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A NEWSLETTER OF PRACTICAL MEDICINE FOR VETERINARY PROFESSIONALS



                                                                                  JUNE 2006 VOLUME 4, NUMBER 2




                                                Introducing Etofenprox:
                                                A Broad-Spectrum, Comprehensive Ectoparasiticide
                                                                 Albert Ahn, DVM
                                                                 Vice President of Corporate Communications
                                                                    and Consumer Relations
                                                                 The Hartz Mountain Corporation




    Comprehensive ectoparasite control           adult and immature fleas, deer ticks, and      adulticidal activity of a flea preventive is
remains a top priority for pet owners and        mosquitoes. The active ingredients in          crucial to prevent FAD.
the veterinary medical community.                Hartz® UltraGuard plus™ Drops for                  Anemia is a common sequela of flea
According to the American Pet Product            Cats are etofenprox and (S)-methoprene.        infestation, particularly for young puppies
Manufacturers Association (APPMA), the                                                          and kittens, and can be life threatening in
number of cats being treated with flea and       ECTOPARASITES AND DISEASE                      cats. C. felis are hearty feeders capable of
tick products increased 15% between 2002         Fleas                                          consuming up to 15 times their body
and 2004.1 That means an estimated 36                The cat flea, Ctenocephalides felis        weight in blood daily.3 Seventy-two female
million cats are currently being treated for     (Figure 1), is the most common species         fleas can consume 1 ml of blood in a day.4
fleas and ticks, and the majority of pet         affecting dogs and cats.2 C. felis is not      Substantial flea infestations can result in
owners use topical applications.1                merely a nuisance; it poses many health        severe clinical signs associated with
    Cat owners want a product that is            risks to the feline population. Flea allergy   anemia, and severe anemia can be fatal.
safe, effective, easy to use, and affordable,    dermatitis (FAD) accounts for at least             In addition to inducing skin
and they want one that is able to protect        half of all dermatologic problems seen by      inflammation and causing blood loss, fleas
against fleas, ticks, and mosquitoes.            veterinarians.3 When fleas feed on a host,     are linked to several other health threats.
While many cat owners turn to their              saliva is transferred. Flea saliva contains    This ectoparasite can serve as a vector for
veterinarian for prescription ectoparasite       proteolytic enzymes and histamine-like         the transmission of Rickettsia typhi (the
control products, others prefer to purchase      substances, which cause the inflammatory
over-the-counter products. Hartz is              and pruritic signs associated with FAD.3
pleased to announce the introduction             Cats with FAD can present with self-
                                                                                                      ALSO IN THIS ISSUE:
of Hartz® UltraGuard plus™ Drops                 excoriations, moist and miliary dermatitis,
for Cats. This easy-to-use topical               alopecia, papules, and eosinophilic                  Ask the Vet ................................   7
formulation provides protection against          granuloma complex lesions.3 Rapid
emerges. The entire life cycle typically                       A NEWSLETTER OF PRACTICAL MEDICINE FOR VETERINARY PROFESSIONALS

                                                          occurs in 3 to 4 weeks. The majority of
                                                                                                                      JUNE 2006 VOLUME 4, NUMBER 2
                                                          the flea’s life cycle takes place in the
                                                          environment, not on the host. It is              Consulting Editors
                                                          therefore imperative to address both the         Albert Ahn, DVM
                                                          pet and the environment for a successful          Vice President of Corporate
                                                          flea eradication plan.4                           Communications and Consumer
                                                                                                            Relations
                                                          Ticks                                             The Hartz Mountain Corporation
                                                             The importance of tick prevention             Bruce Truman
                                                          extends beyond the aesthetically                  Senior Director
                                                          displeasing nature of the ectoparasite            Animal Health and Nutrition
  Figure 1.    The cat flea,
                                                          (Figure 2). A proactive approach to               The Hartz Mountain Corporation
  Ctenocephalides felis.                                  preventing tick bites is important to
                                                          reduce the number of protozoal, bacterial,       Associate Editors
  causative agent of murine typhus),                      and viral pathogens transmitted by these         Jill A. Richardson, DVM
  Rickettsia felis (rickettsiosis), Bartonella            vectors. Tick-borne diseases such as              Director
  henselae (cat scratch fever), and Dipylidium            borreliosis (Lyme disease), ehrlichiosis,         Consumer Relations
  caninum (tapeworm),4 all of which pose a                rickettsiosis (Rocky Mountain spotted             The Hartz Mountain Corporation
  zoonotic risk. Fleas can also transmit                  fever), babesiosis, and viral encephalitis       David Levy
  Mycoplasma haemophilus (formerly called                 have many health implications for both            Assistant Manager
  Hemobartonella felis), the agent responsible            humans and animals.6                              Animal Health and Nutrition
  for feline infectious anemia.                                                                             The Hartz Mountain Corporation
      The potential impact of fleas on humans             Mosquitoes
                                                                                                           HARTZ® COMPANION ANIMAL                                      SM

