Cefquinome for Ox: Uses, Dosing & Availability Notes

Important Safety Notice

This information is for educational purposes only. Never give your pet any medication without your veterinarian's guidance. Dosing, frequency, and safety depend on your pet's specific health profile.

Cefquinome for Ox

Brand Names
Cobactan, Cobactan LC, Cephaguard Milking Cow, Cefimam LC
Drug Class
Fourth-generation cephalosporin antibiotic
Common Uses
Bovine respiratory disease caused by susceptible bacteria, Interdigital infections including foot rot or interdigital necrobacillosis where labeled outside the U.S., Clinical mastitis in lactating cows with susceptible bacteria, Some calf infections in countries where labeled products are available
Prescription
Yes — Requires vet prescription
Cost Range
$35–$220
Used For
ox

What Is Cefquinome for Ox?

Cefquinome is a fourth-generation cephalosporin antibiotic used in food animals in some countries. It works by disrupting bacterial cell wall formation, which makes it active against a range of gram-positive and gram-negative bacteria. In cattle medicine outside the United States, it is commonly marketed as injectable or intramammary products such as Cobactan and Cobactan LC.

For oxen and other cattle, cefquinome is not a routine at-home medication. It is a prescription drug that should only be selected by your vet after considering the infection site, likely bacteria, culture results when available, and food-animal residue rules. Because cephalosporins are medically important antibiotics, careful stewardship matters.

A key availability note for U.S. readers: cefquinome is not an FDA-approved cattle drug in the United States. That matters because U.S. rules also prohibit many extralabel cephalosporin uses in major food-producing species. If your ox needs treatment in the U.S., your vet will usually choose from approved cattle antibiotics instead.

What Is It Used For?

In countries where labeled cattle products are available, cefquinome is used for susceptible bacterial infections such as bovine respiratory disease, some interdigital infections including foot rot, and certain mastitis cases. Intramammary cefquinome products are labeled in some markets for clinical mastitis in lactating dairy cows caused by organisms such as Streptococcus uberis, Streptococcus dysgalactiae, Staphylococcus aureus, and Escherichia coli.

Injectable cefquinome products used in cattle outside the U.S. are commonly directed at respiratory disease associated with pathogens like Mannheimia haemolytica, Pasteurella multocida, and sometimes Histophilus somni. Some labels also include acute mastitis with systemic illness and interdigital bacterial disease.

That does not mean cefquinome is the right choice for every ox with fever, lameness, coughing, or udder changes. Many problems that look infectious are not bacterial, and even true bacterial infections vary in severity and drug susceptibility. Your vet may recommend culture, milk testing, or a different antibiotic based on local resistance patterns and legal use restrictions.

Dosing Information

Cefquinome dosing in cattle depends on the product, country, indication, route, and food-withdrawal rules. Published cattle labels outside the U.S. commonly use injectable cefquinome at 1 mg/kg intramuscularly once daily for 3 to 5 days for respiratory disease and some interdigital infections. Some calf indications use 2 mg/kg once daily for 3 to 5 days. Intramammary products for lactating cows commonly contain 75 mg per syringe per affected quarter, often repeated at 12-hour intervals for three treatments, but exact label directions vary.

Because this is a food-animal antibiotic, do not estimate a dose on your own. Your vet must calculate the dose from accurate body weight, choose the correct formulation, and document the proper meat or milk withdrawal interval for the exact product being used in the country where you are located.

For U.S. pet parents and producers, the biggest practical point is availability: cefquinome is generally not a legal, routine U.S. cattle option. If your ox has a condition that might otherwise be treated with cefquinome elsewhere, your vet will need to choose a lawful alternative and build the treatment plan around the animal's age, production status, and diagnosis.

Side Effects to Watch For

Most cattle tolerate cephalosporins reasonably well when they are used correctly, but side effects can still happen. Possible problems include injection-site swelling or soreness, mild digestive upset, and reduced appetite. With intramammary products, some cows may show local udder irritation or persistent abnormal milk for a short period after treatment.

