Register
Medicines reference
Active substance

Prednisolone

Intermediate-acting glucocorticoid. Registered in Georgia: 3 veterinary products and 10 human medicines. Forms: aerosol / spray, drops (oral), ear drops, eye drops, scored tablet, solution.

Dose and use

Doses

Each dose comes with its source. Check the label of the product you use.

Active substance Prednisolone
Before use

Safety information

Known Contraindications

  • Critical
    An uncontrolled viral, fungal, or parasitic infection is an absolute contraindication. The parasitic-infection restriction is specified on the Prednicare label.
  • Critical
    Diabetes mellitus is an absolute contraindication on the Prednicare and Prednicortone labels.
    Sources: Product label
  • Critical
    Hyperadrenocorticism is an absolute contraindication on the Prednicare and Prednicortone labels.
    Sources: Product label
  • Critical
    Osteoporosis is an absolute contraindication on the Prednicare and Prednicortone labels.
    Sources: Product label
  • Critical
    Corneal ulceration is an absolute contraindication on the Prednicare and Prednicortone labels.
    Sources: Product label
  • Critical
    Glaucoma is an absolute contraindication on the Prednicare and Prednicortone labels.
    Sources: Product label
  • Critical
    Hypersensitivity to prednisolone or any excipient is an absolute contraindication on the Prednicare and Prednicortone labels.
    Sources: Product label
  • Critical
    Burn injury is listed as a contraindication on the Prednicortone label but not on the other two reviewed labels.
    Sources: Product label
  • Critical
    Cataract is listed as a contraindication on the Cortico Veyxin label.
    Sources: Product label
  • Critical
    Hypocalcaemia is listed as a contraindication on the Cortico Veyxin label.
    Sources: Product label
  • Critical
    Hypertension is listed as a contraindication on the Cortico Veyxin label.
    Sources: Product label
  • Critical
    Pancreatitis is listed as a contraindication on the Cortico Veyxin label.
    Sources: Product label
  • Critical
    A poorly healing wound or fracture is listed as a contraindication on the Cortico Veyxin label.
    Sources: Product label
  • Critical
    General immunodeficiency is listed as a contraindication on the Cortico Veyxin label.
    Sources: Product label
  • Critical
    Gastrointestinal ulceration is an absolute contraindication on all three reviewed labels. Concomitant corticosteroid and NSAID treatment further increases the risk of ulceration; see the interaction warnings.
    Sources: Product label
  • Critical
    cardiac or renal dysfunction
    Sources: Product label
  • Critical
    Severe renal impairment is an absolute contraindication on the Prednicare label.
    Sources: Product label
  • Critical
    Do not use during pregnancy. Some corticosteroid products specify this restriction for the final third of gestation.
  • Warning
    Use in growing animals carries a risk of growth retardation, suppression of bone growth, and damage to the bone matrix.
  • Warning
    Do not use with a live attenuated vaccine because corticosteroids suppress the immune response to vaccination. The Prednicortone label also prohibits use within 2 weeks after vaccination.
  • Warning
    very rare

Known Drug Interactions

  • Contraindicated Meloxicam + Prednisolone
    Concomitant use of corticosteroids and non-steroidal anti-inflammatory drugs can worsen gastrointestinal ulceration.
    Recommendation: Do not administer together. Observe an appropriate washout period when switching and monitor for melena, vomiting, and reduced appetite.
    Sources: Product label
  • Contraindicated Robenacoxib + Prednisolone
    Do not give robenacoxib together with other non-steroidal anti-inflammatory drugs or glucocorticoids because adverse gastrointestinal and renal effects may increase.
    Recommendation: Do not use these drugs together. Allow a treatment-free interval of at least 24 hours after the previous anti-inflammatory drug, extending it when required by that drug’s pharmacokinetics.
  • Major warning Prednisolone + Insulin glargine
    Glucocorticoids, progestogens, and certain endocrinopathies can have an antagonistic effect on insulin activity. Glucocorticoid and progestogen use should be avoided.
    Recommendation: Avoid the combination. If the glucocorticoid cannot be discontinued within 2 weeks, the insulin dose may need to be increased; monitor glycaemia.
    Sources: FDA · AAHA
  • Major warning Prednisolone + Insulin human
    Glucocorticoids, progestogens, and certain endocrinopathies can have an antagonistic effect on insulin activity. Glucocorticoid and progestogen use should be avoided.
    Recommendation: Avoid the combination. If the glucocorticoid cannot be discontinued within 2 weeks, the insulin dose may need to be increased; monitor glycaemia.
    Sources: FDA · AAHA
  • Major warning Furosemide + Prednisolone
    Concurrent use with drugs affecting electrolyte balance (corticosteroids, other diuretics, amphotericin B, cardiac glycosides) requires careful monitoring.
    Recommendation: Monitor electrolytes, particularly potassium. Check periodically during prolonged combination therapy.
    Sources: VMD SPC · VMD
  • Major warning Carprofen + Prednisolone
    Do not give other non-steroidal anti-inflammatory drugs or glucocorticoids concurrently with carprofen or within 24 hours of treatment because gastrointestinal ulceration or perforation may occur.
    Recommendation: Consider appropriate washout times when switching from one NSAID to another or when switching from corticosteroid use to NSAID use.
    Sources: FDA
Latin name
Prednisolone
Georgian name
პრედნიზოლონი
Authorisation status
Authorised veterinary medicine
An authorised veterinary medicine containing this substance exists. Whether a particular use is on-label depends on the species and the indication - see each dose rule.
Registered in Georgia
13 of 14 forms
Human medicines in Georgia
Adelcort, Corlto, Deltacortril, Paidocort, Provist-Opto
Human medicines with this substance in the Georgian register of medicines (Ministry of Health), checked on 18 Oct 2026. They are human medicines, not veterinary products; strengths and forms differ.
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 registration14

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

Adelcort 5 mg, Scored tablet

tablet, 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 Systemic oral prednisolone as symptomatic or adjunct anti-inflammatory/immunosuppressive treatment for a diagnosed corticosteroid-responsive disease with cause-directed care and monitoring
6.7/10
Situational / acceptable
vetman assessment

Adelcort

5 mg, tablet, human medicine
Assessed clinical scopeDog · Systemic oral prednisolone as symptomatic or adjunct anti-inflammatory/immunosuppressive treatment for a diagnosed corticosteroid-responsive disease with cause-directed care and monitoring · By mouth
Care settingVeterinarian-directed home treatment with diagnosis-specific induction, scheduled reassessment, lowest-effective-dose taper and laboratory/clinical monitoring proportional to dose and duration
vetman score 6.7/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-039062 · Verified on 16 Oct 2026 Off-label use

A clinically powerful and well-established systemic glucocorticoid when a corticosteroid-responsive diagnosis justifies it. Use the lowest effective dose, treat the underlying cause, screen important comorbidity and interactions, monitor dose/duration-dependent toxicity and taper sustained treatment rather than stopping abruptly.

Regulatory and scientific credibility6.5/10

This exact human 5 mg scored tablet has sourced current registrations in Georgia and EU/EEA; current checks record no exact GB or US registration. Veterinary use is off-label, although authorised veterinary 5 mg prednisolone tablets directly support species, route and strength.

Clinical efficacy8.0/10

Prednisolone is an established, orally absorbed intermediate-duration glucocorticoid with strong guideline and authorised-veterinary support across inflammatory and immune-mediated canine disease. It can be highly effective when the diagnosis and dose target are correct, but benefit is symptomatic or adjunctive and varies by underlying disease; steroid-sparing or local therapy may be preferable for chronic control.

Safety and tolerability5.5/10

Short, appropriately selected courses are usually manageable, but dose- and duration-dependent polyuria/polydipsia, polyphagia, gastrointestinal signs, muscle/skin change, infection, thrombotic and metabolic effects are well documented. Chronic or high-dose use can cause iatrogenic hyperadrenocorticism and HPA suppression; abrupt withdrawal after sustained therapy risks adrenal insufficiency and relapse.

Clinical practicality7.0/10

A stable 5 mg scored tablet is easy to store and administer and suits many small-to-medium canine anti-inflammatory doses, but the score line should be used for equal division only when the exact instruction confirms it. Large-dog or immunosuppressive regimens can require many tablets, and alternate-day taper schedules increase prescribing and adherence complexity.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use as a substitute for diagnosis or cause-directed treatment. Prednisolone can suppress fever, pain and inflammation while an infection, neoplasia, endocrine disorder or other underlying disease progresses.
  • Do not start immunosuppressive prednisolone with an uncontrolled viral, fungal, bacterial or parasitic infection. Establish appropriate antimicrobial or antiparasitic control first or concurrently when steroid benefit is essential.
  • Avoid concurrent NSAIDs and allow an indication-appropriate washout when switching; the combination materially increases gastrointestinal ulceration, perforation and bleeding risk. Avoid use with active gastrointestinal ulceration.
  • Avoid or use only after explicit specialist benefit-risk assessment in diabetes mellitus, hyperadrenocorticism, uncontrolled hypertension, glaucoma, osteoporosis, important cardiac or renal dysfunction, corneal ulceration or major thrombotic risk.
  • Do not give modified-live vaccines during immunosuppressive treatment. Review timing of vaccination and immune response before starting and after stopping systemic prednisolone.
  • For courses beyond a brief induction, record weight, appetite, water intake/urination, skin and muscle condition, blood pressure and infection signs; monitor CBC, chemistry, glucose, urine and culture where dose, duration or patient risk warrants it.
  • Use the lowest effective dose and reassess response early. After sustained supraphysiologic treatment, taper according to disease control and exposure; abrupt withdrawal can cause adrenal insufficiency, hypotension, weakness, gastrointestinal signs or relapse.
  • Review all concurrent medicines. Enzyme inducers may reduce effect, strong metabolism inhibitors may increase exposure, diuretics can worsen potassium loss, insulin needs can change and other immunosuppressants increase infection risk.
  • Safety of these exact human products in breeding, pregnant or lactating dogs and cats is not established. Glucocorticoids can affect fetal development, parturition, growth and immune response; use only after a documented veterinary benefit-risk assessment.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Systemic oral prednisolone as symptomatic or adjunct anti-inflammatory/immunosuppressive treatment for a diagnosed corticosteroid-responsive disease with cause-directed care and monitoring
7.1/10
Good
vetman assessment

Adelcort

5 mg, tablet, human medicine
Assessed clinical scopeCat · Systemic oral prednisolone as symptomatic or adjunct anti-inflammatory/immunosuppressive treatment for a diagnosed corticosteroid-responsive disease with cause-directed care and monitoring · By mouth
Care settingVeterinarian-directed home treatment with diagnosis-specific induction, scheduled reassessment, lowest-effective-dose taper and laboratory/clinical monitoring proportional to dose and duration
vetman score 7.1/10 Good
Evidence confidence: Medium Georgia: Yes, human · № რ-039062 · Verified on 16 Oct 2026 Off-label use

A clinically powerful and well-established systemic glucocorticoid when a corticosteroid-responsive diagnosis justifies it. Use the lowest effective dose, treat the underlying cause, screen important comorbidity and interactions, monitor dose/duration-dependent toxicity and taper sustained treatment rather than stopping abruptly.

Regulatory and scientific credibility6.5/10

This exact human 5 mg scored tablet has sourced current registrations in Georgia and EU/EEA; current checks record no exact GB or US registration. Veterinary use is off-label, although authorised veterinary 5 mg prednisolone tablets directly support species, route and strength.

Clinical efficacy8.5/10

Prednisolone is an established first-line systemic glucocorticoid for many corticosteroid-responsive feline diseases and is pharmacologically preferable to prednisone when reliable hepatic activation is uncertain. Authorised veterinary 5 mg products and feline disposition data support the species and route, but response remains diagnosis-dependent and the drug does not replace treatment of infection or another underlying cause.

Safety and tolerability6.0/10

Cats may show fewer classic chronic glucocorticoid signs than dogs, but infection, diabetes, skin fragility, heart failure risk, gastrointestinal ulceration and HPA suppression remain clinically important. High-dose immunosuppression and prolonged treatment require active monitoring and tapering; pregnancy, uncontrolled infection and important comorbidity materially narrow the safety margin.

Clinical practicality7.5/10

A 5 mg tablet is close to many common feline anti-inflammatory dose units and is easier to store and administer than compounded liquid for many cats. Exact division must follow the product instruction; taste, pill acceptance, daily induction, monitoring and a multi-step taper can still be substantial treatment burdens.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use as a substitute for diagnosis or cause-directed treatment. Prednisolone can suppress fever, pain and inflammation while an infection, neoplasia, endocrine disorder or other underlying disease progresses.
  • Do not start immunosuppressive prednisolone with an uncontrolled viral, fungal, bacterial or parasitic infection. Establish appropriate antimicrobial or antiparasitic control first or concurrently when steroid benefit is essential.
  • Avoid concurrent NSAIDs and allow an indication-appropriate washout when switching; the combination materially increases gastrointestinal ulceration, perforation and bleeding risk. Avoid use with active gastrointestinal ulceration.
  • Avoid or use only after explicit specialist benefit-risk assessment in diabetes mellitus, hyperadrenocorticism, uncontrolled hypertension, glaucoma, osteoporosis, important cardiac or renal dysfunction, corneal ulceration or major thrombotic risk.
  • Do not give modified-live vaccines during immunosuppressive treatment. Review timing of vaccination and immune response before starting and after stopping systemic prednisolone.
  • For courses beyond a brief induction, record weight, appetite, water intake/urination, skin and muscle condition, blood pressure and infection signs; monitor CBC, chemistry, glucose, urine and culture where dose, duration or patient risk warrants it.
  • Use the lowest effective dose and reassess response early. After sustained supraphysiologic treatment, taper according to disease control and exposure; abrupt withdrawal can cause adrenal insufficiency, hypotension, weakness, gastrointestinal signs or relapse.
  • Review all concurrent medicines. Enzyme inducers may reduce effect, strong metabolism inhibitors may increase exposure, diuretics can worsen potassium loss, insulin needs can change and other immunosuppressants increase infection risk.
  • Safety of these exact human products in breeding, pregnant or lactating dogs and cats is not established. Glucocorticoids can affect fetal development, parturition, growth and immune response; use only after a documented veterinary benefit-risk assessment.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Formulation Type
Scored tablet
Administration route
By mouth
Manufacturer
Adelco · Greece
Registration
Georgia Yes, human
In force until 13 Sep 2028
Human (Ministry of Health, RAMA)
In the register: ადელკორტი 5 მგ, აბი
№ რ-039062
Verified on: 16 Oct 2026
EU Yes, human
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
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 Full dog label: ear mite infestation (otodectosis) with ear inflammation, 3-5 drops per ear of an organophosphate acaricide with prednisolone, two treatments 5-7 days apart
4.6/10
Weak evidence support
vetman assessment

BARS ear drops

0.5/0.3 mg/ml, 20 ml for dogs and cats
Assessed clinical scopeDog · Full dog label: ear mite infestation (otodectosis) with ear inflammation, 3-5 drops per ear of an organophosphate acaricide with prednisolone, two treatments 5-7 days apart · auricular
Care settingOwner treatment of both ears and all in-contact animals after veterinary confirmation of ear mites
vetman score 4.6/10 Weak evidence support
Evidence confidence: Low Georgia: Yes, veterinary · № 001146 · Verified on 21 Oct 2026

A weak option for ear mites: an organophosphate ear drop with no independent efficacy data and a short course. Authorised modern acaricides are more reliable and avoid organophosphate exposure.

Regulatory and scientific credibility4.0/10

The exact product is registered in Georgia (001146, valid to 2031) with a current AVZ instruction; diazinon has no EU, UK or US authorisation documented in the reviewed evidence for pets and efficacy rests on manufacturer material, so the evidence gate caps credibility at 4.

Clinical efficacy4.5/10

Diazinon is acaricidal and prednisolone reduces inflammation, but no independent trial supports this product, two treatments 5-7 days apart may not cover the three-week mite life cycle, and ESCCAP favours authorised modern acaricides.

Safety and tolerability4.5/10

Diazinon is an organophosphate cholinesterase inhibitor: the low ear dose limits exposure, but licking, overdose or combination with other acaricides can poison; the label excludes a perforated eardrum, pregnancy and puppies under 4 weeks.

Clinical practicality6.0/10

Two short treatments of 3-5 drops per ear are easy at home, but both ears and every in-contact dog and cat need treatment.

Full-course cost-effectiveness-

No verified current Georgian price or patient-adjusted course cost was found; foreign prices were not substituted.

Important safety and use flags

  • Do not use with a perforated eardrum, during pregnancy, in puppies under 4 weeks, or together with another acaricide or cholinesterase inhibitor.
  • Organophosphate poisoning causes drooling, tremor, small pupils, vomiting and diarrhoea; stop and treat as an emergency (atropine).
  • Treat all in-contact dogs and cats and continue until mites are gone; an authorised modern acaricide is usually more reliable.
  • Clean the ears first and recheck by otoscopy or microscopy after the course.
  • Use during lactation only for vital indications under veterinary supervision.
Assessment sources
Assessed: 23 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Full cat label: ear mite infestation (otodectosis) with ear inflammation, 3 drops per ear of an organophosphate acaricide with prednisolone, two treatments 5-7 days apart
4.3/10
Weak evidence support
vetman assessment

BARS ear drops

0.5/0.3 mg/ml, 20 ml for dogs and cats
Assessed clinical scopeCat · Full cat label: ear mite infestation (otodectosis) with ear inflammation, 3 drops per ear of an organophosphate acaricide with prednisolone, two treatments 5-7 days apart · auricular
Care settingOwner treatment of both ears and all in-contact animals after veterinary confirmation of ear mites
vetman score 4.3/10 Weak evidence support
Evidence confidence: Low Georgia: Yes, veterinary · № 001146 · Verified on 21 Oct 2026

A weak option for cats: an organophosphate ear drop in a species sensitive to organophosphates, without independent efficacy data. Authorised feline acaricides are safer and more reliable.

