Comfortis Plus Flea and Tick Treatment for Dogs

Comfortis Plus (Panoramis) Chewable Flea Prevention Tablets For Dogs:

Comfortis Plus (Panoramis) Chewable Tablets for Dogs are a meat flavoured tablet that rapidly kills fleas on dogs, prevents heartworm disease and treats roundworm, hookworm and whipworm in dogs and puppies. Comfortis Plus (Panoramis) starts to kill fleas within 30 minutes of administration and then goes on to prevent flea infestations for a further month. The chewable meat flavoured tablet is readily accepted by dogs and as the product is an oral medication there are no restrictions with regards to swimming or washing after treatment.  Comfortis Plus (Panoramis) comes in 5 convenient sizes for dogs between 2.3 and 54 kg in weight. Comfortis Plus (Panoramis) is registered for the control of flea allergy dermatitis in dogs. In the US this product is known as Trifexis.
 
Manufacturer
Elanco

Active Ingredient
Spinosad;  Milbemycin Oxime

Directions of Use
Comfortis Plus (Panoramis) tablets are administered orally once a month at the recommended dosage. Comfortis Plus (Panoramis) should be given with food. Dogs between 2.3 and 4.5 kg are given one 140 mg tablet from the pink box each month. Dogs between 4.6 and 9 kg are given one 270 mg tablet from the orange box each month. Dogs between 9.1 and 18 kg are given one 560 mg tablet from the green box each month. Dogs between 18.1 and 27 kg are given one 810 mg tablet from the blue box each month. Dogs between 27.1 and 54 kg are given one 1620 mg tablet from the brown box each month.

Caution
Do not use in puppies less than 8 weeks of age. Keep out of reach of children. Do not administer to cats or other species of animal. Give this medication with food. Do not treat pregnant or lactating bitches or dogs with pre-existing epilepsy, unless on the advise of a veterinarian. The safe use of this product on breeding male dogs has not been evaluated. Comfortis Plus (Panoramis) may be safely administered to dogs in conjunction with topical tick treatments and collars. Do not administer if your dog is on high doses of ivermectin or other macrolytic lacyone heartworm medications. Your dog should be free of heartworm before starting on this product. It is recommended that dogs be tested for heartworm if there is a possibility that they may have a pre-existing heartworm infestation.

Possible Side Effects
Side effects of Comfortis Plus (Panoramis) are rare in dogs and are considered mild. The most common side effect in dogs is vomiting, pruritis (itchy skin), decreased appetite, lethargy and diarrhoea. Reactions are usually short lived and decrease with repeat dosing. Puppies under the age of 14 weeks may have an increased rate of vomiting.