Ok I know we have done this question sooo many times but have just spoken to vet having finally decided that I will use the above for my three to be told NO it definitely doesnt prevent lungworm the only one on the market to do that is advocte or a 7 day course of panucure each moth .

The info on goole says it dopes as well as heartworm , think I will be using it anyway anyone got the energy left to unconfuse me :)

My vet said it does.  I don't know if it would treat established lungworm, but from what my vet (who is very anti- unnecessary routine treatments) says worming 3 months with milbemax should prevent lungworm.  I've not looked into it myself, just trusting a seemingly trustworthy vet :-D  Off to google now!

The Milbemax datasheet says: For Angiostrongylus vasorum infections, milbemycin oxime should be given four times at weekly intervals. It is recommended, where concomitant treatment against cestodes is indicated, to treat once with the product and continue with the monovalent product containing milbemycin oxime alone, for the remaining three weekly treatments.

so jeangenie that would mean it is not preventative but crative then if I have understood that right.
 

Yes, it's a treatment, not a preventative.

Well I'm definitely confused then!  So it can be used at more regular intervals to treat an established infestation of lungworm, but don't all wormers work by killing existing worms when they're in a benign (larval?) state, not by preventing them from getting in/living in the first place.  So as I understood it regular worming at a normal dose would prevent the worms from maturing and doing damage.  I therefore was happy to believe that the normal worming dose of milbemax would treat low levels (immature if that's the right word) of lungworm before they were established and dangerous.  Maybe I'm making too many assumptions!!!

thank you oh dear it looks like am going to have to give in and use advocate after all :(
CVL yes I have been confused ever since I decided to take the worming meds seriously and not just do the easiest thing. ie drontal or similar and  advocate.
One vet suggested using drontal alone on a monthly basis although not licenced as a preventative seems to work as such when used monthly

This article shows that panacur, milbemax and Advocate can be used to treat angiostrongylus vasorum. http://www.fecava.org/files/ejcap/341.pdf

As Eve has been on monthly doses of Advocate all her life, my vet said I can use panacur as a 1 off dose monthly as her lungworm level should be nil. As it is not a preventative, I will have to use panacur on a 7 day course about every 4 months. I can also use the panacur for a good few months then try her again on the Advocate - but don't know if I want to risk the reaction again, not knowing how severe the reaction will be!

yes I have been confused ever since I decided to take the worming meds seriously and not just do the easiest thing.

Well you did say you wanted confusing.

I use Milbermax and was told not to worry about the lungworm issue.  My vet said it isn't an issue at the monment and when he tried to get data on the infestation/occurance it was impossible.  He was just referred to the tester/proffessor who ran the study.  He said lungworm is very low and we've got the same amount of slugs and snails before without any rise in cases.

Depends on the area you live in! ;-)

I have heard worrying things about our area kc.  Have just used milbemax and will have to use advocate. I am particuarly worried about Brooke as she snuffles along in the grass picking up alsorts :)

FF, you are right to be worried as we do live in a hotspot.  Seeing the vet at the hospital, he couldn't stress enough, you have to worm monthly, preferably with Advocate as it is a preventative. At Addiscombe and LLoyd Park, dogs have been taken ill with lungworm. On my estate, another dog died the same day as Pierre. At my vet, dogs have been treated for it. I've met a pug who was very very ill, but pulled through. It is all around us. Dogs most at risk are puppies and young dogs, dogs who continually mouth/pick up things outside, snail eaters etc. Toys shouldn't be left outside as slugs/snails will crawl over them and the dog then pick the toy up. Poo should be picked up every day as slugs/ snails make a bee-line for it. It is not scare-mongering, just taking precautions if you know about your area. You could always ring every vet around us and ask if dogs have been treated preventatively, for actual infection or have died. I haven't done that as I have had my proof, sadly. We only walked in Shirley hills, water tower hill, water fields, kent gate way, Addington Park, our woods and our local streets - it came from 1 of these or our garden :-(
I am not happy giving panacur monthly because I don't feel it will prevent it entirely but it is my only option - that or milbemax. I just have to keep tabs on her breathing, coughing etc ( bit difficult with a frenchie, lol ) and if it is excessive, to treat her for it.