PROPANTELM

Important safety and use flags

• Scope boundary: this score covers the complete labelled treatment spectrum in dogs—named cestodes, whipworm, ascarids and hookworms. It does not establish prevention of every worm, heartworm/lungworm/protozoal efficacy, or use in cats or another species.
• Diagnose and risk-assess: identify the likely parasite with faecal testing, visible segments, epidemiology and exposure as appropriate. Severe hookworm anaemia requires stabilization/supportive care; suspected Echinococcus needs public-health and jurisdiction-specific handling.
• Exact dose: accurately weigh and give one whole tablet/10 kg once PO (pyrantel 5, oxantel 20 and praziquantel 5 mg/kg), directly or with food; fasting is unnecessary. Do not transfer another strength, salt quantity or product weight table.
• No authorised splitting: the exact official information does not confirm tablet subdivision. A fractional calculation is not a deliverable dose—do not round up/down or crush; select a suitable authorised strength/presentation, especially below 10 kg or between 10 kg steps.
• Repeat boundary: the label advises a repeat after 20 days for larvae present at initial treatment, but this is not an automatic indefinite 20-day or monthly prevention schedule. Tailor repeat timing to parasite biology, diagnosis, exposure and current local guidance.
• Control reinfection: remove faeces promptly, treat relevant in-contact animals as indicated, control fleas for Dipylidium and address prey/raw-offal access for Taenia/Echinococcus. Environmental eggs/larvae may remain viable for months or years.
• Resistance/failure: persistent eggs or signs require adherence, reinfection, parasite identity and quantitative pre/post-treatment assessment. Pyrantel-resistant and multidrug-resistant Ancylostoma occurs; use a different class/plan only from a documented veterinary work-up.
• Safety: stop and reassess significant or persistent vomiting, diarrhoea, bloody stool, anorexia, lethargy or hypersensitivity. The exact label has no overdose data; severe parasite disease itself may worsen anaemia or GI signs despite worm killing.
• Do not use during lactation or with levamisole, piperazine or a cholinesterase inhibitor. The label permits pregnancy, but confirm the intended patient and avoid unsourced extrapolation to nursing dams, very young puppies or non-target species.
• Handler/product safety: wash hands after contact, avoid use by people hypersensitive to an active, do not ingest, keep away from children and seek medical advice after accidental ingestion. Keep in the original blister and discard according to local requirements.