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GenOne™ Spray
Topical
GenOne is a gentamicin sulfate with betamethasone valerate topical spray that is indicated for the treatment in dogs of
infected superficial lesions for bacteria sensitive to gentamicin. Each milliliter contains gentamicin sulfate equivalent to
0.57 mg gentamicin base, and betamethasone valerate equivalent to 0.284 mg betamethasone. Gentamicin, a broad-
spectrum antibiotic, is a highly effective topical treatment for bacterial infections of the skin. Betamethasone valerate, a
synthetic glucocorticoid, has been shown to provide anti-inflammatory and antipruritic activity in the topical management of
corticosteroid-responsive infected superficial lesions in dogs. For topical use in dogs only. Prescription.
ITEM# DESCRIPTION SIZE501007 GenOne Spray
502007 GenOne Spray
503007 GenOne Spray
Veterinarians can purchase VetOne® products exclusively through
MWI Veterinary Supply or AAHA MARKETLink.
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WARNING: Clinical and experimental data
may result in inhibition of endogenous steroid produc-
have demonstrated that corticosteroids
tion following drug withdrawal.
administered orally or parenterally to animals may induce the first stage of par-
In patients presently receiving or recently withdrawn
turition when administered during the last
from systemic corticosteroid treatments, therapy with
(Gentamicin Sulfate with Betamethasone Valerate)
trimester of pregnancy and may precipitate
a rapidly acting corticosteroid should be considered in
premature parturition followed by dystocia,
especially stressful situations.
fetal death, retained placenta, and metritis.
If ingestion should occur, patients should be closely
Additionally, corticosteroids administered to
observed for the usual signs of adrenocorticoid over-
dogs, rabbits and rodents during preg-
dosage, which include sodium retention, potassium
nancy have produced cleft palate. Other
loss, fluid retention, weight gains, polydipsia, and/or
GENTAMICIN SULFATE WITH BETAMETHASONE
congenital anomalies including deformed
polyuria. Prolonged use or overdosage may produce
VALERATE TOPICAL SPRAY
forelegs, phocomelia, and anasarca have
adverse immunosuppressive effects.
been reported in offspring of dogs which
ANADA #200-188, Approved by FDA.
received corticosteroids during pregnancy.
HOW SUPPLIED: Plastic spray bottle containing 60
mL, 120 mL or 240 mL of GenOne™ Spray.
For Topical Use in Dogs Only
INDICATIONS: For the treatment of infected super-
ficial lesions in dogs caused by bacteria sensitive to
Store upright between 2° and 30°C (36°F and 86°F).
CAUTION: Federal law restricts this drug to use by or
on the order of a licensed veterinarian.
CONTRAINDICATIONS: If hypersensitivity to any of the
1. Hennessy PW, et al.
In vitro activity of gentamicin
DESCRIPTION: Each mL contains: gentamicin sulfate
components occurs, treatment with this product should
against bacteria isolated from domestic animals.
equivalent to 0.57 mg gentamicin base, betametha-
be discontinued and appropriate therapy instituted.
Veterinary Medicine/Small Animal Clinician. November
sone valerate equivalent to 0.284 mg betametha-
sone,163 mg isopropyl alcohol, propylene glycol,
DOSAGE AND ADMINISTRATION: Prior to treatment,
2. Bachmann HJ, et al. Comparative in vitro activity
methylparaben and propylparaben as preservatives,
remove excessive hair and clean the lesion and adja-
of gentamicin and other antibiotics against bacteria
purified water q.s. Hydrochloric acid may be added
cent area. Hold bottle upright 3 to 6 inches from the
isolated from clinical samples from dogs, cats, horses
to adjust pH.
lesion and depress the sprayer head twice. Administer
and cattle.
Veterinary Medicine/Small Animal Clinician.
2 to 4 times daily for 7 days.
October 1975; 1218-1222
CHEMISTRY: Gentamicin is a mixture of aminogly-
2. McKenzie, HW., Atkinson, RM.: Topical activities
coside antibiotics derived from the fermentation of
Each depression of the sprayer head delivers 0.7 mL of
of betamethasone esters in man.
