Elanco Milbemycin - Praziquantel 16 mg/40 mg Film-Coated Tablets for Cats
Active ingredients: Milbemycin Oxime (A3 and A4), Praziquantel
Form
Tablet
Species
Manufacturer
Elanco Europe Ltd
VMD MA No.
00879/5010
What it's used for
In cats: treatment of mixed infections by immature and adult cestodes and nematodes of the following species: - Dipylidium caninum Taenia spp. Echinococcus...
Full indications, dosage and side effects ↓The prescription itself has a price. See what practices near you charge for a consultation and the written prescription fee.
Paying less for Milbemycin Oxime (A3 and A4)...
-
1
Ask your vet for a written prescription
They must provide one on request. Under the CMA Order the fee is capped at £21 from 2027.
-
2
Fill it at a registered online retailer
The CMA found online pharmacies 50–60% cheaper than practice dispensing on common medicines — typically £200–£300 a year.
Done — we'll email you when prices land.
Prescription required
Your vet must provide a written prescription on request. You can then purchase from any licensed online retailer.
Elanco Milbemycin - Praziquantel 16 mg/40 mg Film-Coated Tablets for Cats — SPC Details
Source: VMD Summary of Product Characteristics (SPC). Last updated 18 Mar 2026.
of the following species:
-
Dipylidium caninum
Taenia spp.
Echinococcus multilocularis
-
Ancylostoma tubaeforme
Toxocara cati
Prevention of heartworm disease (Dirofilaria immitis) if concomitant treatment against
cestodes is indicated.
Issued: December 2022
AN: 00876/2022
per kg are given orally as a single dose. The product should be administered with or
after some food. Doing so ensures optimum protection against heartworm disease.
Depending on the bodyweight of the cat, the practical dosing is as follows:
WeightTablets 2 - 4 kg½ tablet> 4 - 8 kg1 tablet> 8 - 12 kg1½ tablets
Elanco Milbemycin - Praziquantel 16 mg/40 mg Film-coated Tablets for Cats can be
inserted into a programme for prevention of heartworm disease if at the same time
treatment against tapeworms is indicated. Elanco Milbemycin - Praziquantel 16 mg/40
mg Film-coated Tablets for Cats has a duration of heartworm prevention of one month.
For regular prevention of heartworm disease the use of a monosubstance is preferred.
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 veterinary medicinal product.
The frequency of adverse reactions is defined using the following convention:
- very common (more than 1 in 10 animals treated displaying adverse reaction(s))
- common (more than 1 but less than 10 animals in 100 animals treated)
- uncommon (more than 1 but less than 10 animals in 1,000 animals treated)
Issued: December 2022
AN: 00876/2022
- rare (more than 1 but less than 10 animals in 10,000 animals treated)
- very rare (less than 1 animal in 10,000 animals treated, including isolated reports).
information and the risk of exposure of the cat should be taken into account.
It is recommended to treat all the animals living in the same household concomitantly.
When infection with the cestode D. caninum has been confirmed, concomitant
treatment against intermediate hosts, such as fleas and lice, should be discussed with a
veterinarian to prevent re-infection.
Special precautions for use in animals
As per good veterinary practice, animals should be weighed to ensure accurate dosing.
Ensure cats and kittens weighing between 0.5 kg and ≤2 kg receive the appropriate
tablet strength (4 mg MBO/10 mg praziquantel) and the appropriate dose (1/2 or 1
tablet) for the corresponding weight band (1/2 tablet for cats weighing 0.5 to 1 kg ; 1
tablet for cats weighing >1 to 2 kg – 1 tablet).
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
veterinarian.
Special precautions to be taken by the person administering the veterinary medicinal
product to animals
Wash hands after use.
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 physician.
Tablets for Cats with selamectin is well tolerated. No interactions were observed when
the recommended dose of the macrocyclic lactone selamectin was administered during
treatment with Elanco Milbemycin - Praziquantel 16 mg/40 mg Film-coated Tablets for
Cats at the recommended dose.
Although not recommended, the concomitant use of Elanco Milbemycin - Praziquantel
16 mg/40 mg Film-coated Tablets for Cats with a spot on containing moxidectin and
imidacloprid at recommended dose rates following a single application was well
tolerated in one laboratory study in 10 kittens.
The safety and efficacy of the concurrent use have not been investigated in field
studies. In the absence of further studies, caution should be taken in the case of
concurrent use of the product with any other macrocyclic lactone. Also, no such studies
have been performed with reproducing animals.
Keep the blister in the outer carton in order to protect from light
5.
This information is sourced from the official Summary of Product Characteristics (SPC) published by the Veterinary Medicines Directorate (VMD). It is provided for informational purposes only and does not replace professional veterinary advice. Always consult your vet before administering any medication.
Medication costs adding up?
Pet insurance can cover prescription medications. Find the right policy for your pet.
Related Conditions
Other Products Containing Milbemycin Oxime (A3 and A4)
These products share the same active ingredient and may be suitable alternatives. Always consult your vet.
Aderexa 12.5 mg/125 mg Chewable Tablets for Dogs Weighing at Least 5 kg
POM-VKRKA, d.d., Novo mesto
Aderexa 2.5 mg/25 mg Chewable Tablets for Small Dogs and Puppies Weighing at Least 0.5 kg
POM-VKRKA, d.d., Novo mesto
Alpramil 12 mg/30 mg Film-coated Tablets for Cats Weighing at Least 3 kg
POM-VAlfasan Nederland B.V.
Alpramil 12 mg/30 mg Film-coated Tablets for Cats Weighing at Least 3 kg
POM-VAlfasan Nederland B.V.
Alpramil 12.5 mg/125 mg Tablets for Dogs Weighing at Least 5 kg
POM-VAlfasan Nederland B.V.
Alpramil 12.5 mg/125 mg Tablets for Dogs Weighing at Least 5 kg
POM-VAlfasan Nederland B.V.
Alternative options to consider
Retailers we earn a commission from. It costs you nothing and never changes what we show.
Wormers for Cats
Drontal, Milbemax, Panacur and generic wormers for cats. Pharmacy-dispensed, vet-equivalent strength.
Pet Wormers at Pharmacy2U
Drontal, Milbemax and own-brand wormers dispensed by the UK's largest online pharmacy.
VetBox Flea & Worm Protection for Cats
Vet-founded monthly parasite subscription. Flea, tick and worm protection delivered to your door. Founded by Dr Will Woodley, protecting 30,000+ pets.
We may earn a small commission if you purchase through these links, at no extra cost to you.
Related Medications
Aderexa 12.5 mg/125 mg Chewable Tablets for Dogs Weighing at Least 5 kg
POM-VMilbemycin Oxime (A3 and A4) + Praziquantel
Aderexa 2.5 mg/25 mg Chewable Tablets for Small Dogs and Puppies Weighing at Least 0.5 kg
POM-VMilbemycin Oxime (A3 and A4) + Praziquantel
Albacert 2.5% w/v SC Oral Suspension
POM-VPSAlbendazole
Albacert 2.5% w/v SC Oral Suspension
POM-VPSAlbendazole
Albex 10% w/v Oral Suspension
POM-VPSAlbendazole
Albex 10% w/v Oral Suspension
POM-VPSAlbendazole
Find cheaper vets near you
Compare vet consultation prices in your area. Save on procedures and get a prescription to buy medications online.