Depomycin

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Depomycin

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Medically reviewed

Marina Burgos

Last updated on 10/01/2026

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Depomycin

Quick Facts about Depomycin

Property Description
Active Ingredients Benzylpenicillin (as Procaine salt), Dihydrostreptomycin (as Sulfate salt)
Form Aqueous Suspension for Injection
Pharmacological Class Fixed Combination Antibiotic (beta-Lactam and Aminoglycoside)
Primary Use Treatment of systemic and local bacterial infections in veterinary animals
Origin / Type Derived; combination of a natural penicillin and a semi-synthetic derivative

What is Depomycin and What Type of Antibiotic is it? (Identity & Class)

Depomycin is a specialized, injectable anti-bacterial agent classified as a fixed combination of antibiotics used exclusively in veterinary medicine for treating bacterial infections in animals. Its identity is fundamentally defined by its two active compounds: Procaine Benzylpenicillin (a form of Penicillin G) and Dihydrostreptomycin Sulfate. This composition, uniting a beta-lactam antibiotic with an aminoglycoside antibiotic, is clinically recognized for providing broad anti-bacterial coverage. This combination stands out for its established efficacy in common veterinary scenarios, such as managing respiratory tract infections in livestock.


Composition: The Dual-Action Active Ingredients (Composition & Form)

The medication is formulated as an aqueous suspension for injection, designed for parenteral administration deep into the muscle. The unique inclusion of Procaine bound to the Benzylpenicillin is a key differentiating feature, as this chemical modification creates a poorly soluble salt. This results in the formulation's defining extended-release or long-acting property, which is vital for maintaining consistent therapeutic levels over a prolonged period. Such fixed combinations are specifically engineered to leverage the complementary anti-bacterial activity of the two agents. This design ensures efficacy against a wider range of pathogens than either single component might manage alone.


General Purpose and Synergistic Anti-Bacterial Effect (High-Level Purpose)

The general purpose of this specific dual-ingredient formulation is to provide a robust, comprehensive, and broad-spectrum anti-bacterial response against both Gram-positive and Gram-negative bacteria causing systemic and local bacterial infections. The combined agents achieve a powerful synergistic action, meaning their cooperative effect significantly surpasses their individual impacts. This dual mechanism—where the Benzylpenicillin component disrupts the bacterial structure and the Dihydrostreptomycin component interferes with essential protein synthesis—is the basis for the formulation's reliability in managing critical infections within the target animal groups.

What side effects are possible with Depomycin?

Possible Side Effects and Safety Information

The officially documented safety profile for the Depomycin formulation (Procaine Benzylpenicillin and Dihydrostreptomycin Sulfate) primarily focuses on serious risks associated with both active ingredients, as categorized in regulatory documents. This section describes the formally classified adverse reactions and specific safety constraints.


Adverse Reaction Classification

Immune System Disorders

Hypersensitivity reactions, or allergic responses, are a primary safety consideration of the penicillin component. These reactions are classified as Rare in regulatory documents, but can include serious events such as anaphylaxis, which is classified as Very Rare and has the potential for fatal outcomes.

Organ System Toxicities

The Dihydrostreptomycin component, an aminoglycoside, is officially recognized for its potential to cause Target Organ Toxicities. These include Nephrotoxicity (kidney damage), Ototoxicity (damage to inner ear structures), and Neurotoxicity (nervous system effects), which represent serious, though typically low-frequency, risks that govern specific safety constraints.

Transient and Local Reactions

Local reactions, such as a mild, transient local reaction (lump or swelling) at the intramuscular injection site, are documented. Additionally, Very Rarely Observed transient systemic effects, including pyrexia, vomiting, shivering, and inco-ordination, have been noted in specific animal populations, such as suckling and fattening pigs.


Population-Specific Safety Constraints

Official labeling defines specific safety constraints for vulnerable populations:

  • Impaired Renal Function: The medication is contraindicated or requires extreme caution in animals with kidney disease due to the increased risk of accumulation and resultant Nephrotoxicity or Ototoxicity from the Dihydrostreptomycin component.
  • Pregnant Sows and Gilts: The risk of vulval discharge potentially associated with abortion is explicitly documented.

