NexGard PLUS (Heartworm, Flea & Tick Prevention for dogs)

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This prescription product requires a current annual visit to Penny Paws. We also require a current annual heartworm test for any product containing heartworm prevention. 


New NexGard® PLUS (afoxolaner, moxidectin, and pyrantel chewable tablets) prevents canine heartworm disease, protects your canine patients from fleas and ticks, and treats and controls roundworms, and hookworms, in a delicious, beef-flavored, soft-chew.

NexGard PLUS chews are made with 3 active ingredients: afoxolaner, moxidectin, and pyrantel, to provide powerful parasite protection for your patients. With the same proven dose of afoxolaner prescribed to millions of dogs, NexGard PLUS chews delivers an optimized dose of moxidectin that’s safe and effective. Together, the 3 active ingredients provide One-And-Done monthly protection: afoxolaner kills fleas and ticks, moxidectin prevents heartworm disease, and pyrantel treats and controls roundworms and hookworms. 


NexGard PLUS is simple to give, tasty for pets, safe for puppies as young as 8 weeks and safe for dogs weighing at least 8 pounds.



NexGard® PLUS (afoxolaner, moxidectin, and pyrantel chewable tablets) is for use in dogs only. The most frequently reported adverse reactions reported in clinical trials were diarrhea, vomiting, lethargy, and itching. NexGard PLUS contains afoxolaner, a member of the isoxazoline class, which has been associated with neurologic adverse reactions including tremors, ataxia, and seizures in dogs with or without a history of seizures. Use with caution in dogs with a history of seizures or neurological disorders.

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