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Following intravenous (IV) dosing of a combination solution of sarolaner and moxidectin, the sarolaner volume of distribution (Vss) was 2.4 L/kg and systemic clearance (CL) was 6.0 mL/kg/hr. SIMPARICA TRIO is given orally once a month, at the recommended minimum dose of 0.54 mg/lb (1.2 mg/kg) sarolaner, 0.011 mg/lb (24 µg/kg) moxidectin, and 2.27 mg/lb (5 mg/kg) pyrantel (as pamoate salt). Pyrantel pamoate is a nematocide belonging to the tetrahydropyrimidine class. SIMPARICA TRIO is indicated for the prevention of heartworm disease caused by Dirofilaria immitis and for the treatment and control of roundworm (immature adult and adult Toxocara canis and adult Toxascaris leonina) and adult hookworm (Ancylostoma caninum and Uncinaria stenocephala) infections. In a 10-day multi-center field study, SIMPARICA TRIO was effective against Toxocara canis and reduced fecal egg counts 99.2%. Moxidectin is a semi.synthetic methoxime derivative of nemadectin which is a fermentation product of Streptomyces cyaneogriseus subspecies noncyanogenus. This class has been associated with neurologic adverse reactions including tremors, ataxia, and seizures. The fever may have been a transient reaction to a rapid microfilaria reduction. The chemical name for moxidectin is (6R,23E,25S)-5-O-Demethyl-28-deoxy-25-[(1E)-1,3-dimethyl-1-buten-1-yl]-6,28-epoxy-23-(methoxyimino) milbemycin B. Pyrantel belongs to a family classified chemically as tetrahydropyrimidines and the chemical name is (E)-1,4,5,6-Tetrahydro-1-methyl-2-[2-(2-thienyl) vinyl] pyrimidine 4,4’ methylenebis [3-hydroxy-2-naphthoate](1:1). Following oral administration of SIMPARICA TRIO in Beagle dogs (13 to 15 months of age at the time of initial dosing), sarolaner and moxidectin were rapidly and well-absorbed. Treatment with SIMPARICA TRIO can begin at any time of the year. The safe use of SIMPARICA TRIO has not been evaluated in breeding, pregnant, or lactating dogs. To minimize the likelihood of flea re-infestation, it is important to treat all dogs and cats within a household with a flea control product. DOSAGEAND METHOD OF ADMINISTRATION. SIMPARICA TRIO contains three active pharmaceutical ingredients, sarolaner, moxidectin, and pyrantel pamoate. SENTINEL FLAVOR TABS are also indicated for the prevention of heartworm disease caused by Dirofilaria immitis, for the prevention and control of flea populations, the control of adult Ancylostoma caninum (hookworm), and the removal and control of adult Toxocara canis and Toxascaris leonina (roundworm) and Trichuris vulpis (whipworm) infections. In two well-controlled laboratory studies, a single oral dose of SIMPARICA TRIO was 100% effective in preventing the development of adult D. immitis in dogs inoculated with infective larvae 30 days before treatment. It removes 7 species of worms: 2 tapeworms (Dipylidium caninum and Taenia pisiformis), 2 roundworms (Toxocara canis and Toxascaris leonina), and 3 hookworms (Ancylostoma caninum, Ancylostoma braziliense, and Uncinaria stenocephala). SIMPARICA TRIO (sarolaner, moxidectin, and pyrantel chewable tablets) is a flavored, chewable tablet for administration to dogs 8 weeks of age and older. How often do I give my dog SENTINEL FLAVOR TABS (milbemycin oxime, lufenuron)? Elimination of roundworms (immature adult and adult Toxocara canis and adult Toxascaris leonina) and adult hookworms (Ancylostoma caninum and Uncinaria stenocephala) was demonstrated in well-controlled laboratory studies. The most frequent reactions reported in the SIMPARICA TRIO group are presented in the following table. It is a yellow, water-insoluble crystalline salt of the tetrahydropyrimidine base and pamoic acid containing 34.7% base activity. Roundworms: Toxocara cati, Toxascaris leonina, Tapeworms: Dipylidium caninum, Taenia taeniaeformis, Echinococcus multilocularis. If a dose is missed, give SIMPARICA TRIO immediately and resume monthly dosing. Treatment with SIMPARICA TRIO may begin at any time of the year. To ensure adequate absorption, always administer SENTINEL FLAVOR TABS to dogs immediately after or in conjunction with a normal