Hi everyone, i took my dog yesterday for her yearly booster jab and while i was there got her worming tablets she is due. My other dog has her worming tablets the same time so picked them up for her aswell while i was there. The worming tablets i got from the vet are called Milbemax and was wondering if anyone else used these or has found anywhere else that they are available. I'm not really sure how much they were from the vet because as i say i paid for the booster aswell and the bill was near on £40, but was wondering if they are available to get over the internet or if i want to stick to this brand do i have to get them just via the vet ?? thanks

There are several websites you can get wormers from cheaper than the vet.
http://www.vet-medic.com/
http://www.hyperdrug.co.uk/
http://www.wormers.co.uk/

There are more but they are the ones I can think of offhand. :)

>was wondering if they are available to get over the internet or if i want to stick to this brand do i have to get them just via the vet ??

Milbemax is a prescription-only wormer, so not available over the counter. You can get it direct from your vet, or get a prscription from your vet to get them on the internet, which would probably make them prohibitively expensive.

You can get Drontal worming tablets without prescription, however, which works out cheaper than getting them from the vet.

Thanks, well theres my answer then, if i want to stick to the same brand they are prescription only. My dogs seem fine on them and not saying others wouldnt work the same but it's just the ones i'm used to giving to my dogs. Thanks for the info

I use Milbemax, and I have to get a prescription from the vets, I have a few dogs so try and get them to do one for a years worth - unfortunatley they charge you for the prescription and it would seems different vets charge different rates, it is a shame you can not get this wormer off prescription as its excellent.

Sophie

Don't use chemistdirect!!  Supposedly the biggest online company in the UK, but you don't get what you pay for and I'm still waiting the rest of my order.  Originally ordered on the 18th January!

thanks sophie, i presume by you getting the prescription for your lot then it saves you a bit of money rather than getting all the wormers off your vet. I think the wormer is excellent and have never had any problems with the dogs using it so wouldnt really look to use another brand, just wondered were people were getting theirs from, i didnt realise it was a prescription only wormer you see.

I second that about chemistdirect. I cancelled an order this morning after hearing nothing for 11 days. They told me they aim to dispatch within 24/48 hrs but mine was an unlucky order. They hadnt taken money from my account so I cancelled. I e mailed prior to the phone call ,three times and got no reply. First time I had used them and NEVER again

Diane

milbemax are not suitable for collies

wormers.co.uk, i just ordered mine and they were here day after.

annastasia, do you mind me asking which wormer you order, have you used them before and do you recommend. I have always used the ones i get from my vet, come home and give them to the dogs and no worries, but was just wondering if the price difference is alot and that's why people just use the on line sites that a couple of people have mentioned ?

Its more rough collies that are a problem. My BC is absolutely fine on them as are most of my friends dogs. I'm not saying that there isn't a problem with ivermectin and milbemax but i don't want  people to panic!

It is any dog of a herding breed that carries the defective gene and as such it is a risk to give  milbemax without having had the mdr-1 test.

>as such it is a risk to give  milbemax without having had the mdr-1 test.

The Datasheet states

"Studies with milbemycin oxime indicate that the margin of safety in certain dogs of Collie or related breeds is less than in other breeds. In these dogs, the recommended dose should be strictly observed.
The tolerance of MILBEMAX in young puppies from these breeds has not been investigated."

This does not mean that it's automatically dangerous to give the medication to collies; just that there's less margin for error in dosing.

Yes, however it is a generalisation to say that just because one persons collies and those of friends have no reaction to milbemax that it is mainly rough collies that this affects.

Hi Loucon, i always use drontal plus, never had any problems with them,

i woulnt take the chance personally rather use drontal

I work in a vets that routinely gives out milbemax to everyone as they do not see that there is much of a risk and as yet there has been no reaction, so i'm not going my just one collie, and we observe the dosing regime carefully and weight the animal in question.
Any animal can have adverse reactions to any wormer or drug.

personal choice , I only mentioned it so that people can make the choice to ask the vet ...in my opinion .. after the fact is too late.

I was being informative not scare mongering.

It is still a generalisation, just as it would be if I said that I know of  more than one dog that have had very serious reactions to milbemax so it is totally unsafe.
MDR- 1 is a proven genetic mutation.

Edited to add I'm not saying its totally unsafe just that people with herding breeds need to be aware of this.

sometimes vets need to be reminded just as if for example mention that your bitch is in whelp when being given meds , of which I had to do once to a vet and mention about milbemax and collies to another vet (both Locums) both changed thier thoughts on the meds where I was given a different product .Unfortunately vets dont always ask the right questions so a little bit of knowledge about what they are recommending is advantageous to you and of course your dog.

Didnt think mentioning milbemax and collies would cause such a palava!

This is really bad news as collies (rough collies, border collies, shelties etc) can have a bad reaction to this wormer and anything else with ivermectic in...including some diarhea medication!  Vets shouldn't be routinely selling milbemax to these dogs, but other wormers and perhaps recommending testing the dogs for the gene rather than risking it because they haven't had a reaction as yet.... some vets sadly haven't heard, but for a vet to know about potential disasters and yet to say they're still selling because nothing has happened yet is, imo, not professional.

>but for a vet to know about potential disasters and yet to say they're still selling because nothing has happened yet is, imo, not professional.

Vets go by the information on the datasheets, which in the case of Milbemax advises caution but not extreme risk.

Exactly the data sheet suggests that as long as the correct dosage is observed then they are allowed to prescribe it. The vets have studied for quite a long time and the drug manufacturers have done the tests so i am happy to trust their judgement.

Unfortunately I also know of vets that didnt know this information until I gave it to them( not my own thankfully) so trust is fine so long as everyone is informed.

Just to clarify (or muddy the waters) a little more, Labkolin who do MDR1 testing say that Milbemax is safe to use even in dogs with the defect MDR1 gene, but as Satincollie has said, only in the correct dose.

For anyone with a herding breed that has the MDR1 gene, or anyone with an untested herding breed...

Class A
Do not use in dogs with defect transporter
Ivermectin-Präparate (Diapec ®, Ecomectin ®, Equimax ®, Eqvalan ®, Ivomec ®, Noromectin ®, Paramectin ®, Qualimec ®, Sumex ®, Virbamec ®)
Doramectin-substances (Dectomax ®)
Moxidectin-substances (Cydectin ®, Equest ®)
Loperamid-substances (Imodium ®)

Class B
An interaction has been shown; use only under close control of veterinarian
Cytostatics ( Vinblastin, Doxorubicin, Paclitaxel, Docetaxel, Methotrexat) Immunsuppressiva (Cyclosporin A) Herzglykoside (z.B. Digoxin, Methyldigoxin ) Opioide (Morphin) Antiarrhythmika (Verapamil, Diltiazem, Chinidin) Antiemetika (Ondansetron, Domperidon)

Class C
Can be used
Stronghold ®, Advocate ® and Milbemax ® only in the permitted application form and dose!

And just to go back to the original question and this is one of the reasons why it is still perscription only :-)
Think this puts this thread to sleep.