List of Bulk Drug Substances for Compounding Office Stock Drugs for Use in Nonfood-Producing Animals
Bulk Drug Substances Currently Under Review
Bulk Drug Substances Reviewed and Not Listed
These bulk drug substances were determined to meet the criteria for inclusion on the List of Bulk Drug Substances for Compounding Office Stock Drugs for Use in Nonfood-Producing Animals. FDA does not generally intend to take enforcement action against a state-licensed pharmacy or state-licensed veterinarian using these bulk drug substances to compound the below drug preparations for office stock for the corresponding species and disease indications, as described in Guidance for Industry #256 Compounding Animal Drugs from Bulk Drug Substances.
FDA will accept nominations of additional bulk drug substances or additional indications for these bulk drug substances at any time and will continue to review nominations and update lists. For information on how to submit a bulk drug substance nomination, see the appendix to Guidance for Industry #256 Compounding Animal Drugs from Bulk Drug Substances.
DOGS, CATS, HORSES
NONFOOD-PRODUCING MINOR SPECIES
DOGS, CATS, HORSES
Bulk Drug Substance (BDS) | Species | Dosage form(s) | Strength/concentration | Reasons |
---|---|---|---|---|
Amlodipine besylate (1/19/2023) |
dog, cat | oral solution | 1.25 mg/ml | Amlodipine besylate in these dosage forms and strengths are needed for urgent use in dogs and cats. No FDA-approved amlodipine drug products in suitable dosage forms and strengths are available for use in these patients. |
oral suspension | 1.25 mg/ml | |||
capsule | 0.625 mg | |||
tablet | 0.625 mg | |||
mini-tab | 0.625 mg | |||
Apomorphine hydrochloride (8/11/2016) |
dog | solution for injection | 2.5 mg/ml | Apomorphine in a 2.5 mg/ml solution for injection is needed for urgent use in dogs. No FDA-approved injectable apomorphine drug product in this concentration is available for use in dogs. |
Chloramphenicol (2/28/2023) |
horse | oral suspension | 15 - 500 mg/ml | Chloramphenicol in a 15-500 mg/ml oral suspension and 100-500 mg/ml oral paste is needed for urgent use in horses; no FDA-approved chloramphenicol drug product in a suitable dosage form and concentration is available for use in horses. |
oral paste | 100 - 500 mg/ml | |||
Cisapride (9/6/2016) |
cat | tablets or capsules | 2.5 and 5 mg | Cisapride in these dosage forms may be needed for urgent use in cats; no FDA-approved cisapride drug products are currently marketed. |
oral suspension | 5-10 mg/ml | |||
Clopidogrel (11/15/2023) |
dog, cat | oral suspension | 2.5 – 200 mg/ml | FDA-approved products are not available in strengths that would be practical or accurate for dosing cats and dogs for urgent use. |
capsule | 2 – 40 mg | |||
tablet | 18.75 mg | |||
Cyclosporine (11/30/2023) |
dog, cat, horse | ophthalmic ointment | 1-2% | Cyclosporine in a 1-2% ophthalmic ointment or solution is needed for urgent use in dogs, cats, and horses; no FDA-approved ophthalmic cyclosporine drug product in these dosage forms and concentrations are available for use in these animals. |
ophthalmic solution | 1-2% | |||
Famciclovir (6/6/2023) |
cat | oral suspension | 25 – 325 mg/ml | Famciclovir oral suspension is needed for use in cats in this dosage form and concentration range to allow accurate dosing of kittens, and to treat cats who cannot be administered tablets, on an urgent basis. |
Gabapentin (9/29/2023) |
dog, cat | oral suspension | 50 mg/ml | Gabapentin in a 50 mg/ml oral suspension may be needed for urgent use in dogs and cats. No FDA-approved gabapentin oral suspension products in this concentration are available that would be universally safe for use in both dogs and cats. |
Guaifenesin (11/9/2016) |
horse | soluble powder to be reconstituted into a solution for IV infusion with the addition of 500 ml (10%) or 1000 ml (5%) sterile diluent | 50 gm | Guaifenesin in an injectable dosage form is needed for urgent use in horses; there are no FDA-approved injectable guaifenesin drug products. |
Idoxuridine (2/1/2022) |
cat | ophthalmic ointment or solution | 0.1% | Idoxuridine in a 0.1% ophthalmic ointment or solution is needed for urgent use in cats; no FDA-approved ophthalmic idoxuridine products are currently marketed. |
Itraconazole with DMSO (1/31/2022) |
horse | ophthalmic ointment or solution | itraconazole 1%/DMSO 30% | Itraconazole with DMSO in a 1%/30% ophthalmic ointment or solution is needed for urgent use in horses; there are no FDA-approved itraconazole or itraconazole/DMSO ophthalmic drug products. |
Methocarbamol (3/29/2023) |
dog, cat | oral suspension | 30 - 300 mg/mL | Methocarbamol in a 30-300 mg/ml oral suspension is needed for urgent use in dogs and cats; there are no FDA-approved methocarbamol oral suspension drug products. |
Metronidazole benzoate (5/18/2018) |
cat | oral suspension | 80 mg/ml | Metronidazole benzoate may be needed in an oral dosage form for urgent use in cats. There are no FDA-approved metronidazole benzoate drug products. |
Miconazole nitrate (11/23/2016) |
horse | ophthalmic ointment or solution | 1 - 2% | Miconazole nitrate in a 1-2% ophthalmic ointment or solution is needed for urgent use in horses; there are no FDA-approved ophthalmic miconazole nitrate drug products. |
