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SUMMARY OF PRODUCT CHARACTERISTICS

1 / 27 1. NAME OF THE VETERINARY MEDICINAL PRODUCT

ByeMite 500 mg/ml concentrate for spraying emulsion for laying hens (all MS except IS, FI and SE) Baymite vet. 500 mg/ml concentrate for spraying emulsion for laying hens (IS, FI and SE) Phoxim

2. QUALITATIVE AND QUANTITATIVE COMPOSITION

Active substance: Phoxim 500 mg/ml

Excipient(s): For the full list of excipients, see section 6.1.

3. PHARMACEUTICAL FORM

Concentrate for spraying emulsion Clear slightly yellow to brown liquid

4. CLINICAL PARTICULARS

4.1 Target species

Laying hens.

4.2 Indications for use, specifying the target species

Treatment of infestations of poultry red mites (Dermanyssus gallinae) sensitive to , in the rearing buildings of pullets and laying hens, in the presence of the animals.

4.3 Contraindications

Do not use in broiler farms.

4.4 Special warnings for each target species

None.

4.5 Special precautions for use

Special precautions for use in animals

As the mites do not parasite the hens constantly but hide and multiply in habitats a short distance away from them, it is critically important during the manual and automated spraying procedures to direct the spray cone not directly onto the hens, but onto the cages, the battery infrastructure and auxiliaries (metal posts, feed troughs, egg conveyor belts etc.) near the hens.

Birds are very sensitive to organophosphates and should not be exposed directly to the product. Do not spray directly onto the birds. The product should be sprayed carefully to avoid inhalation of spray mist by hens. Oral intake of spray solution by hens must be prevented. Remove feed and eggs before treatment. Any loose litter in the laying nests should be removed before spray application. Discard eggs laid during and on the same day after the treatment.

2 / 27

Cleaning, disinfection and killing of mites in the empty poultry house are important steps for the control of Dermanyssus gallinae. In addition, any introduction of new mites into a poultry house by contaminated materials or people, wild birds or rodents, should be prevented. Use of this product should be restricted to those cases where its use is unavoidable because the Dermanyssus infestation has become overwhelming.

The product should not be sprayed within one month before the planned cleaning of the facility.

Care should be taken to avoid the following practices because they increase the risk of development of resistance and could ultimately result in ineffective therapy: Too frequent and repeated use of ectoparassiticides from the same class, over an extended period of time.

As with other parasites, resistance to in populations of mites results from the selection of individuals with lower inherent susceptibility, following exposure to these acaricides. Resistance development can be accelerated if less than effective application doses are used.

To delay the development of phoxim-resistant Dermanyssus strains it is recommended that treatment of stocked layer houses should be - restricted to those cases where a treatment for animal welfare and economic reasons is unavoidable. - the cleaning and disinfection of the poultry house during the service period must be performed accurately - the dosing is accurately calculated and a sufficient amount of product is prepared - it is paid special attention that all surfaces and hiding places around the hens are sufficiently wetted

Special precautions to be taken by the person administering the veterinary medicinal product to animals

Phoxim is a skin sensitizer and slightly irritating to the skin and eyes. Persons with known hypersensitivity to the active substance should avoid contact with the product.

Phoxim is an organophosphorus compound. Do not use if under medical advice not to work with such compounds. If you have previously felt unwell after using a product containing an organophosphorus compound, consult your doctor before working with this product and show the doctor the product label.

Medical Advice to Doctors: Poisoning from organophosphorus compounds results from blockage of , with a resultant over-activity of . Symptoms include headache, exhaustion and weakness, mental confusion together with blurred vision, excessive salivation and sweating, cramp-like abdominal pain, chest tightness, diarrhoea, constricted pupils, and bronchorrhea. These may develop for up to 24 hours after exposure. Severe poisoning can include general muscle twitching, loss of co-ordination, extreme difficulty with breathing and convulsions which may lead to unconsciousness in the absence of medical treatment. Treat symptomatically and seek urgent hospital transfer if poisoning is suspected.

This product is intended to be applied by veterinarians, operators or by informed farmers, who are advised by a veterinarian. The product should not be used without wearing protective equipment as specified below, whilst handling the product and administering the spray solution. The user must comply with all requirements for protective clothing and follow all user safety recommendations. Ensure that spare protective clothing is available in case any items become damaged. No personnel, with the exception of the spray operator, should be present in the poultry house during spray application. Personnel should not re-enter the poultry house until the morning (or greater than 12 hours) after spray application.

Protective overall with hood:

3 / 27

Category III, type 4 (spray-tight clothing) according to European legislation. Fasten the cuffs of the overalls to the protective gloves with adhesive tape.

Face mask and filter: Full face mask with combination filter A2P3 or higher. If the characteristic aromatic odour of the product is apparent, check that the mask fits properly and/or change the filter.

Protective gloves: Nitrile rubber gloves according to EN 374, permeation class 4 (> 120 minutes) or higher.

Adhere to the maximum exposure time, which is specific for the protective equipment.

Product (emulsion concentrate) Avoid direct contact of the product with the skin. Change the gloves or the protective overall after visible contact with the product. In case of accidental spillage onto the skin wash with water and soap. In case of accidental spillage into the eyes wash with plenty of water.

