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Continue to Canada siteNexGard PLUS Chew for Dogs, 33.1-66 lbs. (Purple Box)
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Most prescriptions are delivered within 3-5 days.About This Item
Details
- 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
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NexGard® PLUS (afoxolaner, moxidectin, and pyrantel chewable tablets) is the one you want for one-and-done monthly parasite protection for your dog. It gives you the power to protect your dog from fleas and ticks, PLUS heartworm disease, roundworms, and hookworms – all in a delicious, beef-flavored, soft chew. NexGard® PLUS chews are safe and approved for puppies as young as 8 weeks old. From the maker of #1 veterinarian-recommended HEARTGARD® Plus (ivermectin/pyrantel)1 chews, easy-to-give NexGard® PLUS chews provide convenient, monthly parasite protection for the dog you love. Use with caution in dogs with a history of seizures or neurological disorders.
Dogs need parasite protection year-round. NexGard® PLUS chews are designed for monthly dosing that’s a delight for your dog – and never a chore – month after month. Fleas pose an ever-present risk for dogs in many parts of the country. While the risk of flea infestations may be higher during warmer months, they can occur at any point throughout the year. NexGard® PLUS chews kill adult fleas fast, before they can lay eggs, for a full month.
NexGard® PLUS chews are also approved to kill four species of ticks – the ticks most commonly found on dogs in the US.2 Heartworm disease is a serious condition that can cause permanent damage even before it can be diagnosed – and just one bite from an infected mosquito could put your pet at risk for this potentially deadly disease. Cases of heartworm disease have been reported in all 50 states – in both indoor and outdoor pets.3
The American Heartworm Society recommends that all pets receive heartworm disease preventives year-round. Ask your veterinarian about preventing heartworm disease in your dogs with monthly NexGard® PLUS chews. All dogs should be tested for heartworms prior to starting a heartworm disease preventive.
1Data on file at Boehringer Ingelheim
2Saleh MN, Sundstrom KD, Duncan KT, et al. Show us your ticks: a survey of ticks infesting dogs and cats across the USA. Parasites & Vectors. 2019;12(595). https://doi.org/10.1186/s13071-019-3847-3.
3Heartworm Parasite Prevalence Maps. Companion Animal Parasite Council. https://capcvet.org/maps/#/2023/all-year/heartworm-canine/dog/united-states. Accessed May 22, 2023.
NEXGARD PLUS IMPORTANT SAFETY INFORMATION: The most frequently reported adverse reactions reported in clinical trials were diarrhea, vomiting, lethargy, and itching. NexGard® PLUS (afoxolaner, moxidectin, and pyrantel chewable tablets) contains afoxolaner, a member of the isoxazoline class, which has been associated with neurologic adverse reactions including tremors, ataxia, and seizures in dogs with or without a history of seizures. Use with caution in dogs with a history of seizures or neurological disorders. The safe use of NexGard® PLUS chews has not been evaluated in breeding, pregnant, or lactating dogs. Dogs should be tested for existing heartworm infection prior to starting a heartworm disease preventive. For more information, please view the full prescribing information below or call your veterinarian.
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| Item Number | 899758 |
|---|---|
| Administration Form | Oral |
| For Use With | Dogs |
| Common Brand Name(s) | NexGard® PLUS |
| Kills or Treats | Fleas, Ticks, Roundworms, Hookworms |
| Repels or Prevents | Heartworms, Fleas |
| Generic Name | Afoxolaner, Moxidectin, Pyrantel |
| Product Form | Chew |
| Strength | 75 mg. Afoxolaner, 360 mcg. Moxidectin, 150 mg. Pyrantel |
| Health Condition | Fleas, Heartworms, Ticks, Hookworms, Roundworms |
| Drug Type | Parasiticide |
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.
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 veterinarian, 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.
Ingredients
Afoxolaner, Moxidectin, Pyrantel
Instructions
NexGard® PLUS is given orally once a month
Store in original package at or below 25°C (77°F) with excursions permitted up to 40°C (104°F)
FAQ
NexGard® PLUS (afoxaloner, moxidectin, pyrantel chewable tablets) is used to protect your dog from fleas and ticks, PLUS heartworm disease, roundworms, and hookworms. NexGard® PLUS chews are available in a delicious, beef-flavored soft chew that makes monthly dosing a delight for your dogs. For each monthly dose, a chew can be given with or without food. See the product label for full dosing instructions, and always check with your vet regarding their recommendations for your pet.
NexGard® PLUS chews kill fleas fast before they can lay eggs. In a well-controlled laboratory study, afoxolaner alone began to kill fleas 4 hours after initial administration and was >99% effective at 8 hours. NexGard® PLUS chews provide powerful protection against fleas and ticks for a full month.
NexGard® PLUS chews work to prevent heartworm disease by killing any heartworm larvae that were acquired in the previous month. That’s why it is so important for your dog to receive the appropriate dose of NexGard® PLUS chews every month, year-round.
The pyrantel in NexGard® PLUS chews is a dewormer that treats and controls 3 species of hookworms and 2 species of roundworms.
