NexGard® COMBO

NexGard® COMBO is a prescription only medicine. This site is provided as an information service for veterinary professionals in the UK. Please tick ‘I’m a veterinary professional’ to confirm that you are a veterinary professional (e.g. veterinary surgeon, veterinary nurse or veterinary student).

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FIERCELY PROTECTIVE

Just one spot-on controls these key parasites:*

  • FLEAS
  • TICKS
  • EAR MITES
  • ROUNDWORMS
  • TAPEWORMS
  • LUNGWORMS
  • NOTOEDRIC MANGE

Can be used in breeding, pregnant & lactating queens

ONE AND DONE.

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Targeted 
protection

See how NexGard® COMBO compares
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Ideal for 
kittens too

Suitable for lifelong treatment

Find out more
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Cat parasite
risk checker

Find out more
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Practice 
benefits

Targeted coverage PLUS practice training to maximise health plan uptake

Find out more

How does NexGard® COMBO compare?

Activity against key parasites

 

 NexGard® 
COMBO		Felpreva®Advocate®Stronghold®Stronghold® 
Plus		Bravecto®Bravecto® 
Plus
Fleas✓✓✓✓✓✓✓
Ticks✓✓  ✓✓✓
Ear mites✓✓✓✓✓✓✓
Roundworms✓✓✓✓✓ ✓
Able to worm monthly†✓ ✓✓✓  
Tapeworms✓✓     

†Frequency of administration is a decision for the prescribing vet which should be based upon a parasite risk assessment and in accordance with the product’s SPC.

Are you ready to get fiercely protective?

video image

For more information, read the full vet brochure

Download brochure

Parasite protection couldn’t be easier

Just one spot-on provides targeted parasite cover against these key parasites:

Click icons for more information

cat

ESAFOXOLANER

  • mites

    Kills ear
    mites

  • fleas

    Eliminates
    fleas

  • Ticks

    Terminates
    ticks

EPRINOMECTIN

  • Controls
    roundworms

    Roundworm

PRAZIQUANTEL

  • Treats
    tapeworms

    Treats tapeworms

Also covers

  • Treats tapeworms Lungworm
  • Treats tapeworms Heartworm
  • Treats tapeworms Bladderworm
  • Treats tapeworms Hookworms
  • Treats tapeworms Notoedric mange

NexGard® COMBO kills mites

~80% 
of cat otitis 
externa cases 
are caused by 
ear mites1

97.2-99.9% 
efficacy against ear mites following just one treatment2

100% 
efficacy against notoedric mange 
with just one treatment3

References:

  1. Paterson S. Octodectes cynotis in cats and dogs – diagnosis and management techniques. Vet Times, Feb 2015.
  2. Tielemans E, Prullage J, Tomoko O, et al. Efficacy of a novel topical combination of esafoxolaner, eprinomectin and praziquantel against ear mite (Otodectes cynotis) infestations in cats. Parasite, 2021;28.
  3. Knaus, M. (2021) Efficacy of a novel topical combination of esafoxolaner, eprinomectin and praziquantel against Notoedres cati mange in cats. Parasite, 28, 27.

Fleas – a year-round challenge

icon cat

28% OF CATS

that visit the vet have fleas1

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ONLY
1 IN 2 CATS

are treated for fleas1

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NO. 1 PARASITE CONCERN

for cat owners is fleas2

References:

  1. Cooper A-R, Nixon E, et al. Fleas infesting cats and dogs in Great Britian; spatial distribution of infestation risk and its relation to treatment. Medical and Veterinary Entomology, 2020. Doi:10.1111/mve 12462.
  2. Ipsos. Usage & Attitudes Report for Merial Europe. 2015.