  extends beyond the aforementioned                          The mosquito (Figure 3) is another
  infectious agents. Papular urticaria is an              ectoparasite that serves as a vector for         is produced for The Hartz Mountain
                                                                                                           Corporation by Veterinary Learning
  annoying rash that humans develop as a                  infectious diseases in both humans and
                                                                                                           Systems, 780 Township Line Rd.,
  result of flea bite hypersensitivity;                   animals. Mosquitoes are responsible for          Yardley, PA 19067.
  children tend to be affected more than                  the transmission of heartworm disease
  adults.5 Home flea infestations can also                (HWD). Although cats are less                    Copyright © 2006 The Hartz Mountain
  be frustrating and costly to eliminate.                 susceptible to HWD than dogs, cats can           Corporation. All rights reserved.
      An understanding of the biology of                  develop more severe clinical signs. It is        Hartz® and other marks are owned by
  fleas provides insight into how these                   also harder to diagnose HWD in cats              The Hartz Mountain Corporation.
  parasites rapidly infest their environment              than in dogs; in fact, because cats often
  and provides the key to their eradication.              are not microfilaremic and have low worm         Printed in U.S.A. No part of this
                                                                                                           publication may be reproduced in any
  Under ideal temperature and humidity                    burdens and less-specific clinical signs
                                                                                                           form without the express written
  conditions, one mating female flea can                  than dogs, feline HWD remains                    permission of the publisher.
  produce more than 20,000 adults and                     underdiagnosed.
  more than 160,000 preadult fleas in 2                       Many owners may not be aware of the          For more information on The Hartz
  months.4 Because of the remarkable                      heartworm risk their cats face. Although         Mountain Corporation, visit
  reproductive capacity of C. felis, an                   studies have shown that cats that spend          www.hartz.com.
  effective insecticide against this pest must            time outdoors are predisposed to
  include a “birth control” component.                    heartworm infection, a surprising one-
      Female fleas lay eggs on the host and               third of affected cats are reported to live   and lack of safe and effective treatment
  deposit them in the environment. The                    strictly indoors.7                            options for feline HWD warrant effective
  smooth, oval eggs are not sticky, so eggs                   The clinical signs associated with        mosquito prevention and prophylaxis.
  laid on the host quickly fall to the ground.            feline heartworm infection are distressing       West Nile virus (WNV) is a newly
  Under ideal conditions, fleas usually hatch             to patients and their owners. The death       emerging disease that poses risk for both
  within 36 hours to 10 days. The emerging                or migration of adult worms can result in     humans and animals. WNV is also spread
  larvae feed on debris and adult flea feces.             acute dyspnea, tachycardia, shock, cough      by the bites of infected mosquitoes. As of
  After two molts, the final larval stage                 or hemoptysis, dementia, blindness,           February 2006, there have been reports of
  spins a cocoon from which the adult flea                seizures, and death.7 The grave prognosis     birds, mammals, or mosquitoes being

2 HARTZ COMPANION ANIMAL
        ®                  SM
                                • JUNE 2006 • VOL. 4, NO. 2
then, the safety and efficacy of
                                                                                                     (S)-methoprene has been upheld in
                                                                                                     numerous studies.11–13 The World Health
                                                                                                     Organization has approved adding
                                                                                                     (S)-methoprene to drinking water to
                                                                                                     control mosquito populations and, in
                                                                                                     1999, classified methoprene as “unlikely
                                                                                                     to present acute hazard in normal use.”12
                                                                                                     This statement remains undisputed.
                                                                                                     Methoprene is a selective, stable, and
                                                                                                     potent larvicide. Its selective mode of
                                                                                                     toxicity to insects is based on interference
Figure 2.      Ticks are capable of            Figure 3.      Mosquitoes are responsible
                                                                                                     with metamorphosis; there is no clearly
transmitting a variety of illnesses to pets    for transmitting heartworms and West                  defined analogous mechanism by which it
and humans.                                    Nile virus.                                           can exert a harmful impact on mammals.
                                                                                                        (S)-Methoprene has been used for
infected with WNV in every state except        hemolymph (i.e., insect blood) is found               more than 20 years to fight infestations
Alaska and Hawaii.                             in high concentrations. This regulatory               of mosquitoes, flies, ants, fleas, and
   Cats have tested positive for WNV,8         hormone prevents metamorphosis, and                   other insects. It prevents flea eggs
and a recent study evaluated the risks         the flea remains in the larval stage.11               from hatching, which is an important
posed by WNV to experimentally                 A synthetic JH analog tricks the insect               component of a flea-prevention program.
infected dogs and cats. All of the test        into a persistent immature phase, which
animals exposed to mosquitoes were             results in death. Further research led to             Etofenprox
confirmed to be carriers of WNV. In this       the development of JH mimetics, which                     Etofenprox (also called ethophenprox)
laboratory-controlled study, the four          fall into two categories: the terpenoids              is a very effective insecticide with a wide
canine subjects developed low and              and nonterpenoids. (S)-Methoprene, a                  margin of safety in mammals. The
transient virus levels, but the four feline    terpenoid compound, was found to be a                 mechanism of action of this compound is
subjects developed titers higher than          more effective insecticide than naturally             similar to that of the pyrethroid class of
those seen in the dogs. Three of four cats     occurring JH.11                                       pesticides.14
developed mild lethargy and spikes in              Until the early 1980s, (S)-methoprene                 Etofenprox shares structural similarity
body temperature.9 Interestingly, the          was the only approved insect growth                   with type I ester pyrethroids (Figure 5),
study also showed that ingestion of            regulator (IGR). It was initially                     but it has a unique ether composition,
infected prey animals (mice) can induce        administered orally to cattle to help                 which gives it a much higher median
viremia, suggesting that prey animals can      control the surrounding fly population.               lethal dose (LD50). This structural
serve as an important reservoir of             Treated cattle subsequently produced                  difference is what differentiates
infection to predators.9                       feces containing concentrations of                    etofenprox from pyrethroids and provides
                                               (S)-methoprene that were beneficial in                it with a high level of safety for warm-
PARASITICIDES                                  controlling developing fly larvae. Since              blooded animals. Because of its unique
   Many agents have been developed
to help eradicate parasitic insects
detrimental to humans, animals, and
                                                            CH3                         CH3                   H
crops. Pharmacologic advances have
yielded products that are safe and available    CH3         C     CH2    CH2     CH2    CH     CH2      C              CH3
as user-friendly topical applications.
                                                                                                              C   C              O
                                                            O

(S)-Methoprene                                                                                            H             C    C
                                                      H3C
    (S)-Methoprene (Figure 4) is a
synthetic juvenile insect hormone analog                                                                           H             O     CH     CH3

that prevents the completion of the flea
life cycle and thus diminishes the number       Empirical Formula: C19H34O3                                                            CH3

of emerging adults.10 During the flea’s
larval stages, juvenile hormone ( JH) in the   Figure 4.          Chemical structure of (S)-methoprene.


