Register
Medicines reference
Active substance

Milbemycin oxime

Macrocyclic lactone (milbemycin). Registered in Georgia: 9 veterinary products. Forms: chewable tablet, scored tablet, tablet.

Dose and use

Doses

Each dose comes with its source. Check the label of the product you use.

Active substance Milbemycin oxime
Before use

Safety information

Known Contraindications

  • Critical
    Do not use in cases of hypersensitivity to the active substances or to any of the excipients.
    Sources: VMD SPC · VMD
  • Critical
    Severe kidney impairment: one product label lists marked kidney or liver dysfunction as a contraindication. Another notes that no studies exist in severely debilitated dogs or in animals with seriously impaired kidney or liver function, and does not recommend use in them, or only after a benefit-risk assessment.
    Sources: VMD SPC · VMD
  • Critical
    Severe liver impairment: one product label lists marked kidney or liver dysfunction as a contraindication. Another does not recommend use in animals with seriously impaired kidney or liver function, or only after a benefit-risk assessment.
    Sources: VMD SPC · VMD
  • Critical (Dog)
    Do not use in puppies of less than 2 weeks of age and/or weighing less than 0.5 kg.
    Sources: VMD SPC · VMD
  • Critical (Cat)
    Do not use in kittens of less than 6 weeks of age and/or weighing less than 0.5 kg.
    Sources: VMD SPC · VMD
  • Warning
    Emaciated, severely debilitated animals and animals with an infectious disease: one product label excludes them from deworming; another does not recommend use in severely debilitated animals, or only after a benefit-risk assessment.
    Sources: VMD SPC · VMD
  • Warning (Dog)
    the margin of safety in certain dogs of Collie or related breeds is less than in other breeds. In these dogs, the recommended dose should be strictly observed. The tolerance of the veterinary medicinal product in young puppies from these breeds has not been investigated.
    Sources: VMD SPC · VMD
  • Warning (Dog)
    The use in dogs suffering from microfilaremia is thus not recommended. In the case of a positive diagnosis, adulticidal therapy is indicated before administering the veterinary medicinal product.
    Sources: VMD SPC · VMD
  • Caution
    In a study, this combination of active substances was demonstrated to be well tolerated in breeding bitches, including during pregnancy and lactation. As a specific study with this veterinary medicinal product has not been performed, use during pregnancy and lactation only according to the benefit-risk assessment
    Sources: VMD SPC · VMD
  • Caution
    use during pregnancy and lactation only according to the benefit-risk assessment by the responsible veterinarian.
    Sources: VMD SPC · VMD
  • Caution (Cat)
    In the absence of data on cats with microfilaraemia, its use should be according to a benefit risk assessment by the attending veterinarian.
    Sources: VMD SPC · VMD
  • Known Breed Sensitivities
    Collie, Collie (unspecified), Collie - Scottish Rough, Collie - Scottish Smooth, Sheepdog - Old English, Sheepdog - Shetland (Sheltie), Shetland Sheepdog
    the margin of safety in certain dogs of Collie or related breeds is less than in other breeds. In these dogs, the recommended dose should be strictly observed.
Latin name
Milbemycin oxime
Georgian name
მილბემიცინ ოქსიმი
Authorisation status
Authorised veterinary medicine
An authorised veterinary medicine containing this substance exists. Whether a particular use is on-label depends on the species and the indication - see each dose rule.
Registered in Georgia
9 of 18 forms
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026
All forms and registration18

Registration in Georgia and abroad: the register, number, validity and source are behind (i).

