NexGard PLUS Chews for Dogs (afoxolaner, moxidectin & pyrantel tablets) 33.1-66 lbs (Purple Box)

Boehringer Ingelheim SKU: 608394-BI-1

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NexGard PLUS Chews for Dogs 33.1-66 lbs (Purple Box)

NexGard PLUS for dogs (afoxolaner, moxidectin, and pyrantel chewable tablets) give you the power to protect your dog from fleas and ticks, prevent heartworm disease, AND treat and control roundworms and hookworms. Delicious, beef-flavored Nexgard PLUS soft chews are available by prescription only-talk to your vet to see if they’re right for your dog.

Nexgard PLUS chews kill adult fleas, kill ticks, prevent heartworm disease, and treat and control 3 species of hookworms and 2 species of roundworms and are designed to be easy to give to dogs. They're beef-flavored, chewable, and soft-no pill pockets, peanut butter, or cheese needed. Dogs need parasite protection year-round, and Nexgard PLUS chews are designed so that giving your dog their monthly dose is a delight- and never a chore-month after month. 

Benefits

  • Kills Fleas & Ticks- Provides flea and tick protection for dogs for a full month.

  • Prevents Heartworm Disease- Eliminates heartworm larvae before they can grow into adults and cause heartworm disease.

  • Fights Intestinal Parasites- Treats and controls 2 of the most common intestinal parasites in dogs, roundworms and hookworms.

  • Safe for Puppies- safe to start protecting puppies as young as 8 weeks, weighing 4 pounds or more

Prescription items are NON-RETURNABLE and NON-REFUNDABLE.

Please note product may arrive in a Hardy Paw Pharmacy vial, manufacturer packaging is shown for reference.

Dosage and Administration:

NexGard PLUS is given orally once a month at the minimum dosage of 1.14 mg/lb (2.5 mg/kg) afoxolaner, 5.45 mcg/lb (12 mcg/kg) moxidectin, and 2.27 mg/lb (5.0 mg/kg) pyrantel (as pamoate salt)

For heartworm disease prevention, give one monthly for at least six months after last exposure to mosquitoes.

Dosing Schedule:

Body Weight (lbs.) Afoxolaner Per Chewable (mg) Moxidectin Per Chewable (mcg) Pyrantel* Per Chewable (mg) Chewable Administered
4 to 8 9.375 45 18.75 One
8.1 to 17 18.75 90 37.5 One
17.1 to 33 37.5 180 75 One
33.1 to 66 75 360 150 One
66.1 to 132 150 720 300 One
Over 132 Administer the appropriate combination of chewables

*As pamoate salt.

NexGard PLUS can be administered with or without food. Care should be taken to ensure that the dog consumes the complete dose and that part of the dose is not lost or refused. If a dose is missed, administer NexGard PLUS and resume a monthly dosing schedule.

Heartworm Prevention:

NexGard PLUS should be administered at monthly intervals year-round or, at a minimum, administration should start within one month of the dog’s first seasonal exposure to mosquitoes and should continue at monthly intervals until at least six months after the dog’s last exposure (see Effectiveness). When replacing another monthly heartworm preventive product, the first dose of NexGard PLUS should be given within a month of the last dose of the former medication.

Flea Treatment and Prevention:

NexGard PLUS should be administered year-round at monthly intervals or started at least one month before fleas become active. To minimize the likelihood of flea reinfestation, it is important to treat all animals within a household with an approved flea control product.

Tick Treatment and Control:

NexGard Plus should be administered year-round at monthly intervals or started at least one month before ticks become active.

Intestinal Nematode Treatment and Control:

NexGard PLUS treats and controls adult hookworms (Ancylostoma caninum, Ancylostoma braziliense, and Uncinaria stenocephala) and roundworms (Toxocara canis and Toxascaris leonina). For the treatment of adult hookworm and roundworm infections, NexGard PLUS should be administered as a single dose. Monthly use of NexGard PLUS will control any subsequent infections. Dogs may be exposed to and can become infected with hookworms and roundworms throughout the year, regardless of season or climate.