                                                                                              HARTZ® COMPANION ANIMALSM • JUNE 2006 • VOL. 4, NO. 2   3
containing 40% etofenprox        Cats has been shown to kill and repel
                                                                      and 3.6% (S)-methoprene.15       Culex spp and Aedes spp mosquitoes,15
            CH
                                                                      Both of these EPA-               and 90% of deer ticks were killed in 4
             3

                                               O

    HC
     3
             C     CH2
                                                                      registered products provide      weeks.
                                                                      protection against adult and        Hartz® UltraGuard plusTM Drops for
                       O    CH
                             2
                                                                      immature fleas, deer ticks,      Cats is labeled for external use on cats
                                                                      and mosquitoes.                  12 weeks of age or older. This topical
                                                                         Selective toxicity—the        product is applied between the cat’s
                                                                      ability to kill the offending    shoulder blades once a month.10 As with
                                                                      pest without causing harm        any product, pet owners should contact
             O                     Empirical Formula: C H O 25   28   3
                                                                      to the species being             their veterinarian before using on cats that
               CH2      CH
                         3
                                                                      protected—is a desired           are geriatric, sick, pregnant, or nursing.
                                                                      feature of ectoparasiticide      After application, the cat should not be
  Figure 5. Chemical structure of etofenprox.                         products. The combination        bathed for at least 24 hours, and cats
                                                                      of ingredients in Hartz®         within the same household should not
                                                                      UltraGuard plus™ Drops           be permitted to groom each other until
  ether (as opposed to ester) structure and            for Cats achieves this goal. Hartz®             the product is completely dry.17 Hartz®
  molecular composition, it imparts a rat              UltraGuard plus™ Drops for Cats has             along with many experts, including
  oral LD50 of more than 42,880 mg/kg                  been subjected to multiple efficacy, safety,    the Companion Animal Parasite
  and a mouse oral LD50 of more than                   and toxicology tests. Hartz® UltraGuard         Council (CAPC), recommends the use
  107,200 mg/kg.                                       plus™ Drops for Cats received EPA               of ectoparasite products on a year-
     Etofenprox is an important chemical               registration for use on pets in 2004. It is     round basis.18
  in the fight against ectoparasites affecting         in the Level 4 Toxicity Category, the              With the advent of clinically-
  animals and humans and is also widely                lowest possible toxicity ranking. No            proven, effective, and easy-to-use
  used to protect crops from insect pests.             “Danger,” “Warning,” or “Caution”               ectoparasiticides, there is no reasonable
  It is effective against an array of pests,           statement is required on the label, and no      excuse for pets and their owners to suffer
  including ants, cockroaches, wasps,                  special safety precautions (e.g., wearing       the consequences of these pests. Greater
  hornets, and beetles.15 The British                  eye protection or gloves as required by         attention drawn to the various vector-
  Army has deemed etofenprox a safe and                other flea and tick products) are required      borne diseases carried by fleas, ticks, and
  effective additive to nets and screens               when applying the product on cats.              mosquitoes will likely result in improved
  used in controlling arthropod vectors                   The product was evaluated in cats            compliance by pet owners. The use of
  of disease.16 The World Health                       at one, three, and five times the               ectoparasiticides helps to ensure the
  Organization classified etofenprox as                recommended dosages. Test subjects              healthy and happy lifestyles of pets and
  unlikely to present an acute hazard in               were evaluated for clinical signs of illness,   their caregivers.
                14
  normal use.                                          changes in appetite or body weight,
     Studies have been conducted to                    and clinical pathology test results. No
  evaluate the metabolism and toxicity of              systemic adverse effects were observed.                     Benefits of
  etofenprox. The agent is primarily                   Even at five times the recommended                   Hartz® UltraGuard plus™
  excreted in feces and to a lesser extent in          dose in cats, only mild skin changes,                     Drops for Cats
  urine. There was no evidence to suggest              similar to those associated with any
  that etofenprox is genotoxic or                      topical pesticide, were seen. Tests              ■ Kills deer ticks that may transmit
                                                                                                          Lyme disease for up to 1 month
  carcinogenic.14                                      showed no adverse effects if Hartz®
                                                       UltraGuard plusTM Drops for Cats                 ■ Kills and repels mosquitoes that may
          ®                       ™                                                                       transmit heartworm disease
  Hartz UltraGuard plus                                contacts the eyes.15
  Drops for Cats                                          Efficacy studies showed that 98%              ■ Kills fleas that may cause flea allergy
      The synergistic combination of                   of adult fleas were killed 2 weeks after           dermatitis, flea bite anemia, and
  (S)-methoprene and etofenprox provides               topical application and a 95% or greater           tapeworm infestation
  a scientifically proven and effective                reduction in flea egg hatch was noted            ■ Kills flea eggs for up to 1 month
  product for controlling the primary                  after 4 weeks. The IGR and flea
                                                                                                        ■ Quick acting
  ectoparasites that threaten cats and their           adulticide combination provides fast and
                      ®
  caregivers. Hartz UltraGuard plus™                   long-lasting protection against C. felis.        ■ Long lasting
  Drops for Cats is an innovative product              Hartz® UltraGuard plusTM Drops for

