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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2010-0863

2. Registrant Information.

Registrant Reference Number: PROSAR 1-21403049

Registrant Name (Full Legal Name no abbreviations): The Hartz Mountain Corporation

Address: 400 Plaza Drive

City: Secaucus

Prov / State: New Jersey

Country: USA

Postal Code: 07094-3688

3. Select the appropriate subform(s) for the incident.

Domestic Animal

4. Date registrant was first informed of the incident.


5. Location of incident.

Country: CANADA


6. Date incident was first observed.


Product Description

7. a) Provide the active ingredient and, if available, the registration number and product name (include all tank mixes). If the product is not registered provide a submission number.


PMRA Registration No. 25922      PMRA Submission No.       EPA Registration No.

Product Name: UltraGuard Flea/TIck Drops for Dogs/Puppies Over 30 lbs (Canada)

  • Active Ingredient(s)

7. b) Type of formulation.

Application Information

8. Product was applied?


9. Application Rate.


10. Site pesticide was applied to (select all that apply).

Site: Animal / Usage sur un animal domestique

11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).

The product was applied to the cat on 01/20/2010. NOTE: This product is not labeled for use on cats.

To be determined by Registrant

12. In your opinion, was the product used according to the label instructions?


Subform III: Domestic Animal Incident Report

1. Source of Report

Medical Professional

2. Type of animal affected

Cat / Chat

3. Breed

Domestic Longhair

4. Number of animals affected


5. Sex


6. Age (provide a range if necessary )


7. Weight (provide a range if necessary )



8. Route(s) of exposure


9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

>8 hrs <=24 hrs / > 8 h < = 24 h

11. List all symptoms


  • Nervous and Muscular Systems
    • Symptom - Difficulty walking
  • Gastrointestinal System
    • Symptom - Anorexia
  • General
    • Symptom - Adipsia
  • Nervous and Muscular Systems
    • Symptom - Shaking
    • Symptom - Seizure

12. How long did the symptoms last?

Unknown / Inconnu

13. Was medical treatment provided? Provide details in question 17.


14. a) Was the animal hospitalized?


14. b) How long was the animal hospitalized?


Day(s) / Jour(s)

15. Outcome of the incident

Recvrd resid.effects/Rétabli séquelles

16. How was the animal exposed?

Treatment / Traitement

17. Provide any additional details about the incident

(eg. description of the frequency and severity of the symptoms

1-21403049: A reporter (veterinarian) called on 01/22/2010 to report the exposure of a cat to a canine flea and tick product containing the active ingredient Permethrin. According to the reporter, the product was applied to the cat on 01/20/2010. On 01/21/2010, the cat's owner noted difficulty walking, anorexia, adipsia, shaking and possible seizures. The cat presented to the reporter on 01/22/2010, and the reporter was asking about treatment and prognosis. The reporter was advised that concentrated canine pyrethrin products can result in severe problems if used inappropriately on cats. Signs typically being within 30 minutes to 3 hours, but may be delayed for up to 12 hours. Signs of overdose were reviewed. A recommendation was made to bathe the cat with a non-insecticidal shampoo or hand dish soap for decontamination. Methocarbamol may be used for tremors and doses were discussed. Seizures should be treated with Phenobarbital. Diazepam may be used, but it tends to be less effective and has a shorter duration of action. A recommendation was made to monitor the cat's body temperature. A recommendation was also made to monitor the cat for a minimum of 48-72 hours. The reporter was advised that the prognosis is generally good with prompt care. Animals that have seized for long periods of time prior to treatment are at risk for brain injury. On follow up, the reporter stated that that cat was treated with Diazepam, Methocarbamol, and IV fluids. She was discharged on 02/24/2010. At the time of the follow up, the cat was eating and drinking, but still had some tremors. No further information was obtained. NOTE: This product is not labeled for use in cats.

To be determined by Registrant

18. Severity classification (if there is more than 1 possible classification


19. Provide supplemental information here