Spraying solution Avoid any contact of the spraying solution with the skin during application and undressing. Wash hands with water and soap after undressing. Do not re-use the protective overall.

Keep the product and the spraying solution away from food, drink and animal feed. When handling the product or the spraying solution do not eat, drink or smoke.

Other precautions

Phoxim is highly toxic to fish and aquatic invertebrates. To reduce the environmental impact of phoxim, restrict the number of annual hen house treatments to 2, i.e. to a total of 4 applications. In addition, when spreading manure derived from treated animals on agricultural land, a safety distance of 10 metres to adjacent surface waters must be kept to avoid exposure of the aquatic environment.

In case of accidental self-administration, spillage onto skin, seek medical advice immediately and show the package leaflet or the label to the physician.

4.6 Adverse reactions (frequency and seriousness)

The frequency of adverse reactions is defined using the following convention: - very common (more than 1 in 10 animals treated displaying adverse reaction(s)) - common (more than 1 but less than 10 animals in 100 animals treated) - uncommon (more than 1 but less than 10 animals in 1,000 animals treated) - rare (more than 1 but less than 10 animals in 10,000 animals treated) - very rare (less than 1 animal in 10,000 animals treated, including isolated reports).

The stress reactions caused by the spraying or the temporary withholding of feed during the spraying may cause a minor decrease in egg laying the next day.

4.7 Use during pregnancy, lactation or lay

Not applicable.

4.8 Interaction with other medicinal products and other forms of interaction

None known.

4.9 Amounts to be administered and administration route

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Prepare a spray solution of 2000 ppm phoxim by dilution of the veterinary medicinal product at a rate of 100 mL per 25 L water and stir thoroughly. Apply this spray solution at a rate of 25 L per thousand hen places onto the surfaces that directly surround the hens and were the parasites hide , i.e. cage wires, ancillary equipment, metal posts, feed throughs, conveyor belts, laying nests etc. Use a spray device which delivers coarse spray droplets. Conduct a repeat treatment 7 days later. Prepare the aqueous solution freshly before application. The amount of the spray solution should be calculated carefully and the whole amount should be applied to the treated area. To reduce the environmental impact of phoxim, restrict the number of annual hen house treatments to 2, i.e. to a total of 4 applications.

The spray solution is sprayed onto the cages in the presence of poultry.

4.10 Overdose (symptoms, emergency procedures, antidotes), if necessary

Doubling the recommended dosage does not cause side effects. In one study with 4 times the recommended dosage, sneezing in 60% of the birds and a transient interruption of laying for 2 days in 8% of the birds were observed.

In case of a direct contact between bird and the product clinical signs of toxicity can be (but may not be limited to): salivation, gasping, diarrhea, miosis, incoordination, muscle weakness, ataxia, tremor, convulsions, dyspnea, bradycardia, paralysis and finally death.

Organophosphate poisoning in a hen may be treated by intramuscular injection of 0.5 to 1.0 mg atropine per kg bodyweight.

4.11 Withdrawal period(s)

Remove eggs before treatment. Discard eggs laid during and on the same day after the treatment.

Eggs: 12 hours Meat and offal: 25 days after the second treatment

5. PHARMACOLOGICAL PROPERTIES

Pharmacotherapeutic group: Ectoparasiticides, and repellents, organophosphorous compounds ATCvet code: QP53AF01

5.1 Pharmacodynamic properties

Phoxim is an inhibitor of the enzyme cholinesterase (AChE) at the nerve synapses.

The inhibition of the enzyme is irreversible under physiological conditions. Postsynaptic accumulation of acetylcholine interferes with normal impulse transmission in the arthropod’s nervous system. A phase of marked hyperexcitation and convulsion is followed by paralysis and death of the parasite.

Phoxim is active against Dermanyssus gallinae. Phoxim is a contact and the mites are killed whilst and after crawling on those phoxim- treated surfaces.

5.2 Pharmacokinetic particulars

Phoxim is hydrolysed into inactive compounds and excreted chiefly via the urine.

Environmental properties

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Phoxim is highly toxic to fish and aquatic invertebrates. Phoxim is toxic to bees.

6. PHARMACEUTICAL PARTICULARS

6.1 List of excipients n-Butanol Calcium salt of Dodecylbenzolsulphonic acid p-Methylphenylethyl(2,7)-phenoxy-polyglycol(27)-ether p-Methylphenylethyl(2,7)-phenoxy-polyglycol(17)-ether Xylene Methylisobutylketone

6.2 Major incompatibilities

Do not mix with other products.

6.3 Shelf life

Shelf-life of the veterinary medicinal product as packaged for sale 30 months

Shelf-life after first opening the immediate packaging 6 months

Shelf life after dilution according to directions: 24 hours.

6.4. Special precautions for storage

Do not store above 25 °C.