Milbemax 2.5 mg/25 mg, Scored tablet

milbemycin oxime 2.5 mg + praziquantel 25 mg, tablet for dogs 0.5-10 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

Milbemax

2.5 mg/25 mg, milbemycin oxime 2.5 mg + praziquantel 25 mg, tablet for dogs 0.5-10 kg
Assessed clinical scopeDog · Full labelled species-specific scope for mixed susceptible cestode and nematode infections, with applicable eyeworm, lungworm or heartworm roles only when the fixed combination is indicated · By mouth
Care settingWeight-band tablet given with or after food after parasite identification, heartworm-risk assessment and confirmation that both active components are clinically justified
vetman score 8.6/10 Very good
Evidence confidence: High Georgia: No · Verified on 15 Oct 2026

A mature, strongly supported broad anthelmintic combination for correctly selected mixed infections; absence from the reviewed Georgian register does not negate its evidence, but local legal supply and the exact label must be checked.

Regulatory and scientific credibility9.0/10

A mature reference line with current UK authorisations and extensive post-authorisation history; the exact forms are not registered in the reviewed Georgian register.

Clinical efficacy9.0/10

Controlled and field studies support broad cestode and nematode efficacy, including label-specific eyeworm and heartworm roles; the evidence base is mature but target and regimen remain parasite-specific.

Safety and tolerability8.0/10

Safety is generally favourable at labelled doses, but microfilaraemic animals can react, MDR1-sensitive dogs need strict dosing, severe renal or hepatic dysfunction and very young or underweight animals require label-specific restrictions, and neurologic or gastrointestinal adverse effects can occur.

Clinical practicality8.5/10

Weight-band tablets and single-dose intestinal-worm treatment are practical, but administration with food, accurate half-tablet use where authorised and parasite-specific weekly or monthly repeat schedules must be followed; unnecessary repeated praziquantel should be avoided.

Full-course cost-effectiveness-

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

Important safety and use flags

  • Use the fixed combination only when cestodes and nematodes, heartworm prevention or another exact combined label role are indicated at the same time; avoid unnecessary exposure to either component.
  • Before heartworm prevention or treatment in an endemic area, establish infection and microfilariae status; a high circulating microfilarial burden can cause acute hypersensitivity-type reactions after treatment.
  • Use caution with other macrocyclic lactones or P-glycoprotein substrates/inhibitors and follow the exact label; toxicity risk can rise in susceptible patients.
  • For Dipylidium, control fleas and chewing lice to prevent reinfection; for Echinococcus, apply local zoonosis reporting, hygiene and disposal requirements.
  • Weigh accurately and observe minimum age and weight limits. In Collies, related breeds or suspected MDR1 deficiency, never exceed the label dose; severe renal or hepatic dysfunction requires the exact label benefit-risk restriction.
Assessment sources
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
Formulation Type
Scored tablet
Administration route
By mouth
Manufacturer
Elanco · United States
Registration
Georgia No
EU Yes, veterinary
Verified on: 15 Oct 2026
UK Yes, veterinary
Verified on: 15 Oct 2026
US No
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

Milbemax 4 mg/10 mg, Scored tablet

milbemycin oxime 4 mg + praziquantel 10 mg, film-coated tablet for cats 0.5-2 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.
Cat
8.6/10
Very good
vetman assessment

Milbemax

4 mg/10 mg, milbemycin oxime 4 mg + praziquantel 10 mg, film-coated tablet for cats 0.5-2 kg
Assessed clinical scopeCat · Full labelled species-specific scope for mixed susceptible cestode and nematode infections, with applicable eyeworm, lungworm or heartworm roles only when the fixed combination is indicated · By mouth
Care settingWeight-band tablet given with or after food after parasite identification, heartworm-risk assessment and confirmation that both active components are clinically justified
vetman score 8.6/10 Very good
Evidence confidence: High Georgia: No · Verified on 15 Oct 2026

A mature, strongly supported broad anthelmintic combination for correctly selected mixed infections; absence from the reviewed Georgian register does not negate its evidence, but local legal supply and the exact label must be checked.

Regulatory and scientific credibility9.0/10

A mature reference line with current UK authorisations and extensive post-authorisation history; the exact forms are not registered in the reviewed Georgian register.