Furthermore, the label specifies that the aminoglycoside component has a narrower margin of safety compared to beta-lactam antibiotics. Concurrent use with certain other antibiotic classes is officially advised against due to the risk of antagonism or enhanced toxicity.

Overdose and Emergency Response

Depomycin Overdose and When to Seek Help

The official regulatory profile for accidental human exposure to this fixed combination antibiotic focuses on the documented manifestations and mandatory emergency responses as described in labeling.


Documented Manifestations and Severe Outcomes

Acute overdose or accidental high-level exposure may present with convulsions or signs of cerebral irritation, particularly in individuals with impaired renal function due to drug accumulation. Manifestations of hypersensitivity may include allergic skin reaction or breathing difficulties. Chronic or repeated exposure to the aminoglycoside component has the potential to cause documented damage to the inner ear and Kidney. Overdose may be fatal if swallowed and enters the airways, and fetal harm (ototoxicity) is a documented risk of the aminoglycoside component.


Mandatory Emergency Action

Symptoms classified as serious, such as swelling of the face, lips or eyes or any difficulty in breathing, require urgent medical attention as they may signal a severe hypersensitivity reaction. The regulatory instruction mandates that an individual should immediately Call a POISON CENTER/doctor/physician if exposed or concerned. For accidental ingestion, it is explicitly stated that one must NOT induce vomiting. Medical observation for an extended period is mentioned in the context of suspected poisoning. Individuals sensitised to penicillin are noted as having a higher risk for serious reactions.

Therapeutic Uses of Depomycin

What Depomycin Treats: Main Uses and Benefits

This fixed antibiotic combination is commonly used to help manage symptoms linked to systemic bacterial illness and localized deep tissue infections in veterinary animals. The combination is considered relevant in conditions involving systemic infections caused by susceptible organisms, such as those associated with Erysipelothrix rhusiopathiae or Pasteurella multocida. The formulation is applicable for managing systemic infections caused by organisms susceptible to penicillin and/or streptomycin.

The medication is commonly applied to address symptoms associated with major infections, including mastitis, respiratory tract infections (like shipping fever syndrome), gastrointestinal conditions, and localized foot rot. The overall therapeutic approach is relevant in managing conditions that require sustained relief to ease symptoms that create noticeable physiological strain.

“This synergistic formulation is often applied across domains where additional symptomatic support is needed for conditions involving diverse manifestations.”

Quick Fact: Relief for Acute Systemic Symptoms

Domain Symptom Focus Primary Benefit
Systemic & Mixed Infections Symptoms related to systemic imbalance and heightened physiological activity Supports functional stability during acute episodes

The long-acting therapeutic effect of Depomycin is relevant in clinical settings that involve acute or unstable symptom patterns. This feature, supporting relief over time, may assist with easing localized discomfort and contributes to improved day-to-day comfort during symptomatic periods.

Regulatory References

  1. VMD Product Characteristics Summary

Eligibility and Restrictions for Use

Eligibility Map: Who can and cannot use Depomycin — Official Regulatory Information

Category Official Regulatory Statement
Populations for whom use is allowed Approved for use in Cattle, Sheep, Pigs, Horses, Calves, Dogs, and Cats (Source: VMD/Defra, HPRA).
Populations for whom use is contraindicated Animals with known hypersensitivity to penicillins, procaine, or aminoglycosides. Animals with seriously impaired renal function. Horses intended for human consumption and Small Herbivores (e.g., rabbits) (Source: VMD/Defra, HPRA, EMA National Documents).
Condition-specific eligibility rules Contraindicated in animals with disturbances of auditory or vestibular organs or for infections caused by penicillinase-producing organisms (Source: HPRA).
Pregnancy and lactation eligibility status Permitted in pregnant animals, but restricted/conditional in pregnant sows and gilts due to an officially reported association with potential abortion. Not for use in lactating ewes producing milk for human consumption (Source: VMD/Defra).
Eligibility-related restrictions Must be used with care in animals with defective renal function (Source: VMD/Defra).