6.5 Nature and composition of immediate packaging

Bottle of 250 mL with child-proof closure COEX (polyethylene/polyamide) Screw cap polypropylene/polypropylene

Bottle of 1 L with child-proof closure COEX (polyethylene/polyamide) Screw cap polypropylene/polypropylene

Bottle of 5 L with child-proof closure COEX (polyethylene/polyamide) Screw cap polypropylene/polyethylene

Inner side of sealing disc polyethylene

Not all pack sizes may be marketed.

6.6 Special precautions for the disposal of unused veterinary medicinal products or waste materials derived from the use of such products

Any unused veterinary medicinal product or waste materials derived from such veterinary medicinal products should be disposed of in accordance with local requirements. Phoxim is highly toxic to fish and aquatic invertebrates. The product should not enter water courses as this may be dangerous for fish and other aquatic organisms.

7. MARKETING AUTHORISATION HOLDER

[to be completed nationally]

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8. MARKETING AUTHORISATION NUMBER(S)

[to be completed nationally]

9. DATE OF FIRST AUTHORISATION/RENEWAL OF THE AUTHORISATION

24/04/2009 / 24/12/2013

10. DATE OF REVISION OF THE TEXT

PROHIBITION OF SALE, SUPPLY AND/OR USE

Veterinary medicinal product subject to prescription.

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LABELLING AND PACKAGE LEAFLET

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A. LABELLING

9 / 27

PARTICULARS TO APPEAR ON THE IMMEDIATE PACKAGE

[The labelling of the immediate packaging consists of the complete leaflet and contains that additional information which is needed for the immediate packaging]

1000 ml 5000 ml

1. NAME OF THE VETERINARY MEDICINAL PRODUCT identical with leaflet

ByeMite 500 mg/ml concentrate for spraying emulsion for laying hens (all MS except IS, FI and SE) Baymite vet. 500 mg/ml concentrate for spraying emulsion for laying hens (IS, FI and SE) Phoxim

2. STATEMENT OF ACTIVE SUBSTANCES identical with leaflet

ByeMite is a clear slightly yellow to brown concentrate for spraying emulsion containing 500 mg/ml Phoxim.

Baymite vet. is a clear slightly yellow to brown concentrate for spraying emulsion containing 500 mg/ml Phoxim.

3. PHARMACEUTICAL FORM not applicable for immediate packaging

See section 2. (STATEMENT OF ACTIVE SUBSTANCES)

4. PACKAGE SIZE identical with leaflet

1000 ml 5000 ml

5. TARGET SPECIES already included in the name

6. INDICATION(S) identical with leaflet

Treatment of infestations of poultry red mites (Dermanyssus gallinae) sensitive to organophosphates, in the rearing buildings of pullets and laying hens, in the presence of the animals.

7. METHOD AND ROUTE(S) OF ADMINISTRATION identical with leaflet

Prepare a spray solution of 2000 ppm phoxim by dilution of the veterinary medicinal product at a rate of 100 mL per 25 L water and stir thoroughly. Apply this spray solution at a rate of 25 L per thousand hen places onto the surfaces that directly surround the hens and were the parasites hide , i.e. cage wires, ancillary equipment, metal posts, feed throughs, conveyor belts, laying nests etc. Use a spray

10 / 27 device which delivers coarse spray droplets. Conduct a repeat treatment 7 days later. Prepare the aqueous solution freshly before application. The amount of the spray solution should be calculated carefully and the whole amount should be applied to the treated area. To reduce the environmental impact of phoxim, restrict the number of annual hen house treatments to 2, i.e. to a total of 4 applications.

The spray solution is sprayed onto the cages in the presence of poultry.

8. WITHDRAWAL PERIOD identical with leaflet

Remove eggs before treatment. Discard eggs laid during and on the same day after the treatment.

Eggs: 12 hours Meat and offal : 25 days after the second treatment

9. SPECIAL WARNING(S), IF NECESSARY identical with leaflet

Special precautions for use in animals

As the mites do not parasite the hens constantly but hide and multiply in habitats a short distance away from them, it is critically important during the manual and automated spraying procedures to direct the spray cone not directly onto the hens, but onto the cages, the battery infrastructure and auxiliaries (metal posts, feed troughs, egg conveyor belts etc.) near the hens.

Birds are very sensitive to organophosphates and should not be exposed directly to the product. Do not spray directly onto the birds. The product should be sprayed carefully to avoid inhalation of spray mist by hens. Oral intake of spray solution by hens must be prevented. Remove feed and eggs before treatment. Any loose litter in the laying nests should be removed before spray application. Discard eggs laid during and on the same day after the treatment.

Cleaning, disinfection and killing of mites in the empty poultry house are important steps for the control of Dermanyssus gallinae. In addition, any introduction of new mites into a poultry house by contaminated materials or people, wild birds or rodents, should be prevented. Use of this product should be restricted to those cases, where its use is unavoidable because the Dermanyssus infestation has become overwhelming.

The product should not be sprayed within one month before the planned cleaning of the facility.

Care should be taken to avoid the following practices because they increase the risk of development of resistance and could ultimately result in ineffective therapy: Too frequent and repeated use of ectoparasiticides from the same class, over an extended period of time.

As with other parasites, resistance to acaricides in populations of mites results from the selection of individuals with lower inherent susceptibility, following exposure to these acaricides. Resistance development can be accelerated if less than effective application doses are used.

