Spinosad + Milbemycin oxime (Rx)
A monthly pill which prevents heartworm disease, kills fleas and prevents flea infestations, and kills and controls parasites such as hookworms, roundworms and whipworms in dogs 8 weeks of age or older and 5 or more pounds of body weight. Flavored, chewable tablets are available in 5 different sizes in color-coded packages containing a 6 month supply.
WHAT IS THIS DRUG?
- Spinosad is a biologic product, an ultra-fast flea-killing tablet. It is classified by the USDA as an organic substance (considered a drug, not an insecticide)
- Milbemycin is a strong drug able to interfere with a parasite's nerve transmission, causing death of many forms of parasites
- Spinosad + milbemycin oxime are flavored chewable tablets given by mouth
REASONS FOR PRESCRIBING:
- To prevent heartworm disease in dogs
- To kill fleas and to prevent flea infestations in dogs
- To treat and control common adult intestinal worm infections (roundworms, hookworms and whipworms) in dogs
WHAT DOGS/CATS SHOULD NOT TAKE THIS MEDICATION?
- This product is approved for use in dogs only
- Puppies less than 8 weeks of age
- Dogs with a body weight less than 5 pounds
- Pets who have tested positive for heartworm
- Use with caution in dogs who have previously seizured
- Ask your veterinarian about the use of this product prior to use in breeding males and females
- Dogs known to have had an allergic reaction to spinosad or milbemycin oxime or like products
Give as directed by your veterinarian. Your veterinarian will choose the package size appropriate to your pet's weight. Read and follow the label carefully.
Give with food monthly for maximum effectiveness. Since the tablet is chewable, it may be given as a treat.
Fleas: Treatment may begin at any time of the year. Ideally, begin administration one month before fleas become active, and then continue monthly throughout flea season. Should your area experience fleas year-round, give spinosad + milbemycin oxime monthly without interruption.
To minimize re-infestation, treat all pets in the house with an approved product. When used as directed, spinosad + milbemycin oxime will kill fleas before they can lay eggs. Your dog may continue to be exposed to fleas from his/her living environment. Any fleas that jump on to your dog will be killed by the active ingredients.
Intestinal worms: Dogs may be exposed to and can be infected with roundworms, whipworms and hookworms throughout the year.
Heartworm: Consult with your veterinarian regarding the need for year round use. If you do not give this product monthly throughout the year (ie. you discontinue administration during the winter), the final dose must be given no fewer than 3 months following the last exposure to mosquitoes. This product prevents heartworm disease by killing certain stages that develop after an infected mosquito bites a dog. As with other heartworm prevatatives, Spinosad + milbemycin oxime does not kill adult heartworms.
You can play with your dog immediately after treatment. There is no need to isolate your pet or restrict his or her activity.
Ensure your pet consumes the entire dose. If it is not entirely consumed, re-dose the full recommended dose as soon as possible.
Spinosad + milbemycin oxime is given once a month, preferably on the same day of each month.
If the animal vomits within an hour of the dose, and you feel it is unrelated to the medication, give another dose.
Missed doses reduce the effectiveness of therapy.
WHAT IF DOSE IS MISSED?
If a dose is missed, and a monthly interval between doses is exceeded, then immediately give Spinosad + milbemycin oxime with food. Resume the normal monthly schedule. This practice will minimize the opportunity for heartworms to grow. Also, continuing normal montly dosing will allow you to gain control of any flea or intestinal parasites that might have infected your dog.
STORAGE AND WARNINGS:
Store at 68-77°F (20-25°C). Temporary periods of time outside this range between 59-86°F
(15 -30°C) are permitted.
Remove tablet from original pack only at time of administration.
Humans should maintain good personal hygiene as hookworm and roundworm infections could easily be contracted.
Do not allow pets to eat rodents or raw flesh or fish. Pet feces should be removed daily and the premises kept clean.
Keep this and all medication out of reach of children and pets. Call your physician immediately if you accidentally take this product.
POTENTIAL SIDE EFFECTS:
- A mild, transient hypersensitivity reaction (labored breathing, vomiting, salivation and lethargy) has been noted in some dogs carrying a large number of circulating microfilariae (immature heartworm). These reactions are likely due to the parasites dying all at once.
- Itching, decreased activity, diarrhea, inflammation and/or redness of the skin, depressed appetite, redness of the ear
- Trembling/shaking, ataxia, seizures and hypersalivation
- Puppies less than 14 weeks of age may experience a higher rate of vomiting
- More serious side effects could occur in a dog with pre-existing heartworm infection
- If you notice anything unusual, contact your veterinarian
CAN THIS DRUG BE GIVEN WITH OTHER DRUGS?
- Yes, no known drug interactions have been noted.
- Do not give this product if your dog is already taking heartworm medication.
- If your pet experiences any unusual reactions when taking multiple medications, contact your veterinarian
Contact your veterinarian immediately if pet consumes more than the prescribed amount.
WHAT TO TELL/ASK VETERINARIAN BEFORE GIVING MEDICATION?
- What tests may need to be performed prior to treatment with this drug (e.g. heartworm test)
- What are the risks and benefits of using this drug?
- If your pet has experienced side-effects on other drugs/products
- If your pet has experienced any other medical problems or allergies now or ever
- All medicines and supplements that you are giving your pet or plan to give your pet, including those you can get without a prescription. Your veterinarian may want to check that all of your pet's medicines can be given together.
- If you pet is pregnant or nursing or if you plan to breed your pet
WHAT ELSE SHOULD I KNOW?
Notify your veterinarian if your animal's condition does not improve or worsens despite this treatment.
As with all prescribed medicines, spinosad + milbemycin oxime should only be given to the dog for which it was prescribed. It should be given only for the condition for which it was prescribed.
This is just a summary of information about spinosad + milbemycin oxime. If you have any questions or concerns about spinosad + milbemycin oxime or the conditions for which it was prescribed, contact your veterinarian.
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