Ticks – an ever-present threat

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TICKS ARE ACTIVE YEAR-ROUND

in parks, woodland  
and owners’ gardens

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CATS THAT 
GO OUTSIDE

are at risk of ticks, 
even in urban areas

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TICKS CAN TRANSMIT DISEASE

to humans and other susceptible pets

Roundworms – more important than we realise

Children are
especially at risk
  • icon

    Risk of blindness1

  • icon

    Children 
    score lower 
    in maths 
    and reading2

Increased
disease risks
  • 2x

    Risk of epilepsy is almost doubled3

  • x3

    Risk of asthma 
    is almost tripled4

Toxocara cati is common in the UK and Ireland
  • icon 1

    Cats sleep on their owners’ beds, sofas 
    and laps

  • icon 2

    Lifestyle changes like working from home mean owners spend more time with their cats

References:

  1. Ma G, Holland CV, Wang T, Hofmann A, Fan CK, Maizels RM, Hotez PJ, Gasser RB. Human toxocariasis. Lancet Infect. Dis, 2018; 18: e14–e24.
  2. Walsh MG, Haseeb MA. Reduced cognitive function in children with toxocariasis in a nationally representative sample of the United States. Int J Parasitol, 2012;42:1159–1163.
  3. Quattrocchi G, Nicoletti A, Marin B, et al. Toxocariasis and epilepsy: systematic review and meta-analysis. PLoS Negl Trop Dis, 2012;6:e1775.
  4. Li L, Gao W, Yang X, et al. Asthma and toxocariasis. Ann Allergy Asthma Immunol 2014;113:187–192.

NexGard® COMBO treats tapeworms

Tapeworms are more common than we think

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Routine faecal tests or monitoring for segments  

MISSES MOST CASES1

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Cat behaviours such as  

HUNTING AND GROOMING

put them at risk

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ZOONOTIC
POTENTIAL

Reference:

  1. Little S, Adolph C, Downie K, et al. High prevalence of Covert Infection With Gastrointestinal Helminths in Cats. Journal of American Animal Hospital Association. 2015;51:359–364.

NexGard® COMBO is also suitable for kittens

kitten
  • Suitable for most kittens at first vaccination
  • Two pack sizes Just one pack change as cat grows
  • ESCCAP recommend monthly roundworming in kittens from weaning until 6 months1

 

For more information, read the full vet brochure

Download brochure

Cat parasite risk checker

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Responsible use and risk-based prescribing of parasiticides is under increasing scrutiny.

 

Veterinary practices can now turn this challenge into an opportunity.

 

Using our free parasite risk checker for cat owners could transform parasiticide prescription in your practice.

 

Download here

Supporting your practice

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24/7 practice support

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Fits with 
health plans

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Flea advice service

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Comprehensive training 
and switching support

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Webinars, podcasts, short videos and more available on the Boehringer Academy

Explore the latest...

Webinars available on the Boehringer Academy

Expert-led webinars on a range of cat parasite related subjects

Watch now on the Boehringer Academy
Watch now on the Boehringer Academy

Parassess® cat parasite risk checker

A FREE easy-to-use parasite risk checker that helps owners to help you assess their cat’s individual risk. Enables a timely, risk-based prescribing decision in your busy practice.

Learn more
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  • Webinars
  • Risk checker

* NexGard® COMBO is indicated for cats with or at risk from mixed infections by ectoparasites, roundworms and tapeworms.
The table shows five top parasite concerns. Some of the products listed have claims against other parasites. Refer to the Summary of Product Characteristics for each product for full details of the licensed indications.

Reference:

  1. ESCCAP. Worm Control in Dogs and Cats ESCCAP Guideline 01 Sixth Edition. May 2021.

NexGard® COMBO contains eprinomectin, esafoxolaner and praziquantel. UK: POM-V IE: POM. Further information available in the SPC or from Boehringer Ingelheim Animal Health UK Ltd., RG12 8YS, UK. UK Tel: 01344 746959 (sales) or 01344 746957 (technical), IE Tel: 01 291 3985 (all queries). Email: vetenquiries@boehringer-ingelheim.com. 
NexGard® is a registered trademark of Boehringer Ingelheim Animal Health France SCS, used under licence. ©2023 Boehringer Ingelheim Animal Health UK Ltd. All rights reserved. Date of preparation: March 2023. UI-FEL-0015-2023. Use Medicines Responsibly.