Dog Heartworm Medicine for Sale Online

Prescription items are NON-RETURNABLE and NON REFUNDABLE Iverhart Max Soft Chews Iverhart Max prevents heartworm disease and treats and controls roundworm, hookworm, and tapeworm infections in dogs in a once-a-month liver-flavored soft chews. Dogs six months of age and older should be tested for heartworm disease prior to being put on a preventive program and tested annually thereafter. Item Specifications: Benefits: Iverhart Max is used to prevent heartworm disease, treats and controls roundworms, hookworms, and tapeworms. For Use: Dogs at least 8 weeks old Count: 6 Soft Chews Active Ingredient(s): Ivermectin, pyrantel pamoate, praziquantel Cautions: Use with caution in sick, debilitated or underweight animals and dogs weighing less than 10 lb. Certain dogs of the collie breed are more sensitive to the effects of ivermectin. Make sure to tell your veterinarian what other medication you are giving to your pet. Quite often your veterinarian may prescribe two different medications, and a drug interaction may be anticipated. In this case, your veterinarian may vary the dose and/or monitor your pet more closely. The following drugs can potentially interact with pyrantel pamoate: levamisole, organophosphates, diethylcarbamazine, and piperazine. Contact your veterinarian if your pet experiences any unusual reactions when different medications are given together. Allergic reactions to medications may occur. Be sure to inform your veterinarian if your pet has any known drug sensitivities or allergies. If your pet displays symptoms of an allergic reaction, call your veterinarian immediately or go to a veterinary emergency clinic. Symptoms may include but are not limited to: swollen lips, tongue, face, airways; difficulty breathing; agitation; profuse salivation; vomiting; widespread hives and itching. Side Effects: Side effects may include loss appetite, vomiting, drowsiness, and diarrhea. Ivermectin may cause a shock like reaction in dogs. If this occurs, notify your veterinarian. Other side effects may occur. If you notice anything unusual, contact your veterinarian. Usage: Iverhart Max should be given orally as directed by your veterinarian. « Read less

Prescription items are NON-RETURNABLE and NON REFUNDABLE Iverhart Max Soft Chews Iverhart Max prevents heartworm disease and treats and controls roundworm, hookworm, and tapeworm infections in dogs in a once-a-month liver-flavored soft chews. Dogs si ...Read more »

Prescription items are NON-RETURNABLE and NON REFUNDABLE THIS ITEM CAN ONLY BE SHIPPED VIA UPS GROUND! Revolution Canine Revolution provides broad spectrum protection against most internal and external parasites in dogs six weeks of age or older. It kills adult fleas and prevents flea eggs from hatching, treats and controls sarcoptic mange and intestinal worms, and prevents heartworm disease. Revolution is a once-monthly topical treatment that is applied to the pet's skin. Item Specifications: Benefits: Revolution is a systemically acting, broad-spectrum parasiticide that has a well defined safety profile combined with excellent efficacy to help protect your dog against a wide variety of parasites. Revolution enters the bloodstream through the skin. Concentrations of Revolution in the blood and tissues prevent heartworm disease and prevent and treat roundworm and hookworm infections. Revolution selectively redistributes from the blood to the skin and other tissues, where it provides protection against fleas, flea eggs, and ear mites. For Use: Dogs at least 6 weeks old Size/Strength: X-small (Purple) for dogs 5.1 to 10 lb. Small (Brown) for dogs 10.1 to 20 lb. Medium (Red) for dogs 20.1 to 40 lb. Large (Teal) for dogs 40.1 to 85 lb. X-large (Plum) for dogs 85.1 to 130 lb. Active Ingredient(s): Selamectin Cautions: Do not use in sick, weak or underweight animals. The pet should be tested for heartworm disease before starting this medication. Wash hands with soap and water after handling the medication. Store this medicine below 86°F. Store away from heat and direct sunlight. Make sure to tell your veterinarian what other medication you are giving to your pet. Quite often your veterinarian may prescribe two different medications, even if a drug interaction may occur. In this case, your veterinarian may vary the dose and/or monitor your pet more closely. Contact your veterinarian if your pet experiences any unusual reactions when different medications are given together. Allergic reactions to medications may occur. Be sure to inform your veterinarian if your pet has any known drug sensitivities or allergies. If your pet displays symptoms of an allergic reaction, call your veterinarian immediately or go to a veterinary emergency clinic. Symptoms may include but are not limited to: swollen lips, tongue, face, airways; difficulty breathing; agitation; profuse salivation; vomiting; widespread hives and itching. Side Effects: Rare side effects include vomiting, loose stools or diarrhea with or without blood, loss of appetite, drowsiness, salivation, rapid breathing and muscle tremors. If you notice anything unusual, contact your veterinarian. Usage: Revolution should be applied topically as directed by your veterinarian. « Read less

Prescription items are NON-RETURNABLE and NON REFUNDABLE THIS ITEM CAN ONLY BE SHIPPED VIA UPS GROUND! Revolution Canine Revolution provides broad spectrum protection against most internal and external parasites in dogs six weeks of age or older. It ...Read more »

Prescription items are NON-RETURNABLE and NON REFUNDABLE HEARTGARD Plus Chewables for Canines HEARTGARD Plus for dogs is a beef-flavored soft chew administered once a month to protect your dog from the threat of potentially deadly heartworm disease, plus control against roundworms and hookworms. Dogs six months of age and older should be tested for heartworm disease prior to being put on a preventive program and tested annually thereafter. Item Specifications: Benefits: HEARTGARD Plus is used to prevent heartworm disease, treat, and control roundworms and hookworms. For Use: Dogs (at least 6 weeks of age) Strength/Size: SM (Blue) for dogs up to 25 lb. MD (Blue) for dogs 26-50 lb. LG (Brown) for dogs 51-100 lb. Active Ingredients: Ivermectin, pyrantel Cautions: Make sure to tell your veterinarian what other medication you are giving to your pet. Quite often your veterinarian may prescribe two different medications, and a drug interaction may be anticipated. In this case, your veterinarian may vary the dose and/or monitor your pet more closely. The following drugs can potentially interact with pyrantel pamoate: levamisole, organophosphates, diethylcarbamazine, and piperazine. Contact your veterinarian if your pet experiences any unusual reactions when different medications are given together. Certain dogs of the collie breed are more sensitive to the effects of ivermectin. Allergic reactions to medications may occur. If your pet displays symptoms of an allergic reaction, call your veterinarian immediately or go to a veterinary emergency clinic. Symptoms may include but are not limited to: swollen lips, tongue, face, airways; difficulty breathing; agitation; profuse salivation; vomiting; widespread hives and itching. Side Effects: There are very few side effects when the drug is given at the usual dose. Ivermectin may cause a shock like reaction in dogs. If this occurs, notify your veterinarian. Vomiting has been reported with pyrantel. Other side effects may occur. If you notice anything unusual, contact your veterinarian. Usage: HEARTGARD Plus should be given orally as directed by your veterinarian. « Read less

Prescription items are NON-RETURNABLE and NON REFUNDABLE HEARTGARD Plus Chewables for Canines HEARTGARD Plus for dogs is a beef-flavored soft chew administered once a month to protect your dog from the threat of potentially deadly heartworm disease, ...Read more »

