Chemicals / Complex Chemical Agents/ Chemical:
Griseofulvin (with special reference to Hedgehogs, Bears and Lagomorphs)

INFORMATION AVAILABLE

GENERAL CHEMICAL INFORMATION THERAPEUTIC INFORMATION [DOSE, FREQUENCY & ROUTE]

NUTRITIONAL INFORMATION

TOXICITY INFORMATION ENVIRONMENTAL INFORMATION
Information in this page has been entered to support the current volumes of Wildpro and further information will be added as new volumes are completed. This page is not intended to substitute for the manufacturer's data sheet and the information is not yet complete for all species, or for all contra-indications etc.

CAUTION: Before any pharmaceutical product is used, the manufacturer's data sheet, containing information on uses, dosage and administration, contra-indications, warnings etc., should always be consulted. It is important to remember that licensing of pharmaceutical products for use in a particular species/condition, as well as mandatory meat and milk withdrawal times for food-producing animals, varies between countries and changes with time. Withdrawal times also may vary between different pharmaceutical formulations and depending on route of administration. In the EU, the prescription cascade must be followed (see LCofC1.2H and W564.Apr05.w1); note that specific restrictions apply for food-producing animals. In the USA, FARAD may be consulted regarding residues and meat and milk withdrawal times.

General Chemical Information

Summary 
Fungistatic agent used in the treatment of dermatophytic infections such as ringworm. (B263)

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Names and Formulae
Type Fungistatic antibiotic produced by Penicillium griseofulvum and other Penicillin spp. (B263)
Alternative Names "Fulvicin; Grifulvin; Grisactin; gris-peg; (2S-trans)-7-chloro-2',4,6-trimethoxy-6'-methylspiro[benzofuran-2(3H),1'-[2]cyclohexene]-3,4'-dione; Fulvine; Grisofulvin; (+)-Griseofulvin; 7-chloro-2',4,6-trimethoxy-6'-beta-spiro[benzofuran-2(3H),1'-(2)cyclohexene-3,4'-dione]; (2S,6'R)-7-chloro-2',4,6-trimethoxy-6'-methylbenzofuran-2-spiro-1'-cyclohex-2'-ene-3,4'-dione; 7-chloro-4,6,2'-trimethoxy-6'-methylgris-2'-en-3,4'-dione; 7-chloro-2',4,6-trimethoxy-6'-methylspiro[benzofuran-2(3H),1'-cyclohexene]-3,4'-dione; 7-chloro-4,6-dimethoxycoumaran-3-one-2-spiro-1'-(2'-methoxy)-6'-methylcyclohex-2'-en-4'-one; amudane; biogrisin-fp; curling factor; delmofulvina; fulcin; fulvican grisactin; fulvicin-p/g; fulvicin-u/f; fulvina; fulvistatin; fungivin; greosin; gresfeed; gricin; grifulvin v; griscofulvin; grisefuline; griseo; griseofulvin-forte; griseofulvinum; grisetin; grisovin; grysio; guservin; lamoryl; likuden; murfulvin; neo-fulcin; poncyl; sporostatin; spirofulvin; 7-Chloro-4,6-dimethoxycoumaran-3-one-2-spiro-1-(2'-methoxy-6'-methyl cyclohex-2'-en-4'-one); Spiro(benzofuran-2(3H),1'-(2)cyclohexene)-3,4'-dione, 7-chloro-2',4,6-trimethoxy-6'-beta-methyl-; Griseostatin." (W324)
Chemical Formula C17H17ClO6 (W324)
Chemical Structure --
Molecular Weight 352.7707. (W324)
Related Chemicals --

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Physical Properties / Chemistry
Appearance

White to pale cream crystalline powder, odourless or nearly odourless but bitter tasting. (B263, W324)

Melting point --
Boiling point --
Density --
Water solubility
  • Very slightly soluble. (B263)

  • <0.1 g/100 mL at 21°C. (W324)

Other solubility
  • Sparingly soluble in alcohol. (B263)
Acid/Base --

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Pharmacology & General Information
Pharmacology
  • In susceptible fungi, arrests the metaphase of cell division by disrupting the structure of the mitotic spindle. (B263)
Storage / Stability
  • Store below 40°C, preferably at room temperature (15-30°C), in a tight, light-resistant container. (B263)
Legal Category (In UK) --

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References

Associated Techniques

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ORGANISATIONS

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ELECTRONIC LIBRARY
(Further Reading)
Click image for full contents list of ELECTRONIC LIBRARY

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Authors Debra Bourne (V.w5)
Referees Suzanne I. Boardman (V.w6); Becki Lawson (V.w26)

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Therapeutic Information

Uses/Indications
Activity
  • Active against Trichophyton spp., Microsporum spp. and Epidermophyton spp. (B263)
  • Following administration, griseofulvin is deposited in the keratin precursor cells and becomes concentrated in the stratum corneum of the skin, hair and nails, thus preventing invasion of newly formed cells by fungus. (B201.1.w1)
Appropriate Use
  • Dogs, cats: for the treatment of dermatophytic fungal infections of the skin, hair and claws. (B263)
  • Treatment of dermatophyte infections. (B201.1.w1
  • Horses: for the treatment of Trichophytes equinum and Microsporum gypseum ringworm. (B263)
  • In ruminants and laboratory animals for the treatment of dermatophytic fungal infections. (B263)
Limitations
  • Only protects new hair and nail growth. (B263)
  • Not clinically useful against pathogenic fungi other than the dermatophytes. (B263)
  • No antibacterial activity. (B263)
Notes --