Regulatory and scientific credibility4.0/10

The exact product is registered in Georgia (001146, valid to 2031) with a current AVZ instruction; diazinon has no EU, UK or US authorisation documented in the reviewed evidence for pets and efficacy rests on manufacturer material, so the evidence gate caps credibility at 4.

Clinical efficacy4.5/10

Diazinon is acaricidal and prednisolone reduces inflammation, but no independent trial supports this product, two treatments 5-7 days apart may not cover the three-week mite life cycle, and ESCCAP favours authorised modern acaricides for cats.

Safety and tolerability3.5/10

Cats are more sensitive to organophosphates than dogs, and grooming adds oral exposure; the label excludes a perforated eardrum, pregnancy, kittens under 4 weeks and combination with other acaricides.

Clinical practicality6.0/10

Two short treatments of 3 drops per ear are easy at home, but both ears and every in-contact animal need treatment.

Full-course cost-effectiveness-

No verified current Georgian price or patient-adjusted course cost was found; foreign prices were not substituted.

Important safety and use flags

  • Do not use with a perforated eardrum, during pregnancy, in kittens under 4 weeks, or together with another acaricide, flea collar or cholinesterase inhibitor.
  • Cats are sensitive to organophosphates: drooling, tremor, small pupils, vomiting or diarrhoea mean poisoning; stop and treat as an emergency (atropine).
  • Prefer an acaricide authorised for cats against ear mites and treat all in-contact animals.
  • Clean the ears first, limit grooming of the ears after dosing, and recheck by otoscopy or microscopy after the course.
  • Use during lactation only for vital indications under veterinary supervision.
Assessment sources
Assessed: 23 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Diazinon0.5 mg/ml Prednisolone0.3 mg/ml
Formulation Type
Drops (oral)
Administration route
auricular
Manufacturer
AVZ S-P Ltd · Russia
Manufacturer (register)
NVT Agrovetzaschita S-P LLC AVZ S-P LLC, Russia
Manufacturer and country as in the veterinary medicines register (National Food Agency), row 1740, 19 Oct 2026.
Registration
Georgia Yes, veterinary
In force until 30 Apr 2031
Veterinary (National Food Agency)
In the register: ბარსი® ყურის წვეთები
№ 001146
Verified on: 21 Oct 2026
Controlled in Georgia
Unknown

Etisona 1%, Eye drops

eye drops 5 ml, 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 Prednisolone acetate 1% for diagnosed noninfectious steroid-responsive conjunctival, corneal or anterior-segment inflammation after complete examination and a fluorescein-negative intact cornea
6.8/10
Situational / acceptable
vetman assessment

Etisona

1%, eye drops 5 ml, human medicine
Assessed clinical scopeDog · Prednisolone acetate 1% for diagnosed noninfectious steroid-responsive conjunctival, corneal or anterior-segment inflammation after complete examination and a fluorescein-negative intact cornea · Into the eye
Care settingVeterinarian-directed clinic or home treatment after magnified ophthalmic examination, fluorescein staining and intraocular-pressure assessment where relevant, with early recheck and response-guided taper
vetman score 6.8/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-041820 · Verified on 16 Oct 2026 Off-label use

A potent standard topical steroid for diagnosed noninfectious anterior ocular inflammation when the cornea is intact. Its value depends on examination and monitoring: stain before treatment, exclude or treat infection, shake every dose, monitor pressure and response, and stop if pain or corneal damage emerges.

Regulatory and scientific credibility6.0/10

This exact 1% human ophthalmic suspension has a sourced current Georgian registration and an official manufacturer page identifying its concentration, form and pack; exhaustive current checks record no exact EU/EEA, GB or US registration. Veterinary use is off-label.

Clinical efficacy8.5/10

Prednisolone acetate 1% is among the most effective cornea-penetrating topical corticosteroids used in veterinary ophthalmology. Guideline support covers noninfectious anterior uveitis, immune-mediated keratitis and episcleritis; canine pharmacokinetic and perioperative studies directly support ocular exposure and anti-inflammatory use, although diagnosis and cause control determine benefit.

Safety and tolerability5.5/10

Correct selection is usually locally tolerable, but 1% prednisolone delays epithelial repair, augments collagenase and can worsen an occult ulcer or infection. Four-times-daily bilateral use produces measurable systemic exposure and HPA-axis suppression; repeated treatment can raise intraocular pressure and cause infection, cataract or steroid keratopathy.

Clinical practicality7.5/10

The 5 ml suspension gives a directly deliverable ocular dose and limits pack waste, but it must be shaken thoroughly before every use. Frequent initial dosing, atraumatic restraint, tip hygiene, spacing other drops and scheduled re-examination remain material burdens.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Perform fluorescein staining before starting and whenever new pain develops. Do not use topical prednisolone with a corneal abrasion, ulcer, descemetocele, melting ulcer, perforation or unhealed penetrating injury; it delays epithelial repair and can accelerate collagenolysis.
  • Do not use as steroid monotherapy for an undiagnosed red eye or untreated bacterial, fungal, mycobacterial, parasitic or viral ocular infection. Establish and treat the cause; immunosuppression can mask progression and rapidly compromise the cornea.
  • Stop treatment and reassess urgently if blepharospasm, discharge, corneal clouding, focal staining, vision change or worsening redness develops.
  • Measure intraocular pressure when glaucoma is possible and during repeated or prolonged treatment. Prednisolone acetate can raise pressure, cause glaucoma or cataract and promote steroid keratopathy; monitor cornea, lens and response instead of renewing indefinitely.
  • Ophthalmic prednisolone is systemically absorbed and four-times-daily bilateral dosing can suppress the HPA axis. Use the lowest effective frequency, consider nasolacrimal occlusion, and review diabetes, hyperadrenocorticism, infection risk and concurrent systemic corticosteroids.
  • Use an indication-appropriate initial frequency and recheck early; severe anterior inflammation may require frequent dosing, whereas chronic immune-mediated disease requires response-guided tapering. Do not stop a prolonged course abruptly or continue unchanged without confirming control.
  • This score covers diagnosed steroid-responsive anterior ocular inflammation as a clinical class, not every human-label claim and not posterior-segment disease that topical drops cannot adequately reach. Lack of response requires diagnostic reassessment, not automatic escalation.
  • Shake the suspension thoroughly before every dose. Avoid touching the dropper tip to the eye, lashes or skin; use one bottle per patient where contamination is plausible and separate different eye drops by several minutes.
  • Safety of these exact human products in pregnant or lactating dogs and cats has not been established. Use only after a documented veterinary benefit-risk assessment, especially for prolonged or bilateral treatment.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Prednisolone acetate 1% for diagnosed noninfectious steroid-responsive conjunctival, corneal or anterior-segment inflammation after complete examination and a fluorescein-negative intact cornea
6.3/10
Situational / acceptable
vetman assessment

Etisona

1%, eye drops 5 ml, human medicine
Assessed clinical scopeCat · Prednisolone acetate 1% for diagnosed noninfectious steroid-responsive conjunctival, corneal or anterior-segment inflammation after complete examination and a fluorescein-negative intact cornea · Into the eye
Care settingVeterinarian-directed clinic or home treatment after magnified ophthalmic examination, fluorescein staining and intraocular-pressure assessment where relevant, with early recheck and response-guided taper
vetman score 6.3/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-041820 · Verified on 16 Oct 2026 Off-label use

A potent standard topical steroid for diagnosed noninfectious anterior ocular inflammation when the cornea is intact. Its value depends on examination and monitoring: stain before treatment, exclude or treat infection, shake every dose, monitor pressure and response, and stop if pain or corneal damage emerges.

Regulatory and scientific credibility6.0/10

This exact 1% human ophthalmic suspension has a sourced current Georgian registration and an official manufacturer page identifying its concentration, form and pack; exhaustive current checks record no exact EU/EEA, GB or US registration. Veterinary use is off-label.

Clinical efficacy7.5/10

Prednisolone acetate 1% is an established potent topical corticosteroid for selected noninfectious feline anterior ocular inflammation and anterior uveitis. Direct controlled feline efficacy evidence is limited, and common infectious or FHV-associated presentations can make an apparently inflammatory eye unsuitable for steroid treatment.

Safety and tolerability4.5/10

Corneal ulceration, untreated infection and FHV reactivation create serious local hazards. In cats, 1% prednisolone acetate increased intraocular pressure within days in a controlled model; longer or bilateral use may also delay healing, promote infection or cataract and produce systemic glucocorticoid exposure, while exact-product feline safety data are limited.

Clinical practicality7.5/10

The 5 ml suspension gives a directly deliverable ocular dose and limits pack waste, but it must be shaken thoroughly before every use. Frequent initial dosing, atraumatic restraint, tip hygiene, spacing other drops and scheduled re-examination remain material burdens.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Perform fluorescein staining before starting and whenever new pain develops. Do not use topical prednisolone with a corneal abrasion, ulcer, descemetocele, melting ulcer, perforation or unhealed penetrating injury; it delays epithelial repair and can accelerate collagenolysis.
  • Do not use as steroid monotherapy for an undiagnosed red eye or untreated bacterial, fungal, mycobacterial, parasitic or viral ocular infection. Establish and treat the cause; immunosuppression can mask progression and rapidly compromise the cornea.
  • Topical corticosteroids can reactivate latent feline herpesvirus and precipitate ulcerative keratitis or corneal sequestrum. In a compatible cat, stop steroid treatment and investigate or treat FHV-associated disease before further immunosuppression.
  • Measure intraocular pressure when glaucoma is possible and during repeated or prolonged treatment. Prednisolone acetate can raise pressure, cause glaucoma or cataract and promote steroid keratopathy; monitor cornea, lens and response instead of renewing indefinitely.
  • Ophthalmic prednisolone is systemically absorbed and four-times-daily bilateral dosing can suppress the HPA axis. Use the lowest effective frequency, consider nasolacrimal occlusion, and review diabetes, hyperadrenocorticism, infection risk and concurrent systemic corticosteroids.
  • Use an indication-appropriate initial frequency and recheck early; severe anterior inflammation may require frequent dosing, whereas chronic immune-mediated disease requires response-guided tapering. Do not stop a prolonged course abruptly or continue unchanged without confirming control.
  • This score covers diagnosed steroid-responsive anterior ocular inflammation as a clinical class, not every human-label claim and not posterior-segment disease that topical drops cannot adequately reach. Lack of response requires diagnostic reassessment, not automatic escalation.
  • Shake the suspension thoroughly before every dose. Avoid touching the dropper tip to the eye, lashes or skin; use one bottle per patient where contamination is plausible and separate different eye drops by several minutes.
  • Safety of these exact human products in pregnant or lactating dogs and cats has not been established. Use only after a documented veterinary benefit-risk assessment, especially for prolonged or bilateral treatment.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Prednisolone10 mg/ml
Formulation Type
Eye drops
Administration route
Into the eye
Manufacturer
Registration
Georgia Yes, human
In force until 08 Aug 2029
Human (Ministry of Health, RAMA)
In the register: ეტისონა 1%, თვალის წვეთები 5 მლ
№ რ-041820
Verified on: 16 Oct 2026
EU No
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

Gefriderm, Aerosol / spray

cutaneous spray solution, for dogs
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
7.3/10
Good
vetman assessment

Gefriderm

cutaneous spray solution, for dogs
Assessed clinical scopeDog · Label-concordant treatment of a proved focal acute superficial mixed infection in dogs: marbofloxacin-susceptible Pseudomonas aeruginosa or Staphylococcus pseudintermedius plus ketoconazole-susceptible Malassezia pachydermatis · On the skin
Care settingVeterinarian-directed clinic/home treatment after cytology, organism identification and susceptibility testing, with lesion preparation, exposure control and day-7/day-14 reassessment.
vetman score 7.3/10 Good
Evidence confidence: High Georgia: No · Verified on 15 Oct 2026

A well-documented licensed option for a narrow, proved focal mixed bacterial-and-Malassezia dermatitis. Its value disappears when used empirically, on diffuse/deep disease, or where an antiseptic or narrower agent is suitable.

Regulatory and scientific credibility8.0/10

Current exact UK and EU regulator records provide full composition, authorisation, dose, target-animal PK and safety, while the exact EU public assessment report exposes the pivotal efficacy review; national EU authorisations are traceable, but Georgia and the US have no exact authorisation and no independent published exact-product trial was located.

Clinical efficacy7.5/10

The regulator-reviewed exact-product GCP field trial included 56 eligible dogs, confirmed mixed infections, an active comparator and demonstrated non-inferiority with clinical cure by day 14. This supports efficacy within the narrow proved mixed-infection scope, while antiseptic-first guidance, category-B fluoroquinolone stewardship and the absence of an independent published trial limit broader value.

Safety and tolerability6.5/10

Very rare mild erythema, very low one-zone plasma exposure and a five-times one-zone tolerance study are reassuring, but multi-zone overdose was not studied and steroid-related delayed healing, epidermal thinning/adrenal suppression, reproductive risk, licking and handler inhalation/contact risks remain material.

Clinical practicality7.0/10

A metered spray is practical for focal painful or folded skin and the twice-daily 7-day plan is clear, but clipping/cleaning, 25 cm² measurement, four-zone ceiling, gloves, ventilation, lick prevention, no bathing and 20-minute child/contact restriction add substantial workflow.

Full-course cost-effectiveness-

No verified current Georgian patient-adjusted full-course price is available, so cost is excluded.

Important safety and use flags

  • Veterinary prescription medicine authorised for dogs in GB and EU national markets. Exact-product registers dated 2026-10-15 record it as not authorised in Georgia and the US; this does not negate the GB/EU dossier.
  • Use only when cytology and organism identification show a focal mixed infection: susceptible Pseudomonas or Staphylococcus plus susceptible Malassezia. Do not use for empiric, bacterial-only, yeast-only, diffuse, deep, sterile or noninfectious disease.
  • Marbofloxacin is an EMA category B Restrict fluoroquinolone. Prefer a suitable antiseptic or narrower option; use culture/susceptibility, avoid quinolone-resistant isolates and stop unnecessary components as soon as the mixed indication no longer exists.
  • Clean, clip and remove exudate/debris before dosing. Treat two sprays per 25 cm² twice daily; split larger lesions into measured zones and never exceed four zones simultaneously.
  • Treat seven days and reassess. Continue only if still indicated, never beyond 14 days; persistent infection after day 14 requires diagnosis and a different appropriate product, not automatic extension.
  • Avoid eyes, mucosa, open lesions and wounds. Prevent self- and cross-licking, separate treated dogs when needed, keep hair short and do not bathe or shampoo during administration.
  • Not recommended in pregnancy or lactation; safety is unestablished and ketoconazole was teratogenic/embryotoxic in laboratory animals. Avoid known hypersensitivity to any active or excipient.
  • Prolonged or intensive topical prednisolone can thin epidermis, delay healing and suppress adrenal function. Monitor erythema, irritation, delayed repair and systemic glucocorticoid signs, especially with multiple zones or comorbidity.
  • Avoid concurrent low-pH products because they may inhibit marbofloxacin. No interaction studies establish combined-product safety or efficacy; review every topical/systemic antimicrobial, antifungal and corticosteroid.
  • Handler safety: wear single-use impermeable gloves, spray outdoors or with good ventilation, avoid inhalation/skin/eye contact and flames, and do not let children touch the dog until dry for at least 20 minutes. Pregnant people or those trying to conceive must not administer it.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Marbofloxacin1.025 mg/ml Ketoconazole2.041 mg/ml Prednisolone0.926 mg/ml
Formulation Type
Aerosol / spray
Administration route
On the skin
Manufacturer
ALPHAVET Zrt. · Hungary
Registration
Georgia No
EU Yes, veterinary
Verified on: 22 Oct 2026
UK Yes, veterinary
№ Vm 51645/4000
Verified on: 22 Oct 2026
US No
Verified on: 15 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
Information not fully verified Clean/clip and remove exudate/debris; shake and hold 10 cm away. Apply two sprays per 25 cm² twice daily for seven days. If unresolved at day 7, continue only to day 14. Divide larger lesions into 25 cm² zones; maximum four zones simultaneously. Re-evaluate and change treatment if infection persists after 14 days.

Otimix Plus, Ear drops

miconazole nitrate 23 mg/ml + polymyxin B sulfate 5500 IU/ml + prednisolone acetate 5 mg/ml, ear drops, suspension for dogs and cats
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 Label-concordant topical treatment of limited dermatitis caused by susceptible bacterial/fungal organisms in dogs, with primary dermatosis management
6.6/10
Situational / acceptable
vetman assessment

Otimix Plus

miconazole nitrate 23 mg/ml + polymyxin B sulfate 5500 IU/ml + prednisolone acetate 5 mg/ml, ear drops, suspension for dogs and cats
Assessed clinical scopeDog · Label-concordant topical treatment of limited dermatitis caused by susceptible bacterial/fungal organisms in dogs, with primary dermatosis management · On the skin
Care settingVeterinary skin diagnosis with cytology/culture where indicated, clipping and limited-area twice-daily application with lick prevention and planned recheck
vetman score 6.6/10 Situational / acceptable
Evidence confidence: Low Georgia: Yes, veterinary · Verified on 22 Oct 2026

A plausible labelled option for culture-compatible limited infected dermatitis, but direct skin-outcome evidence is thin and steroid/AMEG-B exposure makes empirical or prolonged use unattractive.

Regulatory and scientific credibility8.0/10

The exact 15 ml dog/cat product has a current national EU regulator record, transparent exact instruction and Georgian registration; it is a generic of an established same-strength combination. Exact independent Otimix outcome/pharmacovigilance data and multi-country dossier breadth are limited.

Clinical efficacy6.0/10

The label and component spectrum support susceptible limited dermatitis, but direct modern canine outcomes for this fixed combination are sparse and broad empirical triple therapy is not justified. Primary allergic/parasitic disease and resistant organisms can defeat apparent short-term improvement.