meal. Moxidectin is a pentacyclic 16-membered lactone macrolide. Capable of causing injury or death, especially by chemical means; poisonous: toxic industrial waste. Sarolaner inhibits the function of the neurotransmitter gamma aminobutyric acid (GABA) receptor and glutamate receptor, and works at the neuromuscular junction in insects. Administer the appropriate combination of tablets. Each tablet size is available in color-coded packages of six tablets, which are packaged 10 per display carton. Available by prescription only. Pyrantel pamoate is intended to remain in the gastrointestinal tract allowing for delivery of effective concentrations to gastrointestinal nematodes. Use with caution in dogs with a history of seizures or neurologic disorders. How do I give my dog SENTINEL FLAVOR TABS (milbemycin oxime, lufenuron)? SENTINEL FLAVOR TABS are also indicated for the prevention of heartworm disease caused by Dirofilaria immitis, for the prevention and control of flea populations, the control of adult Ancylostoma caninum (hookworm), and the removal and control of adult Toxocara canis and Toxascaris leonina (roundworm) and Trichuris vulpis (whipworm) infections. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. SIMPARICA TRIO kills adult fleas (Ctenocephalides felis) and is indicated for the treatment and prevention of flea infestations, and the treatment and control of tick infestations with Amblyomma americanum (lone star tick), Amblyomma maculatum (Gulf Coast tick), Dermacentor variabilis (American dog tick), Ixodes scapularis (black-legged tick), and Rhipicephalus sanguineus (brown dog tick) for one month in dogs and puppies 8 weeks of age and older, and weighing 2.8 pounds or greater. There are no known contraindications for the use of SIMPARICA TRIO. 3. a. The key to making the experience of taking a jaunt with them enjoyable is finding a cat harness that securely fits their body shape and size. In a well-controlled US field study consisting of 246 dogs administered SIMPARICA TRIO and 119 administered an active control, no dogs treated with SIMPARICA TRIO tested positive for heartworm disease. We comply with the HONcode standard for trustworthy health information -, Direction and dosage information for Simparica TRIO. Data sources include IBM Watson Micromedex (updated 2 Feb 2021), Cerner Multum™ (updated 3 Feb 2021), ASHP (updated 29 Jan 2021) and others. Roundworms (Toxascaris leonina and Toxocara cati) are the most common intestinal parasite of cats, affecting 25% to 75% of cats, with higher rates in kittens. Interceptor® Plus (milbemycin oxime/praziquantel) is a monthly chicken-flavored chewable that prevents heartworm disease and treats and controls adult hookworm, roundworm, whipworm and tapeworm infections in dogs and puppies 6 weeks of age and older and 2 pounds of body weight or greater. Do not use in kittens less than 6 weeks of age. The result is a pipeline, which in terms of size and quality, provides us with a solid platform for consistent growth in veterinary vaccines and pharmaceuticals. For a copy of the Safety Data Sheet or to report adverse reactions, call Zoetis Inc. at 1-888-963-8471. Following an oral dose of SIMPARICA TRIO containing 5 mg/kg pyrantel (as pamoate salt), pyrantel has measurable plasma concentrations, but they are low and highly variable. Seizures have been reported in dogs receiving isoxazoline class drugs, even in dogs without a history of seizures. The terminal half.lives were similar after oral and IV dosing for both sarolaner (12 days) and moxidectin (11 days). dict_files/eng_com.dic This class can parse, analyze words and interprets sentences. Not for use in humans. Lufenuron controls flea populations by preventing the development of flea eggs and does not kill adult fleas. During the end-of-study ophthalmic examination, the following change was found: one 1X dog had retinal dysplasia (OS folds). Two dogs (1 each in 1X and 3X) developed a fever less than 24 hours after the first dose. If a dose is missed, give SIMPARICA TRIO immediately and resume monthly dosing. PetArmor 7 Way De-wormer conveniently provides vet-quality protection without