To delay the development of phoxim-resistant Dermanyssus strains it is recommended that treatment of stocked layer houses should be - restricted to those cases where a treatment for animal welfare and economic reasons is unavoidable. - the cleaning and disinfection of the poultry house during the service period must be performed accurately - the dosing is accurately calculated and a sufficient amount of product is prepared - it is paid special attention that all surfaces and hiding places around the hens are sufficiently wetted 11 / 27

Special precautions to be taken by the person administering the veterinary medicinal product to animals

Phoxim is a skin sensitizer and slightly irritating to the skin and eyes. Persons with known hypersensitivity to the active substance should avoid contact with the product.

Phoxim is an organophosphorus compound. Do not use if under medical advice not to work with such compounds. If you have previously felt unwell after using a product containing an organophosphorus compound, consult your doctor before working with this product and show the doctor the product label.

Medical Advice to Doctors: Poisoning from organophosphorus compounds results from blockage of acetylcholinesterase, with a resultant over-activity of acetylcholine. Symptoms include headache, exhaustion and weakness, mental confusion together with blurred vision, excessive salivation and sweating, cramp-like abdominal pain, chest tightness, diarrhoea, constricted pupils, and bronchorrhea. These may develop for up to 24 hours after exposure. Severe poisoning can include general muscle twitching, loss of co-ordination, extreme difficulty with breathing and convulsions which may lead to unconsciousness in the absence of medical treatment. Treat symptomatically and seek urgent hospital transfer if poisoning is suspected.

This product is intended to be applied by veterinarians, pest control operators or by informed farmers, who are advised by a veterinarian. The product should not be used without wearing protective equipment as specified below, whilst handling the product and administering the spray solution. The user must comply with all requirements for protective clothing and follow all user safety recommendations. Ensure that spare protective clothing is available in case any items become damaged. No personnel, with the exception of the spray operator, should be present in the poultry house during spray application. Personnel should not re-enter the poultry house until the morning (or greater than 12 hours) after spray application.

Protective overall with hood: Category III, type 4 (spray-tight clothing) according to European legislation. Fasten the cuffs of the overalls to the protective gloves with adhesive tape.

Face mask and filter: Full face mask with combination filter A2P3 or higher. If the characteristic aromatic odour of the product is apparent, check that the mask fits properly and/or change the filter.

Protective gloves: Nitrile rubber gloves according to EN 374, permeation class 4 (> 120 minutes) or higher.

Adhere to the maximum exposure time, which is specific for the protective equipment.

Product (emulsion concentrate) Avoid direct contact of the product with the skin. Change the gloves or the protective overall after visible contact with the product. In case of accidental spillage onto the skin wash with water and soap. In case of accidental spillage into the eyes wash with plenty of water.

Spraying solution Avoid any contact of the spraying solution with the skin during application and undressing. Wash hands with water and soap after undressing. Do not re-use the protective overall.

Keep the product and the spraying solution away from food, drink and animal feed. When handling the product or the spraying solution do not eat, drink or smoke.

Other precautions:

12 / 27

Phoxim is highly toxic to fish and aquatic invertebrates. To reduce the environmental impact of phoxim, restrict the number of annual hen house treatments to 2, i.e. to a total of 4 applications. In addition, when spreading manure derived from treated animals on agricultural land, a safety distance of 10 metres to adjacent surface waters must be kept to avoid exposure of the aquatic environment.

In case of accidental self-administration, spillage onto skin, seek medical advice immediately and show the package leaflet or the label to the physician.

Use during pregnancy, lactation or lay:

Not applicable.

Interaction with other medicinal products and other forms of interaction:

None known.

Overdose (symptoms, emergency procedures, antidotes), if necessary:

Doubling the recommended dosage does not cause side effects. In one study with 4 times the recommended dosage, sneezing in 60% of the birds and a transient interruption of laying for 2 days in 8% of the birds were observed.

In case of a direct contact between bird and the product clinical signs of organophosphate toxicity can be (but may not be limited to): salivation, gasping, diarrhea, miosis, incoordination, muscle weakness, ataxia, tremor, convulsions, dyspnea, bradycardia, paralysis and finally death.

Organophosphate poisoning in a hen may be treated by intramuscular injection of 0.5 to 1.0 mg atropine per kg bodyweight.

Incompatibilities:

Do not mix with other products.

10. EXPIRY DATE

Do not use this veterinary medicinal product after the expiry date which is stated on the bottle after “EXP”. The expiry date refers to the last day of that month. [Content of leaflet]

[Information to be printed for every individual batch]

EXP: month/year

Shelf-life after first opening the bottle: 6 months. Once opened, use by Shelf life after dilution according to directions: 24 hours

11. SPECIAL STORAGE CONDITIONS identical with leaflet

Do not store above 25 °C

12. SPECIAL PRECAUTIONS FOR THE DISPOSAL OF UNUSED PRODUCTS OR WASTE MATERIALS, IF ANY identical with leaflet

13 / 27

Any unused veterinary medicinal product or waste materials derived from such veterinary medicinal products should be disposed of in accordance with local requirements. Phoxim is highly toxic to fish and aquatic invertebrates. The product should not enter water courses as this may be dangerous for fish and other aquatic organisms.