Arch Derm. 1964;
Micromonospora purpurea. Gentamicin sulfate is a
GenOne™ Spray.
mixture of sulfate salts of the antibiotics produced
in this fermentation. The salts are weakly acidic and
TOXICITY: GenOne™ Spray was well tolerated in
freely soluble in water.
an abraded skin study in dogs. No treatment-related
MWI Veterinary Supply
toxicological changes in the skin were observed.
Gentamicin sulfate contains not less than 500 micro-
grams of gentamicin base per milligram.
Systemic effects directly related to treatment were
confined to histological changes in the adrenals, liver,
Betamethasone valerate is a synthetic glucocorticoid.
and kidney and to organ-to-body weight ratios of adrenals. All were dose related, were typical for or
PHARMACOLOGY: Gentamicin, a broad-spectrum
not unexpected with corticosteroid therapy, and were
antibiotic, is a highly effective topical treatment for
considered reversible with cessation of treatment.
bacterial infections of the skin.
In vitro, gentamicin is bactericidal against a wide variety of gram-positive
SIDE EFFECTS: Side effects such as SAP and SGPT
and gram-negative bacteria isolated from domestic
enzyme elevations, weight loss, anorexia, polydipsia,
animals.1, 2 Specifically, gentamicin is active against
and polyuria have occurred following parenteral or
the following organisms isolated from canine skin:
systemic use of synthetic corticosteroids in dogs.
Alcaligenes sp.,
Citrobacter sp.,
Klebsiella sp.,
Vomiting and diarrhea (occasionally bloody) have been
Pseudomonas aeruginosa, indole-positive and nega-
observed in dogs.
tive
Proteus sp.,
Escherichia coli,
Enterobacter sp.,
Staphylococcus sp., and
Streptococcus sp.
Cushing's syndrome in dogs has been reported in as-sociation with prolonged or repeated steroid therapy.
Betamethasone valerate emerged from intensive research as the most promising of some 50 newly
PRECAUTIONS: Antibiotic susceptibility of the patho-
synthesized corticosteroids in the experimental model
genic organism(s) should be determined prior to the
described by McKenzie3, et al. This human bioassay
use of this preparation. Use of topical antibiotics may
technique has been found reliable for evaluating the
permit overgrowth of non-susceptible bacteria, fungi,
vasoconstrictor properties of new topical corticoste-
or yeasts. If this occurs, treatment should be instituted
roids and is useful in predicting clinical efficacy.
with other appropriate agents as indicated.
Betamethasone valerate in veterinary medicine
Administration of recommended dose beyond 7 days
has been shown to provide anti-inflammatory and
may result in delayed wound healing. Animals treated
antipruritic activity in the topical management of
longer than 7 days should be monitored closely.
corticosteroid-responsive infected superficial lesions in dogs.
Avoid ingestion. Oral or parenteral use of corticoste-roids, depending on dose, duration, and specific steroid
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GUIDELINES FOR THE MANAGEMENT OF THE INFANT WITH NEONATAL ABSTINENCE SYNDROME Background Neonatal Abstinence Syndrome (NAS) is a syndrome of drug withdrawal observed in infants of mothers physically dependent on drugs. Also known as neonatal withdrawal syndrome or passive addiction, NAS is a condition resulting from exposure in utero or postnatal exposure to opioids and other illicit drugs. It is more common in infants born to opioid-dependent women than in infants born to women dependent on other drugs or alcohol.1
Chapter 24 Periprosthetic InfectionFollowing Total Knee Arthroplasty Michael Soudry, Arnan Greental,Gabriel Nierenberg, Mazen Falah andNahum Rosenberg Additional information is available at the end of the chapter One of the most devastating complications of prosthetic knee arthroplasty is a periprosthetic infection. This complication occurs in 1-2% of knee arthroplasties [1,2] and can exceed 4% in