Milbemax Chewable Worming Tablets are a broad spectrum tasty tablet for the treatment and control of larvae and adult stages of gastrointestinal worms such as Hookworm, Roundworm, Whipworm, Tapeworm and Heartworm Milbemax chewable tablets are also suitable for the treatment and preventions of Spirocerca Lupi and Spirocercosis. Milbemax Chewable contains Milbemycin oxime 12.5 mg and Praziquantel 125 mg. The tablet is brown in colour and oval in shape. Milbemax Chewable is administered orally either with or after food for maximum efficacy Dosage: For routine control, adult dogs should be treated every 3 months. In the event of a heavy worm infestation, a repeat dose should be given after 10 days: 5 - 25 kg body mass - 1 Tablet 25 - 50 kg body mass - 2 Tablets 50 - 75 kg body mass - 3 Tablets Milbemax Chewable Worming Tablets for dogs is suitable for use on puppies from 6 weeks of age, adult dogs, old dogs, working dogs, pregnant and lactating bitches. Puppies should be dewormed every 2 weeks from 2 - 12 weeks old and thereafter at intervals of 3 - 6 months to control worm infestations. Pregnant bitches should be dewormed 10 days prior to whelping. Spirocerca Lupi Spirocerca lupi is an internal parasite which nests in the oesophagus of your dog and causes the disease Spirocercosis - a very serious disease which can ultimately lead to death. S.Lupi is contracted when your dog ingests either the intermediate host (dung beetles) or the paratentic host (birds, rats, lizards and frogs.) The parasitic larvae then travel to your dogs stomach and migrate through the stomach wall to the aorta. After further development in the aorta, the young adults migrate to your dogs oesophagus wall, forming nodules. The nodules can takes months before reaching a size where it affects your dog's health. S.Lupi is therefore know as the "silent killer" as the infection is already in an advanced stage by the time pet owners notice any health issues. Dogs may display the following symptoms: Coughing or gagging, regurgitation, weight loss, salivation, fever, vomiting, breathing difficulties, problems swallowing and joint pain. If you suspect that your dog might have S.Lupi please contact your veterinarian about diagnosis and frequency of Milbemax treatment. Warnings: At 10 times overdose mild transient clinical signs of mydriasis, depression, drooling, paresis, trembling and/or a staggered gait may occur in some dogs. These symptoms will subside spontaneously within a day. The use in dogs suffering from Microfilaraemia is not recommended. Don’t forget the flea control! Fleas are often infected with the larvae of the Tapeworm, which can be transferred to your dog by swallowing the flea while grooming. In order to control worms, you also need to control fleas. A spot-on treatment is the easiest way to protect your dog – but you may also need one that kills flea larvae in your pet's surroundings, to effectively break the flea lifecycle. If you don’t control a flea problem at the same time as worming, your dog is almost certain to be re-infected This product is for animal use only and should under no circumstances be administered to any animal other than that which is stated for. Keep out of reach of children and wash hands after use.