13. THE WORDS “FOR ANIMAL TREATMENT ONLY” AND CONDITIONS OR RESTRICTIONS REGARDING SUPPLY AND USE, if applicable

For animal treatment only - to be supplied only on veterinary prescription.

14. THE WORDS “KEEP OUT OF THE SIGHT AND REACH OF CHILDREN” identical with leaflet

Keep out of the sight and reach of children.

15. NAME AND ADDRESS OF THE MARKETING AUTHORISATION HOLDER identical with leaflet

[Name and address of national HealthCare subsidiary]

16. MARKETING AUTHORISATION NUMBER(S)

17. MANUFACTURER’S BATCH NUMBER

Batch {number}

Manufacturer for the batch release:

KVP Pharma + VeterinärProdukte GmbH Projensdorfer Str. 324 24106 Kiel Germany

Other additional information which is mentioned on the leaflet and which therefore will be printed on the immediate package as well

5. CONTRAINDICATIONS

Do not use in broiler farms.

6. ADVERSE REACTIONS

The stress reactions caused by the spraying or the temporary withholding of feed during the spraying may cause a minor decrease in egg laying the next day.

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If you notice any serious effects or other effects not mentioned in this leaflet, please inform your veterinary surgeon.

14. DATE ON WHICH THE PACKAGE LEAFLET WAS LAST APPROVED

15. OTHER INFORMATION

Pharmacotherapeutic group: Ectoparasiticides, insecticides and repellents, organophosphorous compounds ATCvet code: QP53AF01

Phoxim is an inhibitor of the enzyme cholinesterase (AChE) at the nerve synapses. The inhibition of the enzyme is irreversible under physiological conditions. Postsynaptic accumulation of acetylcholine interferes with normal impulse transmission in the arthropod’s nervous system. A phase of marked hyperexcitation and convulsion is followed by paralysis and death of the parasite. Phoxim is active against Dermanyssus gallinae.

Phoxim is hydrolysed into inactive compounds and excreted chiefly via the urine.

Not all pack sizes may be marketed.

15 / 27

PARTICULARS TO APPEAR ON THE IMMEDIATE PACKAGE

250 ml

1. NAME OF THE VETERINARY MEDICINAL PRODUCT

ByeMite 500 mg/ml concentrate for spraying emulsion for laying hens (all MS except IS, FI and SE) Baymite vet. 500 mg/ml concentrate for spraying emulsion for laying hens (IS, FI and SE) Phoxim

2. STATEMENT OF ACTIVE SUBSTANCES

ByeMite is a clear slightly yellow to brown concentrate for spraying emulsion containing 500 mg/ml Phoxim.

Baymite vet. is a clear slightly yellow to brown concentrate for spraying emulsion containing 500 mg/ml Phoxim.

3. PHARMACEUTICAL FORM

4. PACKAGE SIZE

250 ml

5. TARGET SPECIES already included in the name

6. INDICATION(S)

7. METHOD AND ROUTE(S) OF ADMINISTRATION

Prepare a spray solution of 2000 ppm phoxim by dilution of the veterinary medicinal product at a rate of 100 mL per 25 L water and stir thoroughly.

The spray solution is sprayed onto the cages in the presence of poultry.

Read the package leaflet before use.

8. WITHDRAWAL PERIOD

16 / 27

Remove eggs before treatment. Discard eggs laid during and on the same day after the treatment.

Eggs: 12 hours Meat and offal : 25 days after the second treatment

9. SPECIAL WARNING(S), IF NECESSARY

Read the package leaflet before use.

Special precautions for use in animals

Birds are very sensitive to organophosphates and should not be exposed directly to the product. Do not spray directly onto the birds. The product should be sprayed carefully to avoid inhalation of spray mist by hens. Oral intake of spray solution by hens must be prevented. Remove feed and eggs before treatment. Any loose litter in the laying nests should be removed before spray application. Discard eggs laid during and on the same day after the treatment.

Special precautions to be taken by the person administering the veterinary medicinal product to animals

Phoxim is a skin sensitizer and slightly irritating to the skin and eyes. Persons with known hypersensitivity to the active substance should avoid contact with the product.

This product is intended to be applied by veterinarians, pest control operators or by informed farmers, who are advised by a veterinarian. The product should not be used without wearing protective equipment as specified in the package leaflet, whilst handling the product and administering the spray solution. The user must comply with all requirements for protective clothing and follow all user safety recommendations.

Keep the product and the spraying solution away from food, drink and animal feed. When handling the product or the spraying solution do not eat, drink or smoke.

Other precautions

Phoxim is highly toxic to fish and aquatic invertebrates.

10. EXPIRY DATE

EXP: month/year Shelf-life after first opening the bottle: 6 months. Once opened, use by:….. Shelf life after dilution according to directions: 24 hours”.