Mirtazapine (12/6/2022) |
dog, cat | tablet | 1.0 – 3.75 mg | Mirtazapine in tablet and capsule dosage forms in these strengths are needed for urgent use in small dogs and cats; no FDA-approved mirtazapine drug products in these strengths are available for use in these patients. |
capsule | 0.5 – 3.75 mg | |||
Potassium bromide (12/21/2016) |
dog | oral solution | 250 mg/ml | Potassium bromide in an oral solution is needed for urgent use in dogs; no potassium bromide oral solution is FDA-approved for use in dogs. |
Prazosin (2/28/2023) |
dog, cat | tablet, flavored tablet | 0.25 - 0.5 mg | Prazosin in tablets, capsules, and oral liquid suspension in these strengths and concentrations are needed for urgent use in small dogs and cats; no prazosin oral products are FDA-approved in these sizes. |
capsule | 0.25 - 0.5 mg | |||
oral liquid/suspension | 0.15 - 15 mg/ml | |||
Rifampin (10/20/2022) |
horse | oral suspension | 100 mg/ml | Rifampin in a 100 mg/ml oral suspension is needed for urgent use in horses; there are no FDA-approved rifampin oral suspension drug products. |
Tacrolimus (11/23/2016) |
dog | ophthalmic drops | 0.01 - 0.03% | Tacrolimus in a 0.01-0.03% ophthalmic solution is needed for urgent use in dogs; there are no FDA-approved tacrolimus ophthalmic products. |
Thyrotropin-releasing hormone (3/8/2023) |
horse | sterile powder | 25 mg/vial | Injectable thyrotropin-releasing hormone is needed for urgent use in horses; there are no FDA-approved drug products containing thyrotropin releasing hormone. |
sterile liquid | 1 mg/mL |
NONFOOD-PRODUCING MINOR SPECIES
Bulk Drug Substance (BDS) | Species | Dosage form(s) | Strength/concentration | Reasons |
---|---|---|---|---|
Azaperone tartrate (2/1/2022) |
zoo animals, captive wildlife species, and laboratory animals | suspension for injection | 40 mg/ml | Azaperone tartrate is needed for use in the tranquilization and sedation of nonfood-producing minor species. There is no FDA-approved or indexed azaperone product currently marketed. |
Buprenorphine HCl (4/24/2023) |
captive non-human primates, captive marine mammals | injectable polymeric matrix solution | 5.0 – 10 mg/mL | Buprenorphine in an extended release formulation in this concentration range is needed for these species. No FDA-approved or indexed buprenorphine is available in an extended release in this concentration. |
Diprenorphine (2/1/2022) |
zoo animals and captive wildlife species | solution for injection | 2 mg/ml | Diprenorphine is needed for reversing the effects of etorphine in zoo and captive wildlife species. There is no FDA-approved or indexed diprenorphine product currently marketed. |
Enrofloxacin (4/11/2024) |
ferrets, chinchillas, gerbils, guinea pigs, hamsters, mice, rats | oral suspension | 22 - 34 mg/ml | There are no FDA-approved antimicrobial drugs for use in these species, and no indexed products that would be a suitable alternative to enrofloxacin. FDA-approved enrofloxacin products are generally not practical for extralabel use in these species and/or are associated with known adverse effects. A compounded oral suspension may be needed for urgent use in these patients. |
Etorphine hydrochloride (2/1/2022) |
zoo animals and captive wildlife species | solution for injection | 10 mg/ml | Etorphine hydrochloride is needed for use in the immobilization and anesthesia of zoo and captive wildlife species. There is no FDA-approved or indexed etorphine product currently marketed. |
Ketamine hydrochloride (3/8/2022) |
zoo animals and captive wildlife species | solution for injection | 200 mg/ml | Ketamine in a highly concentrated injectable formulation is needed for the immobilization and anesthesia of zoo and captive wildlife species. There is no FDA-approved or indexed ketamine product currently marketed in this concentration. |
Medetomidine hydrochloride (2/1/2022) |
laboratory non-human primates, and zoo and captive wildlife animals | solution for injection | 10, 20, 40 mg/ml | Medetomidine HCl is not FDA-approved in these concentrations, which are needed for the immobilization, anesthesia, sedation, and analgesia of laboratory non-human primates, and zoo and captive wildlife animals. |
Metronidazole benzoate (4/18/2024) |
avian (captive, non-food only) | suspension (oral) | 50 mg/ml | Metronidazole benzoate 50 mg/ml solution is needed for urgent use in small captive avian species; there is no FDA-approved metronidazole drug product in this strength available for use in these patients. |
Midazolam (2/1/2022) |
large zoo animals and captive wildlife species | solution for injection | 50 mg/ml | Midazolam is needed in a higher concentration for sedation and anesthesia of large zoo animals and captive wildlife species. There are no FDA-approved or indexed midazolam products in this concentration. |
Tolazoline hydrochloride (2/1/2022) |
zoo animals and captive wildlife species | solution for injection | 200 mg/ml | Tolazoline is needed in this concentration for the reversal of sedation caused by xylazine in zoo animals and captive wildlife species. No FDA-approved or indexed tolazoline products are currently marketed. |