Happy Skin Vet Update Volume 1 Issue 1

Feb 12, 2023
New medicines: Mometamax and Fugasol
From The Vet Record for February 2023 Vol 192 No 3 

In the Medicines update provided by the VMD there are two new marketing authorisations of interest to vets who do derm consults.

The first is ‘Mometamax Ultra Ear Drops Suspension for Dogs’

So it is yet another licensed polypharmacy ear drop containing an antifungal, and antibiotic, and a steroid.  Yes the combination of individual drugs is new, but it’s not in practical terms any different from all the others.

The anti-fungal is Posaconazole, so another azole.  Good for Malassezia.

The antibiotic is gentamicin, so we really only want to use this in Pseudomonas cases.

The steroid is mometasone, a nice potent steroid, which is probably doing most of the work.

Copied and pasted from the Vet Record:

‘This product is authorised for the treatment of acute otitis externa or acute exacerbation of recurrent otitis externa caused by mixed bacterial and fungal infections with Staphylococcus pseudintermedius susceptible to gentamicin and Malassezia pachydermatis susceptible to posaconazole.’

Nice, but for good antibiotic stewardship I wouldn’t use it for Staph or Mal, I’d save it for Pseudomonas cases.

So I will put it in my orange ‘Pseudomonas square’ along with Otomax and Easotic on my downloadable PDF of UK Licensed Ear Preparations.

The second product is the fabulously named Fugasol 10mg/ml Oral solution for cats

It contains Itraconazole 10mg/ml.  So it’s basically an Itrafungol generic for ringworm in cats.  It’s not in the NOAH Compendium yet, but I found this on the European SPC:

‘Indications for use, specifying the target species: Treatment of dermatophytosis caused by Microsporum canis.’

Hopefully it’ll be a bit cheaper than Itrafungol being a generic because as you know Itrafungol is super-expensive.

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