Safety and tolerability6.0/10

Limited-area short-course exposure is usually manageable, but prednisolone can cause local immunosuppression, epidermal thinning, delayed healing and systemic adrenal effects with extensive, occluded, highly perfused or ingested use. Antimicrobial resistance and hypersensitivity remain.

Clinical practicality6.0/10

Ready-to-use drops and twice-daily limited-area application are workable, but clipping, gloves, full coverage, lick prevention and recheck are required; persistent fungal disease must transition away from steroid, making open-ended home continuation inappropriate.

Full-course cost-effectiveness-

Current Georgian full-course price and pack-wastage data were unavailable; price is excluded from the denominator.

Important safety and use flags

  • Use only on a diagnosed limited susceptible dermatitis. Do not apply to an undiagnosed wound, extensive/ulcerated skin or under an impermeable dressing without a specific monitored plan.
  • Perform cytology and use culture/susceptibility when indicated. Polymyxin B is AMEG category B: reserve it for cases where category C/D antimicrobials are not expected to work; consider cross-resistance with colistin and other imidazoles.
  • Clip as needed, shake, cover the lesion with a few drops twice daily and rub with a gloved hand, generally no more than 14 days. Recheck cure and the underlying disease.
  • Long or extensive corticosteroid exposure can cause local immunosuppression, secondary infection, epidermal thinning, delayed healing, telangiectasia/bleeding and systemic adrenal effects; licking and occlusion increase exposure.
  • For persistent fungal disease beyond the short labelled course, continue with a corticosteroid-free preparation if still indicated; do not prolong prednisolone merely because inflammation rebounds.
  • Otimix Plus is only adjunctive when Otodectes cynotis coexists with susceptible secondary infection. Diagnose and treat mites with an appropriate acaricide and manage all in-contact animals/environment as indicated.
  • Do not use with hypersensitivity to miconazole, polymyxin B, prednisolone or excipients. Pregnancy/lactation safety is unestablished; use only after veterinarian benefit–risk assessment.
  • Treat the primary cause—commonly allergy, parasites, foreign body, conformation or endocrine disease—or recurrence is likely. Steroid-driven relief does not prove microbial eradication.
  • Shake well and prevent dropper contact with ear, skin or fingers. Wear gloves, wash hands and avoid eye/skin contact or ingestion; pregnant or breastfeeding handlers should use particular caution.
  • Store below 25°C and discard three months after first opening. Document opening date, course, organism/susceptibility basis and recheck result; do not keep using a contaminated communal bottle.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Dog Label-concordant treatment of external otitis caused by susceptible bacterial/fungal organisms in dogs, with intact tympanum and cause-directed management
6.9/10
Situational / acceptable
vetman assessment

Otimix Plus

miconazole nitrate 23 mg/ml + polymyxin B sulfate 5500 IU/ml + prednisolone acetate 5 mg/ml, ear drops, suspension for dogs and cats
Assessed clinical scopeDog · Label-concordant treatment of external otitis caused by susceptible bacterial/fungal organisms in dogs, with intact tympanum and cause-directed management · Into the ear
Care settingVeterinary otoscopy/cytology, intact tympanum confirmation, cleaning and susceptibility-led selection; instructed twice-daily application with massage and planned clinical/cytological recheck
vetman score 6.9/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, veterinary · Verified on 22 Oct 2026

An evidence-supported but stewardship-restricted triple ear drop for susceptible external otitis with an intact tympanum. It is useful when diagnostics fit, not a default for every inflamed ear.

Regulatory and scientific credibility8.0/10

The exact 15 ml dog/cat product has a current national EU regulator record, transparent exact instruction and Georgian registration; it is a generic of an established same-strength combination. Exact independent Otimix outcome/pharmacovigilance data and multi-country dossier breadth are limited.

Clinical efficacy7.5/10

Multiple controlled trials of the same three-active combination support canine otitis efficacy, but cure is not universal and modern trials show suitable alternatives can match or outperform it. Activity depends on actual susceptibility, cleaning and correction of primary disease.

Safety and tolerability5.5/10

An intact tympanum is a hard prerequisite because polymyxin B is potentially ototoxic; very rare deafness is reported and steroid/antimicrobial exposure can mask or select persistent infection. Local/systemic corticosteroid effects, hypersensitivity and pregnancy uncertainty remain.

Clinical practicality6.5/10

Three to five drops twice daily for 7–14 days is familiar and feasible after cleaning, but requires reliable home adherence, massage, dropper hygiene and recheck. Otoscopy/intact-tympanum confirmation and AMEG-B susceptibility justification add necessary clinical work.

Full-course cost-effectiveness-

Current Georgian full-course price and pack-wastage data were unavailable; price is excluded from the denominator.

Important safety and use flags

  • Never use unless otoscopy confirms an intact tympanum. Polymyxin B is potentially ototoxic; perforation, suspected middle-ear disease, new vestibular signs or hearing change requires stopping and immediate reassessment.
  • Perform cytology and use culture/susceptibility when indicated. Polymyxin B is AMEG category B: reserve it for cases where category C/D antimicrobials are not expected to work; consider cross-resistance with colistin and other imidazoles.
  • Clean the external canal, shake well, apply 3–5 drops twice daily and massage the base. Treat at least 7–10 and no more than 14 days, with clinical and cytological recheck rather than stopping on appearance alone.
  • Long or extensive corticosteroid exposure can cause local immunosuppression, secondary infection, epidermal thinning, delayed healing, telangiectasia/bleeding and systemic adrenal effects; licking and occlusion increase exposure.
  • Very rare deafness is reported, especially in older dogs. Stop for new hearing loss, head tilt, nystagmus, ataxia or severe pain and investigate otitis media/interna.
  • Otimix Plus is only adjunctive when Otodectes cynotis coexists with susceptible secondary infection. Diagnose and treat mites with an appropriate acaricide and manage all in-contact animals/environment as indicated.
  • Do not use with hypersensitivity to miconazole, polymyxin B, prednisolone or excipients. Pregnancy/lactation safety is unestablished; use only after veterinarian benefit–risk assessment.
  • Treat the primary cause—commonly allergy, parasites, foreign body, conformation or endocrine disease—or recurrence is likely. Steroid-driven relief does not prove microbial eradication.
  • Shake well and prevent dropper contact with ear, skin or fingers. Wear gloves, wash hands and avoid eye/skin contact or ingestion; pregnant or breastfeeding handlers should use particular caution.
  • Store below 25°C and discard three months after first opening. Document opening date, course, organism/susceptibility basis and recheck result; do not keep using a contaminated communal bottle.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Label-concordant topical treatment of limited dermatitis caused by susceptible bacterial/fungal organisms in cats, with primary dermatosis management
6.2/10
Situational / acceptable
vetman assessment

Otimix Plus

miconazole nitrate 23 mg/ml + polymyxin B sulfate 5500 IU/ml + prednisolone acetate 5 mg/ml, ear drops, suspension for dogs and cats
Assessed clinical scopeCat · Label-concordant topical treatment of limited dermatitis caused by susceptible bacterial/fungal organisms in cats, with primary dermatosis management · On the skin
Care settingVeterinary skin diagnosis with cytology/culture where indicated, clipping and limited-area twice-daily application with lick prevention and planned recheck
vetman score 6.2/10 Situational / acceptable
Evidence confidence: Low Georgia: Yes, veterinary · Verified on 22 Oct 2026

A weakly evidenced feline skin option whose fixed antibiotic-antifungal-steroid mix, grooming exposure and imprecise lesion dose justify narrow, reassessed use only.

Regulatory and scientific credibility8.0/10

The exact 15 ml dog/cat product has a current national EU regulator record, transparent exact instruction and Georgian registration; it is a generic of an established same-strength combination. Exact independent Otimix outcome/pharmacovigilance data and multi-country dossier breadth are limited.

Clinical efficacy5.5/10

The feline dermatitis indication is regulator-supported, but direct outcome evidence is very limited and grooming increases exposure. Cytology/culture and diagnosis of the primary dermatosis are essential; short-term steroid improvement does not prove infection cure.

Safety and tolerability5.5/10

Skin exposure plus grooming/ingestion increases local and systemic corticosteroid uncertainty in cats. Immunosuppression, delayed healing, secondary infection, resistance and hypersensitivity require a limited area, short course and lick prevention.

Clinical practicality5.5/10

Twice-daily lesion coverage, clipping and lick prevention are difficult in many cats, while an imprecise “few drops” skin dose complicates consistent exposure. Gloves, recheck and switching away from steroid for persistent fungal disease add burden.

Full-course cost-effectiveness-

Current Georgian full-course price and pack-wastage data were unavailable; price is excluded from the denominator.

Important safety and use flags

  • Use only on a diagnosed limited susceptible dermatitis. Do not apply to an undiagnosed wound, extensive/ulcerated skin or under an impermeable dressing without a specific monitored plan.
  • Perform cytology and use culture/susceptibility when indicated. Polymyxin B is AMEG category B: reserve it for cases where category C/D antimicrobials are not expected to work; consider cross-resistance with colistin and other imidazoles.
  • Clip as needed, shake, cover the lesion with a few drops twice daily and rub with a gloved hand, generally no more than 14 days. Recheck cure and the underlying disease.
  • Long or extensive corticosteroid exposure can cause local immunosuppression, secondary infection, epidermal thinning, delayed healing, telangiectasia/bleeding and systemic adrenal effects; licking and occlusion increase exposure.
  • For persistent fungal disease beyond the short labelled course, continue with a corticosteroid-free preparation if still indicated; do not prolong prednisolone merely because inflammation rebounds.
  • Otimix Plus is only adjunctive when Otodectes cynotis coexists with susceptible secondary infection. Diagnose and treat mites with an appropriate acaricide and manage all in-contact animals/environment as indicated.
  • Do not use with hypersensitivity to miconazole, polymyxin B, prednisolone or excipients. Pregnancy/lactation safety is unestablished; use only after veterinarian benefit–risk assessment.
  • Treat the primary cause—commonly allergy, parasites, foreign body, conformation or endocrine disease—or recurrence is likely. Steroid-driven relief does not prove microbial eradication.
  • Shake well and prevent dropper contact with ear, skin or fingers. Wear gloves, wash hands and avoid eye/skin contact or ingestion; pregnant or breastfeeding handlers should use particular caution.
  • Store below 25°C and discard three months after first opening. Document opening date, course, organism/susceptibility basis and recheck result; do not keep using a contaminated communal bottle.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Label-concordant treatment of external otitis caused by susceptible bacterial/fungal organisms in cats, with intact tympanum and cause-directed management
6.6/10
Situational / acceptable
vetman assessment

Otimix Plus

miconazole nitrate 23 mg/ml + polymyxin B sulfate 5500 IU/ml + prednisolone acetate 5 mg/ml, ear drops, suspension for dogs and cats
Assessed clinical scopeCat · Label-concordant treatment of external otitis caused by susceptible bacterial/fungal organisms in cats, with intact tympanum and cause-directed management · Into the ear
Care settingVeterinary otoscopy/cytology, intact tympanum confirmation, cleaning and susceptibility-led selection; instructed twice-daily application with massage and planned clinical/cytological recheck
vetman score 6.6/10 Situational / acceptable
Evidence confidence: Low Georgia: Yes, veterinary · Verified on 22 Oct 2026

A regulator-supported feline option, but independent feline outcomes are limited and repeated handling plus ototoxicity/stewardship constraints make it conditional.

Regulatory and scientific credibility8.0/10

The exact 15 ml dog/cat product has a current national EU regulator record, transparent exact instruction and Georgian registration; it is a generic of an established same-strength combination. Exact independent Otimix outcome/pharmacovigilance data and multi-country dossier breadth are limited.

Clinical efficacy6.5/10

The exact label includes cats and mixed-species Otodectes plus limited feline reports support the same combination, but independent feline bacterial/fungal otitis outcomes are sparse. The product is only adjunctive for ear mites and susceptibility/primary disease remain decisive.

Safety and tolerability5.5/10

An intact tympanum is a hard prerequisite because polymyxin B is potentially ototoxic; very rare deafness is reported and steroid/antimicrobial exposure can mask or select persistent infection. Local/systemic corticosteroid effects, hypersensitivity and pregnancy uncertainty remain.

Clinical practicality6.0/10

The same small-volume twice-daily regimen is feasible, but many cats resist ear handling for 7–14 days. Safe restraint, cleaning, massage, dropper hygiene, cytological recheck and intact-tympanum confirmation create a meaningful adherence and welfare burden.

Full-course cost-effectiveness-

Current Georgian full-course price and pack-wastage data were unavailable; price is excluded from the denominator.

Important safety and use flags

  • Never use unless otoscopy confirms an intact tympanum. Polymyxin B is potentially ototoxic; perforation, suspected middle-ear disease, new vestibular signs or hearing change requires stopping and immediate reassessment.
  • Perform cytology and use culture/susceptibility when indicated. Polymyxin B is AMEG category B: reserve it for cases where category C/D antimicrobials are not expected to work; consider cross-resistance with colistin and other imidazoles.
  • Clean the external canal, shake well, apply 3–5 drops twice daily and massage the base. Treat at least 7–10 and no more than 14 days, with clinical and cytological recheck rather than stopping on appearance alone.
  • Long or extensive corticosteroid exposure can cause local immunosuppression, secondary infection, epidermal thinning, delayed healing, telangiectasia/bleeding and systemic adrenal effects; licking and occlusion increase exposure.
  • Very rare deafness is reported, especially in older dogs. Stop for new hearing loss, head tilt, nystagmus, ataxia or severe pain and investigate otitis media/interna.
  • Otimix Plus is only adjunctive when Otodectes cynotis coexists with susceptible secondary infection. Diagnose and treat mites with an appropriate acaricide and manage all in-contact animals/environment as indicated.
  • Do not use with hypersensitivity to miconazole, polymyxin B, prednisolone or excipients. Pregnancy/lactation safety is unestablished; use only after veterinarian benefit–risk assessment.
  • Treat the primary cause—commonly allergy, parasites, foreign body, conformation or endocrine disease—or recurrence is likely. Steroid-driven relief does not prove microbial eradication.
  • Shake well and prevent dropper contact with ear, skin or fingers. Wear gloves, wash hands and avoid eye/skin contact or ingestion; pregnant or breastfeeding handlers should use particular caution.
  • Store below 25°C and discard three months after first opening. Document opening date, course, organism/susceptibility basis and recheck result; do not keep using a contaminated communal bottle.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Miconazole23 mg/ml Polymyxin B5500 IU/ml Prednisolone5 mg/ml
Formulation Type
Ear drops
Administration route
Into the ear, On the skin
Manufacturer
Bioveta a.s. · Czechia
Registration
Georgia Yes, veterinary
EU Yes, veterinary
№ CZ 96/053/23-C
Verified on: 22 Oct 2026
UK No
US No
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 18 Oct 2026
Information not fully verified Shake well. Otitis: after cytology/otoscopy, cleaning and confirmation of intact tympanum, apply 3–5 drops into the affected external canal twice daily and massage; continue a few days after signs resolve, at least 7–10 and at most 14 days. Dermatitis: clip as needed, cover the lesion with a few drops twice daily and rub with a gloved hand, usually no more than 14 days; persistent fungal treatment should continue without corticosteroid. Recheck clinical and cytological cure.

Ototop, Ear drops

miconazole nitrate 23 mg/ml + prednisolone acetate 5 mg/ml + polymyxin B sulfate 5500 IU/ml, ear drops and cutaneous suspension
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 Label-concordant topical treatment of limited dermatitis caused by susceptible bacterial/fungal organisms in dogs, with primary dermatosis management
6.7/10
Situational / acceptable
vetman assessment

Ototop

miconazole nitrate 23 mg/ml + prednisolone acetate 5 mg/ml + polymyxin B sulfate 5500 IU/ml, ear drops and cutaneous suspension
Assessed clinical scopeDog · Label-concordant topical treatment of limited dermatitis caused by susceptible bacterial/fungal organisms in dogs, with primary dermatosis management · On the skin
Care settingVeterinary skin diagnosis with cytology/culture where indicated, clipping and limited-area twice-daily application with lick prevention and planned recheck
vetman score 6.7/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, veterinary · Verified on 22 Oct 2026

A plausible labelled option for culture-compatible limited infected dermatitis, but direct skin-outcome evidence is thin and steroid/AMEG-B exposure makes empirical or prolonged use unattractive.

Regulatory and scientific credibility8.5/10

The exact dog/cat product has a current regulator leaflet, valid multi-country EU DCP, transparent three-pack identity, national-register corroboration and Georgian registration. The established same-strength combination has independent controls, although direct independent Ototop outcome data remain limited.

Clinical efficacy6.0/10

The label and component spectrum support susceptible limited dermatitis, but direct modern canine outcomes for this fixed combination are sparse and broad empirical triple therapy is not justified. Primary allergic/parasitic disease and resistant organisms can defeat apparent short-term improvement.

Safety and tolerability6.0/10

Limited-area short-course exposure is usually manageable, but prednisolone can cause local immunosuppression, epidermal thinning, delayed healing and systemic adrenal effects with extensive, occluded, highly perfused or ingested use. Antimicrobial resistance and hypersensitivity remain.

Clinical practicality6.0/10

Ready-to-use suspension and twice-daily thin-film application are workable, but clipping, gloves, full coverage, lick prevention and recheck are required; persistent fungal disease must transition away from steroid, making open-ended home continuation inappropriate.

Full-course cost-effectiveness-

Current Georgian full-course price and pack-wastage data were unavailable; price is excluded from the denominator.

