FAQs

NexGard COMBO topical solution

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Safety

Is NexGard COMBO topical solution safe for my cat?

NexGard COMBO topical solution has been extensively studied in both laboratory studies and in real-world conditions in cats. The safety of NexGard COMBO topical solution has been demonstrated in cats, including in heartworm-positive cats,  as well as in kittens as young as 8 weeks of age, weighing 1.8 pounds or more. The most frequently reported adverse reactions include vomiting, application site reactions, lethargy, and anorexia.

Can NexGard COMBO topical solution be used in breeding, pregnant, or lactating cats?

The safety of NexGard COMBO topical solution has not been fully evaluated in pregnant, breeding, or lactating cats.

Can NexGard COMBO topical solution be used with other medications?

Use of NexGard COMBO topical solution in conjunction with other treatments (eg, vaccines, antibiotics, analgesics) had no effect on safety. For any specific questions that you have related to use of NexGard COMBO topical solution with other medications, speak to your veterinarian.

What is the best number to call regarding NexGard COMBO topical solution product questions?

For any specific product questions, please call Boehringer Ingelheim Animal Health at 1-888-637-4251.

Administration

Is there a weight or age requirement to give my cat NexGard COMBO topical solution?

NexGard COMBO topical solution is safe for use in cats and kittens 8 weeks of age or older, weighing 1.8 lbs or more.

How long does a dose of NexGard COMBO topical solution last and how often should I treat my cat?

NexGard COMBO topical solution kills fleas and ticks fast for a full month. Each monthly dose will treat roundworm, hookworm, and tapeworm infections, and prevent heartworm disease by killing larval stage heartworms before they can mature to adults. NexGard COMBO topical solution should be administered once a month, year-round to ensure that your cat is protected from the risks posed by these parasites.

Can I start treating my cat with NexGard COMBO topical solution at any time during the year?

Yes. Treatment with NexGard COMBO topical solution can be started any time during the year. For heartworm disease prevention, apply once monthly for at least 3 months after last exposure to mosquitoes.

How do I apply NexGard COMBO topical solution to my cat?

NexGard COMBO topical solution should be applied directly to the skin by parting the cat’s hair on the midline of the neck between the base of the skull and the shoulder blades to minimize the possibility of the cat grooming/licking the product off. Follow instructions on the packaging or watch this video.

What sizes and options are NexGard COMBO topical solution available in?

NexGard COMBO topical solution is available in packs containing either 3 or 6 topical doses and comes in two different sizes: 1.8-5.5 lbs and 5.6-16.5 lbs.

General

How does NexGard COMBO topical solution work?

NexGard COMBO topical solution provides broad-spectrum protection against external and internal parasites. The 3 active ingredients, esafoxolaner, eprinomectin, and praziquantel, kill fleas and ticks, prevent heartworm disease, and treat and control roundworms, hookworms, and tapeworms.

Why am I still seeing fleas on my cat after using NexGard COMBO topical solution?

You are likely seeing NEW fleas on your pet, which are jumping on your cat as it moves through infested areas. These fleas will be killed quickly by NexGard COMBO topical solution before they can reproduce. Depending on the severity of an already existing infestation as well as environmental conditions, you may continue to see new fleas jumping on your pet for 3 months or more. To prevent new infestations, continue to consistently give NexGard COMBO topical solution monthly and year-round.

Does NexGard COMBO topical solution need to be used even if I have an “indoor cat”?

Yes. Even indoor-only cats can become exposed to external and internal parasites. Fleas and ticks can be brought into the home by other pets or they can even hitchhike in on people. An infested pet will spread flea eggs throughout the house. These developing stages will survive in the areas that the infested pet frequents (carpet, cracks in hardwood floors, pet bedding, etc). Other animals, such as rodents and cockroaches, can be infected with intestinal parasites that can infect an indoor cat. And mosquitoes that can transmit heartworms can easily get indoors and pass heartworms to even indoor-only cats.

How do cats get roundworms, hookworms, and tapeworms?

Cats get roundworms and hookworms  from common things in their environment including eating an infected rodent they’ve hunted. Infective hookworm stages can also penetrate the skin of a cat that visits a contaminated environment. Cats can get the tapeworm parasite by ingesting fleas. NexGard COMBO topical solution is the only broad-spectrum feline parasiticide that kills fleas and ticks, prevents heartworm disease, treats and controls roundworms, hookworms, and tapeworms.

What are the signs that my cat has an intestinal parasite such as roundworms, hookworms, or tapeworms?

The most common way to confirm an intestinal parasite infection is with a fecal test from your vet to detect the presence of parasite eggs. Prompt treatment of cats can help reduce further damage as well as mitigate the possibility of the worms spreading. Common signs include diarrhea, vomiting, weight loss, poor coat appearance, swollen belly, lethargy, dehydration, anemia, or blood in stool. Check their litter box often as another general sign of intestinal parasites are rice-like proglottids that show up in their feces.

How do cats get heartworms?

Cats get heartworms by being bitten by an infected mosquito. One bite is all it takes.1

What are the signs of heartworm disease in cats?

Although most cats won’t show signs, once infected, cats may develop respiratory signs (including coughing or wheezing) that can be confused with other illnesses, such as allergies, asthma, or bronchitis. Other signs include difficulty breathing, vomiting, loss of appetite, and weight loss. Unfortunately, the first signs in some cats can be severe, and include collapse, seizures, and sudden death. Infection causes lasting damage in cats, and can result in lung disease, heart failure, and even death.

Do cats need heartworm disease preventive?

Yes, heartworm disease prevention is an essential part of a cat’s preventive healthcare regimen. While infection rates of heartworm disease are lower in cats than in dogs, cats are at risk of this devastating disease. The American Heartworm Society and Companion Animal Parasite Council recommend that all cats in the US receive heartworm disease preventive year-round.

What external parasites can cats get?

External parasites in cats can include fleas and ticks.

What are the signs that my cat has fleas?

Fleas can cause itchy, painful skin conditions on your cat. Signs of fleas include scratching or biting at the skin, hair loss, scabs, and irritation.

What happens if fleas go untreated?

If fleas go untreated, they can quickly multiply to cause an infestation. A single adult flea can lay up to 50 eggs per day, which means that a small number of fleas can grow into the thousands.2 Fleas feed on a host’s blood, so they can also cause anemia, which can be severe in kittens or smaller animals. Fleas can also transmit other pathogens or parasites, such as tapeworms. An infested cat will scatter flea eggs throughout their home environment, and fleas can bite other animals, including humans.

What are the signs of ticks on cats?

Ticks can be hard to spot on cats. Since they bite the skin—underneath your cat’s fur—it can be difficult to locate them. They also may bite hard-to-reach areas, such as under the collar at the neck or beneath the armpits. Your cat may scratch at or gnaw on tick bite locations.

Can cats get sick from ticks?

Yes. Ticks are carriers for several dangerous diseases. If a tick that is carrying a pathogen bites a cat, that cat is at risk of becoming infected as well. Ticks can also transmit various life-threatening tick-borne illnesses.