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Active substance

Porcine brain peptide preparation (Cerebrolysin concentrate)

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Nootropic, neuropeptide preparation. Registered in Georgia: 4 human medicines. Forms: solution.

Dose and use

Doses

We have no dose with a cited source for this substance yet.

Before use

Safety information

Known Contraindications

  • Critical
    Do not use Cerebrolysin in patients with epilepsy because it may increase seizure frequency. Seizures, including generalised tonic-clonic seizures, have been reported very rarely.
  • Critical
    Do not use Cerebrolysin in severe renal impairment. Dose adjustment is not required in mild or moderate renal impairment.
  • Critical
    Hypersensitivity to the medicine or any component, including porcine brain-derived peptides, is a contraindication. Use with particular caution in allergic diathesis. Very rare reactions include allergy, fever, dyspnoea, and a shock-like state.
  • Caution
    Safety during pregnancy has not been established in dogs or cats. No teratogenic or embryotoxic effects were found in rats or rabbits, but human data are also lacking. Use only after a benefit-risk assessment.
  • Caution
    No lactation data are available in dogs or cats. Human product information permits use in breastfeeding women only after a benefit-risk assessment. Apply the same caution in veterinary patients.

Known Drug Interactions

Latin name
Porcine brain peptide preparation (Cerebrolysin concentrate)
Georgian name
ღორის თავის ტვინის პეპტიდური პრეპარატი (ცერებროლიზინის კონცენტრატი)
Authorisation status
Human medicine, cascade use
No veterinary authorisation was found in any register checked. Veterinary use is off-label, under the prescribing cascade.
Registered in Georgia
4 of 4 forms
Products
Cerebrolysin
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026
All forms and registration4

Registration in Georgia and abroad: the register, number, validity and source are behind (i).

Cerebrolysin 215.2 mg/ml, Solution

2 ml ampoule, solution for injection or infusion, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Proposed adjunctive neuroprotection with exact Cerebrolysin after acute neurological or ischaemic injury, for cognitive decline, or around anaesthesia; not an established veterinary indication.
Not rateable
No numerical score assigned
vetman assessment

Cerebrolysin

215.2 mg/ml, 2 ml ampoule, solution for injection or infusion, human medicine
Assessed clinical scopeDog · Proposed adjunctive neuroprotection with exact Cerebrolysin after acute neurological or ischaemic injury, for cognitive decline, or around anaesthesia; not an established veterinary indication. · IM,IV
Care settingExperimental specialist-managed use only, if pursued under a documented protocol after diagnosis-specific standard care, informed consent and predefined neurological, renal and adverse-event monitoring
vetman score Not rateable No numerical score assigned
Evidence confidence: Low Georgia: Yes, human · № რ-043111 · Verified on 15 Oct 2026 Off-label use
Not rateable

A responsible numerical score cannot be calculated for this exact canine use. No authorised veterinary indication or validated weight-based dog regimen was found. The only clinical comparison located included 16 treated and 16 control older dogs at one centre, used a fixed 5 ml IV twice-daily regimen for two days before anaesthesia, and did not provide the randomisation, blinding, validated outcome or independent replication needed to transfer its large mortality difference into routine practice. Human stroke/cognitive results and label toxicology do not establish canine clinical efficacy.

Complete review finds a transparent, authorised human product with a biologically proposed but clinically unvalidated canine neuroprotective role. The small peri-anaesthetic study is a research signal, not a dosing standard or proof across stroke, cognitive dysfunction and other neurological disease; with no reproducible regimen, the four score axes would be invented rather than measured.

