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Milteforan

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Miltefosine · Virbac

1 form: solution. In force in Georgia: 1 of 1 (veterinary register).

Forms and doses1 of 1 in force in Georgia

The dose from the product's label, by species and weight. Check the label of the pack you use.

Form Species Dose Frequency Georgia
20 mg/ml, Solution · Dog Dog 0.1 ml/kg
Give 1 ml per 10 kg (2 mg/kg) once daily for 28 consecutive days. Add it to part of the food, ensure that part is completely eaten, then offer the remainder. Confirm canine leishmaniosis individually: treatment improves signs but does not eradicate the parasite. Use integrated sandfly control and avoid underdosing. Do not use in pregnancy, lactation or breeding animals. Use impermeable gloves and eye protection; a pregnant person or someone who may be pregnant must not administer it.
 · once daily for 28 consecutive days		 once daily for 28 consecutive days Georgia Yes, veterinary
Veterinary (National Food Agency)
In the register: მილტეფორანი® (მილტეფოსინა 2%)
№ 26-11
Verified on: 21 Oct 2026
Details: pack, label wording, sources, registration

Milteforan 20 mg/ml, Solution

miltefosine 20 mg/ml, oral solution for dogs
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog
7.8/10
Good
vetman assessment

Milteforan

20 mg/ml, miltefosine 20 mg/ml, oral solution for dogs
Assessed clinical scopeDog · Labelled treatment of clinical canine leishmaniosis as part of an appropriate combination protocol · By mouth
Care settingVeterinary-directed outpatient treatment with staging, combination therapy and long-term relapse monitoring
vetman score 7.8/10 Good
Evidence confidence: High Georgia: Yes, veterinary · № 26-11 · Verified on 21 Oct 2026

A strong, evidence-supported component of combination treatment for clinical canine leishmaniosis; never use it as stand-alone curative therapy.

Regulatory and scientific credibility8.5/10

The exact 20 mg/ml oral solution has current EU product information and active Georgian veterinary registration (26-11), supported by a current specialist consensus.

Clinical efficacy8.0/10

Miltefosine 2 mg/kg daily for 28 days with allopurinol is a guideline-supported first-line combination with consistent clinical improvement, but it is not curative and monotherapy is not recommended.

Safety and tolerability7.0/10

Vomiting, diarrhoea and reduced appetite are recognised; pregnancy, lactation and breeding are contraindicated, and severe hepatic or cardiac disease requires benefit-risk assessment.

Clinical practicality7.5/10

Once-daily food-based liquid dosing is workable, but accurate weight dosing, gloves and completion of a 28-day course materially affect clinical delivery.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use during pregnancy, lactation or in breeding animals; pregnant or potentially pregnant women must not administer it.
  • Use with allopurinol in an appropriate staged protocol; monotherapy is not recommended and parasitological cure is not expected.
Assessment sources
  1. UPD SPC 20242024
  2. WAVD CanL 20252025
Assessed: 21 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Miltefosine20 mg/ml
Formulation Type
Solution
Administration route
By mouth
Manufacturer
Virbac · France
Manufacturer (register)
VIRBAC, France
Manufacturer and country as in the veterinary medicines register (National Food Agency), row 1652, 19 Oct 2026.
Source: NFA veterinary medicines register ↗
Registration
Georgia Yes, veterinary
Veterinary (National Food Agency)
In the register: მილტეფორანი® (მილტეფოსინა 2%)
№ 26-11
Verified on: 21 Oct 2026
 EU Yes, veterinary
№ NL/V/0405/001
Verified on: 18 Oct 2026
 UK No
Verified on: 18 Oct 2026
 US No
Verified on: 18 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 18 Oct 2026
DoseSpeciesWeightRouteFrequencySource
0.1 ml/kg
Give 1 ml per 10 kg (2 mg/kg) once daily for 28 consecutive days. Add it to part of the food, ensure that part is completely eaten, then offer the remainder. Confirm canine leishmaniosis individually: treatment improves signs but does not eradicate the parasite. Use integrated sandfly control and avoid underdosing. Do not use in pregnancy, lactation or breeding animals. Use impermeable gloves and eye protection; a pregnant person or someone who may be pregnant must not administer it.
 Dog Any weight By mouth once daily for 28 consecutive days
EU UPD Milteforan
Official product label (SPC)
Approved by a medicines regulator as part of the product's authorisation. It applies to that product as authorised there.
Milteforan 20 mg/ml oral solution for dogs - combined product information
EU Union Product Database, 2026

Known Contraindications

  • Critical
    Do not use in dogs hypersensitive to miltefosine or excipients.
    Sources: EU SPC
  • Critical
    Do not use during pregnancy: teratogenic, foetotoxic and embryotoxic in laboratory animals.
    Sources: EU SPC
  • Critical
    Do not use during lactation.
    Sources: EU SPC
  • Warning
    Do not use in breeding animals. Must not be given by pregnant women or women who may be pregnant; wear impervious gloves.
    Sources: EU SPC
  • Caution
    Severe liver impairment: use only after a benefit-risk assessment.
    Sources: EU SPC
  • Caution
    Severe heart impairment: use only after a benefit-risk assessment.
    Sources: EU SPC

Professional reference for veterinary professionals. Not advertising and not a substitute for the product label/SPC.

For veterinary professionals only. It does not replace clinical judgement or the product label; check the dose in the official label (SPC). vetman is not liable for harm caused by using this information.

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This reference is still growing. Missing a product? Let us know. · Report an error or request an addition · Updated: 21 Oct 2026

All of this shows in vetman as you prescribe

The dose for the patient's weight, registration in Georgia and controlled status, right on the prescription.

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