๋ง์ด์ฝ๋ฐํ ๋ฆฌ์ ์ธํฌ๋ฒฝ ๋ถํ ๋ฉด์ญ์กฐ์ ์
**๋ง์ด์ฝ๋ฐํ ๋ฆฌ์ ์ธํฌ๋ฒฝ ๋ถํ ๋ฉด์ญ์กฐ์ ์ **๋ ์ข ์ ๋ฐ ํน์ ๊ฐ์ผ์ ๋ํญํ์ฌ ํ์์ ๋ฉด์ญ ์ฒด๊ณ๋ฅผ ์๊ทนํ๊ธฐ ์ํด ์์ํ์์ ์ฌ์ฉ๋๋ ์๋ฌผํ์ ์ ์ ์ ๋๋ค. * **๊ฐ**์ ๊ฒฝ์ฐ, ํผํฉ ์ ์ ์ข ์ ๋ฐ ์ ์ ์ ์์ ๋ฉด์ญ ์๋ฒ์ ์ํ ๊ตญ์ ์นจ์ค ์ฃผ์ฌ์ ๋ก ์ฌ์ฉ๋ฉ๋๋ค. * **๋ง**์ ๊ฒฝ์ฐ, ์ ์ฌ์ข (๊ตญ์ ์นจ์ค), ์ ๋งฅ ์ฃผ์ฌ(IV)๋ฅผ ํตํ ๋ง ํธํก๊ธฐ ์งํ ์ฆํ๊ตฐ(ERDC), ๊ทธ๋ฆฌ๊ณ *Streptococcus zooepidemicus*์ ์ํด ๋ฐ์ํ ๋ง ์๊ทผ๋ด๋ง์ผ(IV ๋๋ ์๊ทผ ๋ด ์ฃผ์ )์ ์น๋ฃํ๋ ๋ฐ ์ฌ์ฉ๋ฉ๋๋ค. > **์์ ํ:** ์ด ์ฝ๋ฌผ์ ๋ฉด์ญ์กฐ์ ์ ์ด๋ฏ๋ก, ๊ทธ ํจ๋ฅ์ ํ์๊ฐ ์ ์์ ์ธ ๋ฉด์ญ ์ฒด๊ณ๋ฅผ ๊ฐ์ถ๊ณ ์๋์ง์ ์ ์ ์ผ๋ก ๋ฌ๋ ค ์์ต๋๋ค. ๊ตญ์(์ข ์ ๋ด) ํจ๋ฅ์ ๋ฌธํ์ ๋ณด๊ณ ๋์ด ์์ง๋ง, ์ ์ ์ ์ธ ํจ๋ฅ์ ๊ทธ๋ค์ง ๋ช ํํ๊ฒ ํ๋ฆฝ๋์ง ์์์ต๋๋ค.
์์ฉ ๊ธฐ์ : The drug exerts a non-specific immune stimulatory effect, primarily targeting **cell-mediated immune mechanisms** and **macrophage activation**. * **Macrophage activation** โ Release of **Interleukin-1 (IL-1)** โ Cascade of immune responses targeting abnormal cells (tumors) or pathogens. * Requires a competent, functional immune system to be effective.
๋๋ฌผ ์ข ๋ณ ์ฉ๋
- Immunotherapy of sarcoids ยท Dosage varies with tumor size, but 1 mL should be considered a minimum dose. Infiltrate entire tumor and a small region of adjacent and underlying tissue. ยท Intratumoral ยท Repeat treatment every 1-3 weeks. ยท Discontinue if no response after 4 treatments ยท Large pedunculated sarcoids should be de-bulked by partial excision prior to treatment. Use no larger than a 20-gauge needle. Inject quickly as emulsion separates rapidly.
- Immunotherapeutic agent for the treatment of Equine Respiratory Disease Complex (ERDC) ยท 1.5 mL (one syringe) ยท IV ยท May be repeated in 1-3 weeks ยท Inject into the jugular vein.
- Aid in the treatment of equine metritis caused by Streptococcus zooepidemicus ยท 1.5 mL (one syringe) ยท IV ยท Once during the early estrus period ยท Inject into the jugular vein.
- Aid in the treatment of equine metritis caused by Streptococcus zooepidemicus ยท Dilute 1.5 mL of Settle in sterile LRS, normal saline, water for injection or semen extender to provide a final volume of 25-50 mL. ยท Intrauterine ยท Once ยท Aseptically administer the diluted solution into the uterus using a sterile catheter.
- Immunotherapy of mixed mammary tumor and mammary adenocarcinoma ยท Dosage varies with tumor size, but 1 mL should be considered a minimum dose. Infiltrate entire tumor and a small region of adjacent and underlying tissue. ยท Intratumoral ยท Once, 2-4 weeks before surgery. If surgery is not to be used, repeat treatment every 1-3 weeks. ยท Discontinue if no response after 4 treatments ยท Using no larger than a 20-gauge needle. Be certain the emulsion is mixed thoroughly and inject quickly as emulsion can separate rapidly. Additional anesthetics or analgesics may be used for pain.
์ฉ๋์ ๋ฉดํ ์์ ์ ๋ฌธ๊ฐ๋ฅผ ์ํ ์์ ์ฐธ๊ณ ์๋ฃ์ ๋๋ค. ํญ์ ์ต์ ๋ผ๋ฒจ๊ณผ ๊ฐ๋ณ ํ์์ ๋ํด ํ์ธํ์ญ์์ค.
ํฌ์ฌ ๊ฒฝ๋ก
๊ธ๊ธฐ
- Prior hypersensitivity to mycobacterial cell wall compounds
- Active mycobacterial infections
์ด์๋ฐ์
- Transient fever
- Depression or drowsiness
- Decreased appetite
- Localized pain and tenderness at injection site
- Tumor necrosis and draining (expected therapeutic effect but can be an adverse event)
- Hypersensitivity or Anaphylaxis
- Severe respiratory inflammatory reactions (reported in horses)
์ฝ๋ฌผ ์ํธ์์ฉ
- Corticosteroids, ACTH, Immunosuppressive drugs (e.g., cyclosporine) ยท May reduce the effectiveness of mycobacterial cell wall immunostimulants
๋ชจ๋ํฐ๋ง
- Clinical Efficacy (tumor size, metritis improvement, or respiratory infection improvement)
- Adverse Effects (fever, local reactions, appetite)
๊ณผ์ฉ๋
No information was located regarding overdosage or acute toxicity.
VetSheet ์ฝ๋ฌผ ๋ ํผ๋ฐ์ค๋ ๋ฉดํ ์์ ์ ๋ฌธ๊ฐ๋ฅผ ์ํ ์์ ์์ฌ๊ฒฐ์ ๋ณด์กฐ ๋๊ตฌ์ด๋ฉฐ, ์ ๋ฌธ์ ํ๋จ์ด๋ ์ ์กฐ์ฌ์ ์ต์ ๋ผ๋ฒจ์ ๋์ ํ์ง ์์ต๋๋ค.