Clinical efficacy9.0/10

Controlled and field studies support broad cestode and nematode efficacy, including label-specific eyeworm and heartworm roles; the evidence base is mature but target and regimen remain parasite-specific.

Safety and tolerability8.0/10

Safety is generally favourable at labelled doses, but microfilaraemic animals can react, MDR1-sensitive dogs need strict dosing, severe renal or hepatic dysfunction and very young or underweight animals require label-specific restrictions, and neurologic or gastrointestinal adverse effects can occur.

Clinical practicality8.5/10

Weight-band tablets and single-dose intestinal-worm treatment are practical, but administration with food, accurate half-tablet use where authorised and parasite-specific weekly or monthly repeat schedules must be followed; unnecessary repeated praziquantel should be avoided.

Full-course cost-effectiveness-

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

Important safety and use flags

  • Use the fixed combination only when cestodes and nematodes, heartworm prevention or another exact combined label role are indicated at the same time; avoid unnecessary exposure to either component.
  • Before heartworm prevention or treatment in an endemic area, establish infection and microfilariae status; a high circulating microfilarial burden can cause acute hypersensitivity-type reactions after treatment.
  • Use caution with other macrocyclic lactones or P-glycoprotein substrates/inhibitors and follow the exact label; toxicity risk can rise in susceptible patients.
  • For Dipylidium, control fleas and chewing lice to prevent reinfection; for Echinococcus, apply local zoonosis reporting, hygiene and disposal requirements.
  • Weigh accurately and use only the matching feline tablet and authorised split. Observe minimum age and weight limits; severe renal or hepatic dysfunction requires the exact label benefit-risk restriction.
Assessment sources
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
Formulation Type
Scored tablet
Administration route
By mouth
Manufacturer
Elanco · United States
Registration
Georgia No
EU Yes, veterinary
Verified on: 15 Oct 2026
UK Yes, veterinary
Verified on: 15 Oct 2026
US No
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

Milbemax 12.5 mg/125 mg, Tablet

milbemycin oxime 12.5 mg + praziquantel 125 mg, tablet for dogs from 5 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

Milbemax

12.5 mg/125 mg, milbemycin oxime 12.5 mg + praziquantel 125 mg, tablet for dogs from 5 kg
Assessed clinical scopeDog · Full labelled species-specific scope for mixed susceptible cestode and nematode infections, with applicable eyeworm, lungworm or heartworm roles only when the fixed combination is indicated · By mouth
Care settingWeight-band tablet given with or after food after parasite identification, heartworm-risk assessment and confirmation that both active components are clinically justified
vetman score 8.6/10 Very good
Evidence confidence: High Georgia: No · Verified on 15 Oct 2026

A mature, strongly supported broad anthelmintic combination for correctly selected mixed infections; absence from the reviewed Georgian register does not negate its evidence, but local legal supply and the exact label must be checked.

Regulatory and scientific credibility9.0/10

A mature reference line with current UK authorisations and extensive post-authorisation history; the exact forms are not registered in the reviewed Georgian register.

Clinical efficacy9.0/10

Controlled and field studies support broad cestode and nematode efficacy, including label-specific eyeworm and heartworm roles; the evidence base is mature but target and regimen remain parasite-specific.

Safety and tolerability8.0/10

Safety is generally favourable at labelled doses, but microfilaraemic animals can react, MDR1-sensitive dogs need strict dosing, severe renal or hepatic dysfunction and very young or underweight animals require label-specific restrictions, and neurologic or gastrointestinal adverse effects can occur.

Clinical practicality8.5/10

Weight-band tablets and single-dose intestinal-worm treatment are practical, but administration with food, accurate half-tablet use where authorised and parasite-specific weekly or monthly repeat schedules must be followed; unnecessary repeated praziquantel should be avoided.

