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Medicines reference
Product

NexGard

Afoxolaner · Boehringer Ingelheim

4 forms: chewable tablet. No registration in force in Georgia.

Forms and doses0 of 4 in force in Georgia

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

Choose species and weight; the matching row will be highlighted.
Form Species Weight Dose Frequency Georgia
11 mg, Chewable tablet · Cat Any weight Cat Any weight No dose for this species
Dogs.
- Georgia No
11 mg, Chewable tablet · Dog 2–4 kg Dog 2–4 kg 1 tablet
The veterinary medicinal product should be administered at a dose of 2.7 to 7 mg/kg bodyweight of afoxolaner in accordance with the following table The chewable tablets should not be divided. Monthly intervals throughout the flea and/or tick seasons In the absence of available data, treatment of puppies less than 8 weeks of age and/or dogs less than 2 kg bodyweight should be based on a benefit-risk assessment by the responsible veterinarian. Can be used in pregnant and lactating dogs. Neurological disorders (convulsion, ataxia, muscle tremor)
· monthly
monthly Georgia No
Details: pack, label wording, sources, registration

NexGard 11 mg, Chewable tablet

afoxolaner 11.3 mg, chewable tablet for dogs 2-4 kg
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
8.6/10
Very good
vetman assessment

NexGard

11 mg, afoxolaner 11.3 mg, chewable tablet for dogs 2-4 kg
Assessed clinical scopeDog · Full dog label: fleas, listed tick species, indirect reduction of Dipylidium caninum and Babesia canis transmission risk, use in a flea-allergy dermatitis strategy, demodicosis, sarcoptic mange and ear mites within the exact tablet weight band · By mouth
Care settingVeterinary-selected outpatient ectoparasite treatment after exact weighing, parasite confirmation or individual epidemiological risk assessment
vetman score 8.6/10 Very good
Evidence confidence: High Georgia: No · Verified on 15 Oct 2026

A highly effective, well documented monthly canine ectoparasiticide with unusually broad current mite and vector-risk label claims. Strong foreign authorisation does not change its absence from the Georgian register, and exact whole-tablet selection plus neurologic counselling remain important.

Regulatory and scientific credibility8.5/10

The exact strength is supported by a current detailed 2026 VMD SPC and active EU, UK and US authorisations. Afoxolaner-only NexGard is explicitly not registered in the checked Georgian veterinary register, unlike NexGard Spectra or Combo.

Clinical efficacy9.2/10

A large year-long field comparison supports high monthly flea and tick control, while direct controlled or multicentre field studies support demodicosis, sarcoptic mange and ear-mite roles. Vector-risk reductions are indirect and parasites must feed, so transmission cannot be excluded.

Safety and tolerability8.0/10

Labelled adverse events are very rare and mostly mild, short and self-limiting, but vomiting, diarrhoea, lethargy, anorexia, pruritus and isoxazoline-associated convulsion, ataxia or tremor require counselling. Young or underweight puppies and breeding males need benefit-risk assessment.

Clinical practicality9.0/10

One palatable chewable each month, directly or with food, is operationally simple; pregnancy and lactation use is permitted. Accurate whole-tablet band selection is essential, tablets cannot be divided, and mite indications require diagnosis-specific follow-up rather than automatic monthly use.