Important safety and use flags

  • Use only on a diagnosed limited susceptible dermatitis. The exact label prohibits extensive lesions, poorly healing or fresh wounds and viral skin infections; avoid occlusion or an undiagnosed lesion.
  • Perform organism identification and susceptibility testing when possible. Polymyxin B is AMEG category B: prefer an effective lower-category option; known polymyxin B or miconazole resistance excludes use.
  • Clip and clean as needed, shake, apply a thin film twice daily and rub in, normally no more than 14 days. Persistent signs may require 2–3 weeks only with repeated examination and diagnostic verification; no numeric skin drop count is stated.
  • Long or extensive corticosteroid exposure can cause local immunosuppression, secondary infection, epidermal thinning, delayed healing, telangiectasia/bleeding and systemic adrenal effects; licking and occlusion increase exposure.
  • For persistent fungal disease beyond the short labelled course, continue with a corticosteroid-free preparation if still indicated; do not prolong prednisolone merely because inflammation rebounds.
  • Ototop is only adjunctive when Otodectes cynotis coexists with susceptible secondary infection. Diagnose and treat mites with an appropriate acaricide and manage all in-contact animals/environment as indicated.
  • Do not use with hypersensitivity to miconazole, polymyxin B, prednisolone, related corticosteroids/azoles or excipients. Pregnancy/lactation safety is unestablished; use only after veterinary benefit–risk assessment and avoid mammary-gland application.
  • Treat the primary cause—commonly allergy, parasites, foreign body, conformation or endocrine disease—or recurrence is likely. Steroid-driven relief does not prove microbial eradication.
  • Shake well and prevent dropper contact with ear, skin or fingers. Wear gloves, wash hands and avoid eye/skin contact or ingestion; pregnant or breastfeeding handlers should use particular caution.
  • Do not mix with another veterinary medicine because compatibility studies are absent. Store below 25°C and discard six months after first opening; document opening date, course, susceptibility basis and recheck result.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Dog Label-concordant treatment of external otitis caused by susceptible bacterial/fungal organisms in dogs, with intact tympanum and cause-directed management
7.1/10
Good
vetman assessment

Ototop

miconazole nitrate 23 mg/ml + prednisolone acetate 5 mg/ml + polymyxin B sulfate 5500 IU/ml, ear drops and cutaneous suspension
Assessed clinical scopeDog · Label-concordant treatment of external otitis caused by susceptible bacterial/fungal organisms in dogs, with intact tympanum and cause-directed management · Into the ear
Care settingVeterinary otoscopy/cytology, intact tympanum confirmation, cleaning and susceptibility-led selection; instructed twice-daily application with massage and planned clinical/cytological recheck
vetman score 7.1/10 Good
Evidence confidence: Medium Georgia: Yes, veterinary · Verified on 22 Oct 2026

An evidence-supported but stewardship-restricted triple ear drop for susceptible external otitis with an intact tympanum. It is useful when diagnostics fit, not a default for every inflamed ear.

Regulatory and scientific credibility8.5/10

The exact dog/cat product has a current regulator leaflet, valid multi-country EU DCP, transparent three-pack identity, national-register corroboration and Georgian registration. The established same-strength combination has independent controls, although direct independent Ototop outcome data remain limited.

Clinical efficacy7.5/10

Multiple controlled trials of the same three-active combination support canine otitis efficacy, but cure is not universal and modern trials show suitable alternatives can match or outperform it. Activity depends on actual susceptibility, cleaning and correction of primary disease.

Safety and tolerability5.5/10

An intact tympanum is a hard prerequisite because polymyxin B is potentially ototoxic; very rare deafness is reported and steroid/antimicrobial exposure can mask or select persistent infection. Local/systemic corticosteroid effects, hypersensitivity and pregnancy uncertainty remain.

Clinical practicality6.5/10

Three to five drops twice daily for 7–14 days is familiar and feasible after cleaning, but requires reliable home adherence, massage, dropper hygiene and recheck. Otoscopy/intact-tympanum confirmation and AMEG-B susceptibility justification add necessary clinical work.

Full-course cost-effectiveness-

Current Georgian full-course price and pack-wastage data were unavailable; price is excluded from the denominator.

Important safety and use flags

  • Never use unless otoscopy confirms an intact tympanum. Polymyxin B is potentially ototoxic; perforation, suspected middle-ear disease, new vestibular signs or hearing change requires stopping and immediate reassessment.
  • Perform organism identification and susceptibility testing when possible. Polymyxin B is AMEG category B: prefer an effective lower-category option; known polymyxin B or miconazole resistance excludes use.
  • Clean the external canal, shake well, apply 3–5 drops (0.035 ml/drop) twice daily and massage. Continue uninterrupted for several days after complete clinical resolution, at least 7 and at most 14 days; veterinary confirmation of cure is required before stopping.
  • Long or extensive corticosteroid exposure can cause local immunosuppression, secondary infection, epidermal thinning, delayed healing, telangiectasia/bleeding and systemic adrenal effects; licking and occlusion increase exposure.
  • Very rare deafness is reported, especially in older dogs. Stop for new hearing loss, head tilt, nystagmus, ataxia or severe pain and investigate otitis media/interna.
  • Ototop is only adjunctive when Otodectes cynotis coexists with susceptible secondary infection. Diagnose and treat mites with an appropriate acaricide and manage all in-contact animals/environment as indicated.
  • Do not use with hypersensitivity to miconazole, polymyxin B, prednisolone, related corticosteroids/azoles or excipients. Pregnancy/lactation safety is unestablished; use only after veterinary benefit–risk assessment and avoid mammary-gland application.
  • Treat the primary cause—commonly allergy, parasites, foreign body, conformation or endocrine disease—or recurrence is likely. Steroid-driven relief does not prove microbial eradication.
  • Shake well and prevent dropper contact with ear, skin or fingers. Wear gloves, wash hands and avoid eye/skin contact or ingestion; pregnant or breastfeeding handlers should use particular caution.
  • Do not mix with another veterinary medicine because compatibility studies are absent. Store below 25°C and discard six months after first opening; document opening date, course, susceptibility basis and recheck result.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Label-concordant topical treatment of limited dermatitis caused by susceptible bacterial/fungal organisms in cats, with primary dermatosis management
6.3/10
Situational / acceptable
vetman assessment

Ototop

miconazole nitrate 23 mg/ml + prednisolone acetate 5 mg/ml + polymyxin B sulfate 5500 IU/ml, ear drops and cutaneous suspension
Assessed clinical scopeCat · Label-concordant topical treatment of limited dermatitis caused by susceptible bacterial/fungal organisms in cats, with primary dermatosis management · On the skin
Care settingVeterinary skin diagnosis with cytology/culture where indicated, clipping and limited-area twice-daily application with lick prevention and planned recheck
vetman score 6.3/10 Situational / acceptable
Evidence confidence: Low Georgia: Yes, veterinary · Verified on 22 Oct 2026

A weakly evidenced feline skin option whose fixed antibiotic-antifungal-steroid mix, grooming exposure and imprecise lesion dose justify narrow, reassessed use only.

Regulatory and scientific credibility8.5/10

The exact dog/cat product has a current regulator leaflet, valid multi-country EU DCP, transparent three-pack identity, national-register corroboration and Georgian registration. The established same-strength combination has independent controls, although direct independent Ototop outcome data remain limited.

Clinical efficacy5.5/10

The feline dermatitis indication is regulator-supported, but direct outcome evidence is very limited and grooming increases exposure. Cytology/culture and diagnosis of the primary dermatosis are essential; short-term steroid improvement does not prove infection cure.

Safety and tolerability5.5/10

Skin exposure plus grooming/ingestion increases local and systemic corticosteroid uncertainty in cats. Immunosuppression, delayed healing, secondary infection, resistance and hypersensitivity require a limited area, short course and lick prevention.

Clinical practicality5.5/10

Twice-daily thin-film coverage, clipping and lick prevention are difficult in many cats, while the absence of a numeric skin volume requires careful lesion-based application. Gloves, recheck and switching away from steroid for persistent fungal disease add burden.

Full-course cost-effectiveness-

Current Georgian full-course price and pack-wastage data were unavailable; price is excluded from the denominator.

Important safety and use flags

  • Use only on a diagnosed limited susceptible dermatitis. The exact label prohibits extensive lesions, poorly healing or fresh wounds and viral skin infections; avoid occlusion or an undiagnosed lesion.
  • Perform organism identification and susceptibility testing when possible. Polymyxin B is AMEG category B: prefer an effective lower-category option; known polymyxin B or miconazole resistance excludes use.
  • Clip and clean as needed, shake, apply a thin film twice daily and rub in, normally no more than 14 days. Persistent signs may require 2–3 weeks only with repeated examination and diagnostic verification; no numeric skin drop count is stated.
  • Long or extensive corticosteroid exposure can cause local immunosuppression, secondary infection, epidermal thinning, delayed healing, telangiectasia/bleeding and systemic adrenal effects; licking and occlusion increase exposure.
  • For persistent fungal disease beyond the short labelled course, continue with a corticosteroid-free preparation if still indicated; do not prolong prednisolone merely because inflammation rebounds.
  • Ototop is only adjunctive when Otodectes cynotis coexists with susceptible secondary infection. Diagnose and treat mites with an appropriate acaricide and manage all in-contact animals/environment as indicated.
  • Do not use with hypersensitivity to miconazole, polymyxin B, prednisolone, related corticosteroids/azoles or excipients. Pregnancy/lactation safety is unestablished; use only after veterinary benefit–risk assessment and avoid mammary-gland application.
  • Treat the primary cause—commonly allergy, parasites, foreign body, conformation or endocrine disease—or recurrence is likely. Steroid-driven relief does not prove microbial eradication.
  • Shake well and prevent dropper contact with ear, skin or fingers. Wear gloves, wash hands and avoid eye/skin contact or ingestion; pregnant or breastfeeding handlers should use particular caution.
  • Do not mix with another veterinary medicine because compatibility studies are absent. Store below 25°C and discard six months after first opening; document opening date, course, susceptibility basis and recheck result.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Label-concordant treatment of external otitis caused by susceptible bacterial/fungal organisms in cats, with intact tympanum and cause-directed management
6.7/10
Situational / acceptable
vetman assessment

Ototop

miconazole nitrate 23 mg/ml + prednisolone acetate 5 mg/ml + polymyxin B sulfate 5500 IU/ml, ear drops and cutaneous suspension
Assessed clinical scopeCat · Label-concordant treatment of external otitis caused by susceptible bacterial/fungal organisms in cats, with intact tympanum and cause-directed management · Into the ear
Care settingVeterinary otoscopy/cytology, intact tympanum confirmation, cleaning and susceptibility-led selection; instructed twice-daily application with massage and planned clinical/cytological recheck
vetman score 6.7/10 Situational / acceptable
Evidence confidence: Low Georgia: Yes, veterinary · Verified on 22 Oct 2026

A regulator-supported feline option, but independent feline outcomes are limited and repeated handling plus ototoxicity/stewardship constraints make it conditional.

Regulatory and scientific credibility8.5/10

The exact dog/cat product has a current regulator leaflet, valid multi-country EU DCP, transparent three-pack identity, national-register corroboration and Georgian registration. The established same-strength combination has independent controls, although direct independent Ototop outcome data remain limited.

Clinical efficacy6.5/10

The exact label includes cats and mixed-species Otodectes plus limited feline reports support the same combination, but independent feline bacterial/fungal otitis outcomes are sparse. The product is only adjunctive for ear mites and susceptibility/primary disease remain decisive.

Safety and tolerability5.5/10

An intact tympanum is a hard prerequisite because polymyxin B is potentially ototoxic; very rare deafness is reported and steroid/antimicrobial exposure can mask or select persistent infection. Local/systemic corticosteroid effects, hypersensitivity and pregnancy uncertainty remain.

Clinical practicality6.0/10

The same small-volume twice-daily regimen is feasible, but many cats resist ear handling for 7–14 days. Safe restraint, cleaning, massage, dropper hygiene, clinical recheck and intact-tympanum confirmation create a meaningful adherence and welfare burden.

Full-course cost-effectiveness-

Current Georgian full-course price and pack-wastage data were unavailable; price is excluded from the denominator.

Important safety and use flags

  • Never use unless otoscopy confirms an intact tympanum. Polymyxin B is potentially ototoxic; perforation, suspected middle-ear disease, new vestibular signs or hearing change requires stopping and immediate reassessment.
  • Perform organism identification and susceptibility testing when possible. Polymyxin B is AMEG category B: prefer an effective lower-category option; known polymyxin B or miconazole resistance excludes use.
  • Clean the external canal, shake well, apply 3–5 drops (0.035 ml/drop) twice daily and massage. Continue uninterrupted for several days after complete clinical resolution, at least 7 and at most 14 days; veterinary confirmation of cure is required before stopping.
  • Long or extensive corticosteroid exposure can cause local immunosuppression, secondary infection, epidermal thinning, delayed healing, telangiectasia/bleeding and systemic adrenal effects; licking and occlusion increase exposure.
  • Very rare deafness is reported, especially in older dogs. Stop for new hearing loss, head tilt, nystagmus, ataxia or severe pain and investigate otitis media/interna.
  • Ototop is only adjunctive when Otodectes cynotis coexists with susceptible secondary infection. Diagnose and treat mites with an appropriate acaricide and manage all in-contact animals/environment as indicated.
  • Do not use with hypersensitivity to miconazole, polymyxin B, prednisolone, related corticosteroids/azoles or excipients. Pregnancy/lactation safety is unestablished; use only after veterinary benefit–risk assessment and avoid mammary-gland application.
  • Treat the primary cause—commonly allergy, parasites, foreign body, conformation or endocrine disease—or recurrence is likely. Steroid-driven relief does not prove microbial eradication.
  • Shake well and prevent dropper contact with ear, skin or fingers. Wear gloves, wash hands and avoid eye/skin contact or ingestion; pregnant or breastfeeding handlers should use particular caution.
  • Do not mix with another veterinary medicine because compatibility studies are absent. Store below 25°C and discard six months after first opening; document opening date, course, susceptibility basis and recheck result.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Miconazole23 mg/ml Prednisolone5 mg/ml Polymyxin B5500 IU/ml
Formulation Type
Ear drops
Administration route
Into the ear, On the skin
Registration
Georgia Yes, veterinary
Veterinary (National Food Agency)
In the register: ოტოტოპი
Verified on: 22 Oct 2026
EU Yes, veterinary
№ DCP DE/V/0321/001; PL 3001/20; LT/2/20/2602/001–003
Verified on: 22 Oct 2026
UK No
US No
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 18 Oct 2026
Information not fully verified Shake well. Otitis: after examination, intact-tympanum confirmation and cleaning, apply 3–5 drops (0.035 ml/drop) into the external canal twice daily and massage; continue uninterrupted for several days after complete clinical resolution, at least 7 and at most 14 days, with veterinary confirmation of cure. Skin: clip/clean as needed, apply and rub in a thin film twice daily, normally up to 14 days; persistent signs may require 2–3 weeks only with repeated examination and diagnostic verification, and ongoing antifungal treatment should use no glucocorticoid when appropriate.

Paidocort 3 mg/ml, Solution

oral solution, 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 Systemic oral prednisolone as symptomatic or adjunct anti-inflammatory/immunosuppressive treatment for a diagnosed corticosteroid-responsive disease with cause-directed care and monitoring
7.2/10
Good
vetman assessment

Paidocort

3 mg/ml, oral solution, human medicine
Assessed clinical scopeDog · Systemic oral prednisolone as symptomatic or adjunct anti-inflammatory/immunosuppressive treatment for a diagnosed corticosteroid-responsive disease with cause-directed care and monitoring · By mouth
Care settingVeterinarian-directed home treatment with diagnosis-specific induction, scheduled reassessment, lowest-effective-dose taper and laboratory/clinical monitoring proportional to dose and duration
vetman score 7.2/10 Good
Evidence confidence: Medium Georgia: Yes, human · № რ-041566, რ-041566-1 · Verified on 16 Oct 2026 Off-label use

A clinically powerful, well-established oral glucocorticoid in a dose-flexible liquid. Its value depends on a corticosteroid-responsive diagnosis, correct indication-specific dose, cause control, active monitoring and planned taper; human directions and excipient assumptions are not veterinary evidence.

Regulatory and scientific credibility7.5/10

Paidocort has an exact current AEMPS dossier and sourced Georgian/EU human authorisations; GB/US exact-brand negatives have same-endpoint positive controls. Veterinary prednisolone labels directly support species and oral route, but this flavoured liquid lacks veterinary authorisation and exact-product target-animal studies.

Clinical efficacy8.0/10

Oral prednisolone is an established intermediate-duration glucocorticoid with strong authorised-veterinary and guideline support across inflammatory and immune-mediated canine disease. Benefit can be high with correct diagnosis and dose, but remains symptomatic/adjunctive and disease-dependent.

Safety and tolerability5.5/10

Short selected courses are usually manageable, but polyuria/polydipsia, polyphagia, GI, skin/muscle, infectious, thrombotic and metabolic effects are dose- and duration-dependent. Chronic/high-dose use can cause iatrogenic hyperadrenocorticism and HPA suppression; abrupt withdrawal risks adrenal insufficiency and relapse.

Clinical practicality8.0/10

The 3 mg/ml liquid and supplied 3 ml/5 ml oral syringe support finer small-patient dosing and multi-step tapering than many tablets. The smallest syringe graduation is unpublished; strawberry acceptance, repeated measurement, bottle wastage and the two-month in-use limit remain practical constraints.

Full-course cost-effectiveness-

Price not assessed: no current Georgian clinic acquisition price and no diagnosis-specific full-course comparator dataset were verified.

