Parasedge Multi for Cats

How to Order Prescriptions

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Description

PARASEDGE™ Multi for Cats is indicated for the prevention of heartworm disease caused by Dirofilaria immitis. PARASEDGE™ Multi for Cats kills adult fleas (Ctenocephalides felis) and is indicated for the treatment of flea infestations. PARASEDGE™ Multi for Cats is also indicated for the treatment and control of ear mite (Otodectes cynotis) infestations and the following intestinal parasites:

Intestinal Parasite		Intestinal Stage
		Adult	Immature Adult	Fourth Stage Larvae
Hookworm Species	Ancylostoma tubaeforme	x	x	x
Roundworm Species	Toxocara cati	x		x

Heartworm Prevention

For the prevention of heartworm disease, Parasedge Multi for Cats should administered at one-month intervals. Parasedge Multi for Cats may be administered year-around or at a minimum should start one month before the first expected exposure to mosquitoes and should continue at monthly intervals until one month after the last exposure to mosquitoes. If a dose is missed and a 30-day interval between doses is exceeded, administer Parasedge Multi for Cats immediately and resume the monthly dosing schedule. When replacing another heartworm preventative product in a heartworm prevention program, the first treatment with Parasedge Multi for Cats should be given within one month of the last dose of the former medication. At the discretion of the veterinarian, cats older than 6 months of age may be tested to determine the presence of existing heartworm infection before treatment with Parasedge Multi for Cats. 

Flea Treatment

For the treatment of flea infestations, Parasedge Multi for Cats should be administered at one-month intervals. If the cat is already infested with fleas when the first dose of Parasedge Multi for Cats is administered, adult fleas on the cat will be killed. However, re-infestation for the emergence of pre-existing pupae in the environment may continue to occur for six weeks or longer after treatment is initiated. Cats treated with imidacloprid, including those with pre-existing flea allergy dermatitis have shown clinical improvement as a direct result of elimination of fleas from the cat. 

Dosage and Administration

The recommended minimum dose is 4.5 mg/lb (10.0mg/kg) imidacloprid and 0.45 mg/lb (1.0mg/kg) moxidectin, once a month, by topical administration.

Do not apply to irritated skin.

As specified in the following table, administer the entire contents of the Parasedge Multi for Cats (10% imidacloprid + 1% moxidectin) tube that correctly corresponds with the body weight of the cat.

Cat (lb.)	Parasedge Multi for Cats	Volume (mL)	Imidacloprid (mg)	Moxidectin (mg)
2-5	Parasedge Multi 5	0.23	23	2.3
5.1-9	Parasedge Multi 9	0.4	40	4
9.1-18*	Parasedge Multi 18	0.8	80	8

*Cats over 18lbs should be treated with the appropriate combination of Parasedge Multi for Cats tubes.

1. Use scissors to open the foil pack, taking care not to damage the tube inside. Remove the tube from the foil pack and hold upright with the lot and expiration at the bottom.
2. Bend the tip back until it snaps off. If it doesn't snap off at first, cut it using scissors.
3. Part the hair on the back of the cat's neck at the base of the neck, in front of the shoulder blades, until the skin is visible.
4. Place the tip of the Parasedge Multi for Cats tube on the skin. Squeeze the tube firmly 3-4 times in one spot until empty. Keep tube compressed on the final squeeze to avoid drawing liquid back into the tube. Avoid contact between Parasedge Multi for Cats and your fingers.
5. While keeping tube squeezed, drag it away from liquid and lift up to remove.
6. Ensure tube is empty.

Do not get this product in the cat's mouth or eyes or allow the cat to lick the application site for 30 minutes. Treatment at the base of the head will minimize the opportunity for ingestion by grooming. In households with multiple pets, keep animals separated to prevent licking of the application site.

Stiff, matted hair or damp, oily appearance of the hair may be observed at the application site on some cats. This is temporary and does not affect the safety and effectiveness of the product.

Human Warnings

Not for human use. Keep out of the reach of children. Children should not come into contact with the application site for 30 minutes after application. 

Causes eye irritation. Harmful if swallowed. Do not get in eyes or on clothing. Avoid contact with skin. Exposure to the product has been reported to cause headache; dizziness; and redness, burning, tingling, or numbness of the skin. Wash hands thoroughly with soap and warm water after handling. If contact with eyes occurs, hold eyelids open and flush with copious amounts of water for 15 minutes. If eye irritation develops or persists, contact a physician. If swallowed, call poison control center or physician immediately for treatment advice. Have person sip a glass of water if able to swallow. Do not induce vomiting unless told to do so by the poison control center or physician. People with known hypersensitivity to benzyl alcohol, imidacloprid or moxidectin should administer the product with caution. In case of allergic reaction, contact a physician. If contact with skin or clothing occurs, take off contaminated clothing. Wash skin immediately with plenty of soap and water. Call a poison control center or physician for treatment advice. The Safety Data Sheet (SDS) provides more detailed occupational safety information. To report suspected adverse drug events, for technical assistance or to obtain a copy of the SDS, contact VIRBAC AH, Inc. at 1-800-338-3659 or us.virbac.com. For additional information about adverse drug experience reporting for animal drugs, contact FDA at 1-888-FDA-VETS or http://www.fda.gov/reportanimalae.

Precautions

Do not dispense dose applicator tubes without complete safety and administration information. Avoid oral ingestion. Cats may experience hypersalivation, tremors, vomiting and decreased appetite if PARASEDGE™ Multi for Cats is inadvertently administered orally or through grooming/licking of the application site. The safety of PARASEDGE™ Multi for Cats has not been established in breeding, pregnant, or lactating cats. The effectiveness of PARASEDGE™ Multi for Cats against heartworm infections (D. immitis) after bathing has not been evaluated in cats. Use of this product in geriatric patients with subclinical conditions has not been adequately studied. Several otherwise healthy, thin geriatric cats experienced prolonged lethargy and sleepiness after using this drug. 

Storage

Store below 25ºC (77ºF).