Important safety and use flags

  • No veterinary indication or validated dog/cat dose is established for these ampoules. Do not convert the human 10-50 ml course, the fixed 5 ml dog study or the feline paper’s reported 2 mg/kg into a routine veterinary prescription.
  • The older-dog peri-anaesthetic comparison is a small single-centre study with a fixed dose, narrow population and incompletely reported bias controls. It does not validate treatment for stroke, vestibular disease, cognitive dysfunction, spinal disease or routine geriatric anaesthesia.
  • The 15-cat FATE report used a different manufacturer’s product inside a large multi-drug protocol without a control group. Recovery was linked to early admission; Cerebrolysin’s individual effect, formulation equivalence and dose accuracy cannot be determined.
  • Do not delay diagnosis-specific standard care. Acute stroke-like signs, seizures, vestibular disease, altered mentation, spinal injury and FATE require urgent localisation, imaging/laboratory assessment and evidence-based supportive, antithrombotic, surgical or anaesthetic management as appropriate.
  • The human label contraindicates epilepsy because seizures may become more frequent. Do not use in an actively seizuring or epilepsy patient without specialist justification; new agitation, tremor, myoclonus or seizure activity requires immediate reassessment.
  • Severe renal impairment is a human-label contraindication. Veterinary renal pharmacokinetics are not established; obtain renal values and urinalysis before any experimental course and stop for clinically important deterioration.
  • Do not use with hypersensitivity to Cerebrolysin or porcine-derived peptides. Have a plan for acute allergy; the human label reports very rare allergic reaction, fever, dyspnoea and shock-like states.
  • The human label warns that effects with antidepressants, including MAO inhibitors, may be additive. Reconcile trazodone, mirtazapine and other CNS-active drugs; dog/cat interaction magnitude and a safe adjustment rule are unknown.
  • Pregnancy, lactation, neonatal use and repeated-course safety are not established in dogs or cats. Ampoules are single-use; use immediately after opening, protect from light, and follow the exact label’s route, dilution, rate and compatibility limits rather than mixing with vitamins, cardiovascular drugs, amino-acid or lipid solutions.
Assessment sources
  1. Exact Cerebrolysin market audit2026
  2. Cerebrolysin LT SmPC2021
  3. Cerebrolysin vet-register audit2026
  4. Older-dog peri-anaesthetic study2015
  5. FATE 15-cat cohort2020
  6. Cochrane Cerebrolysin stroke2023
  7. Animal-derived nootropics review2022
Assessed: 22 Oct 2026No axis or overall score is shown when the available evidence does not support a responsible numerical assessment.
Cat Proposed adjunctive neuroprotection with exact Cerebrolysin after acute neurological or ischaemic injury, for cognitive decline, or around anaesthesia; not an established veterinary indication.
Not rateable
No numerical score assigned
vetman assessment

Cerebrolysin

215.2 mg/ml, 2 ml ampoule, solution for injection or infusion, human medicine
Assessed clinical scopeCat · Proposed adjunctive neuroprotection with exact Cerebrolysin after acute neurological or ischaemic injury, for cognitive decline, or around anaesthesia; not an established veterinary indication. · IM,IV
Care settingExperimental specialist-managed use only, if pursued under a documented protocol after diagnosis-specific standard care, informed consent and predefined neurological, renal and adverse-event monitoring
vetman score Not rateable No numerical score assigned
Evidence confidence: Low Georgia: Yes, human · № რ-043111 · Verified on 15 Oct 2026 Off-label use
Not rateable

A responsible numerical score cannot be calculated for this exact feline use. No authorised veterinary indication, validated cat regimen or exact-product feline trial was found. One uncontrolled 15-cat FATE cohort administered an EVA Pharma product at a reported 2 mg/kg IM alongside several anticoagulants, antiplatelets, meloxicam, physiotherapy and cardiac treatment; it had no comparator and cannot isolate Cerebrolysin efficacy, and the reported regimen cannot be bridged to these EVER Neuro Pharma 215.2 mg/ml ampoules. Human evidence cannot replace the missing feline efficacy, dose and safety bridge.

Complete review finds no scoreable feline treatment claim. Cerebrolysin appeared only inside one uncontrolled multi-drug FATE protocol using a different manufacturer, while no cat pharmacokinetic bridge, exact-product safety series or indication-specific controlled outcome study was identified. The exact human ampoule is transparent, but transparency alone cannot create veterinary efficacy.

Important safety and use flags

  • No veterinary indication or validated dog/cat dose is established for these ampoules. Do not convert the human 10-50 ml course, the fixed 5 ml dog study or the feline paper’s reported 2 mg/kg into a routine veterinary prescription.
  • The older-dog peri-anaesthetic comparison is a small single-centre study with a fixed dose, narrow population and incompletely reported bias controls. It does not validate treatment for stroke, vestibular disease, cognitive dysfunction, spinal disease or routine geriatric anaesthesia.
  • The 15-cat FATE report used a different manufacturer’s product inside a large multi-drug protocol without a control group. Recovery was linked to early admission; Cerebrolysin’s individual effect, formulation equivalence and dose accuracy cannot be determined.
  • Do not delay diagnosis-specific standard care. Acute stroke-like signs, seizures, vestibular disease, altered mentation, spinal injury and FATE require urgent localisation, imaging/laboratory assessment and evidence-based supportive, antithrombotic, surgical or anaesthetic management as appropriate.
  • The human label contraindicates epilepsy because seizures may become more frequent. Do not use in an actively seizuring or epilepsy patient without specialist justification; new agitation, tremor, myoclonus or seizure activity requires immediate reassessment.
  • Severe renal impairment is a human-label contraindication. Veterinary renal pharmacokinetics are not established; obtain renal values and urinalysis before any experimental course and stop for clinically important deterioration.
  • Do not use with hypersensitivity to Cerebrolysin or porcine-derived peptides. Have a plan for acute allergy; the human label reports very rare allergic reaction, fever, dyspnoea and shock-like states.
  • The human label warns that effects with antidepressants, including MAO inhibitors, may be additive. Reconcile trazodone, mirtazapine and other CNS-active drugs; dog/cat interaction magnitude and a safe adjustment rule are unknown.
  • Pregnancy, lactation, neonatal use and repeated-course safety are not established in dogs or cats. Ampoules are single-use; use immediately after opening, protect from light, and follow the exact label’s route, dilution, rate and compatibility limits rather than mixing with vitamins, cardiovascular drugs, amino-acid or lipid solutions.
Assessment sources
  1. Exact Cerebrolysin market audit2026
  2. Cerebrolysin LT SmPC2021
  3. Cerebrolysin vet-register audit2026
  4. Older-dog peri-anaesthetic study2015
  5. FATE 15-cat cohort2020
  6. Cochrane Cerebrolysin stroke2023
  7. Animal-derived nootropics review2022
Assessed: 22 Oct 2026No axis or overall score is shown when the available evidence does not support a responsible numerical assessment.
Composition / strength
Porcine brain peptide preparation (Cerebrolysin concentrate)215.2 mg/ml
Formulation Type
Solution
Administration route
Intramuscular, Intravenous
Manufacturer
EVER Neuro Pharma · Austria
Registration
Georgia Yes, human
In force until 11 Apr 2030
Human (Ministry of Health, RAMA)
№ რ-043111
Verified on: 15 Oct 2026
 EU Yes, human
Verified on: 16 Oct 2026
 UK No
Verified on: 16 Oct 2026
 US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Cerebrolysin 215.2 mg/ml, Solution

