{"product_id":"midamox-topical-solution-for-dogs-20-1-55-lbs","title":"Midamox Topical Solution for Dogs, 20.1-55 lbs, Red Box","description":"\u003ch2\u003eMonthly Spot-On Parasite Protection for Medium Dogs\u003c\/h2\u003e\n\u003ch3\u003eProduct Description\u003c\/h3\u003e\n\u003cp\u003eMidamox (Imidacloprid + Moxidectin) Topical Solution for Dogs 20.1–55 lbs is an FDA-approved prescription monthly spot-on treatment bioequivalent to Advantage Multi, designed for medium-sized dogs. Each red-box applicator contains imidacloprid 10% and moxidectin 2.5%, delivering the minimum required doses of 10mg\/kg imidacloprid and 2.5mg\/kg moxidectin based on body weight. Put on the skin between the shoulder blades once a month, the solution absorbs systemically and works on fleas and sarcoptic mange externally while going after heartworm larvae, microfilariae, hookworms, and roundworms internally. The water-resistant formula holds up after bathing or swimming on a consistent monthly schedule.\u003c\/p\u003e\n\u003ch3\u003eBenefits\u003c\/h3\u003e\n\u003cul type=\"disc\"\u003e\n\u003cli\u003e\n\u003cstrong\u003eHeartworm Disease Prevention:\u003c\/strong\u003e Stops heartworm disease from Dirofilaria immitis larvae from taking hold when applied consistently every 30 days in medium-sized dogs.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eCirculating Microfilariae Treatment:\u003c\/strong\u003e The only FDA-approved generic combination shown to work against circulating heartworm microfilariae in dogs already testing positive.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eComplete Flea Life Cycle Disruption:\u003c\/strong\u003e Takes out adult fleas fast and cuts into immature flea development to bring active infestations under control in the home.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSarcoptic Mange Control:\u003c\/strong\u003e Goes after sarcoptic mange infestations and brings relief from the intense itching and skin damage this highly contagious mite causes.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eMulti-Parasite Single Dose:\u003c\/strong\u003e One monthly application covers fleas, heartworm, sarcoptic mange, hookworms, and roundworms for comprehensive year-round parasite control.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch3\u003eIngredients\u003c\/h3\u003e\n\u003ch4\u003eActive Ingredients\u003c\/h4\u003e\n\u003cp\u003eImidacloprid 10% (250mg per tube for 20.1–55 lb dogs)\u003c\/p\u003e\n\u003cp\u003eMoxidectin 2.5% (62.5mg per tube for 20.1–55 lb dogs)\u003c\/p\u003e\n\u003ch3\u003eHow to Use\u003c\/h3\u003e\n\u003cp\u003eMidamox Topical Solution for Dogs 20.1–55 lbs is a prescription-only medication. A valid veterinarian prescription is required to purchase this product.\u003c\/p\u003e\n\u003cp\u003ePlease follow your veterinarian's specific instructions for the dosage and administration of this medication for your dog.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eDisclaimer:\u003c\/strong\u003e Dosage and administration of this medication must be determined by a licensed veterinarian. Always consult your veterinarian before administering or adjusting any prescription medication for your pet.\u003c\/p\u003e\n\u003ch3\u003eAdditional Information\u003c\/h3\u003e\n\u003ch4\u003ePrecautions\u003c\/h4\u003e\n\u003cul type=\"disc\"\u003e\n\u003cli\u003e\n\u003cstrong\u003eFor Dogs Only:\u003c\/strong\u003e The moxidectin level in this dog formulation is far above what cats can handle safely, and applying it to a cat can be fatal.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eDo Not Apply Orally:\u003c\/strong\u003e This product is for external topical use only and should never be swallowed or put near the mouth.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePrevent Licking After Application:\u003c\/strong\u003e Treated dogs should be kept away from other pets for 30 minutes and watched to make sure they do not lick the application spot before it dries.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eAvoid Bathing for 24 Hours:\u003c\/strong\u003e Bathing, shampooing, or swimming should be avoided for at least 24 hours after each monthly application to allow full absorption.