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Pharmacokinetics and Drug Interactions
Absorption /Bioavailability
  • Following oral administration, absorption of microsize form 25-70%. (B263)
    • absorption is enhanced by dietary fat. (B201.1.w1, B263)
  • Following oral administration of ultramicrosize form absorption may approach 100% (generally about 1.5 times as well absorbed as the microsize form for a given individual). (B263)
Distribution
  • Concentrated in skin, hair, nails, fat. skeletal muscles and liver.(B263)
  • Reaches stratum corneum within four hours of administration. (B263)
Plasma Protein binding / Storage --
Elimination Route / Metabolism
  • Metabolised in the liver (B201.1.w1) via oxidative demethylation and glucuronidation to inactive 6-desmethylgriseofulvin. (B263)
    • The known greater tendency to adverse effects in cats may be due to slower formation of glucuronide conjugates and therefore slower metabolism of the drug. (B263)
  • Excretion of unchanged griseofulvin in urine is very low: less than 1% of the original dose. (B263)
Elimination half-life / Clearance Rate
  • Human: half-life 9-24 hours. (B263)
  • Dog: serum half-life of 47 minutes reported. (B263)
Drug Interactions
  • Blood concentration may be decreased if given concurrently with barbiturates such as phenobarbital, probably due to induction of hepatic microsomal enzymes; an adjustment may be required in the dose of griseofulvin. (B263)
  • Griseofulvin may reduce the anticoagulant activity of coumarin anticoagulants such as warfarin such that the dose of the anticoagulant may require adjustment. (B263)
  • The effects of alcohol may be potentiated by griseofulvin. (B263)

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Administration
Formulations available
  • Oral pastes, tablets, granules and suspensions are available. (B201.1.w1)
Doses / Administration Routes / Frequencies

Use of Drugs (Medication):

  • Before administration of any pharmaceutical product the manufacturer's datasheet must be consulted regarding operator safety, relevant withdrawal times etc.
  • Many drugs are not registered for use in particular species and additional care should be taken in their use, with proper regard for possible toxic effects. 
  • Consideration should be given to relevant legislation regarding the use of drugs.
  • In the UK, guidelines regarding the use of drugs are set out in the Royal College of Veterinary Surgeons' Guide to Professional Conduct 2000: (See: LCofC1 - RCVS Guide to Professional Conduct 2000 - Choice of Medicinal Products).
General comments:
  • Oral administration. (B201.1.w1)
  • Treatment for three to four weeks is commonly required and up to twelve weeks of administration may be necessary in some cases. (B201.1.w1)
  • Higher doses may be required in dogs and cats than the usual dose, e.g. 40-50 mg/kg daily may be needed. (B201.1.w1)

Dogs: 

  • Give after a fatty meal or after giving corn oil. Microsize, 25-50 mg/kg orally every 12 hours for 42-56 days or ultramicrosize 5-10 mg/kg orally once daily for 42 days. Give for at least two weeks after signs resolve. Note: longer treatment may be required  with Trichophyton infections than with Microsporum infections. With nail infections, at least five months of treatment is required. (B263)
  • Or Microsize 50 mg/kg orally once daily with a fatty meal, together with topical therapy. The dose can be doubled in resistant cases. If GIT distress occurs, divide the dose, giving twice daily with food. Continue for two weeks after clinical cure and until two or three weekly cultures are negative (start cultures after the first four weeks of treatment). (B263)
  • Dogs 15-20 mg/kg daily orally, absorption is enhanced by giving with a fatty meal; treatment for 3-4 weeks and often even up to 12 weeks may be required. The usual dose may not be effective; doses of up to 40-50 mg/kg daily may be required. (B373.1.w1)

Bears (Ursidae - Bears (Family)):

  • In general: "Domestic dog drugs and dosages are used to treat bears." (B336.51.w51)
  • Microsporum canis infection in bears has been treated with 500 mg/ day oral griseofulvin in the diet for 30 to 60 days. (B16.9.w9, B64.26.w5)
  • Griseofulvin (microcrystalline), orally, at 500 mg per day for each of two Helarctos malayanus - Sun bears, approximate bodyweight 45 kg each; 250 mg/day appeared to be ineffective. (J4.155.w5) 
  • For Ursus americanus - American black bear cubs, griseofulvin (Fulvicin, Schering) microsize, 10 mg/kg orally twice daily for 4-6 weeks, or for at least 21 days and continuing for one to two weeks after clinical signs have ceased. Additionally, topical treatment (on affected areas or the whole bear) with lyme sulphur solution. (B338.23.w23)
    • Note: griseofulvin can cause low leucocyte count. Check the blood count every two to three weeks during treatment, or if the bear shows any adverse clinical signs. (B338.23.w23)
Erinaceus europaeus - West European Hedgehog:
  • 50 mg/kg daily, orally. For skin and deep mycoses; long term therapy. (B22.27.w3)
  • 30-50 mg/kg orally once daily. For treatment of ringworm. Continue therapy for at least four weeks. (B284.6.w6)
  • 25-30 mg/kg orally once daily (Grisovin, Coopers Pitman-Moore). (D107)
  • 0.1ml Fulcin oral suspension (Coopers) orally once daily for three weeks. Easier for small hogs. (D107)
  • 25 mg/kg twice daily or 50 mg/kg once daily, orally. (D107)