Resulting Eligibility Structure

Official eligibility statements:

  • Use is contraindicated in any animal with known hypersensitivity to penicillins, procaine, or aminoglycosides.
  • The medicine must not be used in animals exhibiting seriously impaired renal function.
  • Administration is prohibited for horses intended for human consumption and lactating ewes producing milk for human consumption.
  • Use in pregnant sows and gilts is associated with an official warning of vulval discharge and potential abortion.
  • The product is contraindicated for treating infections caused by penicillinase-producing organisms.

Connection to the overall eligibility profile (2–4 sentences): Official regulatory documents strictly define who can and cannot use this medicine by establishing target animal species and implementing absolute prohibitions based on compound sensitivity, severe organ damage, and public health restrictions related to the food chain. Eligibility is conditional in populations like those with impaired renal function or pregnant sows, where official labeling mandates special care or highlights specific risks that constrain standard use.

What should I know about interactions with other medicines?

The interaction profile for Depomycin, a veterinary medicinal product containing Procaine Benzylpenicillin and Dihydrostreptomycin, primarily involves pharmacodynamic effects with other antibiotics.

Documented Pharmacodynamic Interactions

Interacting Product Category Type of Interaction Mechanistic Basis in Label
Bacteriostatic products Potential Antagonism Interferes with the bactericidal mechanism of the penicillin component.
Other bactericidal products Potential Synergism Combined effect may enhance the overall antibacterial activity.
Other antibiotics/beta-lactams Resistance Risk Potential for cross-resistance development with related compounds.

Other Constraints and Procedural Notes

Regulatory documents emphasize that the product's effectiveness can be impacted by the presence of other antimicrobials. Specifically, combination with agents that primarily stop bacterial growth (bacteriostatic) may result in reduced efficacy due to the potential for antagonism. Conversely, using it alongside other bacteria-killing (bactericidal) agents may lead to a synergistic, or enhanced, effect.

Furthermore, a key procedural constraint noted in product labeling is the incompatibility with other veterinary medicinal products. The product must not be mixed with any other injectable solutions or medicinal products in the absence of specific, documented compatibility studies.

Mechanism of Action

Depomycin's anti-bacterial effect is rooted in a synergistic dual mechanism that targets two essential, non-overlapping processes required for bacterial survival.

Targeting Bacterial Cell Wall Structure

The Benzylpenicillin component initiates action by acting as an irreversible inhibitor of the bacterial penicillin-binding proteins (PBPs), the enzymes crucial for synthesizing the cell's rigid outer wall. This structural failure prevents the bacteria from withstanding osmotic pressure, leading to the activation of internal autolytic enzymes and ultimately resulting in cellular lysis and bacterial cell death.

Corrupting Essential Protein Synthesis

Simultaneously, the Dihydrostreptomycin component binds irreversibly to the 30S ribosomal subunit within the bacterial cell. This binding disrupts the accurate reading of the genetic code, leading to the manufacturing of non-functional or misfolded proteins. This disruption of the translational machinery halts essential bacterial functions, leading to a bactericidal physiological effect that acts concurrently with the structural attack.

Synergistic Enhancement of Lethality

The damage caused to the bacterial cell wall by the Benzylpenicillin mechanistically enhances the action of Dihydrostreptomycin by improving its penetration and increasing its concentration at the ribosomal target. This coordinated sequence generates a synergistic bactericidal response against susceptible pathogens.

Dosage and Administration Information

How to Use Depomycin

This section outlines the administration guidelines for the Procaine Benzylpenicillin / Dihydrostreptomycin combination.


Administration Protocol and Dosage

Depomycin is administered via parenteral injection. The route is deep intramuscular injection (IM) for cattle, horses, pigs, and sheep. For dogs and cats, the routes used are either intramuscular (IM) or subcutaneous injection (SC).

The dosing schedule is calculated based on the animal’s body weight (BW) and requires the injection to be repeated once daily (every 24 hours). The standard regimen for pigs and sheep is 1 mL per 20 kg BW, while the standard dose for dogs and cats is 1 mL per 10 kg BW.


Preparation and Procedural Constraints

Before administration, the aqueous suspension must be shaken vigorously to ensure the dose is homogenous. The duration of the treatment course is generally limited to up to three consecutive days.

