Milbemax
Comprehensive Worming Tablets
Broad-spectrum wormer covering roundworms, tapeworms and more. No prescription needed. Save up to 40% buying online.
Buy Milbemax at UK pharmacy prices
UK registered pharmacies dispense the same Milbemax your vet prescribes, often for less. Ask your vet for a written prescription (capped at £21 under the CMA Order, from 2027), then fill it online.
Affiliate link to The Pharm Pet Co., a UK registered veterinary pharmacy. We may earn a small commission, at no extra cost to you. Always follow your vet's guidance on medication choice and dosing.
What is Milbemax?
Milbemax is a broad-spectrum worming tablet manufactured by Elanco containing two active ingredients: milbemycin oxime (which kills roundworms, hookworms, whipworms and prevents heartworm) and praziquantel (which kills all major species of tapeworm).
This combination makes Milbemax one of the most comprehensive single-tablet wormers available. It covers virtually all intestinal worms that affect UK dogs and cats in a single palatable tablet. The beef-flavoured formulation is well accepted by most pets.
Milbemax is available in four formulations: small dog/puppy, large dog, small cat/kitten, and large cat. It is classified as NFA-VPS in the UK, meaning you do not need a prescription to buy it. Online pet medicine retailers can sell it after a brief health questionnaire, making it convenient and affordable to buy.
Roundworms, hookworms, whipworms AND tapeworms in one tablet
NFA-VPS classification — buy online without a prescription
Give every 3 months for adult dogs and cats
Milbemax Price Comparison
Milbemax Small Dog/Puppy — 2 tablets
Milbemax Large Dog — 2 tablets
Milbemax Small Cat/Kitten — 2 tablets
Milbemax Large Cat — 2 tablets
Side Effects & Warnings
Common Side Effects
- • Mild vomiting (usually transient)
- • Diarrhoea or soft stools
- • Reduced appetite for 24 hours
- • Lethargy
Warnings
- • Not for puppies under 2 weeks / kittens under 6 weeks
- • Use with caution in MDR1-mutant breeds (Collies)
- • Not for dogs under 0.5 kg / cats under 0.5 kg
- • Safe for pregnant and lactating animals
Alternatives to Milbemax
Drontal / Drontal Plus
Another excellent broad-spectrum wormer. Covers roundworms and tapeworms. Slightly cheaper. Also NFA-VPS. See our Drontal guide.
Panacur (Fenbendazole)
Covers roundworms, hookworms, whipworms and lungworm, but NOT tapeworms. A 3-5 day course. Very safe, often used for pregnant dogs. Need separate tapeworm treatment.
Frequently Asked Questions
Roundworms, hookworms, whipworms, all major tapeworms, and prevents heartworm. One of the most comprehensive single-tablet wormers.
£8-£18 for 2 tablets at the vet, £5-£12 online. No prescription needed (NFA-VPS).
No. Milbemax is NFA-VPS and can be bought online without a prescription after a health questionnaire.
Adults: every 3 months. Puppies/kittens: every 2 weeks until 12 weeks, monthly until 6 months, then quarterly.
Both are excellent. Milbemax also prevents heartworm. Drontal covers a slightly wider range of tapeworms. For UK pets they are largely interchangeable.
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Buy Milbemax online — no prescription needed
Save up to 40% compared to vet prices. NFA-VPS so you can order directly from online retailers.