Important safety and use flags

  • Do not use as a substitute for diagnosis or cause-directed treatment. Prednisolone can suppress inflammation while infection, neoplasia, endocrine disease or another underlying cause progresses.
  • Do not start immunosuppressive prednisolone with uncontrolled viral, fungal, bacterial or parasitic infection. Establish appropriate control first or concurrently when steroid benefit is essential.
  • Avoid concurrent NSAIDs and active gastrointestinal ulceration. Use an indication-appropriate washout when switching; overlap materially increases ulceration, perforation and bleeding risk.
  • Avoid or obtain specialist benefit-risk assessment with diabetes, hyperadrenocorticism, uncontrolled hypertension, glaucoma, osteoporosis, important cardiac/renal dysfunction, corneal ulceration or major thrombotic risk.
  • Do not give modified-live vaccines during immunosuppressive treatment. Review vaccination timing and immune response before starting and after stopping systemic prednisolone.
  • For more than a brief induction, monitor weight, appetite, drinking/urination, skin/muscle condition, blood pressure and infection; add CBC, chemistry, glucose, urine and culture according to dose, duration and patient risk.
  • Use the lowest effective dose and reassess early. Taper sustained supraphysiologic treatment according to disease control and exposure; abrupt withdrawal can cause adrenal insufficiency, hypotension, weakness, GI signs or relapse.
  • Review all medicines. Enzyme inducers may reduce effect, metabolism inhibitors may increase exposure, diuretics can worsen potassium loss, insulin requirements can change and other immunosuppressants increase infection risk.
  • Each ml contains 375 mg liquid maltitol plus methyl/propyl parabens. Maltitol may add osmotic gastrointestinal effects and parabens may cause delayed hypersensitivity. Xylitol is not declared; do not confuse the two sweeteners.
  • Veterinary palatability, the exact strawberry-flavour composition, smallest syringe graduation and reproductive safety are unverified. Confirm measurable volume, use within two months after opening, store below 25°C without refrigeration and document pregnancy/lactation benefit-risk.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Systemic oral prednisolone as symptomatic or adjunct anti-inflammatory/immunosuppressive treatment for a diagnosed corticosteroid-responsive disease with cause-directed care and monitoring
7.5/10
Good
vetman assessment

Paidocort

3 mg/ml, oral solution, human medicine
Assessed clinical scopeCat · Systemic oral prednisolone as symptomatic or adjunct anti-inflammatory/immunosuppressive treatment for a diagnosed corticosteroid-responsive disease with cause-directed care and monitoring · By mouth
Care settingVeterinarian-directed home treatment with diagnosis-specific induction, scheduled reassessment, lowest-effective-dose taper and laboratory/clinical monitoring proportional to dose and duration
vetman score 7.5/10 Good
Evidence confidence: Medium Georgia: Yes, human · № რ-041566, რ-041566-1 · Verified on 16 Oct 2026 Off-label use

A clinically powerful, well-established oral glucocorticoid in a dose-flexible liquid. Its value depends on a corticosteroid-responsive diagnosis, correct indication-specific dose, cause control, active monitoring and planned taper; human directions and excipient assumptions are not veterinary evidence.

Regulatory and scientific credibility7.5/10

Paidocort has an exact current AEMPS dossier and sourced Georgian/EU human authorisations; GB/US exact-brand negatives have same-endpoint positive controls. Veterinary prednisolone labels directly support species and oral route, but this flavoured liquid lacks veterinary authorisation and exact-product target-animal studies.

Clinical efficacy8.5/10

Prednisolone is an established first-line systemic glucocorticoid for many feline corticosteroid-responsive diseases and is pharmacologically preferable to prednisone when hepatic activation is uncertain. Authorised veterinary products and feline oral disposition data support species and route, but benefit remains diagnosis-dependent.

Safety and tolerability6.0/10

Cats may show fewer classic chronic steroid signs than dogs, but infection, diabetes, skin fragility, heart-failure risk, GI ulceration and HPA suppression remain important. High-dose/prolonged treatment requires active monitoring and tapering; pregnancy and important comorbidity narrow the margin.

Clinical practicality8.5/10

The 3 mg/ml liquid can match common feline dose volumes and taper steps without tablet splitting, and the pack includes an oral syringe. The smallest graduation and feline taste acceptance are unverified; restraint, repeated dosing, bottle wastage and the two-month in-use limit still matter.

Full-course cost-effectiveness-

Price not assessed: no current Georgian clinic acquisition price and no diagnosis-specific full-course comparator dataset were verified.

Important safety and use flags

  • Do not use as a substitute for diagnosis or cause-directed treatment. Prednisolone can suppress inflammation while infection, neoplasia, endocrine disease or another underlying cause progresses.
  • Do not start immunosuppressive prednisolone with uncontrolled viral, fungal, bacterial or parasitic infection. Establish appropriate control first or concurrently when steroid benefit is essential.
  • Avoid concurrent NSAIDs and active gastrointestinal ulceration. Use an indication-appropriate washout when switching; overlap materially increases ulceration, perforation and bleeding risk.
  • Avoid or obtain specialist benefit-risk assessment with diabetes, hyperadrenocorticism, uncontrolled hypertension, glaucoma, osteoporosis, important cardiac/renal dysfunction, corneal ulceration or major thrombotic risk.
  • Do not give modified-live vaccines during immunosuppressive treatment. Review vaccination timing and immune response before starting and after stopping systemic prednisolone.
  • For more than a brief induction, monitor weight, appetite, drinking/urination, skin/muscle condition, blood pressure and infection; add CBC, chemistry, glucose, urine and culture according to dose, duration and patient risk.
  • Use the lowest effective dose and reassess early. Taper sustained supraphysiologic treatment according to disease control and exposure; abrupt withdrawal can cause adrenal insufficiency, hypotension, weakness, GI signs or relapse.
  • Review all medicines. Enzyme inducers may reduce effect, metabolism inhibitors may increase exposure, diuretics can worsen potassium loss, insulin requirements can change and other immunosuppressants increase infection risk.
  • Each ml contains 375 mg liquid maltitol plus methyl/propyl parabens. Maltitol may add osmotic gastrointestinal effects and parabens may cause delayed hypersensitivity. Xylitol is not declared; do not confuse the two sweeteners.
  • Veterinary palatability, the exact strawberry-flavour composition, smallest syringe graduation and reproductive safety are unverified. Confirm measurable volume, use within two months after opening, store below 25°C without refrigeration and document pregnancy/lactation benefit-risk.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Prednisolone3 mg/ml
Formulation Type
Solution
Administration route
By mouth
Manufacturer
Aldo-Unión · Spain
Registration
Georgia Yes, human
In force until 15 Jul 2029
Human (Ministry of Health, RAMA)
In the register: პაიდოკორტი 3 მგ/მლ, ორალური ხსნარი
№ რ-041566, რ-041566-1
Verified on: 16 Oct 2026
EU Yes, human
UK No
Verified on: 22 Oct 2026
US No
Verified on: 22 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
Information not fully verified Use a diagnosis-specific veterinary prednisolone regimen, not the human Paidocort schedule. Authorised veterinary labels give two distinct oral ranges in dogs and cats: 0.1–2 mg/kg/day for anti-inflammatory/antiallergic treatment and 0.5–4 mg/kg/day as a starting range for inflammatory/immune-mediated disease. At 3 mg/ml these equal 0.033–0.667 ml/kg/day and 0.167–1.333 ml/kg/day. Do not merge them into one universal range; select the indication, lowest effective dose, timing and taper. Confirm that the calculated volume is measurable with the supplied syringe.

Predni 1%, Eye drops

eye drops suspension 10 ml, 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 Prednisolone acetate 1% for diagnosed noninfectious steroid-responsive conjunctival, corneal or anterior-segment inflammation after complete examination and a fluorescein-negative intact cornea
6.6/10
Situational / acceptable
vetman assessment

Predni

1%, eye drops suspension 10 ml, human medicine
Assessed clinical scopeDog · Prednisolone acetate 1% for diagnosed noninfectious steroid-responsive conjunctival, corneal or anterior-segment inflammation after complete examination and a fluorescein-negative intact cornea · Into the eye
Care settingVeterinarian-directed clinic or home treatment after magnified ophthalmic examination, fluorescein staining and intraocular-pressure assessment where relevant, with early recheck and response-guided taper
vetman score 6.6/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-039413 · Verified on 16 Oct 2026 Off-label use

A potent standard topical steroid for diagnosed noninfectious anterior ocular inflammation when the cornea is intact. Its value depends on examination and monitoring: stain before treatment, exclude or treat infection, shake every dose, monitor pressure and response, and stop if pain or corneal damage emerges.

Regulatory and scientific credibility5.5/10

This exact 1% human ophthalmic suspension has a sourced current Georgian registration, identifiable concentration, form and manufacturer; exhaustive current checks record no exact EU/EEA, GB or US registration. Veterinary use is off-label and a complete exact-product regulator-hosted instruction was not located.

Clinical efficacy8.5/10

Prednisolone acetate 1% is among the most effective cornea-penetrating topical corticosteroids used in veterinary ophthalmology. Guideline support covers noninfectious anterior uveitis, immune-mediated keratitis and episcleritis; canine pharmacokinetic and perioperative studies directly support ocular exposure and anti-inflammatory use, although diagnosis and cause control determine benefit.

Safety and tolerability5.5/10

Correct selection is usually locally tolerable, but 1% prednisolone delays epithelial repair, augments collagenase and can worsen an occult ulcer or infection. Four-times-daily bilateral use produces measurable systemic exposure and HPA-axis suppression; repeated treatment can raise intraocular pressure and cause infection, cataract or steroid keratopathy.

Clinical practicality7.0/10

The suspension gives a directly deliverable ocular dose but must be shaken thoroughly before every use; the 10 ml bottle increases post-opening waste for many short courses. Frequent initial dosing, atraumatic restraint, tip hygiene, spacing other drops and scheduled re-examination remain material burdens.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Perform fluorescein staining before starting and whenever new pain develops. Do not use topical prednisolone with a corneal abrasion, ulcer, descemetocele, melting ulcer, perforation or unhealed penetrating injury; it delays epithelial repair and can accelerate collagenolysis.
  • Do not use as steroid monotherapy for an undiagnosed red eye or untreated bacterial, fungal, mycobacterial, parasitic or viral ocular infection. Establish and treat the cause; immunosuppression can mask progression and rapidly compromise the cornea.
  • Stop treatment and reassess urgently if blepharospasm, discharge, corneal clouding, focal staining, vision change or worsening redness develops.
  • Measure intraocular pressure when glaucoma is possible and during repeated or prolonged treatment. Prednisolone acetate can raise pressure, cause glaucoma or cataract and promote steroid keratopathy; monitor cornea, lens and response instead of renewing indefinitely.
  • Ophthalmic prednisolone is systemically absorbed and four-times-daily bilateral dosing can suppress the HPA axis. Use the lowest effective frequency, consider nasolacrimal occlusion, and review diabetes, hyperadrenocorticism, infection risk and concurrent systemic corticosteroids.
  • Use an indication-appropriate initial frequency and recheck early; severe anterior inflammation may require frequent dosing, whereas chronic immune-mediated disease requires response-guided tapering. Do not stop a prolonged course abruptly or continue unchanged without confirming control.
  • This score covers diagnosed steroid-responsive anterior ocular inflammation as a clinical class, not every human-label claim and not posterior-segment disease that topical drops cannot adequately reach. Lack of response requires diagnostic reassessment, not automatic escalation.
  • Shake the suspension thoroughly before every dose. Avoid touching the dropper tip to the eye, lashes or skin; use one bottle per patient where contamination is plausible and separate different eye drops by several minutes.
  • Safety of these exact human products in pregnant or lactating dogs and cats has not been established. Use only after a documented veterinary benefit-risk assessment, especially for prolonged or bilateral treatment.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Prednisolone acetate 1% for diagnosed noninfectious steroid-responsive conjunctival, corneal or anterior-segment inflammation after complete examination and a fluorescein-negative intact cornea
6.0/10
Situational / acceptable
vetman assessment

Predni

1%, eye drops suspension 10 ml, human medicine
Assessed clinical scopeCat · Prednisolone acetate 1% for diagnosed noninfectious steroid-responsive conjunctival, corneal or anterior-segment inflammation after complete examination and a fluorescein-negative intact cornea · Into the eye
Care settingVeterinarian-directed clinic or home treatment after magnified ophthalmic examination, fluorescein staining and intraocular-pressure assessment where relevant, with early recheck and response-guided taper
vetman score 6.0/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-039413 · Verified on 16 Oct 2026 Off-label use

A potent standard topical steroid for diagnosed noninfectious anterior ocular inflammation when the cornea is intact. Its value depends on examination and monitoring: stain before treatment, exclude or treat infection, shake every dose, monitor pressure and response, and stop if pain or corneal damage emerges.

Regulatory and scientific credibility5.5/10

This exact 1% human ophthalmic suspension has a sourced current Georgian registration, identifiable concentration, form and manufacturer; exhaustive current checks record no exact EU/EEA, GB or US registration. Veterinary use is off-label and a complete exact-product regulator-hosted instruction was not located.

Clinical efficacy7.5/10

Prednisolone acetate 1% is an established potent topical corticosteroid for selected noninfectious feline anterior ocular inflammation and anterior uveitis. Direct controlled feline efficacy evidence is limited, and common infectious or FHV-associated presentations can make an apparently inflammatory eye unsuitable for steroid treatment.

Safety and tolerability4.5/10

Corneal ulceration, untreated infection and FHV reactivation create serious local hazards. In cats, 1% prednisolone acetate increased intraocular pressure within days in a controlled model; longer or bilateral use may also delay healing, promote infection or cataract and produce systemic glucocorticoid exposure, while exact-product feline safety data are limited.

Clinical practicality7.0/10

The suspension gives a directly deliverable ocular dose but must be shaken thoroughly before every use; the 10 ml bottle increases post-opening waste for many short courses. Frequent initial dosing, atraumatic restraint, tip hygiene, spacing other drops and scheduled re-examination remain material burdens.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Perform fluorescein staining before starting and whenever new pain develops. Do not use topical prednisolone with a corneal abrasion, ulcer, descemetocele, melting ulcer, perforation or unhealed penetrating injury; it delays epithelial repair and can accelerate collagenolysis.
  • Do not use as steroid monotherapy for an undiagnosed red eye or untreated bacterial, fungal, mycobacterial, parasitic or viral ocular infection. Establish and treat the cause; immunosuppression can mask progression and rapidly compromise the cornea.
  • Topical corticosteroids can reactivate latent feline herpesvirus and precipitate ulcerative keratitis or corneal sequestrum. In a compatible cat, stop steroid treatment and investigate or treat FHV-associated disease before further immunosuppression.
  • Measure intraocular pressure when glaucoma is possible and during repeated or prolonged treatment. Prednisolone acetate can raise pressure, cause glaucoma or cataract and promote steroid keratopathy; monitor cornea, lens and response instead of renewing indefinitely.
  • Ophthalmic prednisolone is systemically absorbed and four-times-daily bilateral dosing can suppress the HPA axis. Use the lowest effective frequency, consider nasolacrimal occlusion, and review diabetes, hyperadrenocorticism, infection risk and concurrent systemic corticosteroids.
  • Use an indication-appropriate initial frequency and recheck early; severe anterior inflammation may require frequent dosing, whereas chronic immune-mediated disease requires response-guided tapering. Do not stop a prolonged course abruptly or continue unchanged without confirming control.
  • This score covers diagnosed steroid-responsive anterior ocular inflammation as a clinical class, not every human-label claim and not posterior-segment disease that topical drops cannot adequately reach. Lack of response requires diagnostic reassessment, not automatic escalation.
  • Shake the suspension thoroughly before every dose. Avoid touching the dropper tip to the eye, lashes or skin; use one bottle per patient where contamination is plausible and separate different eye drops by several minutes.
  • Safety of these exact human products in pregnant or lactating dogs and cats has not been established. Use only after a documented veterinary benefit-risk assessment, especially for prolonged or bilateral treatment.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Prednisolone10 mg/ml
Formulation Type
Eye drops
Administration route
Into the eye
Manufacturer
Registration
Georgia Yes, human
In force until 24 Oct 2028
Human (Ministry of Health, RAMA)
In the register: პრედნი 1%, თვალის წვეთები სუსპენზია 10 მლ
№ რ-039413
Verified on: 16 Oct 2026
EU No
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
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 Systemic oral prednisolone as symptomatic or adjunct anti-inflammatory/immunosuppressive treatment for a diagnosed corticosteroid-responsive disease with cause-directed care and monitoring
6.4/10
Situational / acceptable
vetman assessment

Prednisolone-Darnitsa

5 mg, tablet, human medicine
Assessed clinical scopeDog · Systemic oral prednisolone as symptomatic or adjunct anti-inflammatory/immunosuppressive treatment for a diagnosed corticosteroid-responsive disease with cause-directed care and monitoring · By mouth
Care settingVeterinarian-directed home treatment with diagnosis-specific induction, scheduled reassessment, lowest-effective-dose taper and laboratory/clinical monitoring proportional to dose and duration
vetman score 6.4/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-044596 · Verified on 16 Oct 2026 Off-label use

A clinically powerful and well-established systemic glucocorticoid when a corticosteroid-responsive diagnosis justifies it. Use the lowest effective dose, treat the underlying cause, screen important comorbidity and interactions, monitor dose/duration-dependent toxicity and taper sustained treatment rather than stopping abruptly.

Regulatory and scientific credibility5.5/10

This exact human 5 mg scored tablet has a sourced current Georgian registration; exhaustive current checks record no exact EU/EEA, GB or US registration and no complete exact-product regulator label was located. Veterinary use is off-label, although authorised veterinary 5 mg prednisolone tablets directly support species, route and strength.

Clinical efficacy8.0/10

Prednisolone is an established, orally absorbed intermediate-duration glucocorticoid with strong guideline and authorised-veterinary support across inflammatory and immune-mediated canine disease. It can be highly effective when the diagnosis and dose target are correct, but benefit is symptomatic or adjunctive and varies by underlying disease; steroid-sparing or local therapy may be preferable for chronic control.

Safety and tolerability5.5/10

Short, appropriately selected courses are usually manageable, but dose- and duration-dependent polyuria/polydipsia, polyphagia, gastrointestinal signs, muscle/skin change, infection, thrombotic and metabolic effects are well documented. Chronic or high-dose use can cause iatrogenic hyperadrenocorticism and HPA suppression; abrupt withdrawal after sustained therapy risks adrenal insufficiency and relapse.