5 ml ampoule, solution for injection or infusion, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Proposed adjunctive neuroprotection with exact Cerebrolysin after acute neurological or ischaemic injury, for cognitive decline, or around anaesthesia; not an established veterinary indication.
Not rateable
No numerical score assigned
vetman assessment

Cerebrolysin

215.2 mg/ml, 5 ml ampoule, solution for injection or infusion, human medicine
Assessed clinical scopeDog · Proposed adjunctive neuroprotection with exact Cerebrolysin after acute neurological or ischaemic injury, for cognitive decline, or around anaesthesia; not an established veterinary indication. · IM,IV
Care settingExperimental specialist-managed use only, if pursued under a documented protocol after diagnosis-specific standard care, informed consent and predefined neurological, renal and adverse-event monitoring
vetman score Not rateable No numerical score assigned
Evidence confidence: Low Georgia: Yes, human · № რ-043112 · Verified on 15 Oct 2026 Off-label use
Not rateable

A responsible numerical score cannot be calculated for this exact canine use. No authorised veterinary indication or validated weight-based dog regimen was found. The only clinical comparison located included 16 treated and 16 control older dogs at one centre, used a fixed 5 ml IV twice-daily regimen for two days before anaesthesia, and did not provide the randomisation, blinding, validated outcome or independent replication needed to transfer its large mortality difference into routine practice. Human stroke/cognitive results and label toxicology do not establish canine clinical efficacy.

Complete review finds a transparent, authorised human product with a biologically proposed but clinically unvalidated canine neuroprotective role. The small peri-anaesthetic study is a research signal, not a dosing standard or proof across stroke, cognitive dysfunction and other neurological disease; with no reproducible regimen, the four score axes would be invented rather than measured.

Important safety and use flags

  • No veterinary indication or validated dog/cat dose is established for these ampoules. Do not convert the human 10-50 ml course, the fixed 5 ml dog study or the feline paper’s reported 2 mg/kg into a routine veterinary prescription.
  • The older-dog peri-anaesthetic comparison is a small single-centre study with a fixed dose, narrow population and incompletely reported bias controls. It does not validate treatment for stroke, vestibular disease, cognitive dysfunction, spinal disease or routine geriatric anaesthesia.
  • The 15-cat FATE report used a different manufacturer’s product inside a large multi-drug protocol without a control group. Recovery was linked to early admission; Cerebrolysin’s individual effect, formulation equivalence and dose accuracy cannot be determined.
  • Do not delay diagnosis-specific standard care. Acute stroke-like signs, seizures, vestibular disease, altered mentation, spinal injury and FATE require urgent localisation, imaging/laboratory assessment and evidence-based supportive, antithrombotic, surgical or anaesthetic management as appropriate.
  • The human label contraindicates epilepsy because seizures may become more frequent. Do not use in an actively seizuring or epilepsy patient without specialist justification; new agitation, tremor, myoclonus or seizure activity requires immediate reassessment.
  • Severe renal impairment is a human-label contraindication. Veterinary renal pharmacokinetics are not established; obtain renal values and urinalysis before any experimental course and stop for clinically important deterioration.
  • Do not use with hypersensitivity to Cerebrolysin or porcine-derived peptides. Have a plan for acute allergy; the human label reports very rare allergic reaction, fever, dyspnoea and shock-like states.
  • The human label warns that effects with antidepressants, including MAO inhibitors, may be additive. Reconcile trazodone, mirtazapine and other CNS-active drugs; dog/cat interaction magnitude and a safe adjustment rule are unknown.
  • Pregnancy, lactation, neonatal use and repeated-course safety are not established in dogs or cats. Ampoules are single-use; use immediately after opening, protect from light, and follow the exact label’s route, dilution, rate and compatibility limits rather than mixing with vitamins, cardiovascular drugs, amino-acid or lipid solutions.
Assessment sources
  1. Exact Cerebrolysin market audit2026
  2. Cerebrolysin LT SmPC2021
  3. Cerebrolysin vet-register audit2026
  4. Older-dog peri-anaesthetic study2015
  5. FATE 15-cat cohort2020
  6. Cochrane Cerebrolysin stroke2023
  7. Animal-derived nootropics review2022
Assessed: 22 Oct 2026No axis or overall score is shown when the available evidence does not support a responsible numerical assessment.
Cat Proposed adjunctive neuroprotection with exact Cerebrolysin after acute neurological or ischaemic injury, for cognitive decline, or around anaesthesia; not an established veterinary indication.
Not rateable
No numerical score assigned
vetman assessment

