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Clinical Application of Tilmicosin in the Prevention and Treatment of Respiratory Diseases
Nov.19,2024
Application of Tilmicosin

A severe snowstorm and nationwide temperature drop have greatly impacted pig farmers. The contradiction between ventilation and insulation during winter has led to the widespread occurrence of respiratory cough and asthma issues, epidemic diarrhea, foot-and-mouth disease, and other swine diseases.

The sudden snowfall has further worsened the situation for pig farmers. Among these diseases, respiratory diseases are the most persistent, stubborn, and detrimental to the swine industry.

When discussing respiratory diseases, tilmicosin and florfenicol often come to mind due to their widespread use in pig farms. However, are you using tilmicosin effectively and correctly?

The Efficacy of Tilmicosin in Preventing Respiratory Diseases

The pathogens causing respiratory diseases in pigs are primarily categorized into bacteria, viruses, and mycoplasma. Bacterial pathogens include Actinobacillus pleuropneumoniae and Pasteurella; viral pathogens include PRRSV (porcine reproductive and respiratory syndrome virus), circovirus, and swine influenza virus.

For mycoplasma and Actinobacillus pleuropneumoniae, conventional antibiotics have developed resistance. Thus, newer antibiotics are commonly used for prevention and treatment.

Research has shown that tilmicosin exhibits partial antiviral effects and is highly effective in managing respiratory disease complexes associated with PRRSV. For example, clinical use of tilmicosin in combination with doxycycline and florfenicol has shown significant results in addressing stubborn respiratory diseases of unknown causes.

  • Antiviral effects: Tilmicosin inhibits PRRSV replication.
  • Antibacterial effects: Tilmicosin is highly effective against mycoplasma, Actinobacillus pleuropneumoniae, and Pasteurella multocida.

Clinical Application

Tilmicosin is more effective than tylosin against Actinobacillus pleuropneumoniae, hemolytic Pasteurella, Pasteurella multocida, and mycoplasma infections in livestock and poultry.

Advantages of Tilmicosin:

  1. No cross-resistance with other commonly used antibiotics.
  2. Low dosage and strong tissue penetration, particularly in lung tissues.
  3. Prolonged efficacy (tissue concentrations remain active for 1-2 days).
  4. Minimal side effects, low residue, safety, and growth promotion.

Types of Tilmicosin and Usage Considerations

Tilmicosin products on the market are categorized based on production technology into coated and uncoated forms. Most tilmicosin is uncoated, which is cheaper but has drawbacks such as a bitter taste, acid instability, and reduced efficacy due to stomach degradation. Some manufacturers add flavoring agents to mask the bitterness, but effectiveness is often compromised.

Coated Tilmicosin:

Coated tilmicosin, produced with double-layer coating technology, addresses these issues. It releases the drug in the intestine, ensuring optimal absorption, enhanced efficacy, and cost-effectiveness. (Tip: Uncoated tilmicosin is powdery, while coated tilmicosin appears as uniform granules or spherical particles.)

Precautions for Use

  1. Cardiotoxicity: Tilmicosin injection can be toxic to pigs. Intramuscular injection at 10 mg/kg body weight can cause increased respiration, vomiting, and convulsions; at 20 mg/kg, it can be fatal to 75% of pigs. Injection formulations should be used cautiously.
  2. Palatability Issues: Tilmicosin's bitter taste significantly reduces feed intake. Coated formulations are recommended to improve therapeutic outcomes. Administering tilmicosin with limited feeding ensures quick gastric emptying, enhancing absorption in the small intestine while minimizing gastric mucosal damage.
  3. Stability Issues: Tilmicosin phosphate, often used in formulations, requires higher doses and prolonged treatment due to its lower active ingredient concentration (82%) and reduced absorption. Use stable tilmicosin formulations for better results.
  4. Heart Toxicity: Avoid using tilmicosin in cases of foot-and-mouth disease or swine erysipelas due to potential cardiac toxicity.
  5. Rational Combination: Using a single antibiotic often fails to control swine diseases effectively. Combining antibiotics appropriately is recommended.

Conclusion

Respiratory diseases remain a significant challenge with increasing prevalence. Pig farms should enhance management and disease prevention strategies to mitigate the impact of these diseases effectively.

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