4 HARTZ COMPANION ANIMAL
         ®                   SM
                                  • JUNE 2006 • VOL. 4, NO. 2
REFERENCES                                                       and prevention of heartworm disease in cats. Kirks’s             Evaluations, Methoprene and (S)-Methoprene.
                                                                                                                                  Available at www.inchem.org/documents/
                                                                 Current Veterinary Therapy XIII Small Animal
1. APPMA: 2005–2006 APPMA National Pet Owners
                                                                 Practice. Philadelphia, WB Saunders, 2000, pp                    jmpr/jmpmono/2001pr01.htm; accessed April
   Survey. Greenwich, CT, American Pet Product
                                                                 782–787.                                                         2006.
   Manufacturers Association, pp 96-97, tables 22A
   and 23.                                                   8. Centers for Disease Control and Prevention: West              13. Pesticide Residues in Food—1984. Available at
                                                                Nile Virus Questions and Answers. www.cdc.gov/                    www.inchem.org/documents/jmpr/jmpmono/
2. Keil K, Wellington J, Ciszewski D: Efficacy of                                                                                 v84pr31.htm; accessed April 2006.
                                                                ncidod/dvbid/westnile/qa/transmission.htm;
   imidacloprid in controlling flea allergy dermatitis in
                                                                accessed April 2006.                                          14. 1993 FAO/WHO Joint Meeting on Pesticide
   cats. Proc 2nd Int Flea Control Symp:15, 2001.
                                                             9. Austgen LE, Bowen RA, Bunning ML, et al:                          Residues: Etofenprox: Available at www.fao.org/
3. Keil K, Wellington J, Ciszewski D: Efficacy of               Experimental infection of cats and dogs with West                 ag/AGP/AGPP/Pesticid/JMPR/Download/
   advantage in controlling flea allergy dermatitis in          Nile virus. Emerging Infectious Diseases (serial                  93_rep/Report1993.pdf; accessed April 2006.
   cats. Proc 3rd Int Flea Control Symp:6, 2002.                online) 2004 Jan (date cited). Available from                 15. Data on file. The Hartz Mountain Corporation,
4. Scott DW, Miller WH, Griffin CE: Muller and                  www.cdc.gov/ncidod/EID/vol10no1/02-0616.htm;                      Secaucus, NJ.
   Kirk’s Small Animal Dermatology. Philadelphia, WB            accessed April 2006.
                                                                                                                              16. Croft AM, Baker D, von Bertele MJ: An
   Saunders, 2001, pp 490–508.                              10. Young DR, Jeannin PC, Boeckh A: Efficacy                          evidence-based vector control strategy for
5. Stibich AS, Schwartz RA, Chaffer C: Papular                  of fipronil/(S)-methoprene combination spot-                      military deployments: The British army
   Urticaria. Available at www.emedicine.com/                   on for dogs against shed eggs, emerging and                       experience. Med Trop (Mars) 61(1):91–98, 2001.
   DERM/topic911.htm; accessed April 2006.                      existing adult cat fleas (Ctenocephalides felis,
                                                                                                                              17. Product Label: Hartz® UltraGuard plus™
6. Otranto D, Paolo Lia R, Cantacessi C, et al:                 Bouche). Vet Parasitol 125:397–407, 2004.
                                                                                                                                  Drops for Cats. Secaucus, NJ, The Hartz
   Efficacy of a combination of imidacloprid                11. Garg RC, Donahue WA: Pharmacologic                                Mountain Corporation, 2006.
   10%/permethrin 50% versus fipronil 10%/(S)-                  profile of methoprene, an insect growth                       18. Companion Animal Parasite Council:
   methoprene 12%, against ticks in naturally infected          regulator, in cattle, dogs, and cats. JAVMA                       Controlling Internal and External Parasites in
   dogs. Vet Parasitol 130:293–304, 2005.                       194(3):410–412, 1989.                                             Dogs and Cats: 2005 CAPC Guidelines. Available
7. Atkins CE, Ryan WG: CVT update: Diagnosis                12. Pesticide Residues in Food 2001: Toxological                      at www.capcvet.org; accessed April 2006.




Your Clients have
Flea & Tick
Questions.

 We Have
 Solutions.

     w w w. f leaan dticksolutions.com

                                                                                                                        HARTZ® COMPANION ANIMALSM • JUNE 2006 • VOL. 4, NO. 2       5
Albert Ahn, DVM, is Vice President of Corporate Communications
             and Consumer Relations at The Hartz Mountain Corporation.




                                         ASK TH E VET
Q
What type of insecticide does Hartz®
UltraGuard plus™ Drops for Cats contain?                    QA Hartz® representative visited my
                                                             college last week and gave out samples
                                                             of this newsletter; could you tell me if

A
Hartz® UltraGuard plus™ Drops for Cats is for use on
cats and comes in two sizes; one for cats weighing
                                                             veterinary students are eligible for
                                                             subscriptions?
up to 5 pounds and one for cats weighing 5 pounds
and over. This product contains the active ingredients
etofenprox and (S)-methoprene.
   Etofenprox is effective against fleas, ticks, and
                                                            AYes, all students are welcome to sign up for free
                                                             membership for this newsletter and also for any other
                                                             Hartz® publication. To do so, email your name and
                                                             mailing address, along with the publication name, to
mosquitoes and is considered to be low in toxicity           feedback@Hartz.com, or you can call 800-275-1414.
to mammals.
   (S)-methoprene is a synthetic insect growth
regulator or juvenile hormone mimetic and is
further classified as a terpenoid. Juvenile hormones
maintain the larval stage in the insect or prevent
                                                            QI went to the Hartz® booth at the
                                                             Western Veterinary Conference in
                                                             February and received a signed copy of
metamorphosis; when the level of juvenile hormone            Arden Moore’s Come, Sit, Stay. This book
drops, pupal and adult developmental stages begin.           is a fantastic addition to our waiting
                                                             room. I love this book and want to know
                                                             more about the author.



Q
What kind of safety profiles do
etofenprox and (S)-methoprene have?
                                                            AArden Moore held book signings for Hartz® at both
                                                             the 2005 and 2006 Western Veterinary Conferences.
                                                             At this year’s convention, she signed more than 400
                                                             copies of her two new books, Come, Sit, Stay and Tricks
                                                             and Treats. Her words have inked the pages of

A
Etofenprox shares structural similarity with type I ester
pyrethroids, but it has a unique ether composition,
which gives it a much higher median lethal dose
(LD50) (which is over 42,880 mg/kg in rats and over
                                                             Prevention Magazine, Dog Fancy, Catnip, Veterinary
                                                             Practice News, and dozens of national and international
                                                             publications. Since 1999, she has written, co-authored,
                                                             ghostwritten, and contributed to nearly 30 books on
107,200 mg/kg in mice). The oral LD50 of etofenprox          human health, dogs, cats, fitness, herbs, home
in dogs is more than 5,000 mg/kg.                            improvements, and caregiving. To learn more about
   Of the 17 pesticides approved for indoor flea             this incredible writer, visit www.ardenmoore.com.
control, (S)-methoprene has the highest LD50 for oral
and dermal doses in rabbits and rats. Because of the           WE WANT TO HEAR FROM YOU!
minimal absence of risk to humans, animals, or the             • Have questions or comments? Call our Consumer Relations
environment, (S)-methoprene has been approved by                 Department at 800-275-1414 and ask to speak to a Hartz
the World Health Organization for use in drinking                staff veterinarian or email us at feedback@hartz.com.
water to control mosquitoes. In dogs, the acute oral           • To obtain a Hartz Veterinary Catalog of products,
                                                                 please call 800-275-1414 or email us at
LD50 is 5,000 to 10,000 mg/kg. (S)-Methoprene is                 feedback@hartz.com.
not irritating to the skin or eyes.