Full-course cost-effectiveness-

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

Important safety and use flags

  • Use the fixed combination only when cestodes and nematodes, heartworm prevention or another exact combined label role are indicated at the same time; avoid unnecessary exposure to either component.
  • Before heartworm prevention or treatment in an endemic area, establish infection and microfilariae status; a high circulating microfilarial burden can cause acute hypersensitivity-type reactions after treatment.
  • Use caution with other macrocyclic lactones or P-glycoprotein substrates/inhibitors and follow the exact label; toxicity risk can rise in susceptible patients.
  • For Dipylidium, control fleas and chewing lice to prevent reinfection; for Echinococcus, apply local zoonosis reporting, hygiene and disposal requirements.
  • Weigh accurately and observe minimum age and weight limits. In Collies, related breeds or suspected MDR1 deficiency, never exceed the label dose; severe renal or hepatic dysfunction requires the exact label benefit-risk restriction.
Assessment sources
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
Formulation Type
Tablet
Administration route
By mouth
Manufacturer
Elanco · United States
Registration
Georgia No
EU Yes, veterinary
Verified on: 15 Oct 2026
UK Yes, veterinary
Verified on: 15 Oct 2026
US No
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

Milbemax 16 mg/40 mg, Scored tablet

milbemycin oxime 16 mg + praziquantel 40 mg, film-coated tablet for cats from 2 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.
Cat
8.6/10
Very good
vetman assessment

Milbemax

16 mg/40 mg, milbemycin oxime 16 mg + praziquantel 40 mg, film-coated tablet for cats from 2 kg
Assessed clinical scopeCat · Full labelled species-specific scope for mixed susceptible cestode and nematode infections, with applicable eyeworm, lungworm or heartworm roles only when the fixed combination is indicated · By mouth
Care settingWeight-band tablet given with or after food after parasite identification, heartworm-risk assessment and confirmation that both active components are clinically justified
vetman score 8.6/10 Very good
Evidence confidence: High Georgia: No · Verified on 15 Oct 2026

A mature, strongly supported broad anthelmintic combination for correctly selected mixed infections; absence from the reviewed Georgian register does not negate its evidence, but local legal supply and the exact label must be checked.

Regulatory and scientific credibility9.0/10

A mature reference line with current UK authorisations and extensive post-authorisation history; the exact forms are not registered in the reviewed Georgian register.

Clinical efficacy9.0/10

Controlled and field studies support broad cestode and nematode efficacy, including label-specific eyeworm and heartworm roles; the evidence base is mature but target and regimen remain parasite-specific.

Safety and tolerability8.0/10

Safety is generally favourable at labelled doses, but microfilaraemic animals can react, MDR1-sensitive dogs need strict dosing, severe renal or hepatic dysfunction and very young or underweight animals require label-specific restrictions, and neurologic or gastrointestinal adverse effects can occur.

Clinical practicality8.5/10

Weight-band tablets and single-dose intestinal-worm treatment are practical, but administration with food, accurate half-tablet use where authorised and parasite-specific weekly or monthly repeat schedules must be followed; unnecessary repeated praziquantel should be avoided.

Full-course cost-effectiveness-

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

Important safety and use flags

  • Use the fixed combination only when cestodes and nematodes, heartworm prevention or another exact combined label role are indicated at the same time; avoid unnecessary exposure to either component.
  • Before heartworm prevention or treatment in an endemic area, establish infection and microfilariae status; a high circulating microfilarial burden can cause acute hypersensitivity-type reactions after treatment.
  • Use caution with other macrocyclic lactones or P-glycoprotein substrates/inhibitors and follow the exact label; toxicity risk can rise in susceptible patients.
  • For Dipylidium, control fleas and chewing lice to prevent reinfection; for Echinococcus, apply local zoonosis reporting, hygiene and disposal requirements.
  • Weigh accurately and use only the matching feline tablet and authorised split. Observe minimum age and weight limits; severe renal or hepatic dysfunction requires the exact label benefit-risk restriction.
Assessment sources
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
Formulation Type
Scored tablet
Administration route
By mouth
Manufacturer
Elanco · United States
Registration
Georgia No
EU Yes, veterinary
Verified on: 15 Oct 2026
UK Yes, veterinary
Verified on: 15 Oct 2026
US No
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