Cerebrolysin

215.2 mg/ml, 5 ml ampoule, solution for injection or infusion, human medicine
Assessed clinical scopeCat · Proposed adjunctive neuroprotection with exact Cerebrolysin after acute neurological or ischaemic injury, for cognitive decline, or around anaesthesia; not an established veterinary indication. · IM,IV
Care settingExperimental specialist-managed use only, if pursued under a documented protocol after diagnosis-specific standard care, informed consent and predefined neurological, renal and adverse-event monitoring
vetman score Not rateable No numerical score assigned
Evidence confidence: Low Georgia: Yes, human · № რ-043112 · Verified on 15 Oct 2026 Off-label use
Not rateable

A responsible numerical score cannot be calculated for this exact feline use. No authorised veterinary indication, validated cat regimen or exact-product feline trial was found. One uncontrolled 15-cat FATE cohort administered an EVA Pharma product at a reported 2 mg/kg IM alongside several anticoagulants, antiplatelets, meloxicam, physiotherapy and cardiac treatment; it had no comparator and cannot isolate Cerebrolysin efficacy, and the reported regimen cannot be bridged to these EVER Neuro Pharma 215.2 mg/ml ampoules. Human evidence cannot replace the missing feline efficacy, dose and safety bridge.

Complete review finds no scoreable feline treatment claim. Cerebrolysin appeared only inside one uncontrolled multi-drug FATE protocol using a different manufacturer, while no cat pharmacokinetic bridge, exact-product safety series or indication-specific controlled outcome study was identified. The exact human ampoule is transparent, but transparency alone cannot create veterinary efficacy.

Important safety and use flags

  • No veterinary indication or validated dog/cat dose is established for these ampoules. Do not convert the human 10-50 ml course, the fixed 5 ml dog study or the feline paper’s reported 2 mg/kg into a routine veterinary prescription.
  • The older-dog peri-anaesthetic comparison is a small single-centre study with a fixed dose, narrow population and incompletely reported bias controls. It does not validate treatment for stroke, vestibular disease, cognitive dysfunction, spinal disease or routine geriatric anaesthesia.
  • The 15-cat FATE report used a different manufacturer’s product inside a large multi-drug protocol without a control group. Recovery was linked to early admission; Cerebrolysin’s individual effect, formulation equivalence and dose accuracy cannot be determined.
  • Do not delay diagnosis-specific standard care. Acute stroke-like signs, seizures, vestibular disease, altered mentation, spinal injury and FATE require urgent localisation, imaging/laboratory assessment and evidence-based supportive, antithrombotic, surgical or anaesthetic management as appropriate.
  • The human label contraindicates epilepsy because seizures may become more frequent. Do not use in an actively seizuring or epilepsy patient without specialist justification; new agitation, tremor, myoclonus or seizure activity requires immediate reassessment.
  • Severe renal impairment is a human-label contraindication. Veterinary renal pharmacokinetics are not established; obtain renal values and urinalysis before any experimental course and stop for clinically important deterioration.
  • Do not use with hypersensitivity to Cerebrolysin or porcine-derived peptides. Have a plan for acute allergy; the human label reports very rare allergic reaction, fever, dyspnoea and shock-like states.
  • The human label warns that effects with antidepressants, including MAO inhibitors, may be additive. Reconcile trazodone, mirtazapine and other CNS-active drugs; dog/cat interaction magnitude and a safe adjustment rule are unknown.
  • Pregnancy, lactation, neonatal use and repeated-course safety are not established in dogs or cats. Ampoules are single-use; use immediately after opening, protect from light, and follow the exact label’s route, dilution, rate and compatibility limits rather than mixing with vitamins, cardiovascular drugs, amino-acid or lipid solutions.
Assessment sources
  1. Exact Cerebrolysin market audit2026
  2. Cerebrolysin LT SmPC2021
  3. Cerebrolysin vet-register audit2026
  4. Older-dog peri-anaesthetic study2015
  5. FATE 15-cat cohort2020
  6. Cochrane Cerebrolysin stroke2023
  7. Animal-derived nootropics review2022
Assessed: 22 Oct 2026No axis or overall score is shown when the available evidence does not support a responsible numerical assessment.
Composition / strength
Porcine brain peptide preparation (Cerebrolysin concentrate)215.2 mg/ml
Formulation Type
Solution
Administration route
Intramuscular, Intravenous
Manufacturer
EVER Neuro Pharma · Austria
Registration
Georgia Yes, human
In force until 11 Apr 2030
Human (Ministry of Health, RAMA)
№ რ-043112
Verified on: 15 Oct 2026
 EU Yes, human
Verified on: 16 Oct 2026
 UK No
Verified on: 16 Oct 2026
 US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Cerebrolysin 215.2 mg/ml, Solution