As with other beta-lactam antibiotics, allergic or hypersensitivity reactions are possible. These may range from hives and facial swelling to breathing difficulty or collapse, although severe reactions are uncommon. See your vet immediately if your ox develops sudden swelling, severe weakness, trouble breathing, or rapidly worsening illness after a dose.

Another important safety issue is not a visible side effect at all: residue risk in meat or milk if the drug is used incorrectly. In food animals, wrong dose, wrong route, or wrong withdrawal timing can create serious legal and food-safety problems. That is one more reason cefquinome should only be used under direct veterinary supervision.

Drug Interactions

Cefquinome does not have a long list of dramatic day-to-day drug interactions, but your vet still needs a full medication history. Other antibiotics may affect how useful cefquinome is in a given case, especially if they are being combined without culture guidance. In general, your vet will be cautious about mixing antibiotics unless there is a clear reason.

As a beta-lactam antibiotic, cefquinome may be less effective if paired inappropriately with drugs that are primarily bacteriostatic rather than bactericidal. The practical takeaway is not to combine treatments from the barn cabinet on your own. Your vet should decide whether a single antibiotic, a switch in therapy, or supportive care makes the most sense.

Also tell your vet about any prior reactions to penicillins, cephalosporins, or other beta-lactam antibiotics. Cross-reactivity can occur. In food animals, interaction planning also includes withdrawal times, so every added drug matters from both a medical and regulatory standpoint.

Cost Comparison

Spectrum of Care means you have options. Here are treatment tiers at different price points.

Budget-Conscious Care

$85–$180
Best for: Pet parents seeking budget-conscious, evidence-based options when the ox is stable and the diagnosis is fairly straightforward
  • Farm call or clinic exam
  • Basic physical exam and temperature check
  • Discussion of whether antibiotics are needed at all
  • Selection of a lawful, lower-cost cattle antibiotic if appropriate
  • Written meat or milk withdrawal instructions
Expected outcome: Often good for mild to moderate bacterial disease when treatment is started early and the chosen drug matches the likely infection.
Consider: Lower upfront cost, but less diagnostic detail. If the ox does not improve quickly, your vet may recommend culture, imaging, or a medication change.

Advanced / Critical Care

$450–$1,200
Best for: Complex cases or pet parents wanting every available option, especially when the ox is systemically ill or not responding to first-line treatment
  • Urgent or after-hours veterinary assessment
  • Culture and susceptibility testing
  • Bloodwork or additional diagnostics
  • Aggressive supportive care such as fluids, repeated monitoring, and multi-day treatment planning
  • Referral-level management for severe pneumonia, toxic mastitis, or complicated lameness
Expected outcome: Variable. Advanced care can improve the outlook in severe infections, but outcome still depends on the disease process, timing, and response to therapy.
Consider: Highest cost range and more intensive handling, but provides the most information and support for difficult cases.

Cost estimates as of 2026-03. Actual costs vary by location, clinic, and individual case.

Questions to Ask Your Vet About Cefquinome for Ox

Bring these questions to your vet appointment to get the most out of your visit.

  1. You can ask your vet whether this problem is likely bacterial and whether an antibiotic is truly needed.
  2. You can ask your vet if cefquinome is even an available or lawful option where you live, especially in the United States.
  3. You can ask your vet which bacteria are most likely in this case and whether culture or susceptibility testing would help.
  4. You can ask your vet what dose, route, and treatment length are appropriate for this ox's exact body weight and diagnosis.
  5. You can ask your vet what meat or milk withdrawal period applies to the exact product being used.
  6. You can ask your vet which side effects should trigger an urgent recheck after treatment starts.
  7. You can ask your vet whether there is a lower-cost standard alternative if cefquinome is unavailable or not recommended.
  8. You can ask your vet how soon improvement should be seen and what the next step is if your ox is not better in 24 to 72 hours.