Prescription items are NON-RETURNABLE and NON REFUNDABLE Sentinel Spectrum Chewables Sentinel Spectrum is a once-a-month chewable tablet that contains a combination of milbeycin oxime, praziquantel, and lufenuron to prevent and control fleas, heartworm and intestinal worms in dogs. Milbemycin oxime interferes with nerve transmission and helps protect against heartworm, roundworm, hookworm, and whipworm. Praziquantel causes muscle spasms and kills tapeworms. Lufenuron is an insect growth regulator, which is used to control fleas by preventing the development of flea eggs. Item Specifications: Benefits: Sentinel Spectrum is a highly palatable beef-flavored chewable tablet that provides broad spectrum parasite protection. For use: Dogs (at least 6 weeks of age and weighing at least 2 lb.) Strength/Size: X-small (Orange) for dogs 2 to 8 lb. Small (Green) for dogs 8.1 to 25 lb. Medium (Yellow) for dogs 25.1 to 50 lb. Large (Blue) for dogs 50.1 to 100 lb. Active Ingredient(s): Milbeycin oxime, lufenuron, praziquantel Cautions: Dogs should be tested for adult heartworms and treated if necessary before starting Sentinel Spectrum. This product does not treat adult heartworms and can cause a shock-like reaction in heartworm positive dogs. Do not use on dogs under 6 weeks of age and weighing under 2 lbs. The safety of Sentinel Spectrum has not been evaluated in nursing females. Contact your veterinarian if your pet experiences any unusual reactions when different medications are given together. Allergic reactions to medications may occur. Be sure to inform your veterinarian if your pet has any known drug sensitivities or allergies. If your pet displays symptoms of an allergic reaction, call your veterinarian immediately or go to a veterinary emergency clinic. Symptoms may include but are not limited to: swollen lips, tongue, face, airways; difficulty breathing; agitation; profuse salivation; vomiting; widespread hives and itching. Side Effects: Side effects may include vomiting, depression/lethargy, itching, hives, diarrhea, loss of appetite, clogged pores, loss of muscle coordination, rapid and uncontrollable shaking, salivation, and weakness. Notify your veterinarian if side effects appear and remain troublesome. Other side effects may occur, if you notice anything unusual, contact your veterinarian. Usage: Give either during or immediately after the consumption of a meal and ensure that the entire dose is consumed by your pet. May be given directly or broken into smaller pieces and mixed with food. Merck Animal Health acquired Sentinel Flavor Tabs and Sentinel Spectrum Products, previously Manufactured and marketed in the United States by Virbac. During the transitional period, the manufacturer may still be listed as "Virbac" on product packaging. « Read less

Prescription items are NON-RETURNABLE and NON REFUNDABLE Sentinel Spectrum Chewables Sentinel Spectrum is a once-a-month chewable tablet that contains a combination of milbeycin oxime, praziquantel, and lufenuron to prevent and control fleas, heartwo ...Read more »

Prescription items are NON-RETURNABLE and NON REFUNDABLE Trifexis(R) Chewable Tablets for Dogs Trifexis is a monthly, chewable tablet for dogs that kills fleas, prevents heartworm disease, and treats and controls adult hookworm, roundworm, and whipworm infections. Trifexis combines two trusted active ingredients to provide protection for your dog against these dangerous parasites. Trifexis starts working within 30 minutes from administration of this medicine to kill fleas and has been proven to kill all biting fleas within four hours. Trifexis also kills flea eggs before they can mature, which puts an end to the flea life cycle. Trifexis prevents heartworm disease by killing microfilariae and larvae from maturing into adult heartworms. Trifexis comes in a tasty beef-flavored tablet (made from pork liver and hydrolyzed soy) for ease of administration to your dog. Item Specifications: Benefits: Trifexis is used to prevent heartworm disease, and treat and control adult hookworm, roundworm and whipworm infections. For Use: Dogs (at least 8 weeks of age and weighing at least 5 lb.) Strength/Size: X-small (Pink) for dogs 5-10 lb. Small (Orange) for dogs 10.1-20 lb. Medium (Green) for dogs 20.1-40 lb. Large (Blue_ for dogs 40.1-60 lb. Xlarge (Brown) for dogs 60.1-120 lb. Active Ingredient(s): Spinosad, milbemycin oxime Cautions: Treatment with fewer than three monthly doses after the last exposure to mosquitoes may not provide complete heartworm prevention. Prior to administration of Trifexis, dogs should be tested for existing heartworm infection. Use with caution in breeding females. The safe use of Trifexis in breeding males has not been evaluated. Use with caution in dogs with pre-existing epilepsy. Make sure to tell your veterinarian what other medication you are giving to your pet. Quite often your veterinarian may prescribe two different medications, even if a drug interaction may occur. In this case, your veterinarian may vary the dose and/or monitor your pet more closely. This medication is generally well tolerated with other commonly prescribed medications. Contact your veterinarian if your pet experiences any unusual reactions when different medications are given together. Allergic reactions to medications may occur. Be sure to inform your veterinarian if your pet has any known drug sensitivities or allergies. If your pet displays symptoms of an allergic reaction, call your veterinarian immediately or go to a veterinary emergency clinic. Symptoms may include but are not limited to: swollen lips, tongue, face, airways; difficulty breathing; agitation; profuse salivation; vomiting; widespread hives and itching. Side Effects: Side effects may include nausea, vomiting, diarrhea, loss of appetite, decreased activity, itching, redness and inflammation of the skin. If you notice anything unusual, contact your veterinarian. Usage: Trifexis should be given orally as directed veterinarian. Give Trifexis with food for maximum effectiveness. « Read less

Prescription items are NON-RETURNABLE and NON REFUNDABLE Trifexis(R) Chewable Tablets for Dogs Trifexis is a monthly, chewable tablet for dogs that kills fleas, prevents heartworm disease, and treats and controls adult hookworm, roundworm, and whipwo ...Read more »

Prescription items are NON-RETURNABLE and NON REFUNDABLE Interceptor Plus for Dogs Interceptor Plus is a once-a-month flavored tablet used for the prevention of heartworm disease and the control of roundworms, hookworms, whipworms and tapeworms in dogs. Your dog should be tested for heartworm prior to use. Item Specifications: Benefits: Interceptor Plus is indicated for the prevention of heartworm disease and the treatment and control of roundworms, hookworms, whipworms, and tapeworms in dogs. For use: Dogs at least 6 weeks of age and weighing at least 2 lb. Active ingredient(s): Milbemycin oxime, praziquantel Cautions: Keep this and all drugs out of the reach of children. Treatment with fewer than 6 monthly doses after the last exposure to mosquitoes may not provide complete heartworm prevention. Make sure to tell your veterinarian what other medication you are giving to your pet. Quite often your veterinarian may prescribe two different medications, even if a drug interaction may occur. In this case, your veterinarian may vary the dose and/or monitor your pet more closely. No interactions have been noted with this medication. Contact your veterinarian if your pet experiences any unusual reactions when different medications are given together. Allergic reactions to medications may occur. Be sure to inform your veterinarian if your pet has any known drug sensitivities or allergies. If your pet displays symptoms of an allergic reaction, call your veterinarian immediately or go to a veterinary emergency clinic. Symptoms may include but are not limited to: swollen lips, tongue, face, airways; difficulty breathing; agitation; profuse salivation; vomiting; widespread hives and itching. Side Effects: There are very few side effects when the drug is given at the normal dose, but monitor your pet for vomiting, diarrhea, depression/lethargy, ataxia, anorexia, convulsions, weakness and salivation. Other side effects may occur. If you notice anything unusual, contact your veterinarian. Usage: Interceptor Plus should be given orally as directed by your veterinarian. Administer in a matter that encourages your pet to chew the tablet, rather than swallowing it whole. For heartworm prevention, give once monthly for at least 6 months after exposure to mosquitos. « Read less

