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POM-V Prescription Required Companion Animal

MilbeVet 4 mg/10 mg Film-coated Tablets for Small Cats and Kittens

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

Form

Tablet

Species

Cats

Manufacturer

Elanco GmbH

VMD MA No.

52127/5131

What it's used for

For cats with, or at risk from mixed infections of cestodes, gastrointestinal nematodes, and/or heartworm. This veterinary medicinal product is only indica...

Full indications, dosage and side effects ↓
View official SPC (PDF)

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Prescription required

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Clinical information

MilbeVet 4 mg/10 mg Film-coated Tablets for Small Cats and Kittens — SPC Details

Source: VMD Summary of Product Characteristics (SPC). Last updated 26 Mar 2026.

For cats with, or at risk from mixed infections of cestodes, gastrointestinal
nematodes, and/or heartworm. This veterinary medicinal product is only
indicated when use against cestodes and nematodes or prevention of
heartworm disease is indicated at the same time.
Cestodes
Treatment of tapeworms:
Dipylidium caninum,
Taenia .,
Echinococcus multilocularis.
Gastrointestinal nematodes
Treatment of:
Hookworm: Ancylostoma tubaeforme
Roundworm: Toxocara cati.

Revised: September 2025
AN: 01475/2025Page 2 of 7
Heartworm
Prevention of heartworm disease (Dirofilaria immitis) if concomitant treatment
against cestodes is indicated.
Do not use in cats of less than 6 weeks of age and/or weighing less than 0.5 kg.
Do not use in cases of hypersensitivity to the active substances or to any of
excipients.
Cats:
Very rare
(<1 animal / 10,000 animals treated,
including isolated reports):
Digestive tract disorders (such as
Diarrhoea, Emesis)
Hypersensitivity reaction
Neurological disorders (such as
Ataxia and Muscle tremor)

Systemic disorders (such as
Lethargy)
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 the last section
of the package leaflet for contact details.
The possibility that other animals in the same household can be a source of re-
infection should be considered, and these should be treated as necessary with
an appropriate veterinary medicinal product.
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.
Unnecessary use of antiparasitics or use deviating from the instructions given in
the SPC may increase the resistance selection pressure and lead to reduced
efficacy. The decision to use the veterinary medicinal product should be based
on confirmation of the parasitic species and burden, or of the risk of infection
based on its epidemiological features, for each individual animal.
In the absence of risk of co-infection with nematodes or cestodes, a narrow
spectrum veterinary medicinal product should be used when available.
The use of this veterinary medicinal product should take into account local
information about susceptibility of the target parasites, where available.

Special precautions for use in animals
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.
See also section 4.9.
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.
Special precautions to be taken by the person administering the veterinary
medicinal product to animals
Wash hands after use.
In case 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.

Revised: September 2025
AN: 01475/2025Page 3 of 7
Special precautions for the protection of the environment
See section 6.6.
Other precautions
Echinococcosis represents a hazard for humans. As Echinococcosis is a
notifiable disease to the World Organisation for Animal Health (WOAH), 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).
The concurrent use of the veterinary medicinal product with selamectin is well
tolerated. No interactions were observed when the recommended dose of the
macrocyclic lactone selamectin was administered during treatment with the
veterinary medicinal product at the recommended dose.
Although not recommended, the concomitant use of the veterinary medicinal
product 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 with any other macrocyclic lactone. Also, no such studies have
been performed with breeding animals.

Revised: September 2025
AN: 01475/2025Page 4 of 7
Do not store above 25 °C.
Keep the blister in the outer carton in order to protect from light.
Not applicable.
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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