Mektix Chewable 16 mg/40 mg Film-coated Tablets for Cats Weighing at Least 2 kg
Active ingredients: Milbemycin Oxime (A3 and A4), Praziquantel
Form
Tablet
Species
Manufacturer
KRKA, d.d., Novo mesto
VMD MA No.
01656/5052
What it's used for
Treatment of mixed infections by immature and adult cestodes and nematodes of the following species: - Cestodes: Dipylidium caninum Taenia Echinococcus mul...
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Mektix Chewable 16 mg/40 mg Film-coated Tablets for Cats Weighing at Least 2 kg — SPC Details
Source: VMD Summary of Product Characteristics (SPC). Last updated 26 Mar 2026.
of the following species:
- Cestodes:
Dipylidium caninum
Taenia
Echinococcus multilocularis
- Nematodes:
Ancylostoma tubaeforme
Revised: August 2023
AN: 02700/2022
Toxocara cati
Prevention of heartworm disease (Dirofilaria immitis) if concomitant treatment
against cestodes is indicated.
Do not use in cases of hypersensitivity to the active substances or to any of the
excipients.
Very rare
(<1 animal / 10,000 animals
treated, including isolated
reports):
Systemic disorders* (e.g. lethargy)
Neurological disorders* (e.g. ataxia, muscle
tremor)
Digestive tract disorders* (e.g. diarrhoea, emesis)
Hypersensitivity reaction
*Especially in young cats
Reporting adverse events is important. It allows continuous safety monitoring of
a veterinary medicinal product. Reports should be sent, preferably via a
veterinarian, to either the marketing authorisation holder or the national
competent authority via the national reporting system. See also section 16 of
the package leaflet for respective contact details.
concomitantly.
In order to develop an effective worm control programme local epidemiological
information and the risk of exposure of the cat should be taken into account,
and it is recommended to seek professional (e. g. veterinary) advice.
When D. caninum infection is present, concomitant treatment against
intermediate hosts, such as fleas and lice, should be considered to prevent re-
infection.
Parasite resistance to any particular class of anthelmintic may develop following
frequent, repeated use of an anthelmintic of that class.
Special precautions for use in animals
No studies have been performed with severely debilitated cats or individuals
with seriously compromised kidney or liver function. The veterinary medicinal
product is not recommended for such animals or only according to a benefit/risk
assessment by the responsible veterinarian.
Ensure cats and kittens weighing between 0.5 kg and ≤2 kg receive the
appropriate tablet strength (4 mg milbemycin oxime/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).
As the tablets are flavoured, they should be stored in a safe place out of the
reach of animals.
Special precautions to be taken by the person administering the veterinary
medicinal product to animals
Accidental ingestion of a tablet by a child may be harmful. In order to prevent
children from accessing the veterinary medicinal product, tablets should be
administered and stored out of sight and reach of children.
Part tablets should be returned to the open blister pocket and inserted into the
outer carton.
In case of accidental ingestion of one or more tablets, seek medical advice
immediately and show the package leaflet or the label to the physician.
Wash hands after use.
Revised: August 2023
AN: 02700/2022
Special precautions for the protection of the environment:
Not applicable.
Other precautions
Echinococcosis represents a hazard for humans. As Echinococcosis is a
notifiable disease to the World Organisation for Animal Health (OIE), specific
guidelines on the treatment and follow-up, and on the safeguard of persons,
need to be obtained from the relevant competent authority (e. g. experts or
institutes of parasitology).
lactone selamectin was administered during treatment with milbemycin oxime
and praziquantel at the recommended dose. In the absence of further studies,
caution should be taken in the case of concurrent use of the veterinary
medicinal product and other macrocyclic lactones. Also, no such studies have
been performed with reproducing animals.
This veterinary medicinal product does not require any special temperature
storage conditions.
Store halved tablets below 25°C in the original blister and use for the next
administration.
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.
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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
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VetBox Flea & Worm Protection for Cats
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We may earn a small commission if you purchase through these links, at no extra cost to you.
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