Prescription items are NON-RETURNABLE and NON REFUNDABLE Interceptor Plus for Dogs Interceptor Plus is a once-a-month flavored tablet used for the prevention of heartworm disease and the control of roundworms, hookworms, whipworms and tapeworms in do ...Read more »

Prescription items are NON-RETURNABLE and NON REFUNDABLE Heartgard Chewables Feline Heartgard is a once-a-month chewable that can protect your cat from the threat of potentially deadly heartworm disease. In a tasty flavor that cats love, Heartgard Chewables is safe for all sizes and breeds of cats. It is approved for use in kittens as young as six weeks, small cats regardless of weight, pregnant or breeding queens, and toms. VetSource pharmacy has a direct relationship with and is authorized to dispense Merial products. Item Specifications: Benefits: Heartgard is used to prevent heartworm infections. For Use: Cats (at least 6 weeks of age) Strength/Size: SM (Red) for cats up to 5 lb. LG (Purple) for cats 5-15 lb. Active Ingredient(s): Ivermectin Cautions: There are no known drug interactions with ivermectin. It is best to always tell your veterinarian what other medications you are giving to your pet. Quite often your veterinarian may prescribe two different medications, and a drug interaction may be anticipated. In this case, your veterinarian may vary the dose and/or monitor your pet more closely. Contact your veterinarian if your pet experiences any unusual reactions when different medications are given together. Allergic reactions to medications may occur. Be sure to inform VetSource and your veterinarian if your pet has any known drug sensitivities or allergies. If your pet displays symptoms of an allergic reaction, call your veterinarian immediately or go to a veterinary emergency clinic. Symptoms may include but are not limited to: swollen lips, tongue, face, airways; difficulty breathing; agitation; profuse salivation; vomiting; widespread hives and itching. Side Effects: There are very few side effects when the drug is given at the usual dose. Ivermectin may rarely cause a shock like reaction in dogs. If this occurs, notify your veterinarian. If you notice anything unusual, contact your veterinarian. Usage: Heartgard Chewables should be given orally as directed by your veterinarian. « Read less

Prescription items are NON-RETURNABLE and NON REFUNDABLE Heartgard Chewables Feline Heartgard is a once-a-month chewable that can protect your cat from the threat of potentially deadly heartworm disease. In a tasty flavor that cats love, Heartgard Ch ...Read more »

Prescription items are NON-RETURNABLE and NON REFUNDABLE THIS ITEM CAN ONLY BE SHIPPED VIA UPS GROUND! Revolution Plus is a simple-to-apply, quick-drying, small-volume, monthly topical solution that protects fleas, ticks, deer ticks, Gulf Coast tick, and American dog tick, ear mites, roundworms, hookworms, and heartworms for cats and kittens as young as eight weeks of age and weight 2.8 pounds or higher. Item Specifications: For Use: Cats at least 8 weeks old Strength/Size: For cats 2.8 lbs or higher Active Ingredient(s): Selamectin and sarolaner topical solution Usage: REVOLUTION should be applied topically as directed by your veterinarian. « Read less

Prescription items are NON-RETURNABLE and NON REFUNDABLE THIS ITEM CAN ONLY BE SHIPPED VIA UPS GROUND! Revolution Plus is a simple-to-apply, quick-drying, small-volume, monthly topical solution that protects fleas, ticks, deer ticks, Gulf Coast tick, ...Read more »

Prescription items are NON-RETURNABLE and NON REFUNDABLE MilbeGuard is a broad spectrum parasiticide that contains once-a-month flavored tablets to prevent heartworm disease, control adult hookworm infection, and remove and control adult roundworms and whipworms infections in dogs/puppies four weeks of age or greater and two pounds of body weight or greater, also for cats/kittens (except whipworm protection) six weeks of age or greater and 1.5 lbs of body weight or greater. Once-a-month flavored tablet Prevents heartworm disease Broad spectrum parasiticide Controls adult hookworm infections Milbeguard is comparable to Interceptor Needs veterinarian prescription Active Ingredients: Milbemycin Oxime Caution: Keep away from children and animals. Do not use in puppies less than four weeks of age or less than two pounds of body weight. Prior to initiation of the MILBEGUARD Flavored Tablets treatment program, dogs should be tested for existing heartworm infections. Infected dogs should be treated to remove adult heartworms and microflariae prior to initiating treatment with MILBEGUARD Flavored Tablets. Mild, transient hypersensitivity reactions manifested as labored respiration, vomiting, salivation and lethargy, have been noted in some treated dogs carrying a high number of circulating microflariae. These reactions are presumably caused by release of protein from dead or dying microflariae. Do not use in kittens less than six weeks of age or less than 1.5 lbs. body weight. Safety in heartworm positive cats has not been established. Safety in breeding, pregnant, and lactating queens and breeding toms has not been established. « Read less

Prescription items are NON-RETURNABLE and NON REFUNDABLE MilbeGuard is a broad spectrum parasiticide that contains once-a-month flavored tablets to prevent heartworm disease, control adult hookworm infection, and remove and control adult roundworms a ...Read more »