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eCaution in MDR1-Affected Breeds:\u003c\/strong\u003e Collies, Australian Shepherds, and other MDR1-affected breeds may show greater sensitivity to moxidectin and need careful management on this product.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eNot for Puppies Under 7 Weeks:\u003c\/strong\u003e Puppies under seven weeks old or weighing less than three pounds should not receive this product regardless of weight category.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eHuman Skin and Eye Hazard:\u003c\/strong\u003e Hands should be washed thoroughly after application, and eyes should be flushed with water right away if any accidental contact happens.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch4\u003ePossible Side Effects\u003c\/h4\u003e\n\u003cul type=\"disc\"\u003e\n\u003cli\u003e\n\u003cstrong\u003eApplication Site Reactions:\u003c\/strong\u003e The treated area may look greasy, show white residue, feel damp and stiff, or show mild redness, with most of this clearing up within 48 hours.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eDigestive Disturbances:\u003c\/strong\u003e Dogs carrying a heavier parasite load going into treatment are most likely to experience vomiting, loose or bloody stools, and reduced appetite.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eRespiratory and Ocular Signs:\u003c\/strong\u003e Coughing, nasal discharge, and eye discharge can come up, most often in heartworm-positive dogs during microfilariae clearance.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSerious Neurological Reactions:\u003c\/strong\u003e Tremors, loss of coordination, or seizures are rare but serious and call for immediate emergency veterinary care if they appear.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch4\u003eStorage Information\u003c\/h4\u003e\n\u003cul type=\"disc\"\u003e\n\u003cli\u003e\n\u003cstrong\u003eStore Below 77°F:\u003c\/strong\u003e Keep applicators at or below 77°F, with brief periods up to 104°F acceptable.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eKeep in Original Packaging:\u003c\/strong\u003e Applicators should stay in their sealed blister packs until the time of monthly application to protect them from heat, light, and moisture.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eOut of Reach:\u003c\/strong\u003e Keep this product somewhere children and untreated animals in the home cannot get to it.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cspan style=\"color: rgb(255, 42, 0);\"\u003e\u003cstrong\u003eNOTE: \u003c\/strong\u003e\u003c\/span\u003eFor generic medications, the product image shown may not reflect the actual item received. Generic medications can vary in size, color, and shape between orders depending on the manufacturer. Additionally, your medication may arrive packaged in a HardyPaw Pharmacy vial.\u003c\/p\u003e\n\u003ch3\u003eShipping \u0026amp; Return\u003c\/h3\u003e\n\u003cp\u003eWe offer ground, express, and priority delivery; see our \u003ca href=\"\/en-ro\/pages\/shipping-policy\" title=\"Shipping policy | hardypaw\" aria-label=\"Shipping policy | hardypaw\"\u003eshipping policy\u003c\/a\u003e for details.\u003c\/p\u003e\n\u003cp\u003eFor return instructions or product concerns, please refer to our detailed \u003ca href=\"\/en-ro\/policies\/refund-policy\" title=\"Refund policy\" aria-label=\"Refund policy\"\u003erefund policy\u003c\/a\u003e.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003ePrescription items are NON-RETURNABLE and NON-REFUNDABLE.\u003c\/strong\u003e\u003c\/p\u003e\n\u003ch2\u003eFrequently Asked Questions\u003c\/h2\u003e\n\u003ch3\u003eQ1: Which medium dog breeds commonly use the Midamox 20.1–55 lbs red box?\u003c\/h3\u003e\n\u003cp\u003e\u003cstrong\u003eAns:\u003c\/strong\u003e Beagles, Cocker Spaniels, Bulldogs, Border Collies, Basset Hounds, and Whippets are among the medium-sized breeds that typically land in this weight range. Body weight is what determines the right applicator size, not breed, so confirming the dog's current weight with a veterinarian before selecting the box is the right move to avoid under-dosing or overdosing.