MilbeGuard Flavored Tablet

MilbeGuard is a once-a-month tablet that prevents heartworm disease, controls adult hookworms, and removes and controls adult roundworms and whipworm infections in dogs and puppies. For cats and kittens, MilbeGuard prevents heartworm disease and removes adult roundworms and hookworms.

References:

1. Data on file. Ceva Animal Health.

Product sourced directly from the manufacturer or their approved distributor. Guaranteed genuine product backed by the manufacturer.

Dogs (4 weeks of age or greater)

Cats (6 weeks of age or greater)

Milbemycin oxime

Complete inactive ingredients list not provided by manufacturer.

MilbeGuard

Milbemycin antiparasitic

MilbeGuard Flavored Tablets are “beef” flavored*.

Ceva Animal Health

Body weight	Milbemycin oxime (per tablet)	Tablets per month	Package color
2 - 10 lbs.	2.3 mg*	One	Yellow
11 - 25 lbs.	5.75 mg	One	Blue
26 - 50 lbs.	11.5 mg	One	Purple
51 - 100 lbs.†	23 mg	One	Red

Body weight	Milbemycin oxime (per tablet)	Tablets per month	Package color
1.5 - 6 lbs.	5.75 mg	One	Blue
6.1 - 12 lbs.	11.5 mg	One	Purple
12.1 - 25 lbs.‡	23 mg	One	Red

*For dogs only.

^†Dogs over 100 lbs. should be administered the appropriate combination of tablets to cover their full body weight.

^‡Cats over 25 lbs. should be administered the appropriate combination of tablets to cover their full body weight.

MilbeGuard Flavored Tablets should be given orally at monthly intervals year-round, or as otherwise directed by your veterinarian.

MILBEGUARD Flavored Tablets for Dogs 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). MILBEGUARD Flavored Tablets for Cats are given orally, once a month, at the recommended minimum dosage rate of 0.9 mg milbemycin oxime per pound of body weight (2 mg/kg).

MILBEGUARD Flavored Tablets are dual-purpose and may be offered in food or administered as other tablet medications. The tablets can be broken for ease of administration. Watch your pet 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.

MILBEGUARD Flavored Tablets must be administered monthly, preferably on the same date each month. The first dose should be administered within one month of the pet’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 MILBEGUARD Flavored Tablets immediately and resume the monthly dosing schedule. Notify your veterinarian about the missed dose. Do not give more medication than prescribed or two doses at once.

If you have questions about your pet’s prescribed dosing schedule (e.g., timing, interval), please consult your veterinarian.

Store in a cool, dry place at a controlled room temperature, between 68° and 77°F. Keep this and all medications in a secure location out of the reach of children and animals to prevent accidental ingestion or overdose. Tablets should remain sealed in their original packaging and only be removed from the blister pack immediately prior to administration.

Exposure to extreme temperatures, light, or moisture can affect the integrity and effectiveness of medications. Always store medications properly (e.g., away from the bathroom, kitchen sink, or other damp places).

MilbeGuard is generally well tolerated, and side effects are uncommon when at the labeled dosages.

In a small percentage of treated dogs, digestive and neurologic side effects may occur. The following adverse reactions have been reported following the use of MILBEGUARD Flavored Tablets: Depression/lethargy, vomiting, ataxia (decreased coordination), anorexia (decreased appetite), diarrhea, convulsions, weakness, and hypersalivation.

Contact your veterinarian if your pet experiences any side effects, including those listed above, or if you notice anything unusual.

Before using this product, please review the product label and full Prescribing Information for important safety information, including any relevant warnings and precautions.

For oral use in dogs and cats only. Not for use in humans.

Do not use in puppies less than four weeks of age or less than two pounds of body weight. Do not use in kittens less than six weeks of age or less than 1.5 lbs. body weight.

Prior to initiation of the MILBEGUARD Flavored Tablets treatment program, dogs and cats should be tested for existing heartworm infections. Infected dogs should be treated to remove adult heartworms and microfilariae prior to initiating treatment with MILBEGUARD 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.

Safety in heartworm-positive cats has not been established. Safety in breeding, pregnant, and lactating queens and breeding toms has not been established. Discuss the risks of using this medication with your veterinarian prior to use if your pet is in one of these groups.

Do not administer this medication to animals with a known or suspected allergy/hypersensitivity to it or any of its ingredients. Allergic reactions to medications may occur. Please inform Vetsource and your veterinarian if your pet has any known sensitivities or allergies, especially to medications and supplements.

If your pet displays symptoms of an allergic reaction, discontinue therapy and call your veterinarian immediately or seek emergency veterinary attention. Symptoms may include (but are not limited to): swollen lips, tongue, face, or airways; difficulty breathing; agitation; profuse salivation; and widespread hives or itching.

There are no documented drug or food interactions reported for this product. However, as with most medications, potential interactions may still be possible.

The following drugs* may have potential interactions with this medication: acepromazine (PromAce), amitriptyline, cyclosporine, dexamethasone, digoxin, fluoxetine, itraconazole, ketoconazole, sertraline, and spironolactone.

*NOTE: This may not be a comprehensive list. As with all medications, please consult your veterinarian if you have any questions or concerns prior to use. Contact your veterinarian if your pet experiences any unusual reactions when multiple medications and/or supplements are given together.

Please ensure your veterinarian is aware of all medications, supplements, and over-the-counter (OTC) products that your pet is currently using. Your veterinarian may prescribe multiple medications, even if a potential drug interaction may occur. In these instances, your veterinarian may adjust the dosages or monitor your pet more closely.

If you are concerned that your pet has experienced an adverse reaction to this medication, please contact the manufacturer Ceva Animal Health at 1-800-999-0297 or Vetsource Pet Owner Care at 877-738-4443.

If you have any reason to suspect an overdose, call your doctor/veterinarian or the appropriate poison control resource immediately.

For humans:

The national toll-free Poison Help line, 1-800-222-1222, will connect you to your local poison center in case of emergency. This service is available nationwide and in most U.S. territories.

For animals:

The ASPCA Animal Poison Control Center is available 24 hours a day, 365 days a year at 888-426-4435.

Pet Poison Helpline® also provides a 24/7 animal poison control service at 855-764-7661.

All content, including the images and product description above, is intended for general informational purposes only and should not be considered a substitute for professional veterinary consultation, diagnosis, or treatment.

For additional information about this product and how it fits into your pet's individual treatment plan, please consult your veterinarian.