Contraindications:

There are no known contraindications for the use of NexGard Plus.

Warnings:

Not for use in humans. Keep this and all drugs out of the reach of children. In case of accidental ingestion, contact a physician for treatment advice.

Keep Nexgard Plus in a secure location out of the reach of dogs, cats, and other animals to prevent accidental ingestion or overdose.

Precautions:

Afoxolaner, one of the ingredients in NexGard PLUS, is a member of the isoxazoline class. This class has been associated with neurologic adverse reactions including tremors, ataxia, and seizures. Seizures have been reported in dogs receiving isoxazoline class drugs, even in dogs without a history of seizures. Use with caution in dogs with a history of seizures or neurologic disorders.

Treatment with fewer than six monthly doses after the last exposure to mosquitoes has not been evaluated and may not provide complete heartworm prevention.

Prior to administration of NexGard PLUS, dogs should be tested for existing heartworm infection. At the discretion of the veterinarian, infected dogs should be treated with an adulticide to remove adult heartworms. NexGard PLUS is not effective against adult D. immitis.

The safe use of NexGard PLUS in breeding, pregnant, or lactating dogs has not been evaluated.

FAQ

Who is NexGard PLUS Chewables for Dogs for?
Dogs and puppies as young as 8 weeks.

Why use NexGard PLUS Chewables for Dogs?
  • Convenient one-and-done monthly dosing for parasite protection.
  • Kills adult fleas before they can lay eggs.
  • Kills 4 species of ticks (black-legged ticks, brown dog ticks, American dog ticks, and lone star ticks).
  • Effectively prevents heartworm disease.
  • Treats and controls 3 species of hookworms and 2 species of roundworms.
  • Tasty, soft beef-flavored chew that’s a delight for your dog.
  • Safe for puppies as young as 8 weeks of age.

How does NexGard PLUS Chewables for Dogs work?
NexGard PLUS chews are indicated for the prevention of heartworm disease caused by Dirofilaria immitis. NexGard PLUS chews are also indicated for the treatment and control of adult hookworm (Ancylostoma caninum, Ancylostoma braziliense, and Uncinaria stenocephala) and roundworm (Toxocara canis and Toxascaris leonina) infections. NexGard PLUS kills adult fleas and is indicated for the treatment and prevention of flea infestations (Ctenocephalides felis) and the treatment and control of Ixodes scapularis (black-legged tick), Rhipicephalus sanguineus (brown dog tick), Dermacentor variabilis (American dog tick), and Amblyomma americanum (lone star tick) infestations for one month in dogs and puppies 8 weeks of age and older.

How is NexGard PLUS Chewables for Dogs sold?
Sold as 3 month supply or 6 month supply depending on your dogs weight as follows : (Small) 8.1-17 lbs Green, (Medium) 17.1-33 lbs Gold, (Large) 33.1-66 lbs Purple, (X-Large) 66.1-132 lbs Red

What are the side effects of NexGard PLUS Chewables for Dogs?
The most frequently reported adverse reactions include vomiting, itching, lethargy, diarrhea, and lack of appetite.

What special precautions are there?
Afoxolaner, one of the ingredients in NexGard PLUS chews, is a member of the isoxazoline class. This class has been associated with neurologic adverse reactions including tremors, ataxia, and seizures. Seizures have been reported in dogs receiving isoxazoline class drugs, even in dogs without a history of seizures. Use with caution in dogs with a history of seizures or neurologic disorders. Treatment with fewer than six monthly doses after the last exposure to mosquitoes has not been evaluated and may not provide complete heartworm prevention. Prior to administration of NexGard PLUS chews, dogs should be tested for existing heartworm infection. At the discretion of the vet, infected dogs should be treated with an adulticide to remove adult heartworms. NexGard PLUS chews are not effective against adult D. immitis. The safe use of NexGard PLUS chews in breeding, pregnant, or lactating dogs has not been evaluated.

What to do if overdose?
Contact your nearest emergency animal hospital

How can I store NexGard PLUS Chewables for Dogs?
Store in original package at or below 30°C (86°F) with excursions permitted up to 40°C (104°F).

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