  Additional newsletters may be obtained by contacting us at feedback@hartz.com or by phone at 800-275-1414.


                                                                         HARTZ® COMPANION ANIMALSM • JUNE 2006 • VOL. 4, NO. 2   7
These Pals are
                                                For more than 10 years, the American
                                                Veterinary Medical Foundation (AVMF) has
                                                helped thousands of animals in emergency


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                                                situations, like earthquakes, hurricanes, fires,
                                                floods and even terrorist attacks.
                                                In honor of their dedicated service, Hartz® is
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                                                toy line. Hartz® Vet PalsTM tell the stories of
                                                animals helped during times of emergency.
                                                But that’s not all. For each Hartz® Vet Pal™
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                                                We need your help. Offer Hartz® Vet PalsTM
Plush pet toys designed to make a difference!   to your clients, and together we can make a
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                                                                                         R




                                                American Veterinary Medical Foundation                         AD-347




Veterinary Learning Systems                                                                      PRST STD
780 Township Line Road                                                                         U.S. POSTAGE
Yardley, PA 19067
                                                                                                PAID
                                                                                                 YORK, PA
                                                                                               PERMIT #200




                                                                                                              402293

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Hartz Companion - Animal Introducing Etofenprox: A Broad-Spectrum, Comprehensive Ectoparasiticide