Prescription items are NON-RETURNABLE and NON REFUNDABLE Selarid Topical for Dogs and Cats Selamectin, the active ingredient in Selarid, is a macrocyclic lactone compound. These compounds effectively prevent the development of adult heartworms when administered to dogs and cats within one month of exposure to infective (L3 ) Dirofilaria immitis larvae. Selarid is a topical parasiticide for dogs six weeks of age and older and cats eight weeks of age and older. For dogs, Selarid kills adult fleas and prevents flea eggs from hatching for one month and is indicated for the prevention and control of flea infestations (Ctenocephalides felis), prevention of heartworm disease caused by Dirofilaria immitis, and the treatment and control of ear mite (Otodectes cynotis) infestations. Selarid also is indicated for the treatment and control of sarcoptic mange (Sarcoptes scabiei) and for the control of tick infestations due to Dermacentor variabilis. For cats, Selarid kills adult fleas and prevents flea eggs from hatching for one month and is indicated for the prevention and control of flea infestations (Ctenocephalides felis), prevention of heartworm disease caused by Dirofilaria immitis, and the treatment and control of ear mite (Otodectes cynotis) infestations. Selarid is also indicated for the treatment and control of roundworm (Toxocara cati) and intestinal hookworm (Ancylostoma tubaeforme) infections in cats. Selarid requires a prescription from your veterinarian. Generic Name: Selamectin Intended For: Dogs (6 weeks of age or older) and Cats (8 weeks of age or older) Features: Topical monthly application Kills adult flea eggs and prevents flea eggs from hatching for one month Treats and controls ear mite infestations Prevents heartworm disease Treats and controls sarcoptic mange in dogs Treats and controls roundworm and intestinal hookworm infections in cats Controls tick infestations due to Dermacentor variabilis (American Dog Tick) Cautions: Do not massage Selarid into the skin. Do not apply when the coat is wet. Do not apply to broken skin -Selarid contains alcohol. Wash hands after use and wash off any product in contact with the skin immediately with soap and water. Flammable - keep away from heat, sparks, open flames or other sources of ignition. Selarid should not be used on sick, debilitated or underweight animals. Important Information: Selarid requires a prescription from your veterinarian. It is for dogs 6 weeks of age or older and cats 8 weeks of age or older. Selarid kills adult fleas and prevents flea eggs from hatching. You may occasionally see a few fleas on dogs or cats treated with Selarid but more than 98% of adult fleas are killed within 36 hours. Immature stages of the flea called pupae may be present in your pet's environment (yard, flooring, carpet, bedding, etc.). These pupae are not killed by parasiticides (including Selarid) and as such may emerge as adult fleas. These adult fleas may hop onto your pet at any time. They must be exposed to Selarid on your dog or cat before being killed. It can take from 3-5 weeks (or longer depending on environmental conditions) for most fleas to complete their 4-stage life cycle (egg, larvae, pupae, and adult) and reach the adult stage before being seen on your pet. Due to the presence of immature flea stages in infested environments, it can take up to 2 to 3 monthly applications for Selarid to maximally control the infestation of fleas in the environment. Once the flea population is controlled you will be less likely to see fleas. Before Giving: Your veterinarian is best suited to discuss and recommend appropriate medications for your dog or cat. It is important to discuss your pet's health history with your veterinarian so they can decide if Selarid is right for your animal. Application: Administer topically once a month for protection against fleas and heartworm disease and treatment and control of hookworms, roundworms and ear mites. The recommended minimum dose is 2.7 mg selamectin per pound (6 mg/kg) of body weight. Potential Side Effects: Like most medications, Selarid has some side effects. The most common is hair loss at the site of application with or without inflammation (redness, flaking) in cats. Other side effects reported in cats and dogs include vomiting, diarrhea with or without blood, anorexia (decreased appetite), lethargy (sluggishness), salivation, rapid breathing, pruritus (itching), urticaria (welts, hives), erythema (skin redness), ataxia (incoordination), fever and rare instances of death. There have also been rare reports of seizures in dogs. Stiff hair, clumping of hair, hair discoloration, or a slight powdery residue may be observed at the treatment site in some animals. These effects are temporary and do not affect the safety or effectiveness of the product. Missed Dose: If you forget to apply a monthly dose of Selarid, immediately apply Selarid, resume monthly applications, and notify your veterinarian. Contact your veterinarian if you administer more than the prescribed amount of Selarid. Avoid After Dose: You should avoid contact with application site when wet. You may hold or play with your pet any time after the area on which Selarid was applied is dry. Do not apply when the haircoat is wet. Bathing or shampooing your dog 2 or more hours after treatment will not reduce the effectiveness of Selarid against fleas or heartworm. Bathing or shampooing your cat 2 hours after treatment will not reduce the effectiveness of Selarid against fleas. Bathing or shampooing your cat 24 hours after treatment will not reduce the effectiveness of Selarid against heartworm. Other Drug Effects: In well-controlled clinical studies, selamectin solution was used safely in dogs and cats receiving other veterinary products such as vaccines, anthelmintics, antiparasitics, antibiotics, steroids, collars, shampoos and dips. Tell your veterinarian about all medications you have given your dog or cat in the past, and any medications that you are planning to use with Selarid. This should include other medications that you can get without a prescription. Your veterinarian may want to check that all of your dog's or cat's medicines can be given together. Application Instructions: 1. Remove the applicator from the outer pouch using scissors or fold along diagonal line to; tear back. 2. Hold the applicator upright. Tap the narrow part of the applicator to ensure the contents remain within the main body of the applicator. Twist or snap back the tip. 3. Part the hair on the back of your pet at the base of the neck, in front of the shoulder blades, until the skin is visible. 4. Apply the tip of the Selarid applicator directly to the skin. Squeeze the applicator firmly 3-4 times in one spot until empty. Keep applicator compressed on the final squeeze to avoid drawing liquid back into applicator. Avoid contact between Selarid and your fingers. 5. While keeping applicator squeezed, drag it away from liquid and lift up to remove. 6. Ensure applicator is empty, then place in your normal household refuse for disposal. The recommended minimum dose is 2.7 mg selamectin per pound (6 mg/kg) of body weight. Ingredients: Selarid for Puppies and Kittens under 5 lbs Active Ingredient (per 0.25 ml Tube) Amount Selamectin 15 mg Selarid for Cats 5.1-15 lbs Active Ingredient (per 0.75 ml Tube) Amount Selamectin 45 mg Selarid for Cats 15.1-22 lbs Active Ingredient (per 1.0 ml Tube) Amount Selamectin 60 mg Selarid for Dogs 5.1-10 lbs Active Ingredient (per 0.25 ml Tube) Amount Selamectin 30 mg Selarid for Dogs 10.1-20 lbs Active Ingredient (per 0.50 ml Tube) Amount Selamectin 60 mg Selarid for Dogs 20.1-40 lbs Active Ingredient (per 1.0 ml Tube) Amount Selamectin 120 mg Selarid for Dogs 40.1-85 lbs Active Ingredient (per 2.0 ml Tube) Amount Selamectin 240 mg « Read less

Prescription items are NON-RETURNABLE and NON REFUNDABLE Selarid Topical for Dogs and Cats Selamectin, the active ingredient in Selarid, is a macrocyclic lactone compound. These compounds effectively prevent the development of adult heartworms when a ...Read more »

Prescription items are NON-RETURNABLE and NON REFUNDABLE Bravecto Plus for Cats Bravecto Plus is a topical solution for cats prescribed by veterinarians to help provide 2 months of protection against fleas, ticks, heartworm and intestinal parasites. It may also help to prevent and treat flea infestations while providing broad-spectrum parasite protection for your cat. This topical medication is designed with an applicator that makes application easy for you and your feline. Uses Bravecto Plus is indicated for the prevention of heartworm disease caused by Dirofilaria immitis and for the treatment of infections with intestinal roundworm (Toxocara cati; 4th stage larvae, immature adults and adults) and hookworm (Ancylostoma tubaeforme; 4th stage larvae, immature adults and adults). Bravecto Plus kills adult fleas and is indicated for the treatment and prevention of flea infestations (Ctenocephalides felis) and the treatment and control of tick infestations [Ixodes scapularis (black-legged tick) and Dermacentor variabilis (American dog tick)] for 2 months in cats and kittens 6 months of age and older and weighing 2.6 lb or greater. Possible Side Effects: Vomiting, Alopecia (not at application site), Pruritus, Application site pruritus, Diarrhea, Lethargy, Dry Skin, Elevated alanine aminotransferase (ALT), Hypersalivation, Application site alopecia Precautions : Human Warnings: Not for human use. Keep this and all drugs out of the reach of children. Do not contact or allow children to contact the application site until 2 hours post application. Avoid contact with skin and eyes. If contact with eyes occurs, then flush eyes slowly and gently with water. Wash hands and contacted skin thoroughly with soap and water immediately after use of the product. If the product accidentally contacts skin and a sticky residue persists after washing, rubbing alcohol (70% isopropyl alcohol) can be applied to the area to remove the residue. The product is highly flammable. Keep away from heat, sparks, open flame or other sources of ignition. Storage Instructions: Do not store above 77°F (25°C). Store in the original package in order to protect from moisture. The pouch should only be opened immediately prior to use. Recommended Dosage: For prevention of heartworm disease, Bravecto Plus should be administered at 2-month intervals. Bravecto Plus may be administered year-round without interruption or at a minimum should be administered at 2-month intervals beginning at the cat's first seasonal exposure to mosquitoes and continuing until the cat's last seasonal exposure to mosquitoes. If a dose is missed and a 2-month interval between doses is exceeded, administer Bravecto Plus immediately and resume the dosing every 2 months. When replacing a monthly heartworm preventative product, the first dose of Bravecto Plus should be given within one month of the last dose of the former medication. Ingredients: 250 mg/tube Fluralaner and 12.5 mg/tube Moxidectin « Read less