Full-course cost-effectiveness-

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

Important safety and use flags

  • Do not use with hypersensitivity to afoxolaner or an excipient. This product is labelled for dogs, not cats.
  • Below 8 weeks of age or 2 kg, use only after the responsible veterinarian documents a benefit-risk assessment. Use in pregnant or lactating dogs and breeding females is permitted; breeding males still require benefit-risk assessment.
  • Counsel for vomiting, diarrhoea, lethargy, anorexia, pruritus, convulsion, ataxia or muscle tremor. Labelled events are very rare and mostly mild, short and self-limiting, but marked or persistent signs require reassessment.
  • Fleas, ticks and mites must begin feeding, so parasite-borne transmission cannot be excluded. Confirm parasite or epidemiological risk, address infested household animals and avoid unnecessary use or underdosing that can select resistance.
  • For fleas and listed ticks, use at monthly intervals according to season, local epidemiology and lifestyle. The label gives indirect Dipylidium-risk reduction for 30 days and Babesia canis-risk reduction for 28 days; neither is a guarantee against infection.
  • For demodicosis, continue until two negative skin scrapings one month apart and address underlying disease; for sarcoptic mange, give two monthly doses and extend only by clinical assessment and scrapings; for ear mites, give one dose and re-examine after one month.
  • Weigh accurately and use one whole 11 mg tablet only at 2-4 kg. Do not divide the tablet.
Assessment sources
Assessed: 22 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
Afoxolaner11.3 mg
Formulation Type
Chewable tablet
Administration route
By mouth
Manufacturer
Registration
Georgia No
EU Yes, veterinary
Verified on: 15 Oct 2026
UK Yes, veterinary
Verified on: 15 Oct 2026
US Yes, veterinary
№ NADA 141-406
Verified on: 15 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026
DoseSpeciesWeightRouteFrequencySource
No dose for this species
Dogs.
Cat Any weight By mouth - Product label (SPC)
1 tablet
The veterinary medicinal product should be administered at a dose of 2.7 to 7 mg/kg bodyweight of afoxolaner in accordance with the following table The chewable tablets should not be divided. Monthly intervals throughout the flea and/or tick seasons In the absence of available data, treatment of puppies less than 8 weeks of age and/or dogs less than 2 kg bodyweight should be based on a benefit-risk assessment by the responsible veterinarian. Can be used in pregnant and lactating dogs. Neurological disorders (convulsion, ataxia, muscle tremor)
Dog 2–4 kg By mouth monthly Product label (SPC)
28 mg, Chewable tablet · Cat Any weight Cat Any weight No dose for this species
Dogs.
- Georgia No
28 mg, Chewable tablet · Dog 4–10 kg Dog 4–10 kg 1 tablet
a dose of 2.7 to 7 mg/kg bodyweight of afoxolaner Can be used in pregnant and lactating dogs.
· monthly
monthly Georgia No
Details: pack, label wording, sources, registration

NexGard 28 mg, Chewable tablet

afoxolaner 28.3 mg, chewable tablet for dogs >4-10 kg
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
8.6/10
Very good
vetman assessment

NexGard

28 mg, afoxolaner 28.3 mg, chewable tablet for dogs >4-10 kg
Assessed clinical scopeDog · Full dog label: fleas, listed tick species, indirect reduction of Dipylidium caninum and Babesia canis transmission risk, use in a flea-allergy dermatitis strategy, demodicosis, sarcoptic mange and ear mites within the exact tablet weight band · By mouth
Care settingVeterinary-selected outpatient ectoparasite treatment after exact weighing, parasite confirmation or individual epidemiological risk assessment
vetman score 8.6/10 Very good
Evidence confidence: High Georgia: No · Verified on 15 Oct 2026

A highly effective, well documented monthly canine ectoparasiticide with unusually broad current mite and vector-risk label claims. Strong foreign authorisation does not change its absence from the Georgian register, and exact whole-tablet selection plus neurologic counselling remain important.

Regulatory and scientific credibility8.5/10

The exact strength is supported by a current detailed 2026 VMD SPC and active EU, UK and US authorisations. Afoxolaner-only NexGard is explicitly not registered in the checked Georgian veterinary register, unlike NexGard Spectra or Combo.

Clinical efficacy9.2/10

A large year-long field comparison supports high monthly flea and tick control, while direct controlled or multicentre field studies support demodicosis, sarcoptic mange and ear-mite roles. Vector-risk reductions are indirect and parasites must feed, so transmission cannot be excluded.

Safety and tolerability8.0/10

Labelled adverse events are very rare and mostly mild, short and self-limiting, but vomiting, diarrhoea, lethargy, anorexia, pruritus and isoxazoline-associated convulsion, ataxia or tremor require counselling. Young or underweight puppies and breeding males need benefit-risk assessment.

Clinical practicality9.0/10

One palatable chewable each month, directly or with food, is operationally simple; pregnancy and lactation use is permitted. Accurate whole-tablet band selection is essential, tablets cannot be divided, and mite indications require diagnosis-specific follow-up rather than automatic monthly use.

