Milbactor 4 mg/10 mg Film-coated Tablets for Small Cats and Kittens Weighing at Least 0.5 kg
Active ingredients: Milbemycin Oxime (A3 and A4), Praziquantel
Form
Tablet
Species
Manufacturer
KRKA, d.d., Novo mesto
VMD MA No.
01656/4082
What it's used for
In cats: treatment of mixed infections by immature and adult cestodes and nematodes of the following species: - Cestodes: Dipylidium caninum Taenia Echinoc...
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.
Milbactor 4 mg/10 mg Film-coated Tablets for Small Cats and Kittens Weighing at Least 0.5 kg — SPC Details
Source: VMD Summary of Product Characteristics (SPC). Last updated 26 Mar 2026.
nematodes of the following species:
- Cestodes:
Dipylidium caninum
Taenia
Echinococcus multilocularis
- Nematodes:
Ancylostoma tubaeforme
Toxocara cati
Revised: July 2021
AN: 02341/2020 & 02342/2020Page 2 of 6
Prevention of heartworm disease (Dirofilaria immitis) if concomitant treatment against
cestodes is indicated.
Animals should be weighed to ensure accurate dosing.
Minimum recommended dose rate: 2 mg of milbemycin oxime and 5 mg of
praziquantel 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:
WeightFilm-coated tablets for small
cats and kittens
0.5 - 1 kg½ tablet > 1 - 2 kg1 tablet
The product can be inserted into a programme for prevention of heartworm disease if
at the same time treatment against tapeworms is indicated. The product has a
duration of heartworm prevention of one month. For regular prevention of heartworm
disease the use of a monosubstance is preferred.
Revised: July 2021
AN: 02341/2020 & 02342/2020Page 4 of 6
Do not use in known cases of hypersensitivity to the active substances or to any of
the excipients.
neurological signs (such as ataxia and muscle tremors) and/or gastrointestinal signs
(such as emesis and diarrhoea) have been observed after administration of the
combination milbemycin/praziquantel.
On very rare occasions hypersensitivity reactions have been observed following
administration of the 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)
- 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).
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.
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 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).
Special precautions to be taken by the person administering the veterinary medicinal
product to animals
People with known hypersensitivity to the active substances or the excipients should
avoid contact with the veterinary medicinal product.
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 doctor.
Wash hands after use.
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.
Revised: July 2021
AN: 02341/2020 & 02342/2020Page 3 of 6
tolerated. No interactions were observed when the recommended dose of the
macrocyclic 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 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.
Halved tablets should be stored below 25°C in the original blister and be used for the
next administration.
Keep the blister in the outer carton.
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.