  • 1. A NEWSLETTER OF PRACTICAL MEDICINE FOR VETERINARY PROFESSIONALS JUNE 2006 VOLUME 4, NUMBER 2 Introducing Etofenprox: A Broad-Spectrum, Comprehensive Ectoparasiticide Albert Ahn, DVM Vice President of Corporate Communications and Consumer Relations The Hartz Mountain Corporation Comprehensive ectoparasite control adult and immature fleas, deer ticks, and adulticidal activity of a flea preventive is remains a top priority for pet owners and mosquitoes. The active ingredients in crucial to prevent FAD. the veterinary medical community. Hartz® UltraGuard plus™ Drops for Anemia is a common sequela of flea According to the American Pet Product Cats are etofenprox and (S)-methoprene. infestation, particularly for young puppies Manufacturers Association (APPMA), the and kittens, and can be life threatening in number of cats being treated with flea and ECTOPARASITES AND DISEASE cats. C. felis are hearty feeders capable of tick products increased 15% between 2002 Fleas consuming up to 15 times their body and 2004.1 That means an estimated 36 The cat flea, Ctenocephalides felis weight in blood daily.3 Seventy-two female million cats are currently being treated for (Figure 1), is the most common species fleas can consume 1 ml of blood in a day.4 fleas and ticks, and the majority of pet affecting dogs and cats.2 C. felis is not Substantial flea infestations can result in owners use topical applications.1 merely a nuisance; it poses many health severe clinical signs associated with Cat owners want a product that is risks to the feline population. Flea allergy anemia, and severe anemia can be fatal. safe, effective, easy to use, and affordable, dermatitis (FAD) accounts for at least In addition to inducing skin and they want one that is able to protect half of all dermatologic problems seen by inflammation and causing blood loss, fleas against fleas, ticks, and mosquitoes. veterinarians.3 When fleas feed on a host, are linked to several other health threats. While many cat owners turn to their saliva is transferred. Flea saliva contains This ectoparasite can serve as a vector for veterinarian for prescription ectoparasite proteolytic enzymes and histamine-like the transmission of Rickettsia typhi (the control products, others prefer to purchase substances, which cause the inflammatory over-the-counter products. Hartz is and pruritic signs associated with FAD.3 pleased to announce the introduction Cats with FAD can present with self- ALSO IN THIS ISSUE: of Hartz® UltraGuard plus™ Drops excoriations, moist and miliary dermatitis, for Cats. This easy-to-use topical alopecia, papules, and eosinophilic Ask the Vet ................................ 7 formulation provides protection against granuloma complex lesions.3 Rapid
  • 2. emerges. The entire life cycle typically A NEWSLETTER OF PRACTICAL MEDICINE FOR VETERINARY PROFESSIONALS occurs in 3 to 4 weeks. The majority of JUNE 2006 VOLUME 4, NUMBER 2 the flea’s life cycle takes place in the environment, not on the host. It is Consulting Editors therefore imperative to address both the Albert Ahn, DVM pet and the environment for a successful Vice President of Corporate flea eradication plan.4 Communications and Consumer Relations Ticks The Hartz Mountain Corporation The importance of tick prevention Bruce Truman extends beyond the aesthetically Senior Director displeasing nature of the ectoparasite Animal Health and Nutrition Figure 1. The cat flea, (Figure 2). A proactive approach to The Hartz Mountain Corporation Ctenocephalides felis. preventing tick bites is important to reduce the number of protozoal, bacterial, Associate Editors causative agent of murine typhus), and viral pathogens transmitted by these Jill A. Richardson, DVM Rickettsia felis (rickettsiosis), Bartonella vectors. Tick-borne diseases such as Director henselae (cat scratch fever), and Dipylidium borreliosis (Lyme disease), ehrlichiosis, Consumer Relations caninum (tapeworm),4 all of which pose a rickettsiosis (Rocky Mountain spotted The Hartz Mountain Corporation zoonotic risk. Fleas can also transmit fever), babesiosis, and viral encephalitis David Levy Mycoplasma haemophilus (formerly called have many health implications for both Assistant Manager Hemobartonella felis), the agent responsible humans and animals.6 Animal Health and Nutrition for feline infectious anemia. The Hartz Mountain Corporation The potential impact of fleas on humans Mosquitoes HARTZ® COMPANION ANIMAL SM extends beyond the aforementioned The mosquito (Figure 3) is another infectious agents. Papular urticaria is an ectoparasite that serves as a vector for is produced for The Hartz Mountain Corporation by Veterinary Learning annoying rash that humans develop as a infectious diseases in both humans and Systems, 780 Township Line Rd., result of flea bite hypersensitivity; animals. Mosquitoes are responsible for Yardley, PA 19067. children tend to be affected more than the transmission of heartworm disease adults.5 Home flea infestations can also (HWD). Although cats are less Copyright © 2006 The Hartz Mountain be frustrating and costly to eliminate. susceptible to HWD than dogs, cats can Corporation. All rights reserved. An understanding of the biology of develop more severe clinical signs. It is Hartz® and other marks are owned by fleas provides insight into how these also harder to diagnose HWD in cats The Hartz Mountain Corporation. parasites rapidly infest their environment than in dogs; in fact, because cats often and provides the key to their eradication. are not microfilaremic and have low worm Printed in U.S.A. No part of this publication may be reproduced in any Under ideal temperature and humidity burdens and less-specific clinical signs form without the express written conditions, one mating female flea can than dogs, feline HWD remains permission of the publisher. produce more than 20,000 adults and underdiagnosed. more than 160,000 preadult fleas in 2 Many owners may not be aware of the For more information on The Hartz months.4 Because of the remarkable heartworm risk their cats face. Although Mountain Corporation, visit reproductive capacity of C. felis, an studies have shown that cats that spend www.hartz.com. effective insecticide against this pest must time outdoors are predisposed to include a “birth control” component. heartworm infection, a surprising one- Female fleas lay eggs on the host and third of affected cats are reported to live and lack of safe and effective treatment deposit them in the environment. The strictly indoors.7 options for feline HWD warrant effective smooth, oval eggs are not sticky, so eggs The clinical signs associated with mosquito prevention and prophylaxis. laid on the host quickly fall to the ground. feline heartworm infection are distressing West Nile virus (WNV) is a newly Under ideal conditions, fleas usually hatch to patients and their owners. The death emerging disease that poses risk for both within 36 hours to 10 days. The emerging or migration of adult worms can result in humans and animals. WNV is also spread larvae feed on debris and adult flea feces. acute dyspnea, tachycardia, shock, cough by the bites of infected mosquitoes. As of After two molts, the final larval stage or hemoptysis, dementia, blindness, February 2006, there have been reports of spins a cocoon from which the adult flea seizures, and death.7 The grave prognosis birds, mammals, or mosquitoes being 2 HARTZ COMPANION ANIMAL ® SM • JUNE 2006 • VOL. 4, NO. 2