You are likely seeing NEW fleas on your pet, which are jumping on your dog as it moves through infested areas. These fleas will be killed quickly by NexGard® PLUS chews before they can reproduce. Depending on the severity of an already existing infestation, you may continue to see new fleas jumping on your pet for three months or more (depending on environmental conditions). To prevent new infestations, continue to give NexGard® PLUS chews MONTHLY throughout the year.
Adult fleas – the ones that you see on an infested pet – make up only ~5% of the total flea population. The developing stages (flea eggs, larvae, and pupae) make up the other ~95%. These developing stages can be found anywhere an infested animal spends time. Commonly infested animals, which spread flea eggs throughout their surroundings, include untreated pets, feral cats, opossums, raccoons, coyotes, etc.1
NexGard® PLUS chews are safe for dogs and puppies as young as 8 weeks.
NexGard® PLUS chews provide powerful protection against fleas and ticks for a full month. Each monthly chew works to prevent heartworm disease by killing any heartworm larvae that were acquired in the previous month. It’s important to ensure that your dog receives a monthly NexGard® PLUS chew year-round to keep your dog protected against fleas, ticks, and heartworm disease.
Treatment with NexGard® PLUS chews may begin at any time of the year. It is recommended to treat your dog month after month, year-round no matter the season.
Yes – it’s a common misconception that indoor pets aren’t exposed to parasites.
Fleas are opportunists. Even if your dog only goes outside to do their business, they’re at risk of infestations from fleas and ticks. Fleas can even “hitchhike" into a home on people, and then jump to infest dogs. An infested pet will spread flea eggs throughout the house, which can survive in your carpet or the crannies of your wood floors and then mature to infest other animals in your home.
Heartworms are transmitted by mosquitoes. It only takes one mosquito bite to transmit heartworms to your dog – so dogs can be exposed in a very short amount of time. And unfortunately, mosquitoes commonly make their way indoors in search of hosts. Even indoors, pets aren’t safe from the threat.
NexGard® PLUS chewable tablets are both effective and safe. NexGard® PLUS chews have been evaluated extensively in both laboratory clinical studies, as well as in a field trial in pet dogs. NexGard® PLUS chews are safe for use in all breeds of dogs. And it’s approved and safe for use in dogs and puppies 8 weeks of age and older. The most frequently reported adverse reactions reported in clinical trials were diarrhea, vomiting, lethargy, and itching. NexGard® PLUS chews contains afoxolaner, a member of the isoxazoline class, which has been associated with neurologic adverse reactions including tremors, ataxia, and seizures in dogs with or without a history of seizures. Use with caution in dogs with a history of seizures or neurological disorders.
NexGard® PLUS chews should not be cut in half, as each NexGard® PLUS chewable is designed to provide the correct dose for a dog within a specific weight range. The soft chewables are not designed to be cut in half or split.
NexGard® PLUS chews 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 a NexGard® PLUS chew and resume a monthly dosing schedule. If your dog does not consume the entire dose, please consult your veterinarian.
NexGard® PLUS chews are available in packs containing either one, three or six beef-flavored chewables and comes in 4 different sizes for (Small 8.1-17 pounds) (Medium 17.1-33 pounds), (Large 33.1-66 pounds) and (Extra Large 66.1-132 pounds) dogs.
No, NexGard® PLUS chews should only be used for dogs. Do not give NexGard® PLUS chews to cats or other animals.
The safe use of NexGard® PLUS chews in breeding, pregnant or lactating dogs has not been evaluated.
NexGard® PLUS chews are safe for puppies 8 weeks and older.
In a well-controlled field study, NexGard® PLUS chews were used concurrently with other medications such as vaccines, antibiotics, non-steroidal anti-inflammatory drugs (NSAIDs), anesthetics, sedatives, analgesics, steroids, anthelmintics, antiemetics, and antipruritics. No adverse reactions were associated with the concurrent use of NexGard® PLUS and other medications.
Roundworms are extremely common in young dogs, infecting over 90% of 2. It’s very common for mothers to pass roundworms to their puppies prior to birth or even while the puppies are nursing. Both puppies and adult dogs may also contract roundworms by ingesting roundworm eggs from their environment, while grooming, or by eating infected animals.
Hookworm larvae can be transmitted through the skin or by ingesting larvae in contaminated soil or grass in your dog’s environment. Dogs may also contract hookworms by eating other infected animals—usually rodents. Puppies can also be infected if they ingest hookworm larvae while nursing.
Heartworm disease is an invisible, but potentially fatal threat that occurs in dogs and other animals. Heartworms (Dirofilaria immitis) are parasitic worms that are transmitted to dogs by infected mosquitoes. Microscopic larvae of heartworms develop and grow under the skin, then migrate to the blood vessels of the heart and lungs of the infected animal where they rapidly grow, becoming adults that are 5-12 inches in length.3
Dogs get heartworms by being bitten by an infected mosquito. Larvae are deposited on the skin when the infected mosquito bites, then when the infected mosquito leaves, the heartworm larvae enter through the bite wound. One bite is all it takes.4
Not all dogs develop noticeable symptoms. While blood tests performed by your veterinarian are the best way to confirm a diagnosis of heartworm disease in dogs, here are five warning signs that are reported in dogs with advanced heartworm disease:
- A persistent, dry cough is a common sign seen in dogs with heartworm disease.