Milpro 2.5 mg/25 mg, Scored tablet

milbemycin oxime 2.5 mg + praziquantel 25 mg, film-coated tablet for dogs 0.5-10 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
8.4/10
Very good
vetman assessment

Milpro

2.5 mg/25 mg, milbemycin oxime 2.5 mg + praziquantel 25 mg, film-coated tablet for dogs 0.5-10 kg
Assessed clinical scopeDog · Full labelled species-specific scope for mixed susceptible cestode and nematode infections, with applicable eyeworm, lungworm or heartworm roles only when the fixed combination is indicated · By mouth
Care settingWeight-band tablet given with or after food after parasite identification, heartworm-risk assessment and confirmation that both active components are clinically justified
vetman score 8.4/10 Very good
Evidence confidence: High Georgia: Yes, veterinary · № 320-11 · Verified on 15 Oct 2026

A well-supported registered generic combination with exact-brand efficacy data and practical dosing; its fixed dual therapy should be reserved for cases where both components are indicated.

Regulatory and scientific credibility8.5/10

Every exact form is registered in Georgia and has current UK authorisation with a public generic assessment dossier and exact SPCs.

Clinical efficacy8.5/10

Bioequivalence-style regulatory assessment and exact-brand controlled Echinococcus trials support efficacy, with the mature reference-combination evidence applicable to the same doses; independent broad field evidence is less extensive than for Milbemax.

Safety and tolerability8.0/10

Safety is generally favourable at labelled doses, but microfilaraemic animals can react, MDR1-sensitive dogs need strict dosing, severe renal or hepatic dysfunction and very young or underweight animals require label-specific restrictions, and neurologic or gastrointestinal adverse effects can occur.

Clinical practicality8.5/10

Weight-band tablets and single-dose intestinal-worm treatment are practical, but administration with food, accurate half-tablet use where authorised and parasite-specific weekly or monthly repeat schedules must be followed; unnecessary repeated praziquantel should be avoided.

Full-course cost-effectiveness-

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

Important safety and use flags

  • Use the fixed combination only when cestodes and nematodes, heartworm prevention or another exact combined label role are indicated at the same time; avoid unnecessary exposure to either component.
  • Before heartworm prevention or treatment in an endemic area, establish infection and microfilariae status; a high circulating microfilarial burden can cause acute hypersensitivity-type reactions after treatment.
  • Use caution with other macrocyclic lactones or P-glycoprotein substrates/inhibitors and follow the exact label; toxicity risk can rise in susceptible patients.
  • For Dipylidium, control fleas and chewing lice to prevent reinfection; for Echinococcus, apply local zoonosis reporting, hygiene and disposal requirements.
  • Weigh accurately and observe minimum age and weight limits. In Collies, related breeds or suspected MDR1 deficiency, never exceed the label dose; severe renal or hepatic dysfunction requires the exact label benefit-risk restriction.
Assessment sources
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
Formulation Type
Scored tablet
Administration route
By mouth
Manufacturer
Virbac · France
Registration
Georgia Yes, veterinary
Veterinary (National Food Agency)
In the register: მილპრო® - 2.5მგ/25მგ შემოგარსული ტაბლეტები პატარა ძაღლებისთვის და ლეკვებისთვის (0.5 – 10კგ)
№ 320-11
Verified on: 15 Oct 2026
EU Yes, veterinary
Verified on: 15 Oct 2026
UK Yes, veterinary
Verified on: 15 Oct 2026
US No
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

Milpro 4 mg/10 mg, Scored tablet

milbemycin oxime 4 mg + praziquantel 10 mg, film-coated tablet for cats 0.5-2 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.
Cat
8.4/10
Very good
vetman assessment