  • 3. then, the safety and efficacy of (S)-methoprene has been upheld in numerous studies.11–13 The World Health Organization has approved adding (S)-methoprene to drinking water to control mosquito populations and, in 1999, classified methoprene as “unlikely to present acute hazard in normal use.”12 This statement remains undisputed. Methoprene is a selective, stable, and potent larvicide. Its selective mode of toxicity to insects is based on interference Figure 2. Ticks are capable of Figure 3. Mosquitoes are responsible with metamorphosis; there is no clearly transmitting a variety of illnesses to pets for transmitting heartworms and West defined analogous mechanism by which it and humans. Nile virus. can exert a harmful impact on mammals. (S)-Methoprene has been used for infected with WNV in every state except hemolymph (i.e., insect blood) is found more than 20 years to fight infestations Alaska and Hawaii. in high concentrations. This regulatory of mosquitoes, flies, ants, fleas, and Cats have tested positive for WNV,8 hormone prevents metamorphosis, and other insects. It prevents flea eggs and a recent study evaluated the risks the flea remains in the larval stage.11 from hatching, which is an important posed by WNV to experimentally A synthetic JH analog tricks the insect component of a flea-prevention program. infected dogs and cats. All of the test into a persistent immature phase, which animals exposed to mosquitoes were results in death. Further research led to Etofenprox confirmed to be carriers of WNV. In this the development of JH mimetics, which Etofenprox (also called ethophenprox) laboratory-controlled study, the four fall into two categories: the terpenoids is a very effective insecticide with a wide canine subjects developed low and and nonterpenoids. (S)-Methoprene, a margin of safety in mammals. The transient virus levels, but the four feline terpenoid compound, was found to be a mechanism of action of this compound is subjects developed titers higher than more effective insecticide than naturally similar to that of the pyrethroid class of those seen in the dogs. Three of four cats occurring JH.11 pesticides.14 developed mild lethargy and spikes in Until the early 1980s, (S)-methoprene Etofenprox shares structural similarity body temperature.9 Interestingly, the was the only approved insect growth with type I ester pyrethroids (Figure 5), study also showed that ingestion of regulator (IGR). It was initially but it has a unique ether composition, infected prey animals (mice) can induce administered orally to cattle to help which gives it a much higher median viremia, suggesting that prey animals can control the surrounding fly population. lethal dose (LD50). This structural serve as an important reservoir of Treated cattle subsequently produced difference is what differentiates infection to predators.9 feces containing concentrations of etofenprox from pyrethroids and provides (S)-methoprene that were beneficial in it with a high level of safety for warm- PARASITICIDES controlling developing fly larvae. Since blooded animals. Because of its unique Many agents have been developed to help eradicate parasitic insects detrimental to humans, animals, and CH3 CH3 H crops. Pharmacologic advances have yielded products that are safe and available CH3 C CH2 CH2 CH2 CH CH2 C CH3 as user-friendly topical applications. C C O O (S)-Methoprene H C C H3C (S)-Methoprene (Figure 4) is a synthetic juvenile insect hormone analog H O CH CH3 that prevents the completion of the flea life cycle and thus diminishes the number Empirical Formula: C19H34O3 CH3 of emerging adults.10 During the flea’s larval stages, juvenile hormone ( JH) in the Figure 4. Chemical structure of (S)-methoprene. HARTZ® COMPANION ANIMALSM • JUNE 2006 • VOL. 4, NO. 2 3
  • 4. containing 40% etofenprox Cats has been shown to kill and repel and 3.6% (S)-methoprene.15 Culex spp and Aedes spp mosquitoes,15 CH Both of these EPA- and 90% of deer ticks were killed in 4 3 O HC 3 C CH2 registered products provide weeks. protection against adult and Hartz® UltraGuard plusTM Drops for O CH 2 immature fleas, deer ticks, Cats is labeled for external use on cats and mosquitoes. 12 weeks of age or older. This topical Selective toxicity—the product is applied between the cat’s ability to kill the offending shoulder blades once a month.10 As with pest without causing harm any product, pet owners should contact O Empirical Formula: C H O 25 28 3 to the species being their veterinarian before using on cats that CH2 CH 3 protected—is a desired are geriatric, sick, pregnant, or nursing. feature of ectoparasiticide After application, the cat should not be Figure 5. Chemical structure of etofenprox. products. The combination bathed for at least 24 hours, and cats of ingredients in Hartz® within the same household should not UltraGuard plus™ Drops be permitted to groom each other until ether (as opposed to ester) structure and for Cats achieves this goal. Hartz® the product is completely dry.17 Hartz® molecular composition, it imparts a rat UltraGuard plus™ Drops for Cats has along with many experts, including oral LD50 of more than 42,880 mg/kg been subjected to multiple efficacy, safety, the Companion Animal Parasite and a mouse oral LD50 of more than and toxicology tests. Hartz® UltraGuard Council (CAPC), recommends the use 107,200 mg/kg. plus™ Drops for Cats received EPA of ectoparasite products on a year- Etofenprox is an important chemical registration for use on pets in 2004. It is round basis.18 in the fight against ectoparasites affecting in the Level 4 Toxicity Category, the With the advent of clinically- animals and humans and is also widely lowest possible toxicity ranking. No proven, effective, and easy-to-use used to protect crops from insect pests. “Danger,” “Warning,” or “Caution” ectoparasiticides, there is no reasonable It is effective against an array of pests, statement is required on the label, and no excuse for pets and their owners to suffer including ants, cockroaches, wasps, special safety precautions (e.g., wearing the consequences of these pests. Greater hornets, and beetles.15 The British eye protection or gloves as required by attention drawn to the various vector- Army has deemed etofenprox a safe and other flea and tick products) are required borne diseases carried by fleas, ticks, and effective additive to nets and screens when applying the product on cats. mosquitoes will likely result in improved used in controlling arthropod vectors The product was evaluated in cats compliance by pet owners. The use of of disease.16 The World Health at one, three, and five times the ectoparasiticides helps to ensure the Organization classified etofenprox as recommended dosages. Test subjects healthy and happy lifestyles of pets and unlikely to present an acute hazard in were evaluated for clinical signs of illness, their caregivers. 14 normal use. changes in appetite or body weight, Studies have been conducted to and clinical pathology test results. No evaluate the metabolism and toxicity of systemic adverse effects were observed. Benefits of etofenprox. The agent is primarily Even at five times the recommended Hartz® UltraGuard plus™ excreted in feces and to a lesser extent in dose in cats, only mild skin changes, Drops for Cats urine. There was no evidence to suggest similar to those associated with any that etofenprox is genotoxic or topical pesticide, were seen. Tests ■ Kills deer ticks that may transmit Lyme disease for up to 1 month carcinogenic.14 showed no adverse effects if Hartz® UltraGuard plusTM Drops for Cats ■ Kills and repels mosquitoes that may ® ™ transmit heartworm disease Hartz UltraGuard plus contacts the eyes.15 Drops for Cats Efficacy studies showed that 98% ■ Kills fleas that may cause flea allergy The synergistic combination of of adult fleas were killed 2 weeks after dermatitis, flea bite anemia, and (S)-methoprene and etofenprox provides topical application and a 95% or greater tapeworm infestation a scientifically proven and effective reduction in flea egg hatch was noted ■ Kills flea eggs for up to 1 month product for controlling the primary after 4 weeks. The IGR and flea ■ Quick acting ectoparasites that threaten cats and their adulticide combination provides fast and ® caregivers. Hartz UltraGuard plus™ long-lasting protection against C. felis. ■ Long lasting Drops for Cats is an innovative product Hartz® UltraGuard plusTM Drops for 4 HARTZ COMPANION ANIMAL ® SM • JUNE 2006 • VOL. 4, NO. 2