Full-course cost-effectiveness-

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

Important safety and use flags

  • Do not use with hypersensitivity to afoxolaner or an excipient. This product is labelled for dogs, not cats.
  • Below 8 weeks of age or 2 kg, use only after the responsible veterinarian documents a benefit-risk assessment. Use in pregnant or lactating dogs and breeding females is permitted; breeding males still require benefit-risk assessment.
  • Counsel for vomiting, diarrhoea, lethargy, anorexia, pruritus, convulsion, ataxia or muscle tremor. Labelled events are very rare and mostly mild, short and self-limiting, but marked or persistent signs require reassessment.
  • Fleas, ticks and mites must begin feeding, so parasite-borne transmission cannot be excluded. Confirm parasite or epidemiological risk, address infested household animals and avoid unnecessary use or underdosing that can select resistance.
  • For fleas and listed ticks, use at monthly intervals according to season, local epidemiology and lifestyle. The label gives indirect Dipylidium-risk reduction for 30 days and Babesia canis-risk reduction for 28 days; neither is a guarantee against infection.
  • For demodicosis, continue until two negative skin scrapings one month apart and address underlying disease; for sarcoptic mange, give two monthly doses and extend only by clinical assessment and scrapings; for ear mites, give one dose and re-examine after one month.
  • Weigh accurately and use one whole 28 mg tablet only above 4 kg through 10 kg. Do not divide the tablet.
Assessment sources
Assessed: 22 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
Afoxolaner28.3 mg
Formulation Type
Chewable tablet
Administration route
By mouth
Manufacturer
Registration
Georgia No
EU Yes, veterinary
Verified on: 15 Oct 2026
UK Yes, veterinary
Verified on: 15 Oct 2026
US Yes, veterinary
№ NADA 141-406
Verified on: 15 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026
DoseSpeciesWeightRouteFrequencySource
No dose for this species
Dogs.
Cat Any weight By mouth - Product label (SPC)
1 tablet
a dose of 2.7 to 7 mg/kg bodyweight of afoxolaner Can be used in pregnant and lactating dogs.
Dog 4–10 kg By mouth monthly Product label (SPC)
68 mg, Chewable tablet · Cat Any weight Cat Any weight No dose for this species
Dogs.
- Georgia No
68 mg, Chewable tablet · Dog 10–25 kg Dog 10–25 kg 1 tablet
a dose of 2.7 to 7 mg/kg bodyweight of afoxolaner Can be used in pregnant and lactating dogs.
· monthly
monthly Georgia No
Details: pack, label wording, sources, registration

NexGard 68 mg, Chewable tablet

afoxolaner 68 mg, chewable tablet for dogs >10-25 kg
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
8.6/10
Very good
vetman assessment

NexGard

68 mg, afoxolaner 68 mg, chewable tablet for dogs >10-25 kg
Assessed clinical scopeDog · Full dog label: fleas, listed tick species, indirect reduction of Dipylidium caninum and Babesia canis transmission risk, use in a flea-allergy dermatitis strategy, demodicosis, sarcoptic mange and ear mites within the exact tablet weight band · By mouth
Care settingVeterinary-selected outpatient ectoparasite treatment after exact weighing, parasite confirmation or individual epidemiological risk assessment
vetman score 8.6/10 Very good
Evidence confidence: High Georgia: No · Verified on 15 Oct 2026

A highly effective, well documented monthly canine ectoparasiticide with unusually broad current mite and vector-risk label claims. Strong foreign authorisation does not change its absence from the Georgian register, and exact whole-tablet selection plus neurologic counselling remain important.

Regulatory and scientific credibility8.5/10

The exact strength is supported by a current detailed 2026 VMD SPC and active EU, UK and US authorisations. Afoxolaner-only NexGard is explicitly not registered in the checked Georgian veterinary register, unlike NexGard Spectra or Combo.

Clinical efficacy9.2/10

A large year-long field comparison supports high monthly flea and tick control, while direct controlled or multicentre field studies support demodicosis, sarcoptic mange and ear-mite roles. Vector-risk reductions are indirect and parasites must feed, so transmission cannot be excluded.

Safety and tolerability8.0/10

Labelled adverse events are very rare and mostly mild, short and self-limiting, but vomiting, diarrhoea, lethargy, anorexia, pruritus and isoxazoline-associated convulsion, ataxia or tremor require counselling. Young or underweight puppies and breeding males need benefit-risk assessment.

Clinical practicality9.0/10

One palatable chewable each month, directly or with food, is operationally simple; pregnancy and lactation use is permitted. Accurate whole-tablet band selection is essential, tablets cannot be divided, and mite indications require diagnosis-specific follow-up rather than automatic monthly use.