Prescription items are NON-RETURNABLE and NON REFUNDABLE Bravecto Plus for Cats Bravecto Plus is a topical solution for cats prescribed by veterinarians to help provide 2 months of protection against fleas, ticks, heartworm and intestinal parasites. ...Read more »

Prescription items are NON-RETURNABLE and NON REFUNDABLE Simparica Trio Chewable Simparica Trio makes it simple to deliver the protection every best friend deserves. Simparica Trio is the first monthly chewable to protect dogs against heartworm disease, five types of ticks, fleas, roundworms and hookworms, all in one monthly chewable. Simparica Trio works to get rid of ticks and fleas on dogs fast. It starts to kill deer ticks within 8 hours, and fleas within 4 hours. Protects dogs against heartworm disease, ticks & fleas, roundworms & hookworms Demonstrated safe for puppies as young as 8 weeks old, weighing at least 2.8 lbs Tasty chewable that you only need to give once a month FDA-approved and available with a vet's prescription Dosing : This medication should be given orally each month. Consult your veterinarian for proper dosing instructions. Storage Instructions Store at or below 30°C (86°F). Possible Side Effects The most frequently reported adverse reactions in clinical trials were vomiting and diarrhea. Precautions: If a dose is missed, a new dose should be given immediately. If a dose is vomited or spit out, a new dose should be given again. Then, continue the prescribed monthly dosing schedule. « Read less

Prescription items are NON-RETURNABLE and NON REFUNDABLE Simparica Trio Chewable Simparica Trio makes it simple to deliver the protection every best friend deserves. Simparica Trio is the first monthly chewable to protect dogs against heartworm disea ...Read more »

Midamox for Cats Prescription items are NON-RETURNABLE and NON REFUNDABLE Meet Midamox (imidacloprid + moxidectin) topical solution from Norbrook, an affordable alternative to Advantage Multi. Made with the only combination of active ingredients approved by the FDA to kill circulating heartworm microfilariae in dogs, Midamox is an effective, affordable choice for protecting pets against heartworm disease, treating flea infestations, and treating and controlling several other parasites. Features: Protects against flea infestations and treatment of several other parasites Protects against heartworm disease Prevents roundworms and hookworms Helps prevent ear mites Dosage- Small/Medium: 5.1-9lbs Large: 9.1-18lbs Avoid oral ingestion. Cats: WARNING: Do not use on sick, debilitated or underweight cats. (See Contraindications and Adverse Reactions for more information.) Do not use in cats less than 9 weeks of age. « Read less

Midamox for Cats Prescription items are NON-RETURNABLE and NON REFUNDABLE Meet Midamox (imidacloprid + moxidectin) topical solution from Norbrook, an affordable alternative to Advantage Multi. Made with the only combination of active ingredients appr ...Read more »

Midamox for Dogs This item is NON-RETURNABLE and NON-REFUNDABLE . M eet Midamox (imidacloprid + moxidectin) topical solution from Norbrook, an affordable alternative to Advantage Multi. Made with the only combination of active ingredients approved by the FDA to kill circulating heartworm microfilariae in dogs, Midamox is an effective, affordable choice for protecting pets against heartworm disease, treating flea infestations, and treating and controlling several other parasites. Features: Protects against flea infestations and treatment of several other parasites Protects against heartworm disease Prevents roundworms, hookworms, and whipworms Helps prevent mange Dosage: Puppy: 3-9lbs Small: 9.1-20lbs Medium: 20.1-55lbs Large: 55.1-88lbs Cautions: Avoid oral ingestion. Dogs: WARNING: DO NOT ADMINISTER THIS PRODUCT ORALLY. For the first 30 minutes after application, ensure that dogs cannot lick the product from application sites on themselves or other treated animals. (See Contraindications and Adverse Reactions for more information.) Disclaimer: Prescription This item requires a valid prescription from a licensed veterinarian. « Read less

Midamox for Dogs This item is NON-RETURNABLE and NON-REFUNDABLE . M eet Midamox (imidacloprid + moxidectin) topical solution from Norbrook, an affordable alternative to Advantage Multi. Made with the only combination of active ingredients approved by ...Read more »

Prescription items are NON-RETURNABLE and NON REFUNDABLE Advantage Multi(R) for Dogs Advantage Multi for Dogs is a once-a-month topical medication that prevents heartworm disease, treats circulating microfilaria in heartworm positive dogs, kills adult fleas and treats flea infestations, treats and controls sarcoptic mange, and treats and controls common intestinal parasites. Dogs six months of age and older should be tested for heartworm disease prior to being put on a preventive program and tested annually thereafter. Item Specifications: Benefits: Advantage Multi Canine is used to kill adult fleas, intestinal parasites (hookworm, roundworm, whipworm), sarcoptic mange, circulating microfilaria and prevents heartworm disease. Quantity: 6 Count For Use: Dogs (at least 7 weeks of age and weighing at least 3 lb.) Active Ingredient(s): Imidacloprid, moxidectin Cautions: Do not use this product on cats, ensure dogs cannot lick the product from the application site. The safety of Advantage Multi for Dogs has not been established in breeding, pregnant, or lactating dogs. Make sure to tell your veterinarian what other medication you are giving to your pet. Quite often your veterinarian may prescribe two different medications, even if a drug interaction may occur. In this case, your veterinarian may vary the dose and/or monitor your pet more closely. No interactions have been noted with this medication. Contact your veterinarian if your pet experiences any unusual reactions when different medications are given together. Allergic reactions to medications may occur. Be sure to inform your veterinarian if your pet has any known drug sensitivities or allergies. If your pet displays symptoms of an allergic reaction, call your veterinarian immediately or go to a veterinary emergency clinic. Symptoms may include but are not limited to: swollen lips, tongue, face, airways; difficulty breathing; agitation; profuse salivation; vomiting; widespread hives and itching. Side Effects: Side effects may include scratching at application site. Usage: Advantage Multi should be applied as directed by your veterinarian. Wash hands with soap and water after handling the medication. « Read less

Prescription items are NON-RETURNABLE and NON REFUNDABLE Advantage Multi(R) for Dogs Advantage Multi for Dogs is a once-a-month topical medication that prevents heartworm disease, treats circulating microfilaria in heartworm positive dogs, kills adul ...Read more »