11. SPECIAL STORAGE CONDITIONS

Do not store above 25 °C

12. SPECIAL PRECAUTIONS FOR THE DISPOSAL OF UNUSED PRODUCTS OR WASTE MATERIALS, IF ANY

17 / 27

13. THE WORDS “FOR ANIMAL TREATMENT ONLY” AND CONDITIONS OR RESTRICTIONS REGARDING SUPPLY AND USE, if applicable

For animal treatment only - to be supplied only on veterinary prescription.

14. THE WORDS “KEEP OUT OF THE SIGHT AND REACH OF CHILDREN”

Keep out of the sight and reach of children.

15. NAME AND ADDRESS OF THE MARKETING AUTHORISATION HOLDER

[Name and address of national Bayer HealthCare subsidiary]

16. MARKETING AUTHORISATION NUMBER(S)

17. MANUFACTURER’S BATCH NUMBER

Batch {number}

18 / 27

PARTICULARS TO APPEAR ON THE OUTER PACKAGE

250 ml

1. NAME OF THE VETERINARY MEDICINAL PRODUCT

ByeMite 500 mg/ml concentrate for spraying emulsion for laying hens (all MS except IS, FI and SE) Baymite vet. 500 mg/ml concentrate for spraying emulsion for laying hens (IS, FI and SE) Phoxim

2. STATEMENT OF ACTIVE SUBSTANCES

ByeMite is a clear slightly yellow to brown concentrate for spraying emulsion containing 500 mg/ml Phoxim.

Baymite vet. is a clear slightly yellow to brown concentrate for spraying emulsion containing 500 mg/ml Phoxim.

3. PHARMACEUTICAL FORM

Concentrate for spraying emulsion

Clear slightly yellow to brown liquid

4. PACKAGE SIZE

250 ml

5. TARGET SPECIES already included in the name

6. INDICATION(S)

7. METHOD AND ROUTE(S) OF ADMINISTRATION

Prepare a spray solution of 2000 ppm phoxim by dilution of the veterinary medicinal product at a rate of 100 mL per 25 L water and stir thoroughly.

The spray solution is sprayed onto the cages in the presence of poultry.

Read the package leaflet before use.

19 / 27

8. WITHDRAWAL PERIOD

Remove eggs before treatment. Discard eggs laid during and on the same day after the treatment.

Eggs: 12 hours Meat and offal : 25 days after the second treatment

9. SPECIAL WARNING(S), IF NECESSARY

Read the package leaflet before use.

Special precautions for use in animals

Birds are very sensitive to organophosphates and should not be exposed directly to the product. Do not spray directly onto the birds. The product should be sprayed carefully to avoid inhalation of spray mist by hens. Oral intake of spray solution by hens must be prevented. Remove feed and eggs before treatment. Any loose litter in the laying nests should be removed before spray application. Discard eggs laid during and and on the same day after the treatment.

Special precautions to be taken by the person administering the veterinary medicinal product to animals

Phoxim is a skin sensitizer and slightly irritating to the skin and eyes. Persons with known hypersensitivity to the active substance should avoid contact with the product.

This product is intended to be applied by veterinarians, pest control operators or by informed farmers, who are advised by a veterinarian. The product should not be used without wearing protective equipment as specified in the package leaflet, whilst handling the product and administering the spray solution. The user must comply with all requirements for protective clothing and follow all user safety recommendations.

Keep the product and the spraying solution away from food, drink and animal feed. When handling the product or the spraying solution do not eat, drink or smoke.

Other precautions

Phoxim is highly toxic to fish and aquatic invertebrates.

10. EXPIRY DATE

EXP: month/year Shelf-life after first opening the bottle: 6 months. Once opened, use by:….. Shelf life after dilution according to directions: 24 hours.

11. SPECIAL STORAGE CONDITIONS

Do not store above 25 °C

12. SPECIAL PRECAUTIONS FOR THE DISPOSAL OF UNUSED PRODUCTS OR WASTE MATERIALS, IF ANY

Disposal: Read package leaflet 20 / 27

13. THE WORDS “FOR ANIMAL TREATMENT ONLY” AND CONDITIONS OR RESTRICTIONS REGARDING SUPPLY AND USE, if applicable

For animal treatment only - to be supplied only on veterinary prescription.

14. THE WORDS “KEEP OUT OF THE SIGHT AND REACH OF CHILDREN”

Keep out of the sight and reach of children

15. NAME AND ADDRESS OF THE MARKETING AUTHORISATION HOLDER

[Name and address of national Bayer HealthCare subsidiary]

16. MARKETING AUTHORISATION NUMBER(S)

17. MANUFACTURER’S BATCH NUMBER

Batch {number}

21 / 27

B. PACKAGE LEAFLET

22 / 27

PACKAGE LEAFLET ByeMite 500 mg/ml concentrate for spraying emulsion for laying hens

1. NAME AND ADDRESS OF THE MARKETING AUTHORISATION HOLDER AND OF THE MANUFACTURING AUTHORISATION HOLDER RESPONSIBLE FOR BATCH RELEASE, IF DIFFERENT

Marketing authorisation holder:

[Name and address of national Bayer HealthCare subsidiary]

Manufacturer responsible for batch release:

KVP Pharma + VeterinärProdukte GmbH Projensdorfer Str. 324 24106 Kiel Germany

2. NAME OF THE VETERINARY MEDICINAL PRODUCT

ByeMite 500 mg/ml concentrate for spraying emulsion for laying hens (all MS except IS, FI and SE) Baymite vet. 500 mg/ml concentrate for spraying emulsion for laying hens (IS, FI and SE) Phoxim

3. STATEMENT OF THE ACTIVE SUBSTANCE(S) AND OTHER INGREDIENT(S)

ByeMite is a clear slightly yellow to brown concentrate for spraying emulsion containing 500 mg/ml Phoxim.