Full-course cost-effectiveness-

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

Important safety and use flags

  • Do not use with hypersensitivity to afoxolaner or an excipient. This product is labelled for dogs, not cats.
  • Below 8 weeks of age or 2 kg, use only after the responsible veterinarian documents a benefit-risk assessment. Use in pregnant or lactating dogs and breeding females is permitted; breeding males still require benefit-risk assessment.
  • Counsel for vomiting, diarrhoea, lethargy, anorexia, pruritus, convulsion, ataxia or muscle tremor. Labelled events are very rare and mostly mild, short and self-limiting, but marked or persistent signs require reassessment.
  • Fleas, ticks and mites must begin feeding, so parasite-borne transmission cannot be excluded. Confirm parasite or epidemiological risk, address infested household animals and avoid unnecessary use or underdosing that can select resistance.
  • For fleas and listed ticks, use at monthly intervals according to season, local epidemiology and lifestyle. The label gives indirect Dipylidium-risk reduction for 30 days and Babesia canis-risk reduction for 28 days; neither is a guarantee against infection.
  • For demodicosis, continue until two negative skin scrapings one month apart and address underlying disease; for sarcoptic mange, give two monthly doses and extend only by clinical assessment and scrapings; for ear mites, give one dose and re-examine after one month.
  • Weigh accurately and use one whole 68 mg tablet only above 10 kg through 25 kg. Do not divide the tablet.
Assessment sources
Assessed: 22 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
Afoxolaner68 mg
Formulation Type
Chewable tablet
Administration route
By mouth
Manufacturer
Registration
Georgia No
EU Yes, veterinary
Verified on: 15 Oct 2026
UK Yes, veterinary
Verified on: 15 Oct 2026
US Yes, veterinary
№ NADA 141-406
Verified on: 15 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026
DoseSpeciesWeightRouteFrequencySource
No dose for this species
Dogs.
Cat Any weight By mouth - Product label (SPC)
1 tablet
a dose of 2.7 to 7 mg/kg bodyweight of afoxolaner Can be used in pregnant and lactating dogs.
Dog 10–25 kg By mouth monthly Product label (SPC)
136 mg, Chewable tablet · Cat Any weight Cat Any weight No dose for this species
Dogs.
- Georgia No
136 mg, Chewable tablet · Dog 25–50 kg Dog 25–50 kg 1 tablet
a dose of 2.7 to 7 mg/kg bodyweight of afoxolaner use an appropriate combination of chewable tablets of different/same strengths Can be used in pregnant and lactating dogs.
· monthly
monthly Georgia No
Details: pack, label wording, sources, registration

NexGard 136 mg, Chewable tablet

afoxolaner 136 mg, chewable tablet for dogs >25-50 kg
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
8.6/10
Very good
vetman assessment

NexGard

136 mg, afoxolaner 136 mg, chewable tablet for dogs >25-50 kg
Assessed clinical scopeDog · Full dog label: fleas, listed tick species, indirect reduction of Dipylidium caninum and Babesia canis transmission risk, use in a flea-allergy dermatitis strategy, demodicosis, sarcoptic mange and ear mites within the exact tablet weight band · By mouth
Care settingVeterinary-selected outpatient ectoparasite treatment after exact weighing, parasite confirmation or individual epidemiological risk assessment
vetman score 8.6/10 Very good
Evidence confidence: High Georgia: No · Verified on 15 Oct 2026

A highly effective, well documented monthly canine ectoparasiticide with unusually broad current mite and vector-risk label claims. Strong foreign authorisation does not change its absence from the Georgian register, and exact whole-tablet selection plus neurologic counselling remain important.

Regulatory and scientific credibility8.5/10

The exact strength is supported by a current detailed 2026 VMD SPC and active EU, UK and US authorisations. Afoxolaner-only NexGard is explicitly not registered in the checked Georgian veterinary register, unlike NexGard Spectra or Combo.

Clinical efficacy9.2/10

A large year-long field comparison supports high monthly flea and tick control, while direct controlled or multicentre field studies support demodicosis, sarcoptic mange and ear-mite roles. Vector-risk reductions are indirect and parasites must feed, so transmission cannot be excluded.

