Tilmicosin
Also known as: Micotil, Pulmotil
> **CRITICAL SAFETY WARNING**: Accidental self-injection of this medication can be **FATAL** to humans. * **Handling**: Exercise extreme caution when handling syringes and needles. **Never** use automatically powered syringes. * **Accidental Exposure**: If you accidentally prick or inject yourself, immediately apply ice to the site and **seek emergency medical attention right away**. Call 1-800-722-0987 or 1-317-276-2000 for emergency guidance. * **Administration**: Only administer subcutaneously (under the skin) as directed by your veterinarian. **Do not** inject into muscle or veins, as this can be fatal to the animal. * **Species Warnings**: Never use this injectable medication in pigs, horses, alpacas/llamas, or pets. It is highly toxic to these species. * **Storage**: Keep securely away from children and avoid contact with eyes.
Dosage must be set by your veterinarian for your specific pet. Never give human medication or another pet’s prescription without veterinary guidance.
What it is used for
- Susceptible infections
- Treatment of pneumonic pasteurellosis
- Susceptible infections
- Susceptible infections (Rabbits) - Regimen 1
- Susceptible infections (Rabbits) - Regimen 2
How it is given
Possible side effects
- Local tissue reaction and trim loss (if given IM)
- Edema at the site of subcutaneous injection
- Severe cardiovascular toxicity (fatalities) if given IV
- Fatalities in swine, non-human primates, and potentially horses if injected
- Severe reactions in camelids
Cautions & contraindications
- Intravenous (IV) administration (can be fatal)
- Use in automatically powered syringes
- Injection in swine, non-human primates, horses, and camelids
- Use in lactating ewes if milk is intended for human consumption
- Use in veal calves
- Use in female dairy cattle 20 months or older
- > **HUMAN SAFETY WARNING**: Accidental self-injection can be fatal. Do not use automatically powered syringes. Avoid contact with eyes. * **Species Sensitivity**: Highly toxic when injected in swine, equines, camelids, and primates. * **Pregnancy/Breeding**: Safe use in pregnant animals or animals intended for breeding has not been demonstrated. * **Administration**: Give strictly via subcutaneous injection in approved species. Intramuscular injection causes severe tissue reactions; intravenous injection is often fatal.
Drug interactions
- Epinephrine: Increased mortality associated with tilmicosin in swine.
- Other Macrolides / Lincosamides: Potential cross-resistance and competitive binding at the 50S ribosomal subunit (extrapolated from erythromycin).
Frequently asked questions
What is Tilmicosin used for in pets?
> **CRITICAL SAFETY WARNING**: Accidental self-injection of this medication can be **FATAL** to humans. * **Handling**: Exercise extreme caution when handling syringes and needles. **Never** use automatically powered syringes. * **Accidental Exposure**: If you accidentally prick or inject yourself, immediately apply ice to the site and **seek emergency medical attention right away**. Call 1-800-722-0987 or 1-317-276-2000 for emergency guidance. * **Administration**: Only administer subcutaneously (under the skin) as directed by your veterinarian. **Do not** inject into muscle or veins, as this can be fatal to the animal. * **Species Warnings**: Never use this injectable medication in pigs, horses, alpacas/llamas, or pets. It is highly toxic to these species. * **Storage**: Keep securely away from children and avoid contact with eyes.
Is Tilmicosin safe for my pet?
Dosage must be set by your veterinarian for your specific pet. Never give human medication or another pet’s prescription without veterinary guidance.
This article is for general education and is not a substitute for professional veterinary advice. If your pet is unwell, please consult a veterinarian.
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