Milpro 4 mg/10 mg Film-coated Tablets for Small Cats and Kittens
Active ingredients: Milbemycin Oxime (A3 and A4), Praziquantel
Form
Tablet
Species
Manufacturer
Virbac
VMD MA No.
05653/5082
What it's used for
In cats: treatment of mixed infections by immature and adult cestodes (tapeworms) and adult nematodes (roundworms) of the following species: Cestodes: Echi...
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.
Milpro 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.
and adult nematodes (roundworms) of the following species:
Cestodes:
Echinococcus multilocularis,
Dipylidium caninum,
Taenia spp.,
Nematodes:
Ancylostoma tubaeforme,
Toxocara cati
The product can also be used in the 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.
The product is a small size tablet.
To aid with administration, the product has been coated with a meat flavour.
The tablets can be divided into halves.
Revised: November 2025
MA split from NI MA following AN: 03461/2024
Depending on the bodyweight of the cat, the practical dosing is as follows:
WeightTablets0.5 - 1 kg1/2 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 prevention of heartworm disease
the use of a monosubstance is preferred.
Do not use in cases of hypersensitivity to the active substances or to any of the
excipients.
Revised: November 2025
MA split from NI MA following AN: 03461/2024
signs (such as lethargy), neurological signs (such as ataxia and muscle tremors)
and/or gastrointestinal signs (such as emesis and diarrhoea) may be observed after
administration of the veterinary medicinal 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 living conditions of the cat should be taken into account and
therefore it is recommended to seek professional advice.
Parasite resistance to any particular class of anthelmintic may develop following
frequent, repeated use of an anthelmintic of that class.
When D. caninum infection is present, concomitant treatment against intermediate
hosts, such as fleas and lice, should be considered to prevent re-infection.
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.
Studies have shown that treatment of dogs with a high number of circulating
microfilariae can sometimes lead to the appearance of hypersensitivity reactions,
such as pale mucous membranes, vomiting, trembling, laboured breathing or
excessive salivation. These reactions are associated with the release of proteins
from dead or dying microfilariae and are not a direct toxic effect of the product. The
use in dogs suffering from microfilaremia is thus not recommended. In the absence
of data on cats with microfilaraemia, its use should be according to a benefit risk
assessment by the attending veterinarian.
As the tablets are flavoured, they should be stored in a safe place out of the reach of
animals.
As per good veterinary practice, animals should be weighed to ensure accurate
dosing.
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 (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 – 1 tablet).
4.5 ii Special precautions to be taken by the person administering the veterinary
medicinal product to animals
Wash hands after use.
Part tablets should be returned to the open blister pack and stored in the carton.
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.
Revised: November 2025
MA split from NI MA following AN: 03461/2024
4.5 iii 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.
selamectin is well tolerated. No interactions were observed when the recommended
dose of the macrocyclic lactone selamectin was administered during treatment with
the combination 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.
conditions.
Half tablets should be stored in the original blister and be used for the next
administration.
Keep the blister in the outer carton.
Revised: November 2025
MA split from NI MA following AN: 03461/2024
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.