As per good veterinary practice, animals should be weighed to ensure accurate dosing.

Treatment of dogs with a high number of circulating microfilariae can sometimes lead to the appearance of hypersensitivity reactions, such as pale mucous membranes, vomiting, trembling, laboured breathing or excessive salivation. These reactions are associated with the release of proteins from dead or dying microfilariae and are not a direct toxic effect of the product. The use in dogs suffering from microfilaremia is thus not recommended.

In heartworm risk-areas, or in the case it is known that a dog has been travelling to and from heartworm risk regions, before using MILBEMAX, a veterinary consultation is advised to exclude the presence of any concurrent infestation of Dirofilaria immitis. In the case of a positive diagnosis, adulticidal therapy is indicated before administering MILBEMAX.

Echinococcosis represents a hazard for humans. In case of Echinococcosis, specific guidelines on the treatment and follow up and on the safeguard of persons have to be followed. Experts or institutes of parasitology should be consulted.

No studies have been performed with severely debilitated dogs or individuals with seriously compromised kidney or liver function. The product is not recommended for such animals or only according to a benefit/risk assessment by the responsible veterinarian.

In dogs less than 4 weeks old, tapeworm infection is unusual. Treatment of animals less than 4 weeks old with a combination product may therefore not be necessary.

Parasite resistance to any particular class of anthelmintic may develop following frequent, repeated use of an anthelmintic of that class.

In case of overdosing, mydriasis, depression, drooling, paresis, trembling and/or staggered gait can occur in some dogs. The symptoms will disappear spontaneously within a day. No antidote is known

For animal treatment only.

Wash hands after use.

In the event of accidental ingestion of the tablets, particularly by a child, seek medical advice and show the package leaflet or the label to the doctor.

MILBEMAX can be used in breeding dogs including pregnant and lactating bitches.

Do not store above 30°C.

Keep blister in the outer carton to protect from light.

Keep out of the reach and sight of children.

Any unused product or waste material should be disposed of in accordance with national requirements.

This product should not come into contact with water courses as this may be dangerous for fish and other aquatic organisms.