengthStrength
    epsiprantel (UNII: 0C1SPQ0FSR) (epsiprantel - UNII:0C1SPQ0FSR) epsiprantel25 mg
    Product Characteristics
    ColorBROWNScore2 pieces
    ShapeROUND (bi-convex) Size8mm
    FlavorImprint Code 220
    Contains    
    Packaging
    #Item CodePackage DescriptionMarketing Start DateMarketing End Date
    1NDC:54771-8033-150 in 1 BOTTLE
    2NDC:54771-8033-2100 in 1 BOTTLE
    Marketing Information
    Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
    NADANADA14089312/01/1989
    CESTEX 
    epsiprantel tablet, film coated
    Product Information
    Product TypePRESCRIPTION ANIMAL DRUGItem Code (Source)NDC:54771-8034
    Route of AdministrationORAL
    Active Ingredient/Active Moiety
    Ingredient NameBasis of StrengthStrength
    epsiprantel (UNII: 0C1SPQ0FSR) (epsiprantel - UNII:0C1SPQ0FSR) epsiprantel50 mg
    Product Characteristics
    ColorGRAYScore2 pieces
    ShapeROUND (bi-convex) Size10mm
    FlavorImprint Code 221
    Contains    
    Packaging
    #Item CodePackage DescriptionMarketing Start DateMarketing End Date
    1NDC:54771-8034-125 in 1 BOTTLE
    2NDC:54771-8034-250 in 1 BOTTLE
    Marketing Information
    Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
    NADANADA14089312/01/1989
    CESTEX 
    epsiprantel tablet, film coated
    Product Information
    Product TypePRESCRIPTION ANIMAL DRUGItem Code (Source)NDC:54771-8035
    Route of AdministrationORAL
    Active Ingredient/Active Moiety
    Ingredient NameBasis of StrengthStrength
    epsiprantel (UNII: 0C1SPQ0FSR) (epsiprantel - UNII:0C1SPQ0FSR) epsiprantel100 mg
    Product Characteristics
    ColorORANGE (peach) Score2 pieces
    ShapeROUND (bi-convex) Size13mm
    FlavorImprint Code 222
    Contains    
    Packaging
    #Item CodePackage DescriptionMarketing Start DateMarketing End Date
    1NDC:54771-8035-125 in 1 BOTTLE
    2NDC:54771-8035-250 in 1 BOTTLE
    Marketing Information
    Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
    NADANADA14089312/01/1989
    Labeler - Zoetis Inc. (828851555)