10 ml ampoule, solution for injection or infusion, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Proposed adjunctive neuroprotection with exact Cerebrolysin after acute neurological or ischaemic injury, for cognitive decline, or around anaesthesia; not an established veterinary indication.
Not rateable
No numerical score assigned
vetman assessment

Cerebrolysin

215.2 mg/ml, 10 ml ampoule, solution for injection or infusion, human medicine
Assessed clinical scopeDog · Proposed adjunctive neuroprotection with exact Cerebrolysin after acute neurological or ischaemic injury, for cognitive decline, or around anaesthesia; not an established veterinary indication. · IM,IV
Care settingExperimental specialist-managed use only, if pursued under a documented protocol after diagnosis-specific standard care, informed consent and predefined neurological, renal and adverse-event monitoring
vetman score Not rateable No numerical score assigned
Evidence confidence: Low Georgia: Yes, human · № რ-043113 · Verified on 15 Oct 2026 Off-label use
Not rateable

A responsible numerical score cannot be calculated for this exact canine use. No authorised veterinary indication or validated weight-based dog regimen was found. The only clinical comparison located included 16 treated and 16 control older dogs at one centre, used a fixed 5 ml IV twice-daily regimen for two days before anaesthesia, and did not provide the randomisation, blinding, validated outcome or independent replication needed to transfer its large mortality difference into routine practice. Human stroke/cognitive results and label toxicology do not establish canine clinical efficacy.

Complete review finds a transparent, authorised human product with a biologically proposed but clinically unvalidated canine neuroprotective role. The small peri-anaesthetic study is a research signal, not a dosing standard or proof across stroke, cognitive dysfunction and other neurological disease; with no reproducible regimen, the four score axes would be invented rather than measured.

Important safety and use flags

  • No veterinary indication or validated dog/cat dose is established for these ampoules. Do not convert the human 10-50 ml course, the fixed 5 ml dog study or the feline paper’s reported 2 mg/kg into a routine veterinary prescription.
  • The older-dog peri-anaesthetic comparison is a small single-centre study with a fixed dose, narrow population and incompletely reported bias controls. It does not validate treatment for stroke, vestibular disease, cognitive dysfunction, spinal disease or routine geriatric anaesthesia.
  • The 15-cat FATE report used a different manufacturer’s product inside a large multi-drug protocol without a control group. Recovery was linked to early admission; Cerebrolysin’s individual effect, formulation equivalence and dose accuracy cannot be determined.
  • Do not delay diagnosis-specific standard care. Acute stroke-like signs, seizures, vestibular disease, altered mentation, spinal injury and FATE require urgent localisation, imaging/laboratory assessment and evidence-based supportive, antithrombotic, surgical or anaesthetic management as appropriate.
  • The human label contraindicates epilepsy because seizures may become more frequent. Do not use in an actively seizuring or epilepsy patient without specialist justification; new agitation, tremor, myoclonus or seizure activity requires immediate reassessment.
  • Severe renal impairment is a human-label contraindication. Veterinary renal pharmacokinetics are not established; obtain renal values and urinalysis before any experimental course and stop for clinically important deterioration.
  • Do not use with hypersensitivity to Cerebrolysin or porcine-derived peptides. Have a plan for acute allergy; the human label reports very rare allergic reaction, fever, dyspnoea and shock-like states.
  • The human label warns that effects with antidepressants, including MAO inhibitors, may be additive. Reconcile trazodone, mirtazapine and other CNS-active drugs; dog/cat interaction magnitude and a safe adjustment rule are unknown.
  • Pregnancy, lactation, neonatal use and repeated-course safety are not established in dogs or cats. Ampoules are single-use; use immediately after opening, protect from light, and follow the exact label’s route, dilution, rate and compatibility limits rather than mixing with vitamins, cardiovascular drugs, amino-acid or lipid solutions.
Assessment sources
  1. Exact Cerebrolysin market audit2026
  2. Cerebrolysin LT SmPC2021
  3. Cerebrolysin vet-register audit2026
  4. Older-dog peri-anaesthetic study2015
  5. FATE 15-cat cohort2020
  6. Cochrane Cerebrolysin stroke2023
  7. Animal-derived nootropics review2022
Assessed: 22 Oct 2026No axis or overall score is shown when the available evidence does not support a responsible numerical assessment.
Cat Proposed adjunctive neuroprotection with exact Cerebrolysin after acute neurological or ischaemic injury, for cognitive decline, or around anaesthesia; not an established veterinary indication.
Not rateable
No numerical score assigned
vetman assessment