\u003c\/p\u003e\n\u003ch3\u003eQ2: How does Midamox prevent heartworm disease in dogs?\u003c\/h3\u003e\n\u003cp\u003e\u003cstrong\u003eAns:\u003c\/strong\u003e Moxidectin targets the early larval stages of Dirofilaria immitis before they get the chance to mature into adult worms in the heart and pulmonary arteries. Applying it every 30 days keeps enough moxidectin circulating to wipe out any larvae the dog picked up since the previous dose before they can progress further.\u003c\/p\u003e\n\u003ch3\u003eQ3: Should a dog be tested for heartworm before starting Midamox?\u003c\/h3\u003e\n\u003cp\u003e\u003cstrong\u003eAns:\u003c\/strong\u003e Testing before starting is important because putting a heartworm-positive dog on a preventive without treating the adult worms leaves the infection intact and lets the damage to the heart continue. A veterinarian will go through the options and recommend the right next steps if the dog comes back positive before Midamox begins.\u003c\/p\u003e\n\u003ch3\u003eQ4: How is the Midamox red box applicator correctly applied to a medium dog?\u003c\/h3\u003e\n\u003cp\u003e\u003cstrong\u003eAns:\u003c\/strong\u003e Take one applicator out of the blister pack, hold it upright, and twist or snap the cap off as the packaging directs. Part the hair between the shoulder blades to get to the skin, then press the tip down and empty the full contents into a single spot. Rubbing it in or splitting it across multiple spots is not the right approach.\u003c\/p\u003e\n\u003ch3\u003eQ5: Can Midamox 20.1–55 lbs be used year-round in all geographic regions?\u003c\/h3\u003e\n\u003cp\u003e\u003cstrong\u003eAns:\u003c\/strong\u003e Most veterinarians lean toward year-round monthly use because heartworm transmission now reaches more regions than it once did and gaps in coverage are easy to create with seasonal approaches. Consistent monthly protection matters most where mosquito activity never fully stops, and a veterinarian will advise on the right schedule for the local parasite situation.\u003c\/p\u003e\n\u003ch2\u003eClinical Research\u003c\/h2\u003e\n\u003cul type=\"disc\"\u003e\n  \u003cli\u003e\u003ca href=\"https:\/\/www.fda.gov\/animal-veterinary\/animal-health-literacy\/keep-worms-out-your-pets-heart-facts-about-heartworm-disease\" title=\"Keep the worms out of your pet’s heart! The facts about heartworm disease | fda\" aria-label=\"Visit a webpage about Keep the worms out of your pet’s heart! The facts about heartworm disease | fda\"\u003eFDA – Heartworm Disease in Dogs\u003c\/a\u003e\u003c\/li\u003e\n  \u003cli\u003e\u003ca href=\"https:\/\/www.cdc.gov\/parasites\/causes\/index.html\" title=\"What causes parasitic diseases | parasites | cdc\" aria-label=\"Visit a webpage about What causes parasitic diseases | parasites | cdc\"\u003eCDC – Parasites in Dogs\u003c\/a\u003e\u003c\/li\u003e\n  \u003cli\u003e\u003ca href=\"https:\/\/www.petmd.com\/dog\/general-health\/flea-and-tick-prevention-and-treatment-dogs\" title=\"The complete guide to flea and tick prevention and treatment for dogs | petmd\" aria-label=\"Visit a webpage about The complete guide to flea and tick prevention and treatment for dogs | petmd\"\u003ePetMD – Flea \u0026amp; Tick Treatments\u003c\/a\u003e\u003c\/li\u003e\n\u003c\/ul\u003e","brand":"Varies (Generic)","offers":[{"title":"1 Doses (1-mos. supply)","offer_id":44251497726113,"sku":"690242367001-1","price":60.0,"currency_code":"RON","in_stock":true},{"title":"6 Doses (6-mos. supply)","offer_id":44251497758881,"sku":"690242367001","price":338.0,"currency_code":"RON","in_stock":true},{"title":"12 Doses (12-mos. supply)","offer_id":44251497791649,"sku":"690242367001-PK2","price":675.0,"currency_code":"RON","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0593\/2446\/5313\/files\/midamox-topical-solution-for-dogs-20-1-55-lbs-red-box-pet-medicine-937.png?v=1778521741","url":"https:\/\/hardypaw.com\/en-ro\/products\/midamox-topical-solution-for-dogs-20-1-55-lbs","provider":"HardyPaw","version":"1.0","type":"link"}