Clinical practicality7.0/10

A stable 5 mg scored tablet is easy to store and administer and suits many small-to-medium canine anti-inflammatory doses, but the score line should be used for equal division only when the exact instruction confirms it. Large-dog or immunosuppressive regimens can require many tablets, and alternate-day taper schedules increase prescribing and adherence complexity.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use as a substitute for diagnosis or cause-directed treatment. Prednisolone can suppress fever, pain and inflammation while an infection, neoplasia, endocrine disorder or other underlying disease progresses.
  • Do not start immunosuppressive prednisolone with an uncontrolled viral, fungal, bacterial or parasitic infection. Establish appropriate antimicrobial or antiparasitic control first or concurrently when steroid benefit is essential.
  • Avoid concurrent NSAIDs and allow an indication-appropriate washout when switching; the combination materially increases gastrointestinal ulceration, perforation and bleeding risk. Avoid use with active gastrointestinal ulceration.
  • Avoid or use only after explicit specialist benefit-risk assessment in diabetes mellitus, hyperadrenocorticism, uncontrolled hypertension, glaucoma, osteoporosis, important cardiac or renal dysfunction, corneal ulceration or major thrombotic risk.
  • Do not give modified-live vaccines during immunosuppressive treatment. Review timing of vaccination and immune response before starting and after stopping systemic prednisolone.
  • For courses beyond a brief induction, record weight, appetite, water intake/urination, skin and muscle condition, blood pressure and infection signs; monitor CBC, chemistry, glucose, urine and culture where dose, duration or patient risk warrants it.
  • Use the lowest effective dose and reassess response early. After sustained supraphysiologic treatment, taper according to disease control and exposure; abrupt withdrawal can cause adrenal insufficiency, hypotension, weakness, gastrointestinal signs or relapse.
  • Review all concurrent medicines. Enzyme inducers may reduce effect, strong metabolism inhibitors may increase exposure, diuretics can worsen potassium loss, insulin needs can change and other immunosuppressants increase infection risk.
  • Safety of these exact human products in breeding, pregnant or lactating dogs and cats is not established. Glucocorticoids can affect fetal development, parturition, growth and immune response; use only after a documented veterinary benefit-risk assessment.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Systemic oral prednisolone as symptomatic or adjunct anti-inflammatory/immunosuppressive treatment for a diagnosed corticosteroid-responsive disease with cause-directed care and monitoring
6.8/10
Situational / acceptable
vetman assessment

Prednisolone-Darnitsa

5 mg, tablet, human medicine
Assessed clinical scopeCat · Systemic oral prednisolone as symptomatic or adjunct anti-inflammatory/immunosuppressive treatment for a diagnosed corticosteroid-responsive disease with cause-directed care and monitoring · By mouth
Care settingVeterinarian-directed home treatment with diagnosis-specific induction, scheduled reassessment, lowest-effective-dose taper and laboratory/clinical monitoring proportional to dose and duration
vetman score 6.8/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-044596 · Verified on 16 Oct 2026 Off-label use

A clinically powerful and well-established systemic glucocorticoid when a corticosteroid-responsive diagnosis justifies it. Use the lowest effective dose, treat the underlying cause, screen important comorbidity and interactions, monitor dose/duration-dependent toxicity and taper sustained treatment rather than stopping abruptly.

Regulatory and scientific credibility5.5/10

This exact human 5 mg scored tablet has a sourced current Georgian registration; exhaustive current checks record no exact EU/EEA, GB or US registration and no complete exact-product regulator label was located. Veterinary use is off-label, although authorised veterinary 5 mg prednisolone tablets directly support species, route and strength.

Clinical efficacy8.5/10

Prednisolone is an established first-line systemic glucocorticoid for many corticosteroid-responsive feline diseases and is pharmacologically preferable to prednisone when reliable hepatic activation is uncertain. Authorised veterinary 5 mg products and feline disposition data support the species and route, but response remains diagnosis-dependent and the drug does not replace treatment of infection or another underlying cause.

Safety and tolerability6.0/10

Cats may show fewer classic chronic glucocorticoid signs than dogs, but infection, diabetes, skin fragility, heart failure risk, gastrointestinal ulceration and HPA suppression remain clinically important. High-dose immunosuppression and prolonged treatment require active monitoring and tapering; pregnancy, uncontrolled infection and important comorbidity materially narrow the safety margin.

Clinical practicality7.5/10

A 5 mg tablet is close to many common feline anti-inflammatory dose units and is easier to store and administer than compounded liquid for many cats. Exact division must follow the product instruction; taste, pill acceptance, daily induction, monitoring and a multi-step taper can still be substantial treatment burdens.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use as a substitute for diagnosis or cause-directed treatment. Prednisolone can suppress fever, pain and inflammation while an infection, neoplasia, endocrine disorder or other underlying disease progresses.
  • Do not start immunosuppressive prednisolone with an uncontrolled viral, fungal, bacterial or parasitic infection. Establish appropriate antimicrobial or antiparasitic control first or concurrently when steroid benefit is essential.
  • Avoid concurrent NSAIDs and allow an indication-appropriate washout when switching; the combination materially increases gastrointestinal ulceration, perforation and bleeding risk. Avoid use with active gastrointestinal ulceration.
  • Avoid or use only after explicit specialist benefit-risk assessment in diabetes mellitus, hyperadrenocorticism, uncontrolled hypertension, glaucoma, osteoporosis, important cardiac or renal dysfunction, corneal ulceration or major thrombotic risk.
  • Do not give modified-live vaccines during immunosuppressive treatment. Review timing of vaccination and immune response before starting and after stopping systemic prednisolone.
  • For courses beyond a brief induction, record weight, appetite, water intake/urination, skin and muscle condition, blood pressure and infection signs; monitor CBC, chemistry, glucose, urine and culture where dose, duration or patient risk warrants it.
  • Use the lowest effective dose and reassess response early. After sustained supraphysiologic treatment, taper according to disease control and exposure; abrupt withdrawal can cause adrenal insufficiency, hypotension, weakness, gastrointestinal signs or relapse.
  • Review all concurrent medicines. Enzyme inducers may reduce effect, strong metabolism inhibitors may increase exposure, diuretics can worsen potassium loss, insulin needs can change and other immunosuppressants increase infection risk.
  • Safety of these exact human products in breeding, pregnant or lactating dogs and cats is not established. Glucocorticoids can affect fetal development, parturition, growth and immune response; use only after a documented veterinary benefit-risk assessment.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Formulation Type
Scored tablet
Administration route
By mouth
Manufacturer
Darnitsa · Ukraine
Registration
Georgia Yes, human
In force until 13 Jan 2031
Human (Ministry of Health, RAMA)
In the register: პრედნიზოლონი-დარნიცა 5 მგ, აბი
№ რ-044596
Verified on: 16 Oct 2026
EU No
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

Prednisolone-Darnitsa 30 mg/ml, Solution

1 ml ampoule, 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 Short-term parenteral prednisolone sodium phosphate as adjunct systemic anti-inflammatory or immunosuppressive treatment for a diagnosed corticosteroid-responsive condition when oral administration is unsuitable
6.6/10
Situational / acceptable
vetman assessment

Prednisolone-Darnitsa

30 mg/ml, 1 ml ampoule, human medicine
Assessed clinical scopeDog · Short-term parenteral prednisolone sodium phosphate as adjunct systemic anti-inflammatory or immunosuppressive treatment for a diagnosed corticosteroid-responsive condition when oral administration is unsuitable · IV,IM
Care settingHospital or clinic administration after exact ampoule verification, diagnosis-specific dose selection, aseptic preparation, monitored IV/IM delivery and an early plan to reassess, stop or transition to a better documented formulation
vetman score 6.6/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-046234 · Verified on 16 Oct 2026 Off-label use

A soluble, rapidly available systemic glucocorticoid presentation that can be a situational clinic bridge when oral treatment is impossible. Its exact human-product use in dogs and cats remains off-label: verify sodium phosphate on the ampoule, derive the dose from an applicable veterinary source, do not substitute depot-acetate dosing, and never delay epinephrine, resuscitation or cause-directed care in an emergency.

Regulatory and scientific credibility6.5/10

The exact 30 mg/ml human injection is currently registered in Georgia, and the manufacturer instruction identifies prednisolone sodium phosphate, solution, strength, IV/IM routes, excipients and pack. Exhaustive current checks record no exact EU/EEA, GB or US registration; there is no dog/cat authorisation for this exact product, although an EU-authorised 10 mg/ml veterinary prednisolone solution supports the canine IM formulation concept.

Clinical efficacy7.0/10

Prednisolone is an established systemic glucocorticoid, and direct canine work shows rapid, complete conversion of IV prednisolone sodium phosphate to active prednisolone; modern canine IV prednisolone PK/PD data and an authorised veterinary IM solution strengthen biological plausibility. Evidence for clinical outcomes with these exact 30 mg/ml human ampoules remains limited, so benefit depends on a correct diagnosis, dose and cause-directed treatment.

Safety and tolerability6.0/10

The exact human instruction makes the salt, excipients and administration precautions transparent, and brief supervised exposure avoids much of the burden of chronic therapy. Nevertheless, no exact-product canine tolerability study exists; infection masking, hyperglycaemia, gastrointestinal injury, fluid/electrolyte effects, HPA suppression and interaction with NSAIDs remain clinically relevant, especially with repeated or high-dose use.

Clinical practicality7.0/10

The 30 mg/ml ready-to-use 1 ml ampoule is compact, permits rapid clinic-only IV/IM administration and can reduce volume for a larger dog. It is poorly suited to small doses: exact veterinary dosing for this phosphate product is not established, IV access and monitoring are required, and an opened single-use ampoule creates waste when little volume is needed.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • In anaphylaxis, shock or another immediately life-threatening emergency, this product is not a substitute for epinephrine, airway/oxygen support, IV fluids, vasopressors or cause-directed resuscitation. A glucocorticoid is at most adjunctive and must not delay first-line care.
  • Do not use as a substitute for diagnosis or cause-directed treatment. Systemic prednisolone can suppress fever and inflammation while an uncontrolled infection, neoplasia, endocrine disorder or other underlying disease progresses.
  • Avoid concurrent NSAIDs and use an indication-appropriate washout when switching; the combination materially increases gastrointestinal ulceration, perforation and bleeding risk. Avoid use with active gastrointestinal ulceration.
  • Avoid or use only after explicit benefit-risk assessment with uncontrolled infection, diabetes mellitus, hyperadrenocorticism, uncontrolled hypertension, glaucoma, osteoporosis, important cardiac/renal dysfunction, corneal ulceration or major thrombotic risk.
  • Do not administer modified-live vaccines during immunosuppressive treatment. Review vaccination timing and expected immune response before and after systemic glucocorticoid exposure.
  • Confirm prednisolone sodium phosphate, concentration, route and expiry on the exact ampoule. Do not substitute a dose from prednisolone acetate depot suspension or another soluble ester; these formulations have different release and exposure profiles.
  • Administer only in a clinic with aseptic technique, accurate low-volume measurement and route-appropriate monitoring. Establish patency before IV use, give at a controlled rate and observe cardiovascular, respiratory, neurologic and injection-site response.
  • No exact-product veterinary dose is established. Select dose, interval and duration from an applicable veterinary source for the diagnosed condition and soluble formulation; reassess response early and avoid automatic repeat dosing.
  • With repeated or extended exposure, monitor weight, appetite, water intake/urination, blood pressure, infection signs, CBC, chemistry, glucose and urine as risk warrants. Taper sustained supraphysiologic treatment rather than stopping abruptly.
  • Safety of these exact human ampoules in breeding, pregnant, lactating, neonatal or growing dogs and cats is not established. Use only after a documented veterinary benefit-risk assessment and consider a better characterised alternative.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Short-term parenteral prednisolone sodium phosphate as adjunct systemic anti-inflammatory or immunosuppressive treatment for a diagnosed corticosteroid-responsive condition when oral administration is unsuitable
6.1/10
Situational / acceptable
vetman assessment

Prednisolone-Darnitsa

30 mg/ml, 1 ml ampoule, human medicine
Assessed clinical scopeCat · Short-term parenteral prednisolone sodium phosphate as adjunct systemic anti-inflammatory or immunosuppressive treatment for a diagnosed corticosteroid-responsive condition when oral administration is unsuitable · IV,IM
Care settingHospital or clinic administration after exact ampoule verification, diagnosis-specific dose selection, aseptic preparation, monitored IV/IM delivery and an early plan to reassess, stop or transition to a better documented formulation
vetman score 6.1/10 Situational / acceptable
Evidence confidence: Low Georgia: Yes, human · № რ-046234 · Verified on 16 Oct 2026 Off-label use

A soluble, rapidly available systemic glucocorticoid presentation that can be a situational clinic bridge when oral treatment is impossible. Its exact human-product use in dogs and cats remains off-label: verify sodium phosphate on the ampoule, derive the dose from an applicable veterinary source, do not substitute depot-acetate dosing, and never delay epinephrine, resuscitation or cause-directed care in an emergency.

Regulatory and scientific credibility6.5/10

The exact 30 mg/ml human injection is currently registered in Georgia, and the manufacturer instruction identifies prednisolone sodium phosphate, solution, strength, IV/IM routes, excipients and pack. Exhaustive current checks record no exact EU/EEA, GB or US registration; there is no dog/cat authorisation for this exact product, although an EU-authorised 10 mg/ml veterinary prednisolone solution supports the canine IM formulation concept.

Clinical efficacy6.5/10

Prednisolone has an established systemic role in cats, but evidence for IV/IM sodium phosphate in this species is mainly transferred from feline prednisolone disposition, general glucocorticoid practice and canine parenteral data. The soluble phosphate should not be treated as interchangeable with authorised prednisolone acetate depot suspension, and no exact-product feline outcome study was located.

Safety and tolerability5.5/10

The exact human instruction makes the salt, excipients and administration precautions transparent, but no exact-product feline tolerability study exists. Cats still face infection, diabetes, gastrointestinal injury, fluid/cardiac effects and HPA suppression; the route-specific evidence is indirect, and the unquantified ethanol/propylene-glycol excipients add uncertainty for a small patient.

Clinical practicality5.5/10

A 30 mg/ml ampoule produces very small volumes for many cats, making accurate measurement difficult without an appropriately graduated low-volume syringe and an independently justified dose. IV access/restraint and monitoring add burden, and most of the 1 ml ampoule may be discarded; it is a clinic rescue/bridge presentation, not a convenient routine feline formulation.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • In anaphylaxis, shock or another immediately life-threatening emergency, this product is not a substitute for epinephrine, airway/oxygen support, IV fluids, vasopressors or cause-directed resuscitation. A glucocorticoid is at most adjunctive and must not delay first-line care.
  • Do not use as a substitute for diagnosis or cause-directed treatment. Systemic prednisolone can suppress fever and inflammation while an uncontrolled infection, neoplasia, endocrine disorder or other underlying disease progresses.
  • Avoid concurrent NSAIDs and use an indication-appropriate washout when switching; the combination materially increases gastrointestinal ulceration, perforation and bleeding risk. Avoid use with active gastrointestinal ulceration.
  • Avoid or use only after explicit benefit-risk assessment with uncontrolled infection, diabetes mellitus, hyperadrenocorticism, uncontrolled hypertension, glaucoma, osteoporosis, important cardiac/renal dysfunction, corneal ulceration or major thrombotic risk.
  • Do not administer modified-live vaccines during immunosuppressive treatment. Review vaccination timing and expected immune response before and after systemic glucocorticoid exposure.
  • Confirm prednisolone sodium phosphate, concentration, route and expiry on the exact ampoule. Do not substitute a dose from prednisolone acetate depot suspension or another soluble ester; these formulations have different release and exposure profiles.
  • Administer only in a clinic with aseptic technique, accurate low-volume measurement and route-appropriate monitoring. Establish patency before IV use, give at a controlled rate and observe cardiovascular, respiratory, neurologic and injection-site response.
  • No exact-product veterinary dose is established. Select dose, interval and duration from an applicable veterinary source for the diagnosed condition and soluble formulation; reassess response early and avoid automatic repeat dosing.
  • With repeated or extended exposure, monitor weight, appetite, water intake/urination, blood pressure, infection signs, CBC, chemistry, glucose and urine as risk warrants. Taper sustained supraphysiologic treatment rather than stopping abruptly.
  • Safety of these exact human ampoules in breeding, pregnant, lactating, neonatal or growing dogs and cats is not established. Use only after a documented veterinary benefit-risk assessment and consider a better characterised alternative.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Prednisolone30 mg/ml
Formulation Type
Solution
Administration route
Intravenous, Intramuscular
Manufacturer
Darnitsa · Ukraine
Registration
Georgia Yes, human
In force until 27 Aug 2031
Human (Ministry of Health, RAMA)
In the register: პრედნიზოლონი-დარნიცა 30 მგ/მლ, 1 მლ ამპულა
№ რ-046234
Verified on: 16 Oct 2026
EU No
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

Prednisolone Ajio 30 mg/ml, Solution

1 ml ampoule, 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 Short-term parenteral prednisolone sodium phosphate as adjunct systemic anti-inflammatory or immunosuppressive treatment for a diagnosed corticosteroid-responsive condition when oral administration is unsuitable
6.2/10
Situational / acceptable
vetman assessment

Prednisolone Ajio

30 mg/ml, 1 ml ampoule, human medicine
Assessed clinical scopeDog · Short-term parenteral prednisolone sodium phosphate as adjunct systemic anti-inflammatory or immunosuppressive treatment for a diagnosed corticosteroid-responsive condition when oral administration is unsuitable · IV,IM
Care settingHospital or clinic administration after exact ampoule verification, diagnosis-specific dose selection, aseptic preparation, monitored IV/IM delivery and an early plan to reassess, stop or transition to a better documented formulation
vetman score 6.2/10 Situational / acceptable
Evidence confidence: Low Georgia: Yes, human · № რ-037192 · Verified on 16 Oct 2026 Off-label use

A soluble, rapidly available systemic glucocorticoid presentation that can be a situational clinic bridge when oral treatment is impossible. Its exact human-product use in dogs and cats remains off-label: verify sodium phosphate on the ampoule, derive the dose from an applicable veterinary source, do not substitute depot-acetate dosing, and never delay epinephrine, resuscitation or cause-directed care in an emergency.