Safety and tolerability8.0/10

Labelled adverse events are very rare and mostly mild, short and self-limiting, but vomiting, diarrhoea, lethargy, anorexia, pruritus and isoxazoline-associated convulsion, ataxia or tremor require counselling. Young or underweight puppies and breeding males need benefit-risk assessment.

Clinical practicality9.0/10

One palatable chewable each month, directly or with food, is operationally simple; pregnancy and lactation use is permitted. Accurate whole-tablet band selection is essential, tablets cannot be divided, and mite indications require diagnosis-specific follow-up rather than automatic monthly use.

Full-course cost-effectiveness-

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

Important safety and use flags

  • Do not use with hypersensitivity to afoxolaner or an excipient. This product is labelled for dogs, not cats.
  • Below 8 weeks of age or 2 kg, use only after the responsible veterinarian documents a benefit-risk assessment. Use in pregnant or lactating dogs and breeding females is permitted; breeding males still require benefit-risk assessment.
  • Counsel for vomiting, diarrhoea, lethargy, anorexia, pruritus, convulsion, ataxia or muscle tremor. Labelled events are very rare and mostly mild, short and self-limiting, but marked or persistent signs require reassessment.
  • Fleas, ticks and mites must begin feeding, so parasite-borne transmission cannot be excluded. Confirm parasite or epidemiological risk, address infested household animals and avoid unnecessary use or underdosing that can select resistance.
  • For fleas and listed ticks, use at monthly intervals according to season, local epidemiology and lifestyle. The label gives indirect Dipylidium-risk reduction for 30 days and Babesia canis-risk reduction for 28 days; neither is a guarantee against infection.
  • For demodicosis, continue until two negative skin scrapings one month apart and address underlying disease; for sarcoptic mange, give two monthly doses and extend only by clinical assessment and scrapings; for ear mites, give one dose and re-examine after one month.
  • Weigh accurately and use one whole 136 mg tablet only above 25 kg through 50 kg. Do not divide the tablet. Above 50 kg, use a veterinarian-selected combination of whole tablets.
Assessment sources
Assessed: 22 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
Afoxolaner136 mg
Formulation Type
Chewable tablet
Administration route
By mouth
Manufacturer
Registration
Georgia No
EU Yes, veterinary
Verified on: 15 Oct 2026
UK Yes, veterinary
Verified on: 15 Oct 2026
US Yes, veterinary
№ NADA 141-406
Verified on: 15 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026
DoseSpeciesWeightRouteFrequencySource
No dose for this species
Dogs.
Cat Any weight By mouth - Product label (SPC)
1 tablet
a dose of 2.7 to 7 mg/kg bodyweight of afoxolaner use an appropriate combination of chewable tablets of different/same strengths Can be used in pregnant and lactating dogs.
Dog 25–50 kg By mouth monthly Product label (SPC)
Active substance doses, with sources
Active substance Afoxolaner
Dose calculatorCalculates the active-substance amount; it is not a prescription.
PatientSpecies and weight will be filled in automatically in other calculators.
Selected dose
Dose Species Indication Route Frequency Source
2.5–6.94 mg/kg Dog Maintenance By mouth monthly
VMD SPC 2026
Official product label (SPC), VMD, UK
Approved by the UK Veterinary Medicines Directorate (VMD) as part of the product's authorisation. It applies to that product as authorised there.
NexGard Spectra 9 mg / 2 mg chewable tablets for dogs 1.35-3.5 kg - Summary of Product Characteristics
UK Veterinary Medicines Directorate, 2026

Known Contraindications

  • Critical
    Do not use in cases of hypersensitivity to the active substances or to any of the excipients.
    Sources: VMD SPC · VMD
  • Warning (Dog)
    In the absence of available data, treatment of puppies less than 8 weeks of age and dogs less than 1.35 kg bodyweight should be based on a benefit-risk assessment by the responsible veterinarian. The safety of NexGard has not been evaluated in dogs less than 8 weeks of age or less than 4 lbs body weight.
    Sources: VMD SPC · VMD · FDA
  • Caution (Dog)
    Afoxolaner is a member of the isoxazoline class. This class has been associated with neurologic adverse reactions including tremors, ataxia, and seizures. Seizures have been reported in dogs receiving isoxazoline class drugs, even in dogs without a history of seizures. Use with caution in dogs with a history of seizures or neurologic disorders. Neurological signs (convulsion, ataxia and muscle tremor).
    Sources: VMD SPC · VMD · FDA

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.