Go with the flow to help control swine respiratory disease (SRD)*

Pulmotil AC (tilmicosin phosphate) is an aqueous concentrate formulation that combines the benefits of a liquid with the strength of Pulmotil. Pulmotil AC controls SRD associated with:

  •  Pasteurella multocida and Haemophilus parasuis in groups of swine in buildings where a respiratory disease outbreak is diagnosed
  • Mycoplasma hyopneumoniae in the presence of Porcine Reproductive and Respiratory Syndrome Virus (PRRSV) in groups of swine in buildings where a respiratory disease outbreak is diagnosed

Respiratory disease is a serious disease problem in modern swine production1: It’s the number one cause of grow-finish mortality.2

By controlling SRD*, Pulmotil AC can contribute to Full Value Pigs™, a strategy focused on health, feed, output and access to help make operations more efficient and profitable.

Pulmotil AC makes it easy to go with the flow. The aqueous concentration makes respiratory disease control:


• Water medication for easy mixing
• No need to inject each animal (saves labor costs, too**)


• No waiting for feed bins to empty
• No need to formulate new rations
• After 24 hours, active substance is detectable in lung tissue, alveolar macrophages and bronchial epithelium3


• Only FDA-approved water medication for Mycoplasma hyopneumoniae in the presence of PRRSV in groups of swine in buildings where a respiratory disease outbreak is diagnosed 

• Controls key respiratory disease pathogens (Pasteurella multocida and Haemophilus parasuis)


Important safety information

See label for complete safety and use in formation, including boxed human warning.

  • Before using this product, it is important to read the entire product insert, including the boxed human warning.

       WARNING: Exposure to tilmicosin in humans has been associated with chest pain, increased heart rate, dizziness, headache, and nausea. Death has been reported following ingestion or injection of tilmicosin. Avoid ingestion. Avoid direct skin and eye contact. In case of human exposure, call 1-800-722-0987 and consult a physician immediately.
    • Wear overalls, impervious gloves and eye protection when mixing and handling the product. Wash hands after handling the product. Wash affected parts if skin contact occurs. If accidental eye contact occurs, immediately rinse thoroughly with water.
    • Caution: Federal law restricts this drug to use by or on the order of a licensed veterinarian.
    • For use only in swine. Not for injection. Injection of tilmicosin has been shown to be fatal in swine and non-human primates, and may be fatal in horses and goats.
    • Swine intended for human consumption must not be slaughtered within 7 days of last treatment.
    • Always treat the fewest number of animals necessary to control a respiratory disease outbreak. Prescriptions shall not be refilled.
    • Concurrent use of Pulmotil AC and another macrolide by any route, or use of another macrolide immediately following this use of Pulmotil AC is not advised.
    • Ensure that pigs have continuous access to medicated water during the treatment period. Monitor pigs for signs of water refusal and dehydration while being treated.


 *Associated with Mycoplasma hyopneumoniae in the presence PRRSV, Pasteurella multocida and Haemophilus parasuis in groups of swine in buildings where a respiratory disease outbreak is diagnosed.

**Assumption: Labor costs with injectable treatments typically include one or two people at $20/hour.

1. VanAlstine, W. 2012. “Respiratory System.” Diseases of Swine 10th ed.: 348-362

2. USDA APHIS. October 2007. “Swine 2006 Part I: Reference of Swine Health and Management in the United States, 2006.” National Animal Health Monitoring System. Accessed 3/11/2013. Available at: <http:// www.aphis.usda.gov/animal_health/nahms/swine/downloads/ swine2006/Swine2006_dr_PartI.pdf>.

3. Elanco. 2002. “PulmotilT AC Tilmicosin Aqueous Concentrate Drinking Water Medication for Swine.” International Registration Summary Dossier. 1-116. Data on file.

Elanco, Full Value Pigs, Pulmotil, and the diagonal bar are trademarks of Eli Lilly and Company, it subsidiaries, or affiliates. 


Pulmotil AC & Full Value Pigs

Pulmotil AC is a key component of Full Value Pigs, a strategy for producing pigs that focuses on providing value in four key areas: health, feed, output and access. Elanco provides consulting analytics, diagnostics and products to help customers achieve success in these key areas.