Regulatory and scientific credibility5.5/10

The exact 30 mg/ml human injection is currently registered in Georgia, and the manufacturer product list confirms prednisolone sodium phosphate and strength. Exhaustive current checks record no exact EU/EEA, GB or US registration; no complete current regulator- or manufacturer-hosted product instruction was located, and there is no dog/cat authorisation for this exact product.

Clinical efficacy7.0/10

Prednisolone is an established systemic glucocorticoid, and direct canine work shows rapid, complete conversion of IV prednisolone sodium phosphate to active prednisolone; modern canine IV prednisolone PK/PD data and an authorised veterinary IM solution strengthen biological plausibility. Evidence for clinical outcomes with these exact 30 mg/ml human ampoules remains limited, so benefit depends on a correct diagnosis, dose and cause-directed treatment.

Safety and tolerability5.5/10

Brief supervised exposure can be reasonable, but no exact-product canine tolerability study or complete current public official instruction was located. Systemic glucocorticoid risks include infection masking, hyperglycaemia, gastrointestinal injury, fluid/electrolyte effects, HPA suppression and important NSAID interactions; incomplete public excipient and compatibility detail lowers confidence.

Clinical practicality7.0/10

The 30 mg/ml ready-to-use 1 ml ampoule is compact, permits rapid clinic-only IV/IM administration and can reduce volume for a larger dog. It is poorly suited to small doses: exact veterinary dosing for this phosphate product is not established, IV access and monitoring are required, and an opened single-use ampoule creates waste when little volume is needed.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • In anaphylaxis, shock or another immediately life-threatening emergency, this product is not a substitute for epinephrine, airway/oxygen support, IV fluids, vasopressors or cause-directed resuscitation. A glucocorticoid is at most adjunctive and must not delay first-line care.
  • Do not use as a substitute for diagnosis or cause-directed treatment. Systemic prednisolone can suppress fever and inflammation while an uncontrolled infection, neoplasia, endocrine disorder or other underlying disease progresses.
  • Avoid concurrent NSAIDs and use an indication-appropriate washout when switching; the combination materially increases gastrointestinal ulceration, perforation and bleeding risk. Avoid use with active gastrointestinal ulceration.
  • Avoid or use only after explicit benefit-risk assessment with uncontrolled infection, diabetes mellitus, hyperadrenocorticism, uncontrolled hypertension, glaucoma, osteoporosis, important cardiac/renal dysfunction, corneal ulceration or major thrombotic risk.
  • Do not administer modified-live vaccines during immunosuppressive treatment. Review vaccination timing and expected immune response before and after systemic glucocorticoid exposure.
  • Confirm prednisolone sodium phosphate, concentration, route and expiry on the exact ampoule. Do not substitute a dose from prednisolone acetate depot suspension or another soluble ester; these formulations have different release and exposure profiles.
  • Administer only in a clinic with aseptic technique, accurate low-volume measurement and route-appropriate monitoring. Establish patency before IV use, give at a controlled rate and observe cardiovascular, respiratory, neurologic and injection-site response.
  • No exact-product veterinary dose is established. Select dose, interval and duration from an applicable veterinary source for the diagnosed condition and soluble formulation; reassess response early and avoid automatic repeat dosing.
  • With repeated or extended exposure, monitor weight, appetite, water intake/urination, blood pressure, infection signs, CBC, chemistry, glucose and urine as risk warrants. Taper sustained supraphysiologic treatment rather than stopping abruptly.
  • Safety of these exact human ampoules in breeding, pregnant, lactating, neonatal or growing dogs and cats is not established. Use only after a documented veterinary benefit-risk assessment and consider a better characterised alternative.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Short-term parenteral prednisolone sodium phosphate as adjunct systemic anti-inflammatory or immunosuppressive treatment for a diagnosed corticosteroid-responsive condition when oral administration is unsuitable
5.6/10
Weak evidence support
vetman assessment

Prednisolone Ajio

30 mg/ml, 1 ml ampoule, human medicine
Assessed clinical scopeCat · Short-term parenteral prednisolone sodium phosphate as adjunct systemic anti-inflammatory or immunosuppressive treatment for a diagnosed corticosteroid-responsive condition when oral administration is unsuitable · IV,IM
Care settingHospital or clinic administration after exact ampoule verification, diagnosis-specific dose selection, aseptic preparation, monitored IV/IM delivery and an early plan to reassess, stop or transition to a better documented formulation
vetman score 5.6/10 Weak evidence support
Evidence confidence: Low Georgia: Yes, human · № რ-037192 · Verified on 16 Oct 2026 Off-label use

A soluble, rapidly available systemic glucocorticoid presentation that can be a situational clinic bridge when oral treatment is impossible. Its exact human-product use in dogs and cats remains off-label: verify sodium phosphate on the ampoule, derive the dose from an applicable veterinary source, do not substitute depot-acetate dosing, and never delay epinephrine, resuscitation or cause-directed care in an emergency.

Regulatory and scientific credibility5.5/10

The exact 30 mg/ml human injection is currently registered in Georgia, and the manufacturer product list confirms prednisolone sodium phosphate and strength. Exhaustive current checks record no exact EU/EEA, GB or US registration; no complete current regulator- or manufacturer-hosted product instruction was located, and there is no dog/cat authorisation for this exact product.

Clinical efficacy6.5/10

Prednisolone has an established systemic role in cats, but evidence for IV/IM sodium phosphate in this species is mainly transferred from feline prednisolone disposition, general glucocorticoid practice and canine parenteral data. The soluble phosphate should not be treated as interchangeable with authorised prednisolone acetate depot suspension, and no exact-product feline outcome study was located.

Safety and tolerability5.0/10

No exact-product feline tolerability study or complete current public official instruction was located. Cats remain vulnerable to infection, diabetes, gastrointestinal injury, fluid/cardiac effects and HPA suppression, while indirect route evidence, small injection volumes and incomplete public excipient/compatibility detail narrow the safety margin.

Clinical practicality5.5/10

A 30 mg/ml ampoule produces very small volumes for many cats, making accurate measurement difficult without an appropriately graduated low-volume syringe and an independently justified dose. IV access/restraint and monitoring add burden, and most of the 1 ml ampoule may be discarded; it is a clinic rescue/bridge presentation, not a convenient routine feline formulation.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • In anaphylaxis, shock or another immediately life-threatening emergency, this product is not a substitute for epinephrine, airway/oxygen support, IV fluids, vasopressors or cause-directed resuscitation. A glucocorticoid is at most adjunctive and must not delay first-line care.
  • Do not use as a substitute for diagnosis or cause-directed treatment. Systemic prednisolone can suppress fever and inflammation while an uncontrolled infection, neoplasia, endocrine disorder or other underlying disease progresses.
  • Avoid concurrent NSAIDs and use an indication-appropriate washout when switching; the combination materially increases gastrointestinal ulceration, perforation and bleeding risk. Avoid use with active gastrointestinal ulceration.
  • Avoid or use only after explicit benefit-risk assessment with uncontrolled infection, diabetes mellitus, hyperadrenocorticism, uncontrolled hypertension, glaucoma, osteoporosis, important cardiac/renal dysfunction, corneal ulceration or major thrombotic risk.
  • Do not administer modified-live vaccines during immunosuppressive treatment. Review vaccination timing and expected immune response before and after systemic glucocorticoid exposure.
  • Confirm prednisolone sodium phosphate, concentration, route and expiry on the exact ampoule. Do not substitute a dose from prednisolone acetate depot suspension or another soluble ester; these formulations have different release and exposure profiles.
  • Administer only in a clinic with aseptic technique, accurate low-volume measurement and route-appropriate monitoring. Establish patency before IV use, give at a controlled rate and observe cardiovascular, respiratory, neurologic and injection-site response.
  • No exact-product veterinary dose is established. Select dose, interval and duration from an applicable veterinary source for the diagnosed condition and soluble formulation; reassess response early and avoid automatic repeat dosing.
  • With repeated or extended exposure, monitor weight, appetite, water intake/urination, blood pressure, infection signs, CBC, chemistry, glucose and urine as risk warrants. Taper sustained supraphysiologic treatment rather than stopping abruptly.
  • Safety of these exact human ampoules in breeding, pregnant, lactating, neonatal or growing dogs and cats is not established. Use only after a documented veterinary benefit-risk assessment and consider a better characterised alternative.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Prednisolone30 mg/ml
Formulation Type
Solution
Administration route
Intravenous, Intramuscular
Registration
Georgia Yes, human
In force until 24 Jan 2028
Human (Ministry of Health, RAMA)
In the register: პრედნიზოლონი აჯიო 30 მგ/მლ, 1 მლ ამპულა
№ რ-037192
Verified on: 16 Oct 2026
EU No
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
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 Systemic oral prednisolone as symptomatic or adjunct anti-inflammatory/immunosuppressive treatment for a diagnosed corticosteroid-responsive disease with cause-directed care and monitoring
6.7/10
Situational / acceptable
vetman assessment

Prednisolone Cortico

5 mg, tablet, human medicine
Assessed clinical scopeDog · Systemic oral prednisolone as symptomatic or adjunct anti-inflammatory/immunosuppressive treatment for a diagnosed corticosteroid-responsive disease with cause-directed care and monitoring · By mouth
Care settingVeterinarian-directed home treatment with diagnosis-specific induction, scheduled reassessment, lowest-effective-dose taper and laboratory/clinical monitoring proportional to dose and duration
vetman score 6.7/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-042459 · Verified on 16 Oct 2026 Off-label use

A clinically powerful and well-established systemic glucocorticoid when a corticosteroid-responsive diagnosis justifies it. Use the lowest effective dose, treat the underlying cause, screen important comorbidity and interactions, monitor dose/duration-dependent toxicity and taper sustained treatment rather than stopping abruptly.

Regulatory and scientific credibility6.5/10

This exact human 5 mg scored tablet has sourced current registrations in Georgia and EU/EEA; current checks record no exact GB or US registration. Veterinary use is off-label, although authorised veterinary 5 mg prednisolone tablets directly support species, route and strength.

Clinical efficacy8.0/10

Prednisolone is an established, orally absorbed intermediate-duration glucocorticoid with strong guideline and authorised-veterinary support across inflammatory and immune-mediated canine disease. It can be highly effective when the diagnosis and dose target are correct, but benefit is symptomatic or adjunctive and varies by underlying disease; steroid-sparing or local therapy may be preferable for chronic control.

Safety and tolerability5.5/10

Short, appropriately selected courses are usually manageable, but dose- and duration-dependent polyuria/polydipsia, polyphagia, gastrointestinal signs, muscle/skin change, infection, thrombotic and metabolic effects are well documented. Chronic or high-dose use can cause iatrogenic hyperadrenocorticism and HPA suppression; abrupt withdrawal after sustained therapy risks adrenal insufficiency and relapse.

Clinical practicality7.0/10

A stable 5 mg scored tablet is easy to store and administer and suits many small-to-medium canine anti-inflammatory doses, but the score line should be used for equal division only when the exact instruction confirms it. Large-dog or immunosuppressive regimens can require many tablets, and alternate-day taper schedules increase prescribing and adherence complexity.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use as a substitute for diagnosis or cause-directed treatment. Prednisolone can suppress fever, pain and inflammation while an infection, neoplasia, endocrine disorder or other underlying disease progresses.
  • Do not start immunosuppressive prednisolone with an uncontrolled viral, fungal, bacterial or parasitic infection. Establish appropriate antimicrobial or antiparasitic control first or concurrently when steroid benefit is essential.
  • Avoid concurrent NSAIDs and allow an indication-appropriate washout when switching; the combination materially increases gastrointestinal ulceration, perforation and bleeding risk. Avoid use with active gastrointestinal ulceration.
  • Avoid or use only after explicit specialist benefit-risk assessment in diabetes mellitus, hyperadrenocorticism, uncontrolled hypertension, glaucoma, osteoporosis, important cardiac or renal dysfunction, corneal ulceration or major thrombotic risk.
  • Do not give modified-live vaccines during immunosuppressive treatment. Review timing of vaccination and immune response before starting and after stopping systemic prednisolone.
  • For courses beyond a brief induction, record weight, appetite, water intake/urination, skin and muscle condition, blood pressure and infection signs; monitor CBC, chemistry, glucose, urine and culture where dose, duration or patient risk warrants it.
  • Use the lowest effective dose and reassess response early. After sustained supraphysiologic treatment, taper according to disease control and exposure; abrupt withdrawal can cause adrenal insufficiency, hypotension, weakness, gastrointestinal signs or relapse.
  • Review all concurrent medicines. Enzyme inducers may reduce effect, strong metabolism inhibitors may increase exposure, diuretics can worsen potassium loss, insulin needs can change and other immunosuppressants increase infection risk.
  • Safety of these exact human products in breeding, pregnant or lactating dogs and cats is not established. Glucocorticoids can affect fetal development, parturition, growth and immune response; use only after a documented veterinary benefit-risk assessment.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Systemic oral prednisolone as symptomatic or adjunct anti-inflammatory/immunosuppressive treatment for a diagnosed corticosteroid-responsive disease with cause-directed care and monitoring
7.1/10
Good
vetman assessment

Prednisolone Cortico

5 mg, tablet, human medicine
Assessed clinical scopeCat · Systemic oral prednisolone as symptomatic or adjunct anti-inflammatory/immunosuppressive treatment for a diagnosed corticosteroid-responsive disease with cause-directed care and monitoring · By mouth
Care settingVeterinarian-directed home treatment with diagnosis-specific induction, scheduled reassessment, lowest-effective-dose taper and laboratory/clinical monitoring proportional to dose and duration
vetman score 7.1/10 Good
Evidence confidence: Medium Georgia: Yes, human · № რ-042459 · Verified on 16 Oct 2026 Off-label use

A clinically powerful and well-established systemic glucocorticoid when a corticosteroid-responsive diagnosis justifies it. Use the lowest effective dose, treat the underlying cause, screen important comorbidity and interactions, monitor dose/duration-dependent toxicity and taper sustained treatment rather than stopping abruptly.

Regulatory and scientific credibility6.5/10

This exact human 5 mg scored tablet has sourced current registrations in Georgia and EU/EEA; current checks record no exact GB or US registration. Veterinary use is off-label, although authorised veterinary 5 mg prednisolone tablets directly support species, route and strength.

Clinical efficacy8.5/10

Prednisolone is an established first-line systemic glucocorticoid for many corticosteroid-responsive feline diseases and is pharmacologically preferable to prednisone when reliable hepatic activation is uncertain. Authorised veterinary 5 mg products and feline disposition data support the species and route, but response remains diagnosis-dependent and the drug does not replace treatment of infection or another underlying cause.

Safety and tolerability6.0/10

Cats may show fewer classic chronic glucocorticoid signs than dogs, but infection, diabetes, skin fragility, heart failure risk, gastrointestinal ulceration and HPA suppression remain clinically important. High-dose immunosuppression and prolonged treatment require active monitoring and tapering; pregnancy, uncontrolled infection and important comorbidity materially narrow the safety margin.

Clinical practicality7.5/10

A 5 mg tablet is close to many common feline anti-inflammatory dose units and is easier to store and administer than compounded liquid for many cats. Exact division must follow the product instruction; taste, pill acceptance, daily induction, monitoring and a multi-step taper can still be substantial treatment burdens.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use as a substitute for diagnosis or cause-directed treatment. Prednisolone can suppress fever, pain and inflammation while an infection, neoplasia, endocrine disorder or other underlying disease progresses.
  • Do not start immunosuppressive prednisolone with an uncontrolled viral, fungal, bacterial or parasitic infection. Establish appropriate antimicrobial or antiparasitic control first or concurrently when steroid benefit is essential.
  • Avoid concurrent NSAIDs and allow an indication-appropriate washout when switching; the combination materially increases gastrointestinal ulceration, perforation and bleeding risk. Avoid use with active gastrointestinal ulceration.
  • Avoid or use only after explicit specialist benefit-risk assessment in diabetes mellitus, hyperadrenocorticism, uncontrolled hypertension, glaucoma, osteoporosis, important cardiac or renal dysfunction, corneal ulceration or major thrombotic risk.
  • Do not give modified-live vaccines during immunosuppressive treatment. Review timing of vaccination and immune response before starting and after stopping systemic prednisolone.
  • For courses beyond a brief induction, record weight, appetite, water intake/urination, skin and muscle condition, blood pressure and infection signs; monitor CBC, chemistry, glucose, urine and culture where dose, duration or patient risk warrants it.
  • Use the lowest effective dose and reassess response early. After sustained supraphysiologic treatment, taper according to disease control and exposure; abrupt withdrawal can cause adrenal insufficiency, hypotension, weakness, gastrointestinal signs or relapse.
  • Review all concurrent medicines. Enzyme inducers may reduce effect, strong metabolism inhibitors may increase exposure, diuretics can worsen potassium loss, insulin needs can change and other immunosuppressants increase infection risk.
  • Safety of these exact human products in breeding, pregnant or lactating dogs and cats is not established. Glucocorticoids can affect fetal development, parturition, growth and immune response; use only after a documented veterinary benefit-risk assessment.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Formulation Type
Scored tablet
Administration route
By mouth
Manufacturer
Antibiotic-Razgrad · Bulgaria
Registration
Georgia Yes, human
In force until 03 Dec 2029
Human (Ministry of Health, RAMA)
In the register: პრედნიზოლონი კორტიკო 5 მგ, აბი
№ რ-042459
Verified on: 16 Oct 2026
EU Yes, human
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
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 Systemic oral prednisolone as symptomatic or adjunct anti-inflammatory/immunosuppressive treatment for a diagnosed corticosteroid-responsive disease with cause-directed care and monitoring
6.9/10
Situational / acceptable
vetman assessment

Prednisolone Wockhardt

5 mg, tablet, human medicine
Assessed clinical scopeDog · Systemic oral prednisolone as symptomatic or adjunct anti-inflammatory/immunosuppressive treatment for a diagnosed corticosteroid-responsive disease with cause-directed care and monitoring · By mouth
Care settingVeterinarian-directed home treatment with diagnosis-specific induction, scheduled reassessment, lowest-effective-dose taper and laboratory/clinical monitoring proportional to dose and duration
vetman score 6.9/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-040294 · Verified on 16 Oct 2026 Off-label use

A clinically powerful and well-established systemic glucocorticoid when a corticosteroid-responsive diagnosis justifies it. Use the lowest effective dose, treat the underlying cause, screen important comorbidity and interactions, monitor dose/duration-dependent toxicity and taper sustained treatment rather than stopping abruptly.

