Johnson's 4Fleas 57 mg Tablets for Dogs
Active ingredient: Nitenpyram
Form
Tablet
Species
Manufacturer
Elanco Europe Ltd
VMD MA No.
00879/5077
What it's used for
Treatment of flea infestations (C. felis) on dogs.
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 Nitenpyram
-
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.
Johnson's 4Fleas 57 mg Tablets for Dogs — SPC Details
Source: VMD Summary of Product Characteristics (SPC). Last updated 26 Mar 2026.
recommendations:
One Johnson’s 4Fleas 57 mg tablet should be given to dogs weighing 11.1 kg to 57.0
kg and two tablets for dogs weighing over 57 kg when a flea infestation is detected.
The frequency of treatment depends on the degree of infestation. In the case of a
severe flea infestation, it may be necessary to treat the animals every day or every
other day, until the flea infestation is controlled. Treatment may be resumed if fleas
reappear. No more than one treatment should be given per day.
Tablets should be given orally, with or without food. In order to improve palatability,
tablets can be disguised in a small quantity of food immediately prior to
administration.
Johnson’s 4Fleas tablets do not have persistent activity. To prevent re-infestation, a
suitable treatment to control immature stages of the flea life cycle is recommended.
The veterinary surgeon should establish an appropriate treatment regime.
Revised: December 2025
MA split from NI Expiry following AN: 02131/2025
effect is caused by the fleas reacting to the product. In very rare cases this may
present as transient signs of hyperactivity, panting, vocalisation, and excessive
grooming/licking. Transient neurological signs such as muscle tremors, ataxia and
convulsions have also been reported in very rare occasions.
The frequency of adverse reactions is defined using the following convention:
- very common (more than 1 in 10 animals displaying adverse reaction(s) during the
course of one treatment)
- common (more than 1 but less than 10 animals in 100 animals)
- uncommon (more than 1 but less than 10 animals in 1,000 animals )
- rare (more than 1 but less than 10 animals in 10,000 animals)
- very rare (less than 1 animal in 10,000 animals, including isolated reports).
i) Special precautions for use in animals
Do not use on dogs weighing less than 11 kg.
ii) Special precautions to be taken by the person administering the
veterinary medicinal product to animals
None.
Revised: December 2025
MA split from NI Expiry following AN: 02131/2025
nitenpyram was administered with other veterinary medicinal products including
commonly used flea products, anthelmintics, vaccines or antibiotics.
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 Nitenpyram
These products share the same active ingredient and may be suitable alternatives. Always consult your vet.
Beaphar Flea 11.4 mg Tablets for Cats
AVM-GSLElanco Europe Ltd
Beaphar Flea 11.4 mg Tablets for Small Dogs
AVM-GSLElanco Europe Ltd
Beaphar Flea 57 mg Tablets for Medium & Large Dogs
AVM-GSLElanco Europe Ltd
Bob Martin Clear Flea 11.4mg Tablets for Cats, Small Dogs and Puppies
AVM-GSLElanco Europe Ltd
Bob Martin Clear Flea 57mg Tablets for Large Dogs
AVM-GSLElanco Europe Ltd
Capstar 11.4 mg Tablets for Cats and Small Dogs
AVM-GSLElanco GmbH
Alternative options to consider
Retailers we earn a commission from. It costs you nothing and never changes what we show.
Flea & Tick Treatments for Dogs
Vet-strength flea and tick treatments at pharmacy prices. Frontline, Advocate, Bravecto, Nexgard and more.
Pet Flea Treatments at Pharmacy2U
Frontline, Advantage and own-brand flea treatments at pharmacy prices. Trusted UK pharmacy since 1999.
VetBox Flea & Worm Protection for Dogs
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
Advantage 100 mg Spot-on Solution for Medium Dogs
AVM-GSLImidacloprid
Advantage 100 mg Spot-on Solution for Medium Dogs
AVM-GSLImidacloprid
Advantage 100 Spot-on Solution for Dogs
NFA-VPSImidacloprid
Advantage 100 Spot-on Solution for Dogs
NFA-VPSImidacloprid
Advantage 250 mg Spot-on Solution for Large Dogs
AVM-GSLImidacloprid
Advantage 250 mg Spot-on Solution for Large Dogs
AVM-GSLImidacloprid
Find cheaper vets near you
Compare vet consultation prices in your area. Save on procedures and get a prescription to buy medications online.