POM-V Prescription Required Companion Animal

Maxpramil 2.5 mg/25 mg Tablets for Small Dogs and Puppies

Active ingredients: Milbemycin Oxime (A3 and A4), Praziquantel

Form

Tablet

Species

Dogs

Manufacturer

Laboratorios Karizoo S.A

VMD MA No.

31223/3003

View official SPC (PDF)

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.

Your prescription rights → VMD register of retailers →

Prescription required

Your vet must provide a written prescription on request. You can then purchase from any licensed online retailer.

Clinical details are being added

We're extracting detailed indications, dosage, side effects and more from the official SPC document. Check back soon.

View official SPC (PDF) on VMD

Medication costs adding up?

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Your Rights

Prescription Fee Cap Can My Vet Refuse a Prescription? Buy Pet Medication Online

Same active ingredient

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-V

KRKA, d.d., Novo mesto

chewable Dogs

Aderexa 2.5 mg/25 mg Chewable Tablets for Small Dogs and Puppies Weighing at Least 0.5 kg

POM-V

KRKA, d.d., Novo mesto

chewable Dogs

Alpramil 12 mg/30 mg Film-coated Tablets for Cats Weighing at Least 3 kg

POM-V

Alfasan Nederland B.V.

tablet Cats

Alpramil 12 mg/30 mg Film-coated Tablets for Cats Weighing at Least 3 kg

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Alfasan Nederland B.V.

tablet Cats

Alpramil 12.5 mg/125 mg Tablets for Dogs Weighing at Least 5 kg

POM-V

Alfasan Nederland B.V.

tablet Dogs

Alpramil 12.5 mg/125 mg Tablets for Dogs Weighing at Least 5 kg

POM-V

Alfasan Nederland B.V.

tablet Dogs

Alternative options to consider

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The Pharm Pet Co.

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VetBox

VetBox Flea & Worm Protection for Dogs

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