Regulatory and scientific credibility7.0/10

This exact human 5 mg scored tablet has sourced current registrations in Georgia and GB, a current identifiable UK SmPC and no exact EU/EEA or US registration in the checked registers. Veterinary use is off-label, although authorised veterinary 5 mg prednisolone tablets directly support species, route and strength.

Clinical efficacy8.0/10

Prednisolone is an established, orally absorbed intermediate-duration glucocorticoid with strong guideline and authorised-veterinary support across inflammatory and immune-mediated canine disease. It can be highly effective when the diagnosis and dose target are correct, but benefit is symptomatic or adjunctive and varies by underlying disease; steroid-sparing or local therapy may be preferable for chronic control.

Safety and tolerability5.5/10

Short, appropriately selected courses are usually manageable, but dose- and duration-dependent polyuria/polydipsia, polyphagia, gastrointestinal signs, muscle/skin change, infection, thrombotic and metabolic effects are well documented. Chronic or high-dose use can cause iatrogenic hyperadrenocorticism and HPA suppression; abrupt withdrawal after sustained therapy risks adrenal insufficiency and relapse.

Clinical practicality7.0/10

A stable 5 mg scored tablet is easy to store and administer and suits many small-to-medium canine anti-inflammatory doses, but the score line should be used for equal division only when the exact instruction confirms it. Large-dog or immunosuppressive regimens can require many tablets, and alternate-day taper schedules increase prescribing and adherence complexity.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use as a substitute for diagnosis or cause-directed treatment. Prednisolone can suppress fever, pain and inflammation while an infection, neoplasia, endocrine disorder or other underlying disease progresses.
  • Do not start immunosuppressive prednisolone with an uncontrolled viral, fungal, bacterial or parasitic infection. Establish appropriate antimicrobial or antiparasitic control first or concurrently when steroid benefit is essential.
  • Avoid concurrent NSAIDs and allow an indication-appropriate washout when switching; the combination materially increases gastrointestinal ulceration, perforation and bleeding risk. Avoid use with active gastrointestinal ulceration.
  • Avoid or use only after explicit specialist benefit-risk assessment in diabetes mellitus, hyperadrenocorticism, uncontrolled hypertension, glaucoma, osteoporosis, important cardiac or renal dysfunction, corneal ulceration or major thrombotic risk.
  • Do not give modified-live vaccines during immunosuppressive treatment. Review timing of vaccination and immune response before starting and after stopping systemic prednisolone.
  • For courses beyond a brief induction, record weight, appetite, water intake/urination, skin and muscle condition, blood pressure and infection signs; monitor CBC, chemistry, glucose, urine and culture where dose, duration or patient risk warrants it.
  • Use the lowest effective dose and reassess response early. After sustained supraphysiologic treatment, taper according to disease control and exposure; abrupt withdrawal can cause adrenal insufficiency, hypotension, weakness, gastrointestinal signs or relapse.
  • Review all concurrent medicines. Enzyme inducers may reduce effect, strong metabolism inhibitors may increase exposure, diuretics can worsen potassium loss, insulin needs can change and other immunosuppressants increase infection risk.
  • Safety of these exact human products in breeding, pregnant or lactating dogs and cats is not established. Glucocorticoids can affect fetal development, parturition, growth and immune response; use only after a documented veterinary benefit-risk assessment.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Systemic oral prednisolone as symptomatic or adjunct anti-inflammatory/immunosuppressive treatment for a diagnosed corticosteroid-responsive disease with cause-directed care and monitoring
7.2/10
Good
vetman assessment

Prednisolone Wockhardt

5 mg, tablet, human medicine
Assessed clinical scopeCat · Systemic oral prednisolone as symptomatic or adjunct anti-inflammatory/immunosuppressive treatment for a diagnosed corticosteroid-responsive disease with cause-directed care and monitoring · By mouth
Care settingVeterinarian-directed home treatment with diagnosis-specific induction, scheduled reassessment, lowest-effective-dose taper and laboratory/clinical monitoring proportional to dose and duration
vetman score 7.2/10 Good
Evidence confidence: Medium Georgia: Yes, human · № რ-040294 · Verified on 16 Oct 2026 Off-label use

A clinically powerful and well-established systemic glucocorticoid when a corticosteroid-responsive diagnosis justifies it. Use the lowest effective dose, treat the underlying cause, screen important comorbidity and interactions, monitor dose/duration-dependent toxicity and taper sustained treatment rather than stopping abruptly.

Regulatory and scientific credibility7.0/10

This exact human 5 mg scored tablet has sourced current registrations in Georgia and GB, a current identifiable UK SmPC and no exact EU/EEA or US registration in the checked registers. Veterinary use is off-label, although authorised veterinary 5 mg prednisolone tablets directly support species, route and strength.

Clinical efficacy8.5/10

Prednisolone is an established first-line systemic glucocorticoid for many corticosteroid-responsive feline diseases and is pharmacologically preferable to prednisone when reliable hepatic activation is uncertain. Authorised veterinary 5 mg products and feline disposition data support the species and route, but response remains diagnosis-dependent and the drug does not replace treatment of infection or another underlying cause.

Safety and tolerability6.0/10

Cats may show fewer classic chronic glucocorticoid signs than dogs, but infection, diabetes, skin fragility, heart failure risk, gastrointestinal ulceration and HPA suppression remain clinically important. High-dose immunosuppression and prolonged treatment require active monitoring and tapering; pregnancy, uncontrolled infection and important comorbidity materially narrow the safety margin.

Clinical practicality7.5/10

A 5 mg tablet is close to many common feline anti-inflammatory dose units and is easier to store and administer than compounded liquid for many cats. Exact division must follow the product instruction; taste, pill acceptance, daily induction, monitoring and a multi-step taper can still be substantial treatment burdens.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use as a substitute for diagnosis or cause-directed treatment. Prednisolone can suppress fever, pain and inflammation while an infection, neoplasia, endocrine disorder or other underlying disease progresses.
  • Do not start immunosuppressive prednisolone with an uncontrolled viral, fungal, bacterial or parasitic infection. Establish appropriate antimicrobial or antiparasitic control first or concurrently when steroid benefit is essential.
  • Avoid concurrent NSAIDs and allow an indication-appropriate washout when switching; the combination materially increases gastrointestinal ulceration, perforation and bleeding risk. Avoid use with active gastrointestinal ulceration.
  • Avoid or use only after explicit specialist benefit-risk assessment in diabetes mellitus, hyperadrenocorticism, uncontrolled hypertension, glaucoma, osteoporosis, important cardiac or renal dysfunction, corneal ulceration or major thrombotic risk.
  • Do not give modified-live vaccines during immunosuppressive treatment. Review timing of vaccination and immune response before starting and after stopping systemic prednisolone.
  • For courses beyond a brief induction, record weight, appetite, water intake/urination, skin and muscle condition, blood pressure and infection signs; monitor CBC, chemistry, glucose, urine and culture where dose, duration or patient risk warrants it.
  • Use the lowest effective dose and reassess response early. After sustained supraphysiologic treatment, taper according to disease control and exposure; abrupt withdrawal can cause adrenal insufficiency, hypotension, weakness, gastrointestinal signs or relapse.
  • Review all concurrent medicines. Enzyme inducers may reduce effect, strong metabolism inhibitors may increase exposure, diuretics can worsen potassium loss, insulin needs can change and other immunosuppressants increase infection risk.
  • Safety of these exact human products in breeding, pregnant or lactating dogs and cats is not established. Glucocorticoids can affect fetal development, parturition, growth and immune response; use only after a documented veterinary benefit-risk assessment.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Formulation Type
Scored tablet
Administration route
By mouth
Manufacturer
Registration
Georgia Yes, human
In force until 21 Feb 2029
Human (Ministry of Health, RAMA)
In the register: პრედნიზოლონი ვოკჰარდტი 5 მგ, აბი
№ რ-040294
Verified on: 16 Oct 2026
EU No
UK Yes, human
№ PL298310177, PL298310178
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

Predso 1%, Eye drops

eye drops 5 ml, 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 Prednisolone acetate 1% for diagnosed noninfectious steroid-responsive conjunctival, corneal or anterior-segment inflammation after complete examination and a fluorescein-negative intact cornea
6.8/10
Situational / acceptable
vetman assessment

Predso

1%, eye drops 5 ml, human medicine
Assessed clinical scopeDog · Prednisolone acetate 1% for diagnosed noninfectious steroid-responsive conjunctival, corneal or anterior-segment inflammation after complete examination and a fluorescein-negative intact cornea · Into the eye
Care settingVeterinarian-directed clinic or home treatment after magnified ophthalmic examination, fluorescein staining and intraocular-pressure assessment where relevant, with early recheck and response-guided taper
vetman score 6.8/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-039657 · Verified on 16 Oct 2026 Off-label use

A potent standard topical steroid for diagnosed noninfectious anterior ocular inflammation when the cornea is intact. Its value depends on examination and monitoring: stain before treatment, exclude or treat infection, shake every dose, monitor pressure and response, and stop if pain or corneal damage emerges.

Regulatory and scientific credibility6.0/10

This exact 1% human ophthalmic suspension has a sourced current Georgian registration and an official manufacturer page identifying its concentration, form and pack; exhaustive current checks record no exact EU/EEA, GB or US registration. Veterinary use is off-label.

Clinical efficacy8.5/10

Prednisolone acetate 1% is among the most effective cornea-penetrating topical corticosteroids used in veterinary ophthalmology. Guideline support covers noninfectious anterior uveitis, immune-mediated keratitis and episcleritis; canine pharmacokinetic and perioperative studies directly support ocular exposure and anti-inflammatory use, although diagnosis and cause control determine benefit.

Safety and tolerability5.5/10

Correct selection is usually locally tolerable, but 1% prednisolone delays epithelial repair, augments collagenase and can worsen an occult ulcer or infection. Four-times-daily bilateral use produces measurable systemic exposure and HPA-axis suppression; repeated treatment can raise intraocular pressure and cause infection, cataract or steroid keratopathy.

Clinical practicality7.5/10

The 5 ml suspension gives a directly deliverable ocular dose and limits pack waste, but it must be shaken thoroughly before every use. Frequent initial dosing, atraumatic restraint, tip hygiene, spacing other drops and scheduled re-examination remain material burdens.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Perform fluorescein staining before starting and whenever new pain develops. Do not use topical prednisolone with a corneal abrasion, ulcer, descemetocele, melting ulcer, perforation or unhealed penetrating injury; it delays epithelial repair and can accelerate collagenolysis.
  • Do not use as steroid monotherapy for an undiagnosed red eye or untreated bacterial, fungal, mycobacterial, parasitic or viral ocular infection. Establish and treat the cause; immunosuppression can mask progression and rapidly compromise the cornea.
  • Stop treatment and reassess urgently if blepharospasm, discharge, corneal clouding, focal staining, vision change or worsening redness develops.
  • Measure intraocular pressure when glaucoma is possible and during repeated or prolonged treatment. Prednisolone acetate can raise pressure, cause glaucoma or cataract and promote steroid keratopathy; monitor cornea, lens and response instead of renewing indefinitely.
  • Ophthalmic prednisolone is systemically absorbed and four-times-daily bilateral dosing can suppress the HPA axis. Use the lowest effective frequency, consider nasolacrimal occlusion, and review diabetes, hyperadrenocorticism, infection risk and concurrent systemic corticosteroids.
  • Use an indication-appropriate initial frequency and recheck early; severe anterior inflammation may require frequent dosing, whereas chronic immune-mediated disease requires response-guided tapering. Do not stop a prolonged course abruptly or continue unchanged without confirming control.
  • This score covers diagnosed steroid-responsive anterior ocular inflammation as a clinical class, not every human-label claim and not posterior-segment disease that topical drops cannot adequately reach. Lack of response requires diagnostic reassessment, not automatic escalation.
  • Shake the suspension thoroughly before every dose. Avoid touching the dropper tip to the eye, lashes or skin; use one bottle per patient where contamination is plausible and separate different eye drops by several minutes.
  • Safety of these exact human products in pregnant or lactating dogs and cats has not been established. Use only after a documented veterinary benefit-risk assessment, especially for prolonged or bilateral treatment.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Prednisolone acetate 1% for diagnosed noninfectious steroid-responsive conjunctival, corneal or anterior-segment inflammation after complete examination and a fluorescein-negative intact cornea
6.3/10
Situational / acceptable
vetman assessment

Predso

1%, eye drops 5 ml, human medicine
Assessed clinical scopeCat · Prednisolone acetate 1% for diagnosed noninfectious steroid-responsive conjunctival, corneal or anterior-segment inflammation after complete examination and a fluorescein-negative intact cornea · Into the eye
Care settingVeterinarian-directed clinic or home treatment after magnified ophthalmic examination, fluorescein staining and intraocular-pressure assessment where relevant, with early recheck and response-guided taper
vetman score 6.3/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-039657 · Verified on 16 Oct 2026 Off-label use

A potent standard topical steroid for diagnosed noninfectious anterior ocular inflammation when the cornea is intact. Its value depends on examination and monitoring: stain before treatment, exclude or treat infection, shake every dose, monitor pressure and response, and stop if pain or corneal damage emerges.

Regulatory and scientific credibility6.0/10

This exact 1% human ophthalmic suspension has a sourced current Georgian registration and an official manufacturer page identifying its concentration, form and pack; exhaustive current checks record no exact EU/EEA, GB or US registration. Veterinary use is off-label.

Clinical efficacy7.5/10

Prednisolone acetate 1% is an established potent topical corticosteroid for selected noninfectious feline anterior ocular inflammation and anterior uveitis. Direct controlled feline efficacy evidence is limited, and common infectious or FHV-associated presentations can make an apparently inflammatory eye unsuitable for steroid treatment.

Safety and tolerability4.5/10

Corneal ulceration, untreated infection and FHV reactivation create serious local hazards. In cats, 1% prednisolone acetate increased intraocular pressure within days in a controlled model; longer or bilateral use may also delay healing, promote infection or cataract and produce systemic glucocorticoid exposure, while exact-product feline safety data are limited.

Clinical practicality7.5/10

The 5 ml suspension gives a directly deliverable ocular dose and limits pack waste, but it must be shaken thoroughly before every use. Frequent initial dosing, atraumatic restraint, tip hygiene, spacing other drops and scheduled re-examination remain material burdens.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Perform fluorescein staining before starting and whenever new pain develops. Do not use topical prednisolone with a corneal abrasion, ulcer, descemetocele, melting ulcer, perforation or unhealed penetrating injury; it delays epithelial repair and can accelerate collagenolysis.
  • Do not use as steroid monotherapy for an undiagnosed red eye or untreated bacterial, fungal, mycobacterial, parasitic or viral ocular infection. Establish and treat the cause; immunosuppression can mask progression and rapidly compromise the cornea.
  • Topical corticosteroids can reactivate latent feline herpesvirus and precipitate ulcerative keratitis or corneal sequestrum. In a compatible cat, stop steroid treatment and investigate or treat FHV-associated disease before further immunosuppression.
  • Measure intraocular pressure when glaucoma is possible and during repeated or prolonged treatment. Prednisolone acetate can raise pressure, cause glaucoma or cataract and promote steroid keratopathy; monitor cornea, lens and response instead of renewing indefinitely.
  • Ophthalmic prednisolone is systemically absorbed and four-times-daily bilateral dosing can suppress the HPA axis. Use the lowest effective frequency, consider nasolacrimal occlusion, and review diabetes, hyperadrenocorticism, infection risk and concurrent systemic corticosteroids.
  • Use an indication-appropriate initial frequency and recheck early; severe anterior inflammation may require frequent dosing, whereas chronic immune-mediated disease requires response-guided tapering. Do not stop a prolonged course abruptly or continue unchanged without confirming control.
  • This score covers diagnosed steroid-responsive anterior ocular inflammation as a clinical class, not every human-label claim and not posterior-segment disease that topical drops cannot adequately reach. Lack of response requires diagnostic reassessment, not automatic escalation.
  • Shake the suspension thoroughly before every dose. Avoid touching the dropper tip to the eye, lashes or skin; use one bottle per patient where contamination is plausible and separate different eye drops by several minutes.
  • Safety of these exact human products in pregnant or lactating dogs and cats has not been established. Use only after a documented veterinary benefit-risk assessment, especially for prolonged or bilateral treatment.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Prednisolone10 mg/ml
Formulation Type
Eye drops
Administration route
Into the eye
Manufacturer
Registration
Georgia Yes, human
In force until 01 Dec 2028
Human (Ministry of Health, RAMA)
In the register: პრედსო 1%, თვალის წვეთები 5 მლ
№ რ-039657
Verified on: 16 Oct 2026
EU No
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

All of this shows in vetman as you prescribe

The dose for the patient's weight, registration in Georgia and controlled status, right on the prescription.