Atelerix albiventris - Four-toed hedgehog:

  • 50 mg/kg (microsize) oral per day in divided doses every 8-12 hours. Fungal infections. (J204.59.w1)
"Hedgehog" (species not distinguished between Atelerix albiventris - Four-toed hedgehog or Erinaceus europaeus - West European Hedgehog):
  • Microsize formulation: 25 mg/kg orally, every 12 hours. (B267)
  • Microsize formulation: 50 mg/kg orally, every 24 hours. (B267)
  • For skin and deep mycoses; long term therapy required. (B267)
  • 50 mg/kg oral daily for six to eight weeks. (B150.w1)

Lagomorphs - Oryctolagus cuniculus domesticus - Domestic rabbit:

  • 25 mg/kg orally once daily for four weeks. (B373.Guide.w41)
  • 12 mg/kg orally every 12 hours for 30 - 45 days. (B548.w8)
    • For the treatment of advanced cases of dermatophytosis. (B548.w8)
    • Note: "decrease dose by 50% with ultramicrosize form (GrisPEG, Allergan Herbert), which has better absorption." (B548.w8)
  • 25 mg/kg orally every 24 hors for 30 - 45 days. (B548.w8)
  • 25 mg/kg orally daily for at least two weeks. Treatment of ringworm. (B600.4.w4)
  • 25 mg/kg orally daily for 14 to 45 days. (B601.15.w15)
  • Note: "highly teratogenic, do not use in breeding does." (B601.15.w15)
  • 12.5 mg/kg orally every 12 hours. (B602.41.w41)
Monitoring parameters --

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Withdrawal period / Withholding time
Notes Before the use of any pharmaceutical product in food-producing animals the label instructions for the product should be consulted regarding withdrawal requirements.

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Toxic Information

Toxic effects of Pharmaceutical Products
Contraindications / Precautions
  • Contraindicated in individuals known to be sensitive to griseofulvin. (B263)
  • Contraindicated in individuals with hepatic impairment. (B201.1.w1, B263)
  • In kittens, careful monitoring is required as they may be very sensitive to the adverse effects. (B263)
  • In cats, testing for FIV is suggested prior to treatment due to the possible neutropaenic or panleucopaenic effects of the drug. (B263)
  • Contraindicated during pregnancy. (B201.1.w1, B263)
    • May be teratogenic; should not be given to pregnant animals. (B373.1.w1)
Adverse Effects / Side Effects /  Warnings
  • Anorexia, vomiting, diarrhoea, anaemia, neutropaenia, leucopaenia, depression, ataxia, hepatotoxicity, dermatitis/photosensitivity are all possible side effects. (B263)
  • At normal doses side effects other than gastro-intestinal signs are uncommon. (B263)
  • Cats, especially kittens, may be more prone than are other species to adverse effects such as bone marrow depression. (B263)
  • Hepatotoxicity may result from high doses, particularly in cats. (B201.1.w1)
Operator Warnings Before the use of any pharmaceutical product the label instructions for the product should be consulted regarding operator safety/warnings.
Overdose / Acute Toxicity
  • No specific data. gut emptying, charcoal and administration of cathartics may be useful for significant overdose. (B263)

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Detailed Toxicological Information
Classification --
Acute Toxicity
Chronic Toxicity
  • Horses: no apparent ill effects following oral administration of 100 mg/kg daily for 20 days. (B263)
Reproductive effects
  • May inhibit spermatogenesis. (B263)
Teratogenic effects
  • May be teratogenic. (B201.1.w1, B373.1.w1)
  • Cats: known teratogen. Doses of 35 mg/kg administered during the first trimester of pregnancy may cause cleft palate and other skeletal and brain abnormalities in kittens. (B263)
Mutagenic effects --
Carcinogenic effects

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Organ toxicity --
Bird Toxicity --
Aquatic organism activity --
Other organism toxicity --

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Nutrient Information

Nutritional Data
Sources --
Biological Use --
Recommended Daily Allowance / Recommended level in food --
Stability in food (Storage time) --
Interactions --

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External / Environmental Information

External / Environmental Uses
Use --
Formulation --
Application method --
Application Concentration --
Persistence of Effect / Frequency of Application --

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Effects on the Environment
Effects in the  aquatic environment

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Effects on land --

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Persistence in the Environment
Breakdown in soil and groundwater

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Breakdown in water --
Breakdown in vegetation --

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