Milbactor tablets for small cats and kittens and tablets for cats weighing at least 2 kg.
In cats: treatment of mixed infections by immature and adult cestodes and nematodes of the following species:
Prevention of heartworm disease (Dirofilaria immitis) if concomitant treatment against cestodes is indicated.
Dosage and administration:
Oral use. Animals should be weighed to ensure accurate dosing. Minimum recommended dose rate: 2 mg of milbemycin oxime and 5 mg of praziquantel per kg are given orally as a single dose. Depending on the bodyweight of the cat, the practical dosing is as follows:
No. small cats and kittens tablets
No. cats weighing at least 2 kg tablets
0.5 - 1
> 1 - 2
> 2 - 4
> 4 - 8
> 8 - 12
The product can be inserted into a programme for prevention of heartworm disease if at the same time treatment against tapeworms is indicated. The product has a duration of heartworm prevention of one month. For regular prevention of heartworm disease the use of a monosubstance is preferred.
Do not use Milbactor for small cats and kittens in animals of less than 6 weeks of age and/or weighing less than 0.5 kg. Do not use Milbactor for cats weighing at least 2 kg in animals weighing less than 2 kg.
Do not use in cases of hypersensitivity to the active substances or to any of the excipients.
Special warnings for each target species:
It is recommended to treat all the animals living in the same household concomitantly.
In order to develop an effective worm control programme local epidemiological information and the risk of exposure of the cat should be taken into account.
When D. caninum infection is present, concomitant treatment against intermediate hosts, such as fleas and lice, should be considered to prevent re-infection.
Parasite resistance to any particular class of anthelmintic may develop following frequent, repeated use of an anthelmintic of that class.
Special precautions for use in animals:
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 veterinarian.
Special precautions to be taken by the person administering the veterinary medicinal product to animals
In the event of accidental ingestion of the tablets, particularly by a child, seek medical advice immediately and show the package leaflet or the label to the doctor.
Wash hands after use.
Echinococcosis represents a hazard for humans. As Echinococcosis is a notifiable disease to the World Organisation for Animal Health (OIE), specific guidelines on the treatment and follow-up, and on the safeguard of persons, need to be obtained from the relevant competent authority.
On very rare occasions, especially in young cats, systemic signs (such as lethargy), neurological signs (such as ataxia and muscle tremors) and/or gastrointestinal signs (such as emesis and diarrhoea) have been observed after administration of the combination milbemycin/praziquantel.
Use during pregnancy, lactation or lay:
The veterinary medicinal product can be used in breeding cats including pregnant and lactating queens.
Interaction with other medicinal products and other forms of interaction
The concurrent use of the milbemycin oxime and praziquantel with selamectin is well tolerated. No interactions were observed when the recommended dose of the macrocyclic lactone selamectin was administered during treatment with milbemycin oxime and praziquantel at the recommended dose. In the absence of further studies, caution should be taken in the case of concurrent use of the product and other macrocyclic lactones. Also, no such studies have been performed with reproducing animals.
In case of overdose, in addition to signs observed at the recommended dose, drooling may be observed. This sign will usually disappear spontaneously within a day.
Store in the original package in order to protect from moisture. This veterinary medicinal product does not require any special temperature storage conditions. Halved tablets should be stored below 25°C in the original blister and be used for the next administration. Keep the blister in the outer carton.
Shelf life of the veterinary medicinal product as packaged for sale: 2 years
Shelf life for halved tablets after first opening the immediate packaging: 3 months.
Box with 1 blister of 4 tablets.
Box with 12 blisters, each blister contains 4 tablets.
Not all pack sizes may be marketed.
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