the expense of a vet visit. In a separate well-controlled laboratory study, SIMPARICA TRIO demonstrated 100% effectiveness against adult fleas within 24 hours following treatment and maintained ≥99.7% effectiveness against weekly re.infestations for 35 days. Dogs in the control group received placebo. SENTINEL FLAVOR TABS (milbemycin oxime, lufenuron) provide protection against 5 different kinds of parasites. In a well-controlled laboratory study, SIMPARICA TRIO began to kill fleas at 4 hours and demonstrated 100% effectiveness at 8 hours after initial administration. Dogs with signs of flea allergy dermatitis showed improvement in erythema, papules, scaling, alopecia, dermatitis/pyodermatitis and pruritus as a direct result of eliminating fleas. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Diarrhea occurred more commonly in the treated dogs and also more often in the 3X group compared with the 1X group. 2. Clinical signs (ataxia, muscle fasciculations, mydriasis) associated with avermectin sensitivity were observed in the 5X group. Elimination of roundworms (immature adult and adult Toxocara canis and adult Toxascaris leonina) and adult hookworms (Ancylostoma caninum and Uncinaria stenocephala) was demonstrated in well-controlled laboratory studies. Field Safety: In three well-controlled field studies, SIMPARICA TRIO was used concurrently with other medications such as vaccines, antimicrobials, anthelmintics, antiprotozoals, steroidal and non.steroidal anti.inflammatory agents, anesthetic agents and analgesics. Following a single oral dose of SIMPARICA TRIO (sarolaner dose of 1.2 mg/kg), the sarolaner mean maximum plasma concentration (Cmax) was 523 ng/mL with a mean time to maximum concentration (Tmax) of 3.5 hours and an absolute bioavailability of 88%. No adverse reactions were associated with the concurrent use of SIMPARICA TRIO and other medications. SIMPARICA TRIO was administered orally at 1 and 3X the maximum labeled dose at 28 day intervals for 3 treatments to Beagle dogs with patent adult heartworm infections and circulating microfilariae. Each tablet size is available in packages of one, three, or six tablets. Preventer Plus Flavor Tabs are indicated for the prevention of heartworm disease caused by Dirofilaria immitis, for the prevention and control of flea populations, 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. SIMPARICA TRIO should be administered at monthly intervals year.round or at least within one month of the animal’s first seasonal exposure to mosquitoes and continuing until at least 1 month after the dog’s last seasonal exposure. Roundworms also live and develop in the intestine where females produce eggs that are excreted with feces. At a moxidectin dose of 0.024 mg/kg, the moxidectin mean Cmax was 13.1 ng/mL with a mean Tmax of 2.4 hours and an absolute bioavailability of 67%. Both dogs recovered without treatment. Responsibility. For complete product information refer to the product insert. Sarolaner is a member of the isoxazoline class of parasiticides and the chemical name is 1-(5’-((5S)-5-(3,5-Dichloro-4-fluorophenyl)-5-(trifluoromethyl)- 4,5-dihydroisoxazol-3-yl)-3’-H-spiro(azetidine-3,1’-(2) benzofuran)-1-yl)-2-(methylsulfonyl)ethanone. SIMPARICA TRIO should be administered year-round at monthly intervals or started at least one month before ticks become active. Approximately 25 to 75% of the global cat population is estimated to be infected with roundworms. SIMPARICA TRIO is available in six flavored tablet sizes (see DOSAGE AND ADMINISTRATION). SENTINEL SPECTRUM Chews [Product Insert] NADA 141-333. This results in uncontrolled neuromuscular activity leading to death in insects or acarines. Moxidectin acts by interfering with the chloride channel.mediated neurotransmission in the parasite. SIMPARICA TRIO contains the S.enantiomer of sarolaner. In a well-controlled 60-day US field study conducted in dogs with existing flea infestations of varying severity, the effectiveness of SIMPARICA TRIO against fleas on Day 30 and 60 visits was 99.0% and 99.7%, respectively, compared to baseline. Of, relating to, or caused by a toxin or other poison: