Overview:

For the treatment of internal parasites including roundworm, hookworm and tapeworm, in Large Cats.

Milbemycin oxime and praziquantel are the active ingredients in Milbemax®.

Milbemycin oxime interferes with nerve transmission in invertebrates, which helps protect against heartworm, roundworm and hookworm.

Praziquantel causes muscle spasm in tapeworm, which are then attacked by enzymes and disintegrate. It kills all intestinal forms of tapeworm.

Indications

Milbemax is a broad spectrum intestinal wormer used in cats to treat roundworm, hookworm and tapeworms. If given monthly, it also offers prevention against heartworm. Milbemax for cats is a tiny, palatable beef-flavoured tablet that many animals will take straight from the hand.

Milbemax protects against immature and adult roundworm (Toxocara cati, Toxascaris leonina),immature and adult hookworm(Ancylostoma tubaeforme) and tapeworm (Dipylidium caninum, Taenia spp).

If given monthly, Milbemax protects cats against all of the above, as well as heartworm (Dirofilaria immitis).

Dosage and Administration

Milbemax for cats comes in two tablet formulations.

Milbemax tablets for cats (2-8kg):
16mg milbemycin oxime (dose range 2-4mg/kg) 
40mg praziquantel (dose range 5-10mg/kg)
Can be given to cats over 2kg and 6 weeks of age.

Treatment is orally, and the labelled dose rate is recommended. The minimum dose is 2mg milbemycin oxime and 5mg praziquantel per kilogram of bodyweight.

Treatment for control of intestinal worms: 
Milbemax for small cats should be given to kittens at 6, 8 and 12 weeks of age, then every 3 months.

Milbemax for cats should be given to cats weighing over 2 kg every 3 months. Nursing queens should be treated at the same time as their kittens.

Treatment for heartworm prevention: 
Once a month, preferably on the same date.

Mature cats should be tested for heartworm before receiving Milbemax.

If a dose is missed, treat immediately and resume monthly dosing.

Formulations and Packaging

There are two tablet strengths for each species, with different colours and/or shapes, in colour-coded packs:

• Milbemax film-coated tablets for cats: dark red boxes containing two blisters with 10 oblong dark red tablets each or 2 tablet consumer packs.
• Milbemax film-coated tablets for small cats and kittens: pink boxes containing two blisters with 10 oblong pink tablets each or 2 tablet consumer packs.

Safety

Milbemax Cat has a satisfactory safety profile when used as per label directions. It has been tested to a minimum interval of one week between doses.

Milbemax Cat has not been safety tested in kittens weighing <0.5kg or aged <6 weeks, therefore use in these groups is not recommended.

Milbemax Cat can be used in breeding animals, including toms and pregnant or lactating queens. Praziquantel has demonstrated satisfactory safety margins during all reproductive phases.

Cats should be tested for existing heartworm infection before starting treatment.