Baymite vet. is a clear slightly yellow to brown concentrate for spraying emulsion containing 500 mg/ml Phoxim.

4. INDICATION(S)

Treatment of infestations of poultry red mites (Dermanyssus gallinae) sensitive to organophosphates, in the rearing buildings of pullets and laying hens, in the presence of the animals.

5. CONTRAINDICATIONS

Do not use in broiler farms.

6. ADVERSE REACTIONS

The frequency of adverse reactions is defined using the following convention: - very common (more than 1 in 10 animals treated displaying adverse reaction(s)) - common (more than 1 but less than 10 animals in 100 animals treated ) - uncommon (more than 1 but less than 10 animals in 1,000 animals treated) - rare (more than 1 but less than 10 animals in 10,000 animals treated) - very rare (less than 1 animal in 10,000 animals treated, including isolated reports).

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The stress reactions caused by the spraying or the temporary withholding of feed during the spraying may cause a minor decrease in egg laying the next day.

If you notice any side effects, even those not already listed in this package leaflet or you think that the medicine has not worked, please inform your veterinary surgeon.

7. TARGET SPECIES

Laying hens

8. DOSAGE FOR EACH SPECIES, ROUTE(S) AND METHOD OF ADMINISTRATION

Prepare a spray solution of 2000 ppm phoxim by dilution of the veterinary medicinal product at a rate of 100 mL per 25 L water and stir thoroughly. Apply this spray solution at a rate of 25 L per thousand hen places onto the surfaces that directly surround the hens and were the parasites hide , i.e. cage wires, ancillary equipment, metal posts, feed throughs, conveyor belts, laying nests etc. Use a spray device which delivers coarse spray droplets. Conduct a repeat treatment 7 days later. Prepare the aqueous solution freshly before application. The amount of the spray solution should be calculated carefully and the whole amount should be applied to the treated area. To reduce the environmental impact of phoxim, restrict the number of annual hen house treatments to 2, i.e. to a total of 4 applications.

9. ADVICE ON CORRECT ADMINISTRATION

The spray solution is sprayed onto the cages in the presence of poultry.

10. WITHDRAWAL PERIOD

Remove eggs before treatment. Discard eggs laid during and on the same day after the treatment.

Eggs: 12 hours Meat and offal : 25 days after the second treatment

11. SPECIAL STORAGE PRECAUTIONS

Keep out of the sight and reach of children.

Do not store above 25 °C.

Do not use this veterinary medicinal product after the expiry date which is stated on the bottle after “EXP”. The expiry date refers to the last day of that month.

Shelf-life after first opening the container: 6 months

Shelf life after dilution according to directions: 24 hours.

12. SPECIAL WARNING(S)

Special precautions for use in animals

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As the mites do not parasite the hens constantly but hide and multiply in habitats a short distance away from them, it is critically important during the manual and automated spraying procedures to direct the spray cone not directly onto the hens, but onto the cages, the battery infrastructure and auxiliaries (metal posts, feed troughs, egg conveyor belts etc.) near the hens.

Birds are very sensitive to organophosphates and should not be exposed directly to the product. Do not spray directly onto the birds. The product should be sprayed carefully to avoid inhalation of spray mist by hens. Oral intake of spray solution by hens must be prevented. Remove feed and eggs before treatment. Any loose litter in the laying nests should be removed before spray application. Discard eggs laid during and on the same day after the treatment.

Cleaning, disinfection and killing of mites in the empty poultry house are important steps for the control of Dermanyssus gallinae. In addition, any introduction of new mites into a poultry house by contaminated materials or people, wild birds or rodents, should be prevented. Use of this product should be restricted to those cases where its use is unavoidable because the Dermanyssus infestation has become overwhelming.

The product should not be sprayed within one month before the planned cleaning of the facility.

Care should be taken to avoid the following practices because they increase the risk of development of resistance and could ultimately result in ineffective therapy: Too frequent and repeated use of ectoparassiticides from the same class, over an extended period of time.

As with other parasites, resistance to acaricides in populations of mites results from the selection of individuals with lower inherent susceptibility, following exposure to these acaricides. Resistance development can be accelerated if less than effective application doses are used.

To delay the development of phoxim-resistant Dermanyssus strains it is recommended that treatment of stocked layer houses should be - restricted to those cases where a treatment for animal welfare and economic reasons is unavoidable. - the cleaning and disinfection of the poultry house during the service period must be performed accurately - the dosing is accurately calculated and a sufficient amount of product is prepared - it is paid special attention that all surfaces and hiding places around the hens are sufficiently wetted

Special precautions to be taken by the person administering the veterinary medicinal product to animals

Phoxim is a skin sensitizer and slightly irritating to the skin and eyes. Persons with known hypersensitivity to the active substance should avoid contact with the product.