Prescription items are NON-RETURNABLE and NON REFUNDABLE Interceptor(R) Flavor Tabs(R) For Dogs and Cats (Rx) (milbemycin oxime) An ideal choice of medication for preventing heartworm disease, Interceptor Heartworm for Dogs and Cats can also control hookworm infection. These flavored tablets also help in removing and controlling whipworms and roundworms in cats and dogs of all ages. However, they are not suitable for nursing, breeding and pregnant cats and can be availed of from licensed veterinarians. Features: Control hookworm infection Prevent heartworm disease Help in removing and controlling whipworms and roundworms Brown is for DOGS ONLY Item Specifications: For Use: In dogs and cats Size: (Brown): Dogs 2-10 lb. (Green): Dogs 11-25 lb./Cats 1.5-6 lb. (Yellow): Dogs 26-50 lb./Cats 6-12 lb. (White): Dogs 51-100 lb./Cats 12-25 lb. Directions: Please use as directed by your veterinarian. Dosage: Monthly chewable Indications: Interceptor Flavor Tabs are indicated for use in the prevention of heartworm disease caused by Dirofilaria immitis, the control of adultAncylostoma caninum (hookworm), and the removal and control of adult Toxocara canis and Toxascaris leonina (roundworms) and Trichuris vulpis(whipworm) infections in dogs and in puppies four weeks of age or greater and two pounds body weight or greater. Interceptor Flavor Tabs for Cats are indicated for use in the prevention of heartworm disease caused by Dirofilaria immitis, and the removal of adult Ancylostoma tubaeforme (hookworm) and Toxocara cati (roundworm) in cats and kittens six weeks of age or greater and 1.5 lb. body weight or greater. Palatability: Palatability trials conducted in 244 dogs from 10 different U.S. veterinary practices demonstrated that INTERCEPTOR Flavor Tabs were willingly accepted from the owner by over 95% of dogs. The trial was comprised of dogs representing 60 different breeds and both sexes, with weights ranging from 2.1 lb. to 143.3 lb., and ages ranging from 8 weeks to 15 years. Efficacy: Interceptor Flavor Tabs eliminate the tissue stage of heartworm larvae and the adult stage of hookworm (Ancylostoma caninum),roundworms (Toxocara canis, Toxascaris leonina) and whipworm (Trichuris vulpis) infestations when administered orally according to the recommended dosage schedule. The anthelmintic activity of milbemycin oxime is believed to be a result of interference with invertebrate neurotransmission. 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. May also cause itchiness, hives and red skin, lethargy, depression, staggering, convulsions, weakness. More serious side effects could occur in a dog with preexisting heartworm infection. If you notice anything unusual, contact your veterinarian. Adverse Reactions: The following adverse reactions have been reported following the use of INTERCEPTOR Flavor Tabs: pression/lethargy, vomiting, ataxia, anorexia, diarrhea, convulsions, weakness and hypersalivation. Precautions: Do not use in puppies less than four weeks of age or less than two pounds of body weight. Prior to initiation of the interceptor Flavor Tabs treatment program, dogs should be tested for existing heartworm infections. Infected dogs should be treated to remove adult heartworms and microfilariae prior to initiating treatment with interceptor Flavor Tabs. Mild, transient hypersensitivity reactions manifested as labored respiration, vomiting, salivation and lethargy, have been noted in some treated dogs carrying a high number of circulating microfilariae. These reactions are presumably caused by release of protein from dead or dying microfilariae. Warning: Federal (USA) law restricts this drug to use by or on the order of a licensed veterinarian. Keep this and all drugs out of the reach of children. Storage: Interceptor flavor tabs should be stored at room temperature, between 59° and 77°F (15-25°C). « Read less

Prescription items are NON-RETURNABLE and NON REFUNDABLE Interceptor(R) Flavor Tabs(R) For Dogs and Cats (Rx) (milbemycin oxime) An ideal choice of medication for preventing heartworm disease, Interceptor Heartworm for Dogs and Cats can also control ...Read more »

Prescription items are NON-RETURNABLE and NON REFUNDABLE Iverhart Plus(R) Chewable Tablets Iverhart Plus prevents heartworm disease and also controls roundworms and hookworms in dogs in a once-a-month, liver-flavored chewable tablet. Dogs should be tested for heartworm disease prior to being put on a preventive program and tested annually thereafter. Item Specifications: Benefits: Iverhart Plus Chewables are used to prevent heartworm disease and treat and control roundworms and hookworms. For Use: Dogs (at least 6 weeks of age) Package: 6 ct Size: Small (Blue): 1-25 lb. (Product expiration date of 9/18 and 8/20) Medium (Green): 26-50 lb. Large (Brown): 51-100 lb. (Product expiration date of 4/18 and 8/20) Active Ingredients: Ivermectin, pyrantel pamoate Cautions: Use with caution in sick, debilitated or underweight animals and dogs weighing less than 10 lbs. Certain dogs of the collie breed are more sensitive to the effects of ivermectin. Make sure to tell your veterinarian what other medication you are giving to your pet. Quite often your veterinarian may prescribe two different medications, and a drug interaction may be anticipated. In this case, your veterinarian may vary the dose and/or monitor your pet more closely. The following drugs can potentially interact with pyrantel pamoate: levamisole, organophosphates, diethylcarbamazine, and piperazine. Contact your veterinarian if your pet experiences any unusual reactions when different medications are given together. Allergic reactions to medications may occur. Be sure to inform your veterinarian if your pet has any known drug sensitivities or allergies. If your pet displays symptoms of an allergic reaction, call your veterinarian immediately or go to a veterinary emergency clinic. Symptoms may include but are not limited to: swollen lips, tongue, face, airways; difficulty breathing; agitation; profuse salivation; vomiting; widespread hives and itching. Side Effects: Side effects may include loss appetite, vomiting, drowsiness, and diarrhea. Ivermectin may cause a shock like reaction in dogs. If this occurs, notify your veterinarian. Other side effects may occur. If you notice anything unusual, contact your veterinarian. Usage: Iverhart Plus should be given orally as directed by your veterinarian. « Read less

Prescription items are NON-RETURNABLE and NON REFUNDABLE Iverhart Plus(R) Chewable Tablets Iverhart Plus prevents heartworm disease and also controls roundworms and hookworms in dogs in a once-a-month, liver-flavored chewable tablet. Dogs should be t ...Read more »

Prescription items are NON-RETURNABLE and NON REFUNDABLE THIS ITEM CAN ONLY BE SHIPPED VIA UPS GROUND! REVOLUTION FELINE REVOLUTION provides broad spectrum protection against most internal and external parasites in cats eight weeks of age or older. It kills adult fleas and prevents flea eggs from hatching, treats and controls sarcoptic mange and intestinal worms, and prevents heartworm disease. REVOLUTION is a once-monthly topical treatment that is applied to the pet's skin. REVOLUTION is a systemically acting, broad-spectrum parasiticide that has a well-defined safety profile combined with excellent efficacy to help protect your cat against a wide variety of parasites. REVOLUTION enters the bloodstream through the skin. Concentrations of REVOLUTION in the blood and tissues prevent heartworm disease and prevent and treat roundworm and hookworm infections. REVOLUTION selectively redistributes from the blood to the skin and other tissues, where it provides protection against fleas, flea eggs, and ear mites. Item Specifications: For Use: Cats at least 8 weeks old Strength/Size: Small (Blue): for cats 5.1 to 15 lb. Large (Taupe): for cats 15.1 to 22 lb. Active Ingredient(s): Selamectin Cautions: Do not use in sick, weak or underweight animals. The pet should be tested for heartworm disease before starting this medication. Wash hands with soap and water after handling the medication. Store this medicine below 86°F. Store away from heat and direct sunlight. Make sure to tell your veterinarian what other medication you are giving to your pet. Quite often your veterinarian may prescribe two different medications, even if a drug interaction may occur. In this case, your veterinarian may vary the dose and/or monitor your pet more closely. Contact your veterinarian if your pet experiences any unusual reactions when different medications are given together. Allergic reactions to medications may occur. Be sure to inform your veterinarian if your pet has any known drug sensitivities or allergies. If your pet displays symptoms of an allergic reaction, call your veterinarian immediately or go to a veterinary emergency clinic. Symptoms may include but are not limited to: swollen lips, tongue, face, airways; difficulty breathing; agitation; profuse salivation; vomiting; widespread hives and itching. Side Effects: Rare side effects include vomiting, loose stools or diarrhea with or without blood, loss of appetite, drowsiness, salivation, rapid breathing and muscle tremors. A small percentage of cats may temporarily lose their hair and have slight inflammation at or near the site of application. If you notice anything unusual, contact your veterinarian. Usage: REVOLUTION should be applied topically as directed by your veterinarian. « Read less

