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Nexgard PLUS for Dogs

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Nexgard® PLUS Chews for Dogs
Product Information
Nexgard® PLUS is a soft, beef-flavored chewable tablet administered once a month to protect your dog from heartworms, fleas, ticks, and intestinal parasites.
For
Dogs (at least 8 weeks of age, weighing more than 4 lbs)
Generic Name
Afoxolaner, Moxidectin, Pyrantel
Brand Name
Nexgard® PLUS Chewables
Drug Class
Isoxazoline Ectoparasiticide, Macrocyclic Lactone Antiparasitic, Antiparasitic
Product Flavoring
Nexgard® PLUS is a soft artificial beef-flavored chewable. 
*Contains soy.  No actual beef. Gluten free.
Manufacturer
Boehringer Ingelheim
Product Description & Form
Nexgard® PLUS 4-8 lbs: 10 mm, mottled yellowish-brown to reddish-brown with possible marbling, round chew, not scored, no imprint. (NDC 00010-4260-02, 00010-4260-03)
Nexgard® PLUS 8.1-17 lbs: 13 mm, mottled yellowish-brown to reddish-brown with possible marbling, rectangle chew, not scored, no imprint. (NDC 00010-4261-01, 00010-4261-02, 00010-4261-03)
Nexgard® PLUS 17.1-33 lbs: 15 mm, mottled yellowish-brown to reddish-brown with possible marbling, rectangle chew, not scored, no imprint. (NDC 00010-4262-01, 00010-4262-02, 00010-4262-03)
Nexgard® PLUS 33.1-66 lbs: 22 mm, mottled yellowish-brown to reddish-brown with possible marbling, rectangle chew, not scored, no imprint. (NDC 00010-4263-01, 00010-4263-02, 00010-4263-03)
Nexgard® PLUS 66.1-132 lbs: 32 mm, mottled yellowish-brown to reddish-brown with possible marbling, rectangle chew, not scored, no imprint. (NDC 00010-4264-01, 00010-4264-02, 00010-4264-03)
Benefits
  • Once a month beef-flavored chewable tablet that is highly palatable
  • Prevents heartworm disease cause by D. immitis when given routinely on a monthly basis
  • Kills adult fleas and treats flea infestations from C. felis when given routinely on a monthly basis
  • Treats and controls tick infestations from the Lone Star tick (A. americanum), American Dog tick (D. variabilis), Black-Legged (Deer) ticks (I. scapularis), and Brown Dog ticks (R. sanguineus) when given routinely on a monthly basis
  • Treats and controls infections from roundworms and adult hookworms when given routinely on a monthly basis
  • Starts killing fleas in 4 hours, kills fleas before they can lay eggs
  • Approved for dogs 8+ weeks of age, weighing more than 4 lbs
Active Ingredients
Afoxolaner, Moxidectin, Pyrantel Pamoate
Usage
Nexgard® PLUS should be given orally as directed by your veterinarian. This medication should be administered at monthly (every 30 day) intervals, year-round to guarantee protection from heartworms, fleas, ticks and intestinal parasites in dogs. For dogs over 132 lbs, use the appropriate combination of these Chewables to ensure complete protection against fleas and ticks.
Remove only 1 tablet at a time from the foil-backed blister card and return the card to the box to protect from light.  Do not remove tablet from foil wrapper until you are ready to give it to your pet. Offer to the pet as a treat by hand or in a small amount of food. Make sure entire tablet is consumed.  
Missed Doses
Give the dose as soon as you remember, unless it is time for the next dose.  Do not double dose.  If your pet has missed a dose please consult with your veterinarian. 
Side Effects
Nexgard® PLUS is generally well tolerated in dogs. There are very few side effects when the drug is given at the usual dose. The following side effects have been reported with the use of  Nexgard® PLUS: vomiting, itching, lethargy, diarrhea, and lack of appetite. If this occurs, notify your veterinarian. 
Use with caution in dogs with a history of seizures or neurologic disorders.
Other side effects may occur. If you notice anything unusual, contact your veterinarian.
Drug & Food Interactions
There are no documented drug interactions with Nexgard® PLUS. Contact your veterinarian if your pet experiences any unusual reactions when different medications are given together. Make sure to tell your veterinarian what other medication you are giving to your pet. Quite often your veterinarian may prescribe two different medications, and a drug interaction may be anticipated. In this case, your veterinarian may vary the dose and/or monitor your pet more closely.
Cautions
Safe use of Nexgard® PLUS in breeding, pregnant, or lactating dogs has not been evaluated.
Use with caution in dogs with a history of seizures or neurologic disorders.
Allergic reactions to medications may occur. Be sure to inform VetSource and your veterinarian if your pet has any known drug sensitivities or allergies. If your pet displays symptoms of an allergic reaction, call your veterinarian immediately or go to a veterinary emergency clinic. Symptoms may include but are not limited to: swollen lips, tongue, face, airways; difficulty breathing; agitation; profuse salivation; vomiting; widespread hives and itching.
Adverse Reaction
If you are concerned that your pet has experienced an adverse reaction to this medication, please contact the manufacturer Boehringer Ingelheim at 888-637-4251 or contact Vetsource customer service at 877-738-4443.
Storage
Store long term at or below 86° F, excursions are permitted up to 104° F.  Keep this medicine out of reach of children. Store in a childproof container. Store this medicine in a cool, dry place at room temperature. Store away from heat and direct sunlight. Do not store this medicine in the bathroom, near the kitchen sink or in damp places. The medicine may break down if exposed to heat or moisture.
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