What is the most important information I should know about Surpass: Surpass is not a cure for osteoarthritis. However, it does control pain and inflammation associated with osteoarthritis. The usual dose of Surpass is to apply a 5 inch (5") ribbon twice a day over the affected joint for up to 10 days. Rub the cream thoroughly into the hair covering the joint until the cream disappears. Rubber gloves should be worn to prevent absorption into the hands.
What is Surpass: Surpass is a prescription topical cream containing 1% diclofenac sodium, a non-narcotic, nonsteroidal anti-inflammatory drug (NSAID). Surpass is indicated for the control of pain and inflammation associated with osteoarthritis in the hock, knee, fetlock and pastern joints in horses.
What should I discuss with my veterinarian before using Surpass: Tell your veterinarian if your horse has experienced allergic reactions to diclofenac or other medications. Tell your veterinarian if your horse is pregnant or nursing a foal, or if you intend to breed the horse. Tell your veterinarian if your horse has ever been diagnosed with an ulcer.
How should this medication be used: Apply Surpass exactly as directed by your veterinarian. Wear gloves to prevent absorption into the hands. Direct contact with the skin should be avoided. If you do not understand the directions ask the pharmacist or veterinarian to explain them to you. Store Surpass at up to 77º F. Protect from freezing.
What happens if I miss applying a dose: Apply the dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and apply the next one as directed. Do not apply a double dose.
What happens if I overdose the horse: Seek emergency veterinary medical treatment. Symptoms of overdose may include; weight loss, colic, diarrhea, yellow eye associated with jaundice.
What should I avoid while using Surpass on my horse: Surpass is for topical use in horses only. Surpass should not be used in horses exhibiting allergic reactions to diclofenac. Surpass is not for use in horses intended for food. The safety of Surpass in horses less than 1 year of age, in horses used for breeding, pregnant mares, or mares nursing foals has not been determined.
What are the possible side effects of Surpass: If any of the following serious side effects occur, stop using Surpass and seek emergency veterinary medical attention; an allergic reaction (difficulty breathing; swelling of the lips, tongue or face; hives). Other side effects that may occur include weight loss, colic, diarrhea, yellowing of the gums, skin or whites of the eyes. Serious adverse reactions associated with this drug class can occur without warning and, in rare instances, result in death. Discontinue the use of Surpass and contact your veterinarian immediately if these signs are observed. Other side effects may also occur. Talk to your veterinarian about any side effect that seems unusual or bothersome to the animal.
What other drugs will affect Surpass: Surpass should not be used with any other anti-inflammatory medications such as other NSAIDs (aspirin, phenylbutazone, flunixin) and corticosteroids (cortisone, prednisone, dexamethasone, triamcinolone). Drugs other than those listed may also interact with Surpass. Talk to your veterinarian or pharmacist before giving any prescription or over the counter (OTC) medicines.
Where can I get more information: Your pharmacist has additional information about Surpass written for health professionals that you may read.
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