Cerebrolysin

215.2 mg/ml, 10 ml ampoule, solution for injection or infusion, human medicine
Assessed clinical scopeCat · Proposed adjunctive neuroprotection with exact Cerebrolysin after acute neurological or ischaemic injury, for cognitive decline, or around anaesthesia; not an established veterinary indication. · IM,IV
Care settingExperimental specialist-managed use only, if pursued under a documented protocol after diagnosis-specific standard care, informed consent and predefined neurological, renal and adverse-event monitoring
vetman score Not rateable No numerical score assigned
Evidence confidence: Low Georgia: Yes, human · № რ-043113 · Verified on 15 Oct 2026 Off-label use
Not rateable

A responsible numerical score cannot be calculated for this exact feline use. No authorised veterinary indication, validated cat regimen or exact-product feline trial was found. One uncontrolled 15-cat FATE cohort administered an EVA Pharma product at a reported 2 mg/kg IM alongside several anticoagulants, antiplatelets, meloxicam, physiotherapy and cardiac treatment; it had no comparator and cannot isolate Cerebrolysin efficacy, and the reported regimen cannot be bridged to these EVER Neuro Pharma 215.2 mg/ml ampoules. Human evidence cannot replace the missing feline efficacy, dose and safety bridge.

Complete review finds no scoreable feline treatment claim. Cerebrolysin appeared only inside one uncontrolled multi-drug FATE protocol using a different manufacturer, while no cat pharmacokinetic bridge, exact-product safety series or indication-specific controlled outcome study was identified. The exact human ampoule is transparent, but transparency alone cannot create veterinary efficacy.

Important safety and use flags

  • No veterinary indication or validated dog/cat dose is established for these ampoules. Do not convert the human 10-50 ml course, the fixed 5 ml dog study or the feline paper’s reported 2 mg/kg into a routine veterinary prescription.
  • The older-dog peri-anaesthetic comparison is a small single-centre study with a fixed dose, narrow population and incompletely reported bias controls. It does not validate treatment for stroke, vestibular disease, cognitive dysfunction, spinal disease or routine geriatric anaesthesia.
  • The 15-cat FATE report used a different manufacturer’s product inside a large multi-drug protocol without a control group. Recovery was linked to early admission; Cerebrolysin’s individual effect, formulation equivalence and dose accuracy cannot be determined.
  • Do not delay diagnosis-specific standard care. Acute stroke-like signs, seizures, vestibular disease, altered mentation, spinal injury and FATE require urgent localisation, imaging/laboratory assessment and evidence-based supportive, antithrombotic, surgical or anaesthetic management as appropriate.
  • The human label contraindicates epilepsy because seizures may become more frequent. Do not use in an actively seizuring or epilepsy patient without specialist justification; new agitation, tremor, myoclonus or seizure activity requires immediate reassessment.
  • Severe renal impairment is a human-label contraindication. Veterinary renal pharmacokinetics are not established; obtain renal values and urinalysis before any experimental course and stop for clinically important deterioration.
  • Do not use with hypersensitivity to Cerebrolysin or porcine-derived peptides. Have a plan for acute allergy; the human label reports very rare allergic reaction, fever, dyspnoea and shock-like states.
  • The human label warns that effects with antidepressants, including MAO inhibitors, may be additive. Reconcile trazodone, mirtazapine and other CNS-active drugs; dog/cat interaction magnitude and a safe adjustment rule are unknown.
  • Pregnancy, lactation, neonatal use and repeated-course safety are not established in dogs or cats. Ampoules are single-use; use immediately after opening, protect from light, and follow the exact label’s route, dilution, rate and compatibility limits rather than mixing with vitamins, cardiovascular drugs, amino-acid or lipid solutions.
Assessment sources
  1. Exact Cerebrolysin market audit2026
  2. Cerebrolysin LT SmPC2021
  3. Cerebrolysin vet-register audit2026
  4. Older-dog peri-anaesthetic study2015
  5. FATE 15-cat cohort2020
  6. Cochrane Cerebrolysin stroke2023
  7. Animal-derived nootropics review2022
Assessed: 22 Oct 2026No axis or overall score is shown when the available evidence does not support a responsible numerical assessment.
Composition / strength
Porcine brain peptide preparation (Cerebrolysin concentrate)215.2 mg/ml
Formulation Type
Solution
Administration route
Intramuscular, Intravenous
Manufacturer
EVER Neuro Pharma · Austria
Registration
Georgia Yes, human
In force until 11 Apr 2030
Human (Ministry of Health, RAMA)
№ რ-043113
Verified on: 15 Oct 2026
 EU Yes, human
Verified on: 16 Oct 2026
 UK No
Verified on: 16 Oct 2026
 US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Cerebrolysin 215.2 mg/ml, Solution

