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POM-V Prescription Required Companion Animal

Pramilon 16 mg/40 mg Film-coated Tablets for Cats

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

Form

Tablet

Species

Cats

Manufacturer

Alfamed

VMD MA No.

17902/5033

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 ↓
View official SPC (PDF)

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Prescription required

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Clinical information

Pramilon 16 mg/40 mg Film-coated Tablets for Cats — SPC Details

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

In cats: treatment of mixed infections by immature and adult cestodes (tapeworms)
and adult nematodes (roundworms) of the following species:
Cestodes:
Echinococcus multilocularis,
Dipylidium caninum,
Taenia spp.,
Nematodes:
Ancylostoma tubaeforme,
Toxocara cati
Prevention of heartworm disease (Dirofilaria immitis), if concomitant treatment
against cestodes is indicated.
Oral use.
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 once 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.

Amended Pages: September 2025
MA split from NI MA following AN: 03169/2024
The tablets can be divided into halves.
Depending on the bodyweight of the cat, the practical dosing is as follows:
WeightTablets2 – 4 kg1/2 tablet>4 – 8 kg1 tablet>8 – 12 kg1½ tablets
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 cats weighing less than 2 kg.

Amended Pages: September 2025
MA split from NI MA following AN: 03169/2024
Do not use in cases of hypersensitivity to the active substances or to any of the
excipients.
In very rare occasions, especially in young cats, hypersensitivity reactions,
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).
It is recommended to treat all the animals living in the same household
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.

Amended Pages: September 2025
MA split from NI MA following AN: 03169/2024
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.
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.
The concurrent use of the combination praziquantel/milbemycin oxime with
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.
This veterinary medicinal product does not require any special temperature storage
conditions.
Half tablets should be stored in the original blister and be used for the next
administration.
Keep the blister in the outer carton.
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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