Milbehart (milbemycin oxime) Flavored Tablets

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Description

MILBEHART™ Flavored Tablets is a once-a-month tablets that is indicated for use in the prevention of heartworm disease, the control of adult hookworm, and the removal and control of adult roundworms and whipworm infections in dogs and in puppies four weeks of age or greater and two pounds body weight or greater. 
    

Package color	Milbemycin oxime tablet
Brown	2.3 mg*
Green	5.75 mg
Yellow	11.5 mg
Gray	23.0 mg

Indications

MILBEHART™ Flavored Tablets are indicated for use in the prevention of heartworm disease caused by Dirofilaria immitis, the control of adult Ancylostoma caninum (hookworm), and the removal and control of adult Toxocara canis and Toxascaris leonina (roundworms) and Trichuris vulpis (whipworm) infections in dogs and in puppies four weeks of age or greater and two pounds body weight or greater.

Dosage

MILBEHART™ Flavored Tablets are given orally, once a month, at the recommended minimum dosage rate of 0.23 mg milbemycin oxime per pound of body weight (0.5 mg/kg).

Recommended Dosage Schedule for Dogs
Body Weight	MILBEHART™ Flavored Tablets
2-10 lbs.	One tablet (2.3 mg)
11-25 lbs.	One tablet (5.75 mg)
26-50 lbs.	One tablet (11.5 mg)
51-100 lbs.	One tablet (23.0 mg)

Dogs over 100 lbs. are provided the appropriate combination of tablets.

Administration

MILBEHART™ Flavored Tablets are dual-purpose and may be offered in food or administered as other tablet medications. Watch the dog closely following dosing to be sure the entire dose has been consumed. If it is not entirely consumed, redose once with the full recommended dose as soon as possible.
MILBEHART™ Flavored Tablets must be administered monthly, preferably on the same date each month. The first dose should be administered within one month of the dog’s first exposure to mosquitoes and monthly thereafter until the end of the mosquito season. If a dose is missed and a 30-day interval between dosing is exceeded, administer MILBEHART™ Flavored Tablets immediately and resume the monthly dosing schedule.

If MILBEHART™ Flavored Tablets replaces diethylcarbamazine (DEC) for heartworm prevention, the first dose must be given within 30 days after the last dose of DEC.

Precautions

Do not use in puppies less than four weeks of age or less than two pounds of body weight. Prior to initiation of the MILBEHART™ Flavored Tablets treatment program, dogs should be tested for existing heartworm infections. Infected dogs should be treated to remove adult heartworms and microfilariae prior to initiating treatment with MILBEHART™ Flavored Tablets. Mild, transient hypersensitivity reactions manifested as labored respiration, vomiting, salivation and lethargy, have been noted in some treated dogs carrying a high number of circulating microfilariae. These reactions are presumably caused by release of protein from dead or dying microfilariae.


by Virbac