Milpro

4 mg/10 mg, milbemycin oxime 4 mg + praziquantel 10 mg, film-coated tablet for cats 0.5-2 kg
Assessed clinical scopeCat · Full labelled species-specific scope for mixed susceptible cestode and nematode infections, with applicable eyeworm, lungworm or heartworm roles only when the fixed combination is indicated · By mouth
Care settingWeight-band tablet given with or after food after parasite identification, heartworm-risk assessment and confirmation that both active components are clinically justified
vetman score 8.4/10 Very good
Evidence confidence: High Georgia: Yes, veterinary · № 321-11 · Verified on 15 Oct 2026

A well-supported registered generic combination with exact-brand efficacy data and practical dosing; its fixed dual therapy should be reserved for cases where both components are indicated.

Regulatory and scientific credibility8.5/10

Every exact form is registered in Georgia and has current UK authorisation with a public generic assessment dossier and exact SPCs.

Clinical efficacy8.5/10

Bioequivalence-style regulatory assessment and exact-brand controlled Echinococcus trials support efficacy, with the mature reference-combination evidence applicable to the same doses; independent broad field evidence is less extensive than for Milbemax.

Safety and tolerability8.0/10

Safety is generally favourable at labelled doses, but microfilaraemic animals can react, MDR1-sensitive dogs need strict dosing, severe renal or hepatic dysfunction and very young or underweight animals require label-specific restrictions, and neurologic or gastrointestinal adverse effects can occur.

Clinical practicality8.5/10

Weight-band tablets and single-dose intestinal-worm treatment are practical, but administration with food, accurate half-tablet use where authorised and parasite-specific weekly or monthly repeat schedules must be followed; unnecessary repeated praziquantel should be avoided.

Full-course cost-effectiveness-

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

Important safety and use flags

  • Use the fixed combination only when cestodes and nematodes, heartworm prevention or another exact combined label role are indicated at the same time; avoid unnecessary exposure to either component.
  • Before heartworm prevention or treatment in an endemic area, establish infection and microfilariae status; a high circulating microfilarial burden can cause acute hypersensitivity-type reactions after treatment.
  • Use caution with other macrocyclic lactones or P-glycoprotein substrates/inhibitors and follow the exact label; toxicity risk can rise in susceptible patients.
  • For Dipylidium, control fleas and chewing lice to prevent reinfection; for Echinococcus, apply local zoonosis reporting, hygiene and disposal requirements.
  • Weigh accurately and use only the matching feline tablet and authorised split. Observe minimum age and weight limits; severe renal or hepatic dysfunction requires the exact label benefit-risk restriction.
Assessment sources
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
Formulation Type
Scored tablet
Administration route
By mouth
Manufacturer
Virbac · France
Registration
Georgia Yes, veterinary
Veterinary (National Food Agency)
In the register: მილპრო® - 4მგ/10მგ შემოგარსული ტაბლეტები პატარა კატებისთვის და კნუტებისთვის (0.5 – 2კგ)
№ 321-11
Verified on: 15 Oct 2026
EU Yes, veterinary
Verified on: 15 Oct 2026
UK Yes, veterinary
Verified on: 15 Oct 2026
US No
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

Milpro 12.5 mg/125 mg, Tablet

milbemycin oxime 12.5 mg + praziquantel 125 mg, film-coated tablet for dogs from 5 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
8.4/10
Very good
vetman assessment

Milpro

12.5 mg/125 mg, milbemycin oxime 12.5 mg + praziquantel 125 mg, film-coated tablet for dogs from 5 kg
Assessed clinical scopeDog · Full labelled species-specific scope for mixed susceptible cestode and nematode infections, with applicable eyeworm, lungworm or heartworm roles only when the fixed combination is indicated · By mouth
Care settingWeight-band tablet given with or after food after parasite identification, heartworm-risk assessment and confirmation that both active components are clinically justified
vetman score 8.4/10 Very good
Evidence confidence: High Georgia: Yes, veterinary · № 341-11 · Verified on 15 Oct 2026

A well-supported registered generic combination with exact-brand efficacy data and practical dosing; its fixed dual therapy should be reserved for cases where both components are indicated.