- Lethargy and reluctance to exercise are also common signs described in dogs with heartworm disease.
- Some dogs have a decreased appetite and, as a result, lose weight.
- As heartworm disease progresses, it can lead to heart failure. You may notice that your dog's belly appears swollen from fluid in the abdomen.
- In the most advanced cases, dogs can develop more severe respiratory issues like rapid breathing in addition to coughing.
There are 3 things you can do to help reduce the risk of heartworm disease.
- Reduce mosquito exposure by eliminating standing water where mosquitoes can breed, avoid known mosquito habitats, and limit outdoor exposure during peak mosquito feeding times.4
- Use heartworm disease preventives, like monthly NexGard® PLUS chewables, on a year-round basis to safely and effectively prevent heartworm disease by affecting the heartworm larvae before they can grow into dangerous adult heartworms.
- Get Your Dog Tested Every Year. Before getting a prescription for a heartworm disease preventive, your dog should be tested for heartworms. Talk to your vet about testing options.
Yes, it can be treated, but heartworm disease is a serious condition that can cause heart failure, permanent damage to your pet's lungs, and even death. Treating heartworm disease is costly and complicated.3,5
For any specific product questions, please call Boehringer Ingelheim Animal Health at 1-888-637-4251.
- Dryden M. Biology of fleas of dogs and cats. Compend Contin Educ Vet. 1993(4):569-579.
- Ascarid for Dog. Companion Animal Parasite Council https://capcvet.org/guidelines/ascarid/. Accessed May 15, 2023
- Heartworm Basics. American Heartworm Society. https://www.heartwormsociety.org/pet-owner-resources/heartworm-basics. Accessed September 14, 2021.
- Current Canine Guidelines for the Prevention, Diagnosis, and Management of Heartworm Infections in Dogs 2018. American Heartworm Society. https://www.heartwormsociety.org/images/pdf/2018-AHS-Canine-Guidelines.pdf. Accessed Sept 14,2021.
- Weigh the Costs Infographic. American Heartworm Society. https://d3ft8sckhnqim2.cloudfront.net/images/infographics/0010-weigh-the-costs.jpg. Accessed September 14, 2021
NexGard® is a registered trademark of Boehringer Ingelheim Animal Health France, used under license. HEARTGARD® is a registered trademark of Boehringer Ingelheim Animal Health USA Inc. All other trademarks are the property of their respective owner. © 2023 Boehringer Ingelheim Animal Health USA Inc., Duluth, GA. All rights reserved. US-PET-0020-2023
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16 Customer Reviews
Good but I would get meds from your vet
I gave a 4 because up,to this point I have had no issues. Unfortunately somehow there was a mistake and I put nextguard plus for my dog but he lost weight so I ordered the wrong one. This should not have been approved by my vet until after his appt but somehow it went through and chewy will not take returns or exchanges on pet mods. So im stuck but if I got it at the vet it would be right and about the same price so I may have to just stop getting from chewy to avoid these issues in the future.
$$$!!
This would cost me $773 per year for 2 med dogs. Ridiculous!! I was excited to see Nexgard Plus- then shock! I’m sticking with Credelio and Interceptor Plus which is $181 LESS per year for 2 med dogs. AND Interceptor plus also kills whip worms. This med does not. My dogs got whip worms when they were on Hartgard.
Fingers crossed
Had to find something my dog would take for heartworm and other parasite prevention as she refused to take her other medication. She took this tablet on her own. I did not have to crush it to hide in wet food or try to put it down her throat. Hopefully she keeps taking it on her own.
Two birds with one stone
I think it's great that both medications are in one-- a flea & tick preventative AND the heartworm preventative? Yes please. Is it pricy? Yeah, it is. But when you compare how much each is separately, this is a little more cost effective. Not to mention, only one medication to give.
Easy to give
I have started using this product for my border collie because it is safe for border collie’s. I have also started giving it to my other 2 dogs. It smells like beef and all 3 of my dogs ate it right away. My senior dog and shepherd have gotten smart to medication’s, but they took this right out of my hand. I don’t even have to wrap it in anything. They have not had any vomiting/diarrhea issues after. It’s also nice to have all the prevention in 1 tablet, and not having to give 2 tablets.
Great Product
I'm so happy that I'm able to give my dog one pill for heartworm, flea, and tick. She has only taken one dose so far but I'm happy with the results.
Super
Much easier to give to my girl Maggie! She doesn't have to have a pill two times a month!
Great product
We adopted a sweet Australian Shepherd from a humane society, and immediately started him on this product based on a recommendation from our vet. So far, no issues and we live in the hot, buggy Midwest. He's a happy camper and we are too!
No hiding pill
My dog takes this without me hiding it in cream cheese because it tastes good
Quick
The delivery was so fast I know I'll use it again going forward.