  • 5. REFERENCES and prevention of heartworm disease in cats. Kirks’s Evaluations, Methoprene and (S)-Methoprene. Available at www.inchem.org/documents/ Current Veterinary Therapy XIII Small Animal 1. APPMA: 2005–2006 APPMA National Pet Owners Practice. Philadelphia, WB Saunders, 2000, pp jmpr/jmpmono/2001pr01.htm; accessed April Survey. Greenwich, CT, American Pet Product 782–787. 2006. Manufacturers Association, pp 96-97, tables 22A and 23. 8. Centers for Disease Control and Prevention: West 13. Pesticide Residues in Food—1984. Available at Nile Virus Questions and Answers. www.cdc.gov/ www.inchem.org/documents/jmpr/jmpmono/ 2. Keil K, Wellington J, Ciszewski D: Efficacy of v84pr31.htm; accessed April 2006. ncidod/dvbid/westnile/qa/transmission.htm; imidacloprid in controlling flea allergy dermatitis in accessed April 2006. 14. 1993 FAO/WHO Joint Meeting on Pesticide cats. Proc 2nd Int Flea Control Symp:15, 2001. 9. Austgen LE, Bowen RA, Bunning ML, et al: Residues: Etofenprox: Available at www.fao.org/ 3. Keil K, Wellington J, Ciszewski D: Efficacy of Experimental infection of cats and dogs with West ag/AGP/AGPP/Pesticid/JMPR/Download/ advantage in controlling flea allergy dermatitis in Nile virus. Emerging Infectious Diseases (serial 93_rep/Report1993.pdf; accessed April 2006. cats. Proc 3rd Int Flea Control Symp:6, 2002. online) 2004 Jan (date cited). Available from 15. Data on file. The Hartz Mountain Corporation, 4. Scott DW, Miller WH, Griffin CE: Muller and www.cdc.gov/ncidod/EID/vol10no1/02-0616.htm; Secaucus, NJ. Kirk’s Small Animal Dermatology. Philadelphia, WB accessed April 2006. 16. Croft AM, Baker D, von Bertele MJ: An Saunders, 2001, pp 490–508. 10. Young DR, Jeannin PC, Boeckh A: Efficacy evidence-based vector control strategy for 5. Stibich AS, Schwartz RA, Chaffer C: Papular of fipronil/(S)-methoprene combination spot- military deployments: The British army Urticaria. Available at www.emedicine.com/ on for dogs against shed eggs, emerging and experience. Med Trop (Mars) 61(1):91–98, 2001. DERM/topic911.htm; accessed April 2006. existing adult cat fleas (Ctenocephalides felis, 17. Product Label: Hartz® UltraGuard plus™ 6. Otranto D, Paolo Lia R, Cantacessi C, et al: Bouche). Vet Parasitol 125:397–407, 2004. Drops for Cats. Secaucus, NJ, The Hartz Efficacy of a combination of imidacloprid 11. Garg RC, Donahue WA: Pharmacologic Mountain Corporation, 2006. 10%/permethrin 50% versus fipronil 10%/(S)- profile of methoprene, an insect growth 18. Companion Animal Parasite Council: methoprene 12%, against ticks in naturally infected regulator, in cattle, dogs, and cats. JAVMA Controlling Internal and External Parasites in dogs. Vet Parasitol 130:293–304, 2005. 194(3):410–412, 1989. Dogs and Cats: 2005 CAPC Guidelines. Available 7. Atkins CE, Ryan WG: CVT update: Diagnosis 12. Pesticide Residues in Food 2001: Toxological at www.capcvet.org; accessed April 2006. Your Clients have Flea & Tick Questions. We Have Solutions. w w w. f leaan dticksolutions.com HARTZ® COMPANION ANIMALSM • JUNE 2006 • VOL. 4, NO. 2 5
  • 6.
  • 7. Albert Ahn, DVM, is Vice President of Corporate Communications and Consumer Relations at The Hartz Mountain Corporation. ASK TH E VET Q What type of insecticide does Hartz® UltraGuard plus™ Drops for Cats contain? QA Hartz® representative visited my college last week and gave out samples of this newsletter; could you tell me if A Hartz® UltraGuard plus™ Drops for Cats is for use on cats and comes in two sizes; one for cats weighing veterinary students are eligible for subscriptions? up to 5 pounds and one for cats weighing 5 pounds and over. This product contains the active ingredients etofenprox and (S)-methoprene. Etofenprox is effective against fleas, ticks, and AYes, all students are welcome to sign up for free membership for this newsletter and also for any other Hartz® publication. To do so, email your name and mailing address, along with the publication name, to mosquitoes and is considered to be low in toxicity feedback@Hartz.com, or you can call 800-275-1414. to mammals. (S)-methoprene is a synthetic insect growth regulator or juvenile hormone mimetic and is further classified as a terpenoid. Juvenile hormones maintain the larval stage in the insect or prevent QI went to the Hartz® booth at the Western Veterinary Conference in February and received a signed copy of metamorphosis; when the level of juvenile hormone Arden Moore’s Come, Sit, Stay. This book drops, pupal and adult developmental stages begin. is a fantastic addition to our waiting room. I love this book and want to know more about the author. Q What kind of safety profiles do etofenprox and (S)-methoprene have? AArden Moore held book signings for Hartz® at both the 2005 and 2006 Western Veterinary Conferences. At this year’s convention, she signed more than 400 copies of her two new books, Come, Sit, Stay and Tricks and Treats. Her words have inked the pages of A Etofenprox shares structural similarity with type I ester pyrethroids, but it has a unique ether composition, which gives it a much higher median lethal dose (LD50) (which is over 42,880 mg/kg in rats and over Prevention Magazine, Dog Fancy, Catnip, Veterinary Practice News, and dozens of national and international publications. Since 1999, she has written, co-authored, ghostwritten, and contributed to nearly 30 books on 107,200 mg/kg in mice). The oral LD50 of etofenprox human health, dogs, cats, fitness, herbs, home in dogs is more than 5,000 mg/kg. improvements, and caregiving. To learn more about Of the 17 pesticides approved for indoor flea this incredible writer, visit www.ardenmoore.com. control, (S)-methoprene has the highest LD50 for oral and dermal doses in rabbits and rats. Because of the WE WANT TO HEAR FROM YOU! minimal absence of risk to humans, animals, or the • Have questions or comments? Call our Consumer Relations environment, (S)-methoprene has been approved by Department at 800-275-1414 and ask to speak to a Hartz the World Health Organization for use in drinking staff veterinarian or email us at feedback@hartz.com. water to control mosquitoes. In dogs, the acute oral • To obtain a Hartz Veterinary Catalog of products, please call 800-275-1414 or email us at LD50 is 5,000 to 10,000 mg/kg. (S)-Methoprene is feedback@hartz.com. not irritating to the skin or eyes. Additional newsletters may be obtained by contacting us at feedback@hartz.com or by phone at 800-275-1414. HARTZ® COMPANION ANIMALSM • JUNE 2006 • VOL. 4, NO. 2 7
  • 8. These Pals are For more than 10 years, the American Veterinary Medical Foundation (AVMF) has helped thousands of animals in emergency Life Savers! life savers Savers situations, like earthquakes, hurricanes, fires, floods and even terrorist attacks. In honor of their dedicated service, Hartz® is pleased to announce the new Vet PalsTM plush toy line. Hartz® Vet PalsTM tell the stories of animals helped during times of emergency. But that’s not all. For each Hartz® Vet Pal™ sold, Hartz® donates a portion of the proceeds VETPALS ™ to the AVMF to help in future aid efforts. We need your help. Offer Hartz® Vet PalsTM Plush pet toys designed to make a difference! to your clients, and together we can make a difference in the lives of so many more animals. Together, we can save lives. To order, visit www. Vetpals.org or call 1-888-281-6400. only $ 30 00 for the entire 6 piece collection R American Veterinary Medical Foundation AD-347 Veterinary Learning Systems PRST STD 780 Township Line Road U.S. POSTAGE Yardley, PA 19067 PAID YORK, PA PERMIT #200 402293