a toxic condition; toxic hepatitis. It takes an English sentence and breaks it into words to determine if it is a phrase or a clause. (sarolaner, moxidectin, and pyrantel chewable tablets). Each tablet is formulated to provide minimum dosages of 0.54 mg/lb (1.2 mg/kg) sarolaner, 0.011 mg/lb (24 µg/kg) moxidectin, and 2.27 mg/lb (5 mg/kg) pyrantel (as pamoate salt). Keep SIMPARICA TRIO in a secure location out of reach of dogs, cats and other animals to prevent accidental ingestion or overdose. All trademarks are property of their respective owners. ... (Toxocara canis, Toxascaris leonina), Hookworms (Ancyclostoma caninum, Uncinaria stenocephala), Whipworms (Trichuris vulpis). Every effort has been made to ensure the accuracy of the Simparica TRIO information published above. In a 10-day multi-center field study, SIMPARICA TRIO was effective against Toxocara canis and reduced fecal egg counts 99.2%. SIMPARICA TRIO was administered orally once at 1, 3 and 5X the maximum labeled dose to Collies that had been pre.screened for avermectin sensitivity. That’s why we recommend taking your cat’s neck and chest measurements before deciding on the perfect harness.. 5 Best ‘No Escape’ Cat Harnesses. The cougar (Puma concolor) is a large cat of the subfamily Felinae.Native to the Americas, its range spans from the Canadian Yukon to the southern Andes in South America and is the most widespread of any large wild terrestrial mammal in the Western Hemisphere.It is an adaptable, generalist species, occurring in most American habitat types. Dogs should be tested for heartworm prior to use. When replacing a monthly heartworm preventive product, SIMPARICA TRIO should be given within one month of the last dose of the former medication. SIMPARICA TRIO is not effective against adult D. immitis. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Sarolaner, one of the ingredients in SIMPARICA TRIO, is a member of the isoxazoline class. Dogs in the control group received placebo. Prior to administration of SIMPARICA TRIO, dogs should be tested for existing heartworm infections. SENTINEL FLAVOR TABS are indicated for use in dogs and puppies, four weeks of age and older, and two pounds of body weight or greater. Size:Large Dogs | 40 lbs/pouch. For additional information about adverse drug experience reporting for animal drugs, contact FDA at 1-888-FDA-VETS or www.fda.gov/reportanimalae. In well-controlled laboratory studies, SIMPARICA TRIO demonstrated ≥98.9% effectiveness against an existing infestation of Amblyomma maculatum, Ixodes scapularis, Rhipicephalus sanguineus, and Dermacentor variabilis 48 hours post-administration and maintained ≥90.4% effectiveness 48 hours after re-infestation for at least 28 days. SIMPARICA TRIO can be offered to the dog with or without food. Concurrent use of an adulticide product may be necessary for adequate control of adult fleas. For moxidectin the Vss was 7.65 L/kg and CL was 26.6 mL/kg/hr. Moxidectin is an endectocide in the macrocyclic lactone class. ... *Packet size is the daily dose. Uses: For the treatment and control of Roundworms (Toxocara canis, Toxascaris leonina), Hookworms (Ancylostoma caninum, Uncinaria stenocephala), Whipworms (Trichuris vulpis), and Tapeworms (Taenia pisiformis). Copyright © 1995-2021 Intervet Inc., doing business as Merck Animal Health, a subsidiary of Merck & Co., Inc. All rights reserved. Iverhart Plus Flavored Chewables prevent canine heartworm disease by eliminating the tissue stage of heartworm larvae (Dirofilaria immitis) for a month (30 days) after infection and for the treatment and control of roundworms (Toxocara canis, Toxascaris leonina) and hookworms (Ancylostoma caninum, Uncinaria stenocephala, Ancylostoma braziliense). SIMPARICA TRIO should be administered year-round at monthly intervals or started at least one month before fleas become active. Margin of Safety: SIMPARICA TRIO was administered orally to 8-week-old Beagle puppies at doses of 1, 3, and 5X the maximum labeled dose (2.4 mg/kg sarolaner, 48 µg/kg moxidectin, and 10 mg/kg pyrantel) at 28 day intervals for 7 treatments.
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