Instructions stipulate strict maximum volume limits per single injection site to ensure proper administration. The injection volume must not exceed 20 mL per site in cattle or 5 mL per site in pigs and sheep. Furthermore, subsequent daily injections must be administered at different sites to adhere to the established use protocol.


Summary of Use Parameters

Parameter Requirement
Administration Route IM (most species) or IM/SC (dogs/cats)
Dosing Frequency Once Daily (24-hour interval)
Preparation Shake vigorously before use
Max. Course Duration Up to three consecutive days

This structured approach defines the required steps for administering the antibiotic combination.

Recent Clinical Evidence

Research evidence / Overview of studies for Depomycin

Depomycin, a combination antibiotic used in veterinary medicine, has been evaluated through a variety of studies primarily focused on research exploring what outcomes the studies evaluated, while research also characterized its long-acting profile. The existing research explores what is known about the study structure and what findings have been reported by regulatory science.


Evidence for Use in Systemic Bacterial Infections and Bovine Mastitis

Research exploring the use of Depomycin in animals with widespread systemic bacterial infections and bovine mastitis has included controlled clinical trials and clinical data reviews. Studies evaluated both Clinical Cure (tracking the resolution of acute systemic signs) and Bacteriological Cure (monitoring changes in pathogen levels in the system or udder). The studies primarily focused on food-producing animals like dairy cows and swine. Data show patterns related to changes in pathogen levels during the short observation period (3 to 7 days). However, evidence quality varies across studies due to differences in design, and comparative evidence against currently used therapies remains limited.


Research on the Long-Acting Pharmacokinetic Profile

A significant part of the research involves Pharmacokinetic (PK) Studies, which were required to assess the drug's exposure profile in healthy animals. These studies report how the extended-release characteristic maintains the drug concentration above a required level (Minimum Inhibitory Concentration, or MIC) for an extended period. Beyond the short clinical observation periods, follow-up durations were often driven by regulatory requirements to track and monitor drug residue levels in the animals' tissues.


What Remains Uncertain in the Research

Regulatory science acknowledges limitations in the research base. These research limitation frames include the fact that sample sizes were modest in many older core trials. The long-term effects are not fully established, and limited information for long-term outcomes is available, especially regarding infection recurrence or changes in functional health over an extended period.

Key Studies & References UK Veterinary Medicines Directorate (VMD) Product Characteristics Summary (SPC_141191.PDF)

Frequently Asked Questions (FAQ)

Common questions about Depomycin (FAQ)


Q: Is a prescription required for Depomycin?

According to official regulatory documents, Depomycin is classified as a veterinary medicine and requires a prescription. This means the product is only available for use under the authorization or direct supervision of a licensed veterinarian.


Q: What is the official withdrawal period for meat and milk?

Official labeling specifies mandatory withdrawal times for animals that are intended for human consumption. This requirement is in place to ensure that drug residues in meat, offal, and milk remain below established safe limits. Adherence to these periods is required by the official product label.


Q: How long after opening the vial must it be discarded?

The official storage instructions state that the vial is stable for a period of 28 days after it is first opened, provided it is stored under refrigeration. Any product that is not used within this 28-day period should be discarded. Disposal should follow the national guidelines for unused veterinary products and environmental safety.


Q: What should I watch for after administering the shot?

The official safety profile advises monitoring the animal for two main types of reactions as noted in the safety profile. Owners are advised to watch for signs of immediate, serious allergic responses, known as anaphylaxis, which is listed as a rare but severe risk. Additionally, monitor the injection site for expected transient local reactions, such as mild swelling or a lump.

How should Depomycin be stored and disposed of?

Official Storage and Disposal Requirements

Storage and disposal of Depomycin (Procaine Benzylpenicillin / Dihydrostreptomycin) must strictly adhere to regulatory labeling to ensure product stability and environmental safety.

Requirement Official Statement
Temperature Store in a refrigerator (+2 C to +8 C). Do not freeze
Protection Keep the vial in the outer carton to protect from light.
Stability (Opened) Use within 28 days after first opening the vial, stored under refrigeration.
Child Safety Keep out of the sight and reach of children.
Disposal Do not dispose of via wastewater or household waste. Unused product must be discarded according to national requirements to prevent environmental contamination (e.g., consult a veterinarian or pharmacist).

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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