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MILBEMAX is a broad spectrum wormer.
It is indicated in the cat for the treatment of mixed infections by immature and adult cestodes and nematodes of the following species:
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Presentation
MILBEMAX* tablets for Small cats and kittens: Pink, oblong, film-coated tablets scored on one side, containing 4 mg of Milbemycin oxime and 10 mg of Praziquantel PhEur per tablet. One side bears the imprint ``BC'', the other side ``NA''.
MILBEMAX* tablets for Cats: Dark red, oblong, film-coated tablets scored on one side, containing 16 mg of Milbemycin oxime and 40 mg of Praziquantel PhEur. One side bears the imprint ``KK'', the other side ``NA''.
Uses
MILBEMAX is a broad spectrum wormer.
It is indicated in the cat for the treatment of mixed infections by immature and adult cestodes and nematodes of the following species:
Cestodes: Dipylidium caninum, Taenia spp., Echinococcus multilocularis
Nematodes: Toxocara cati, Ancylostoma tubaeforme
Prevention of heartworm disease (Dirofilaria immitis) if concomitant treatment against cestodes is indicated.
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Dosage and administration
MILBEMAX* tablets are administered at a minimum recommended dose rate of 2 mg milbemycin oxime and 5 mg praziquantel per kg body weight, given once orally.
MILBEMAX is given by oral administration with or after some food. Doing so ensures optimum protection against heartworm disease.
MILBEMAX can be inserted into a programme for prevention of heartworm disease if at the same time treatment against tapeworms is indicated. MILBEMAX has a duration of heartworm prevention of one month. For regular prevention of heartworm disease the use of a monosubstance is preferred.
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Contra-indications, warnings, etc
Do not use the ‘tablets for Small cats and Kittens’ in cats of less than 6 weeks of age and/or weighing less than 0.5 kg
Do not use the ‘tablets for Cats’ in cats weighing less than 2 kg.
The product can be toxic to fish and aquatic organisms and should not come into water courses.
Pregnancy and lactation
MILBEMAX can be used in breeding cats including pregnant and lactating queens.
Precautions for use
Echinococcosis represents a hazard for humans. In case of Echinococcosis, specific guidelines on the treatment and follow up and on the safeguard of persons have to be followed. Experts or institutes of parasitology should be consulted.
No studies have been performed with severely debilitated cats or individuals with seriously compromised kidney or liver function. The product is not recommended for such animals or only according to a benefit/risk assessment by the responsible veterinary surgeon.
In case of overdosing, trembling can occur in some cats. The symptoms will disappear spontaneously within a day. No antidote is known.
For animal treatment only.
Wash hands after use.
In the event of accidental ingestion of the tablets, particularly by a child, seek medical advice and show the doctor the pack and/or the leaflet.
Storage precautions
Do not store above 30°C.
Keep blister in the outer carton to protect from light.
In-use shelf life for half tablets is 6 months.
Keep out of the reach and sight of children.
Disposal
Dispose of used packaging in the household refuse. Unused product should be returned to the veterinary surgeon.
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Legal category
POM-V (previously POM).
Packaging Quantities
Milbemax tablets for Small Cats and Kittens: Box of 2 blisters with 10 tablets in each blister
Milbemax tablets for Cats: Box of 2 blisters with 10 tablets in each blister
Further information
Milbemycin oxime belongs to the group of macrocyclic lactones and is active against mites, against larval and adult stages of nematodes as well as against larvae of Dirofilaria immitis. After oral administration of milbemycin oxime in the cat, milbemycin oxime reaches peak plasma concentrations within 2 hours. The half life is approximately 13 hours (+/- 9 hours). During the treatment with MILBEMAX, no other antiparasitic macrocyclic lactone should be administered.
Praziquantel is an acylated pyrazino-isoquinoline derivative active against cestodes and trematodes. In the cat, praziquantel reached peak plasma concentration within an hour after oral administration. The half- life is approximately 3 hours.
MILBEMAX is effective against Dirofilaria imitis, which is endemic in the USA and some parts of continental Europe. The product is also effective against Echinococcus multilocularis which is endemic in some parts of continental Europe and prophylactic treatment is required in all pets entering the UK under the PETS scheme or under quarantine conditions.
Marketing authorisation numbers
MILBEMAX* tablets for Small Cats and Kittens
Vm 12501/4134
MILBEMAX* tablets for Cats
VVm 12501/4135
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