Phoxim is an organophosphorus compound. Do not use if under medical advice not to work with such compounds. If you have previously felt unwell after using a product containing an organophosphorus compound, consult your doctor before working with this product and show the doctor the product label.

Medical Advice to Doctors: Poisoning from organophosphorus compounds results from blockage of acetylcholinesterase, with a resultant over-activity of acetylcholine. Symptoms include headache, exhaustion and weakness, mental confusion together with blurred vision, excessive salivation and sweating, cramp-like abdominal pain, chest tightness, diarrhoea, constricted pupils, and bronchorrhea. These may develop for up to 24 hours after exposure. Severe poisoning can include general muscle twitching, loss of co-ordination, extreme difficulty with breathing and convulsions which may lead to unconsciousness in the absence of medical treatment. Treat symptomatically and seek urgent hospital transfer if poisoning is suspected.

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This product is intended to be applied by veterinarians, pest control operators or by informed farmers, who are advised by a veterinarian. The product should not be used without wearing protective equipment as specified below, whilst handling the product and administering the spray solution. The user must comply with all requirements for protective clothing and follow all user safety recommendations. Ensure that spare protective clothing is available in case any items become damaged. No personnel, with the exception of the spray operator, should be present in the poultry house during spray application. Personnel should not re-enter the poultry house until the morning (or greater than 12 hours) after spray application.

Protective overall with hood: Category III, type 4 (spray-tight clothing) according to European legislation. Fasten the cuffs of the overalls to the protective gloves with adhesive tape.

Face mask and filter: Full face mask with combination filter A2P3 or higher. If the characteristic aromatic odour of the product is apparent, check that the mask fits properly and/or change the filter.

Protective gloves: Nitrile rubber gloves according to EN 374, permeation class 4 (> 120 minutes) or higher.

Adhere to the maximum exposure time, which is specific for the protective equipment.

Product (emulsion concentrate) Avoid direct contact of the product with the skin. Change the gloves or the protective overall after visible contact with the product. In case of accidental spillage onto the skin wash with water and soap. In case of accidental spillage into the eyes wash with plenty of water.

Spraying solution Avoid any contact of the spraying solution with the skin during application and undressing. Wash hands with water and soap after undressing. Do not re-use the protective overall.

Keep the product and the spraying solution away from food, drink and animal feed. When handling the product or the spraying solution do not eat, drink or smoke.

Other precautions

Phoxim is highly toxic to fish and aquatic invertebrates. To reduce the environmental impact of phoxim, restrict the number of annual hen house treatments to 2, i.e. to a total of 4 applications. In addition, when spreading manure derived from treated animals on agricultural land, a safety distance of 10 metres to adjacent surface waters must be kept to avoid exposure of the aquatic environment.

In case of accidental self-administration, spillage onto skin, seek medical advice immediately and show the package leaflet or the label to the physician.

Use during pregnancy, lactation or lay:

Not applicable.

Interaction with other medicinal products and other forms of interaction

None known.

Overdose (symptoms, emergency procedures, antidotes), if necessary:

Doubling the recommended dosage does not cause side effects. In one study with 4 times the recommended dosage, sneezing in 60% of the birds and a transient interruption of laying for 2 days in 8% of the birds were observed.

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In case of a direct contact between bird and the product clinical signs of organophosphate toxicity can be (but may not be limited to): salivation, gasping, diarrhea, miosis, incoordination, muscle weakness, ataxia, tremor, convulsions, dyspnea, bradycardia, paralysis and finally death.

Organophosphate poisoning in a hen may be treated by intramuscular injection of 0.5 to 1.0 mg atropine per kg bodyweight.

Incompatibilities:

Do not mix with other products.

13. SPECIAL PRECAUTIONS FOR THE DISPOSAL OF UNUSED PRODUCT OR WASTE MATERIAL, IF ANY

Any unused veterinary medicinal product or waste materials derived from such veterinary medicinal products should be disposed of in accordance with local requirements. Phoxim is highly toxic to fish and aquatic invertebrates. The product should not enter water courses as this may be dangerous for fish and other aquatic organisms.

14. DATE ON WHICH THE PACKAGE LEAFLET WAS LAST APPROVED

15. OTHER INFORMATION

Pharmacotherapeutic group: Ectoparasiticides, insecticides and repellents, organophosphorous compounds ATCvet code: QP53AF01

Phoxim is an inhibitor of the enzyme cholinesterase (AChE) at the nerve synapses. The inhibition of the enzyme is irreversible under physiological conditions. Postsynaptic accumulation of acetylcholine interferes with normal impulse transmission in the arthropod’s nervous system. A phase of marked hyperexcitation and convulsion is followed by paralysis and death of the parasite. Phoxim is active against Dermanyssus gallinae.

Phoxim is hydrolysed into inactive compounds and excreted chiefly via the urine.

250 ml

1000 ml

5000 ml

Not all pack sizes may be marketed.

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