Prescription items are NON-RETURNABLE and NON REFUNDABLE THIS ITEM CAN ONLY BE SHIPPED VIA UPS GROUND! REVOLUTION FELINE REVOLUTION provides broad spectrum protection against most internal and external parasites in cats eight weeks of age or older. I ...Read more »

Prescription items are NON-RETURNABLE and NON REFUNDABLE THIS ITEM CAN ONLY BE SHIPPED VIA UPS GROUND! Revolution for Puppies and Kittens Revolution provides broad spectrum protection against most internal and external parasites in puppies and kittens six weeks of age or older. It kills adult fleas and prevents flea eggs from hatching, treats and controls sarcoptic mange and intestinal worms, and prevents heartworm disease. Revolution is a once-monthly topical treatment that is applied to the pet's skin. Item Specifications: Benefits: Revolution is a systemically acting, broad-spectrum parasiticide that has a well defined safety profile combined with excellent efficacy to help protect your dog and cat against a wide variety of parasites. Revolution enters the bloodstream through the skin. Concentrations of Revolution in the blood and tissues prevent heartworm disease and prevent and treat roundworm and hookworm infections. Revolution selectively redistributes from the blood to the skin and other tissues, where it provides protection against fleas, flea eggs, and ear mites. For Use: Dogs (at least 6 weeks of age) and cats (at least 8 weeks of age) Strength/Size: Puppies and kittens 0-5 lb. Active Ingredient(s): Selamectin Cautions: Do not use in sick, weak or underweight animals. The pet should be tested for heartworm disease before starting this medication. Wash hands with soap and water after handling the medication. Store this medicine below 86°F. Store away from heat and direct sunlight. Make sure to tell your veterinarian what other medication you are giving to your pet. Quite often your veterinarian may prescribe two different medications, even if a drug interaction may occur. In this case, your veterinarian may vary the dose and/or monitor your pet more closely. Contact your veterinarian if your pet experiences any unusual reactions when different medications are given together. Allergic reactions to medications may occur. Be sure to inform your veterinarian if your pet has any known drug sensitivities or allergies. If your pet displays symptoms of an allergic reaction, call your veterinarian immediately or go to a veterinary emergency clinic. Symptoms may include but are not limited to: swollen lips, tongue, face, airways; difficulty breathing; agitation; profuse salivation; vomiting; widespread hives and itching. Side Effects: Rare side effects include vomiting, loose stools or diarrhea with or without blood, loss of appetite, drowsiness, salivation, rapid breathing and muscle tremors. A small percentage of cats may temporarily lose their hair and have slight inflammation at or near the site of application. If you notice anything unusual, contact your veterinarian. Usage: Revolution should be applied topically as directed by your veterinarian. « Read less

Prescription items are NON-RETURNABLE and NON REFUNDABLE THIS ITEM CAN ONLY BE SHIPPED VIA UPS GROUND! Revolution for Puppies and Kittens Revolution provides broad spectrum protection against most internal and external parasites in puppies and kitten ...Read more »

Prescription items are NON-RETURNABLE and NON REFUNDABLE SENTINEL(R) Flavor Tabs(R) (milbemycin oxime/lufenuron) The palatable once-a-month prescription tablet that prevents heartworm disease and flea populations in dogs and puppies, SENTINEL(R) (milbemycin oxime/lufenuron) Flavor Tabs(R) also control flea populations and adult hookworms, and remove and control adult roundworm and whipworm infection in dogs and puppies. These tablets are available in four tablet sizes in color-coded packages for oral administration to dogs and puppies according to their weight. Each tablet is formulated to provide a minimum of 0.23mg/lb. (0.5mg/kg) of milbemycin oxime and 4.55mg/lb. (10mg/kg) body weight of lufenuron. Item Specifications: Indications: Sentinel Flavor Tabs are indicated for use in dogs and puppies, four weeks of age and older, and two pounds body weight or greater. Sentinel Flavor Tabs are also indicated for the prevention of heartworm disease caused by Dirofilaria immitis , for the prevention and control of flea populations, the control of adult Ancylostoma caninum (hookworm), and the removal and control of adult Toxocara canis and Toxocara leonina (roundworm) and Trichuris vulpis (whipworm) infections. Lufenuron controls flea populations by preventing the development of flea eggs and does not kill adult fleas. Concurrent use of adulticide product may be necessary for adequate control of adult fleas. Dosage: Sentinel Flavor Tabs are given orally, once a month, at the recommended minimum dosage of 0.23mg/lb. (0.5mg/kg) milbemycin oxime and 4.55mg/lb. (10mg/kg) lufenuron. Dogs over 100 lb. are provided the appropriate combination of tablets. Precautions: Do not use in puppies less than four weeks of age and less than two pounds of body weight. Prior to administration of Sentinel Flavor Tabs, dogs should be tested for existing heartworm infections. Infected dogs should be treated to remove adult heartworms and microfilariae prior to initiating treatment with Sentinel Flavor Tabs. Mild, transient hypersensitivity reactions manifested as labored respiration, vomiting, salivation and lethargy have been noted in some treated dogs carrying a high number of circulating microfilariae. These reactions are presumably caused by release of protein from dead or dying microfilariae. Sentinel Flavor Tabs immediately break the flea life cycle by inhibiting egg development. However, pre-existing flea populations may continue to develop and emerge after treatment with Sentinel Flavor Tabs has begun. Based on results of clinical studies, this emergence generally occurs during the first 30-60 days. Therefore, noticeable control may not be observed until several weeks after dosing when a pre-existing infestation is present. Cooler geographic areas may have longer lag periods due to a prolonged flea life cycle. If a Sentinel Flavor Tabs-treated dog comes in contact with a flea-infested environment, adult fleas may infest the treated animal. These adult fleas are unable to produce viable offspring. The temporary use of an adulticide product may be necessary to kill these adult fleas. Adverse Reactions: The following adverse reactions have been reported in dogs after giving milbemycin oxime or lufenuron: vomiting, depression/lethargy, pruitus, urticaria, diarrhea, anorexia, skin congestion, ataxia, convulsions, hypersalivation and weakness. Storage Conditions: Store in a dry place at controlled room temperature, between 59º and 77ºF (15-25ºC). Caution: Federal (USA) law restricts this drug to use by or on the order of a licensed veterinarian. Warnings: Not for human use. Keep this and all drugs out of the reach of children. « Read less

Prescription items are NON-RETURNABLE and NON REFUNDABLE SENTINEL(R) Flavor Tabs(R) (milbemycin oxime/lufenuron) The palatable once-a-month prescription tablet that prevents heartworm disease and flea populations in dogs and puppies, SENTINEL(R) (mil ...Read more »

