VetUK Cat Wormer 4 mg/10 mg Film-coated Tablets for Small Cats and Kittens
Active ingredients: Milbemycin Oxime (A3 and A4), Praziquantel
Form
Tablet
Species
Manufacturer
Alfamed
VMD MA No.
17902/5019
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...
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VetUK Cat Wormer 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.
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.
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.
The tablets can be divided into halves.
Revised: September 2025
MA split from NI MA following AN: 03456/2024Page 4 of 6
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: September 2025
MA split from NI MA following AN: 03456/2024Page 2 of 6
(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).
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 Dipylidium 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. 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.
Do not handle this product in case of hypersensitivity to the active substances or to any of
the excipients.
Revised: September 2025
MA split from NI MA following AN: 03456/2024Page 3 of 6
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.
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: September 2025
MA split from NI MA following AN: 03456/2024Page 6 of 6
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.
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