20 ml ampoule, solution for injection or infusion, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Proposed adjunctive neuroprotection with exact Cerebrolysin after acute neurological or ischaemic injury, for cognitive decline, or around anaesthesia; not an established veterinary indication.
Not rateable
No numerical score assigned
vetman assessment

Cerebrolysin

215.2 mg/ml, 20 ml ampoule, solution for injection or infusion, human medicine
Assessed clinical scopeDog · Proposed adjunctive neuroprotection with exact Cerebrolysin after acute neurological or ischaemic injury, for cognitive decline, or around anaesthesia; not an established veterinary indication. · Intravenous
Care settingExperimental specialist-managed slow diluted IV infusion only, if pursued under a documented protocol after diagnosis-specific standard care, informed consent and predefined neurological, renal and adverse-event monitoring
vetman score Not rateable No numerical score assigned
Evidence confidence: Low Georgia: Yes, human · № რ-043114 · Verified on 15 Oct 2026 Off-label use
Not rateable

A responsible numerical score cannot be calculated for this exact canine use. No authorised veterinary indication or validated weight-based dog regimen was found. The only clinical comparison located included 16 treated and 16 control older dogs at one centre, used a fixed 5 ml IV twice-daily regimen for two days before anaesthesia, and did not provide the randomisation, blinding, validated outcome or independent replication needed to transfer its large mortality difference into routine practice. Human stroke/cognitive results and label toxicology do not establish canine clinical efficacy.

Complete review finds a transparent, authorised human product with a biologically proposed but clinically unvalidated canine neuroprotective role. The small peri-anaesthetic study is a research signal, not a dosing standard or proof across stroke, cognitive dysfunction and other neurological disease; with no reproducible regimen, the four score axes would be invented rather than measured.

Important safety and use flags

  • No veterinary indication or validated dog/cat dose is established for this 20 ml ampoule. Do not convert the human 10-50 ml course, the fixed 5 ml dog study or the feline paper’s reported 2 mg/kg into a routine veterinary prescription.
  • The older-dog peri-anaesthetic comparison is a small single-centre study with a fixed dose, narrow population and incompletely reported bias controls. It does not validate treatment for stroke, vestibular disease, cognitive dysfunction, spinal disease or routine geriatric anaesthesia.
  • The 15-cat FATE report used a different manufacturer’s product inside a large multi-drug protocol without a control group. Recovery was linked to early admission; Cerebrolysin’s individual effect, formulation equivalence and dose accuracy cannot be determined.
  • Do not delay diagnosis-specific standard care. Acute stroke-like signs, seizures, vestibular disease, altered mentation, spinal injury and FATE require urgent localisation, imaging/laboratory assessment and evidence-based supportive, antithrombotic, surgical or anaesthetic management as appropriate.
  • The human label contraindicates epilepsy because seizures may become more frequent. Do not use in an actively seizuring or epilepsy patient without specialist justification; new agitation, tremor, myoclonus or seizure activity requires immediate reassessment.
  • Severe renal impairment is a human-label contraindication. Veterinary renal pharmacokinetics are not established; obtain renal values and urinalysis before any experimental course and stop for clinically important deterioration.
  • Do not use with hypersensitivity to Cerebrolysin or porcine-derived peptides. Have a plan for acute allergy; the human label reports very rare allergic reaction, fever, dyspnoea and shock-like states.
  • The human label warns that effects with antidepressants, including MAO inhibitors, may be additive. Reconcile trazodone, mirtazapine and other CNS-active drugs; dog/cat interaction magnitude and a safe adjustment rule are unknown.
  • Pregnancy, lactation, neonatal use and repeated-course safety are not established in dogs or cats. The 20 ml presentation is not labelled for IM or direct IV injection: dilute in 100 ml of a standard infusion solution and infuse over 15-60 minutes. It is single-use; use immediately, protect from light and do not mix with vitamins, cardiovascular drugs, amino-acid or lipid solutions.
Assessment sources
  1. Exact Cerebrolysin 20 ml market audit2026
  2. Cerebrolysin LT SmPC2021
  3. Cerebrolysin vet-register audit2026
  4. Older-dog peri-anaesthetic study2015
  5. FATE 15-cat cohort2020
  6. Cochrane Cerebrolysin stroke2023
  7. Animal-derived nootropics review2022
Assessed: 22 Oct 2026No axis or overall score is shown when the available evidence does not support a responsible numerical assessment.
Cat Proposed adjunctive neuroprotection with exact Cerebrolysin after acute neurological or ischaemic injury, for cognitive decline, or around anaesthesia; not an established veterinary indication.
Not rateable
No numerical score assigned
vetman assessment