Prescription items are NON-RETURNABLE and NON REFUNDABLE Diroban ™ Melarsomine dihydrochloride (the active ingredient in Diroban) is an organic arsenical chemotherapeutic agent. Melarsomine has a molecular weight of 501.34 and is chemically designated as 4 - [(4, 6-diamino-1, 3, 5- triazon-2-yl) amino] phenyldithioarsenite of di (2-aminoethyl), dihydrochloride. It is freely soluble in water. When injected intramuscularly, it is rapidly absorbed. The exact mode of action on D. immitis is unknown. Heartworm Disease Classification: The following parameters were used to classify the dogs in the clinical field trials for Diroban . Other parameters may be considered. As a general rule, conservative treatment should be employed since heartworm disease is serious and potentially fatal. If there is evidence of a high worm burden, patients should be categorized as Class 3. a Class 1: Patients in this category are characterized as having asymptomatic to mild heartworm disease. No radiographic signs or signs of anemia are evident. Patients with mild disease may have subjective signs such as a general loss of condition, fatigue on exercise, or occasional cough; however, no objective radiographic or other abnormal laboratory parameters will be present. b Class 2: Patients in this category are characterized as having moderate heartworm disease. Radiographic signs or signs of anemia [Packed Cell Volume (PCV) less than 30% but greater than 20%, or other hematologic parameters below normal] are evident. Mild proteinuria (2+) may be present. Radiographic signs may include right ventricular enlargement, slight pulmonary artery enlargement, or circumscribed perivascular densities plus mixed alveolar/interstitial lesions. Patients may be free of subjective clinical signs or may have a general loss of condition, fatigue on exercise, or occasional cough. If necessary, patients should be stabilized prior to treatment. c Class 3: Patients in this category are characterized as having severe heartworm disease. These patients have a guarded prognosis. Subjective signs of disease may include cardiac cachexia (wasting), constant fatigue, persistent cough, dyspnea, or other signs associated with right heart failure such as ascites and/or jugular pulse. Radiographic signs may include right ventricular enlargement or right ventricular plus right atrial enlargement, severe pulmonary artery enlargement, circumscribed to chronic mixed patterns and diffuse patterns of pulmonary densities or radiographic signs of thromboembolism. Signs of significant anemia (PCV <20% or other hematologic abnormalities) may be present. Proteinuria (> 2+) may be present. Patients may have only moderate clinical signs and significant laboratory or radiographic alterations or they may have significant clinical signs with only moderate laboratory and radiographic signs and be categorized as Class 3. Patients in Class 3 should be stabilized prior to treatment and then administered the alternate dosing regime Ingredients Diroban Sterile Powder contains 50.0 mg melarsomine dihydrochloride and 33.75 mg glycine USP. 1 vial: when reconstituted with 2 mL of sterile water for injection (provided) contains 25 mg/mL of active ingredient. Warning For use in dogs only. Safety for use in breeding animals and lactating or pregnant bitches has not been determined. Human Warnings Keep this and all medications out of the reach of children. Avoid human exposure. Wash hands thoroughly after use or wear gloves. Potentially irritating to eyes. Rinse eyes with copious amounts of water if exposed. Consult a physician in cases of accidental exposure by any route (dermal, oral, or by injection). The Material Safety Data Sheet (MSDS) contains more detailed occupational safety information. To report adverse effects, obtain an MSDS or for assistance, contact Merial at 1-888-637-4251, option 3. DIROBAN Dosage And Administration Diroban should be administered ONLY by deep intramuscular injection in the epaxial (lumbar) muscles in the third through fifth lumbar region (see graphic). DO NOT ADMINISTER AT ANY OTHER SITE. Avoid superficial injection or leakage. Use a 23 gauge 1 inch needle for dogs equal to or less than 10 kg (22 lb) in weight. Use a 22 gauge 1 1/2 inch needle for dogs greater than 10 kg (22 lb). Use alternating sides with each administration. If repeated administrations are warranted avoid injecting at the same lumbar location. Record the location of the first injection(s) in the patient's medical record for future reference. Disease Classification: It is vital to classify the severity of heartworm disease to apply the appropriate dosage regime for Diroban (See INDICATIONS ). Class 1 and 2: If necessary, dogs should be stabilized prior to treatment. DIROBAN should be administered intramuscularly in the lumbar (L 3 - L 5 ) muscles at a dose of 2.5 mg/kg twice, 24 hours apart (See Dosing Table ). Four months following treatment, a second treatment series (2.5 mg/kg twice, 24 hours apart) can be elected taking into consideration the response to the first DIROBAN treatment and the condition, age, and use of the dog. Worms that were too young to be killed by the first treatment series, i.e., < 4 months, may be killed by a second treatment series. Class 3: Alternate Dosing Regime: Dogs with severe (Class 3) heartworm disease should be stabilized prior to treatment and then dosed intramuscularly in the lumbar (L 3 - L 5 ) muscles with a single injection of 2.5 mg/kg then approximately 1 month later with 2.5 mg/kg administered twice 24 hours apart (See Dosing Table ). Dosing Table: Care must be taken to administer the proper dose. Accurately weigh the dog and calculate the volume to be injected based on the dose of 2.5 mg/kg (1.1 mg/lb). This is equivalent to 0.1 mL/kg (0.045 mL/lb). The following table should be used as a guide to ensure that the proper volume has been calculated. WEIGHT (LB) WEIGHT (KG) VOLUME PER INJECTION 2.2 1 0.1 4.4 2 0.2 6.6 3 0.3 8.8 4 0.4 11.0 5 0.5 13.2 6 0.6 15.4 7 0.7 17.6 8 0.8 19.8 9 0.9 22.0 10 1.0 44.0 20 2.0 66.0 30 3.0 88.0 40 4.0 110.0 50 5.0* *Limited data were collected on the administration > 5.0 mL at a single injection site. Preparation: DIROBAN should be aseptically reconstituted only with 2.0 mL of sterile water for injection (provided as 2.0 mL sterile water for injection USP). This provides 2.5 mg melarsomine dihydrochloride per 0.1 mL of injectable solution. Two 50 mg vials will be required for dogs weighing > 20 kg and 40 kg and 3 vials will be required for dogs > 40 kg and 60 kg. Use immediately. Reconstituted solution may be used within 24 hours if refrigerated and kept from light. Treatment Response: A baseline can be established pre-treatment by using commercially available in-office heartworm antigen test kits prior to treatment. Treatment response can be assessed best by heartworm antigen testing applied 4 months after treatment. A successful treatment is determined to be conversion from an antigen positive to an antigen negative status. In dogs with signs of heartworm disease, gradual improvement should be observed as the long-term effects of the heartworm infection resolve. Some dogs may have chronic effects that will not totally resolve. CONCOMITANT THERAPY: During the course of clinical field trials, DIROBAN was administered concurrently with anti-inflammatories, antibiotics, insecticides, heartworm prophylactics, and various other drugs commonly used to stabilize and support dogs with heartworm disease with no adverse drug interactions noted. Routine Prophylaxis: If the dog is not currently receiving commercially available heartworm preventatives, they may be administered consistent with label recommendations and re-exposure risk. Cautions ADVERSE REACTIONS (SIDE EFFECTS): Injection Sites: At the recommended dosage in clinical field trials, significant irritation was observed at the intramuscular injection sites, accompanied by pain, swelling, tenderness, and reluctance to « Read less

Prescription items are NON-RETURNABLE and NON REFUNDABLE Diroban ™ Melarsomine dihydrochloride (the active ingredient in Diroban) is an organic arsenical chemotherapeutic agent. Melarsomine has a molecular weight of 501.34 and is chemically designate ...Read more »