Cerebrolysin

215.2 mg/ml, 20 ml ampoule, solution for injection or infusion, human medicine
Assessed clinical scopeCat · Proposed adjunctive neuroprotection with exact Cerebrolysin after acute neurological or ischaemic injury, for cognitive decline, or around anaesthesia; not an established veterinary indication. · Intravenous
Care settingExperimental specialist-managed slow diluted IV infusion only, if pursued under a documented protocol after diagnosis-specific standard care, informed consent and predefined neurological, renal and adverse-event monitoring
vetman score Not rateable No numerical score assigned
Evidence confidence: Low Georgia: Yes, human · № რ-043114 · Verified on 15 Oct 2026 Off-label use
Not rateable

A responsible numerical score cannot be calculated for this exact feline use. No authorised veterinary indication, validated cat regimen or exact-product feline trial was found. One uncontrolled 15-cat FATE cohort administered a different EVA Pharma product at a reported 2 mg/kg IM alongside several other treatments; it had no comparator, cannot isolate Cerebrolysin efficacy and does not support this 20 ml IV-infusion presentation. Human evidence cannot replace the missing feline efficacy, dose, route and safety bridge.

Complete review finds no scoreable feline treatment claim. Cerebrolysin appeared only inside one uncontrolled multi-drug FATE protocol using a different manufacturer, while no cat pharmacokinetic bridge, exact-product safety series or indication-specific controlled outcome study was identified. The exact human ampoule is transparent, but transparency alone cannot create veterinary efficacy.

Important safety and use flags

  • No veterinary indication or validated dog/cat dose is established for this 20 ml ampoule. Do not convert the human 10-50 ml course, the fixed 5 ml dog study or the feline paper’s reported 2 mg/kg into a routine veterinary prescription.
  • The older-dog peri-anaesthetic comparison is a small single-centre study with a fixed dose, narrow population and incompletely reported bias controls. It does not validate treatment for stroke, vestibular disease, cognitive dysfunction, spinal disease or routine geriatric anaesthesia.
  • The 15-cat FATE report used a different manufacturer’s product inside a large multi-drug protocol without a control group. Recovery was linked to early admission; Cerebrolysin’s individual effect, formulation equivalence and dose accuracy cannot be determined.
  • Do not delay diagnosis-specific standard care. Acute stroke-like signs, seizures, vestibular disease, altered mentation, spinal injury and FATE require urgent localisation, imaging/laboratory assessment and evidence-based supportive, antithrombotic, surgical or anaesthetic management as appropriate.
  • The human label contraindicates epilepsy because seizures may become more frequent. Do not use in an actively seizuring or epilepsy patient without specialist justification; new agitation, tremor, myoclonus or seizure activity requires immediate reassessment.
  • Severe renal impairment is a human-label contraindication. Veterinary renal pharmacokinetics are not established; obtain renal values and urinalysis before any experimental course and stop for clinically important deterioration.
  • Do not use with hypersensitivity to Cerebrolysin or porcine-derived peptides. Have a plan for acute allergy; the human label reports very rare allergic reaction, fever, dyspnoea and shock-like states.
  • The human label warns that effects with antidepressants, including MAO inhibitors, may be additive. Reconcile trazodone, mirtazapine and other CNS-active drugs; dog/cat interaction magnitude and a safe adjustment rule are unknown.
  • Pregnancy, lactation, neonatal use and repeated-course safety are not established in dogs or cats. The 20 ml presentation is not labelled for IM or direct IV injection: dilute in 100 ml of a standard infusion solution and infuse over 15-60 minutes. It is single-use; use immediately, protect from light and do not mix with vitamins, cardiovascular drugs, amino-acid or lipid solutions.
Assessment sources
  1. Exact Cerebrolysin 20 ml market audit2026
  2. Cerebrolysin LT SmPC2021
  3. Cerebrolysin vet-register audit2026
  4. Older-dog peri-anaesthetic study2015
  5. FATE 15-cat cohort2020
  6. Cochrane Cerebrolysin stroke2023
  7. Animal-derived nootropics review2022
Assessed: 22 Oct 2026No axis or overall score is shown when the available evidence does not support a responsible numerical assessment.
Composition / strength
Porcine brain peptide preparation (Cerebrolysin concentrate)215.2 mg/ml
Formulation Type
Solution
Administration route
Intravenous
Manufacturer
EVER Neuro Pharma · Austria
Registration
Georgia Yes, human
In force until 11 Apr 2030
Human (Ministry of Health, RAMA)
In the register: ცერებროლიზინი 215.2მგ/მლ 20მლ ამპულა
№ რ-043114
Verified on: 15 Oct 2026
 EU Yes, human
Verified on: 16 Oct 2026
 UK No
Verified on: 16 Oct 2026
 US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

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