Regulatory and scientific credibility8.5/10

Every exact form is registered in Georgia and has current UK authorisation with a public generic assessment dossier and exact SPCs.

Clinical efficacy8.5/10

Bioequivalence-style regulatory assessment and exact-brand controlled Echinococcus trials support efficacy, with the mature reference-combination evidence applicable to the same doses; independent broad field evidence is less extensive than for Milbemax.

Safety and tolerability8.0/10

Safety is generally favourable at labelled doses, but microfilaraemic animals can react, MDR1-sensitive dogs need strict dosing, severe renal or hepatic dysfunction and very young or underweight animals require label-specific restrictions, and neurologic or gastrointestinal adverse effects can occur.

Clinical practicality8.5/10

Weight-band tablets and single-dose intestinal-worm treatment are practical, but administration with food, accurate half-tablet use where authorised and parasite-specific weekly or monthly repeat schedules must be followed; unnecessary repeated praziquantel should be avoided.

Full-course cost-effectiveness-

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

Important safety and use flags

  • Use the fixed combination only when cestodes and nematodes, heartworm prevention or another exact combined label role are indicated at the same time; avoid unnecessary exposure to either component.
  • Before heartworm prevention or treatment in an endemic area, establish infection and microfilariae status; a high circulating microfilarial burden can cause acute hypersensitivity-type reactions after treatment.
  • Use caution with other macrocyclic lactones or P-glycoprotein substrates/inhibitors and follow the exact label; toxicity risk can rise in susceptible patients.
  • For Dipylidium, control fleas and chewing lice to prevent reinfection; for Echinococcus, apply local zoonosis reporting, hygiene and disposal requirements.
  • Weigh accurately and observe minimum age and weight limits. In Collies, related breeds or suspected MDR1 deficiency, never exceed the label dose; severe renal or hepatic dysfunction requires the exact label benefit-risk restriction.
Assessment sources
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
Formulation Type
Tablet
Administration route
By mouth
Manufacturer
Virbac · France
Registration
Georgia Yes, veterinary
Veterinary (National Food Agency)
In the register: მილპრო® - 12.5მგ/125მგ შემოგარსული ტაბლეტები ≥ 5კგ ძაღლებისთვის
№ 341-11
Verified on: 15 Oct 2026
EU Yes, veterinary
Verified on: 15 Oct 2026
UK Yes, veterinary
Verified on: 15 Oct 2026
US No
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

Milpro 16 mg/40 mg, Scored tablet

milbemycin oxime 16 mg + praziquantel 40 mg, film-coated tablet for cats from 2 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.
Cat
8.4/10
Very good
vetman assessment

Milpro

16 mg/40 mg, milbemycin oxime 16 mg + praziquantel 40 mg, film-coated tablet for cats from 2 kg
Assessed clinical scopeCat · Full labelled species-specific scope for mixed susceptible cestode and nematode infections, with applicable eyeworm, lungworm or heartworm roles only when the fixed combination is indicated · By mouth
Care settingWeight-band tablet given with or after food after parasite identification, heartworm-risk assessment and confirmation that both active components are clinically justified
vetman score 8.4/10 Very good
Evidence confidence: High Georgia: Yes, veterinary · № 322-11 · Verified on 15 Oct 2026

A well-supported registered generic combination with exact-brand efficacy data and practical dosing; its fixed dual therapy should be reserved for cases where both components are indicated.

Regulatory and scientific credibility8.5/10

Every exact form is registered in Georgia and has current UK authorisation with a public generic assessment dossier and exact SPCs.

Clinical efficacy8.5/10

Bioequivalence-style regulatory assessment and exact-brand controlled Echinococcus trials support efficacy, with the mature reference-combination evidence applicable to the same doses; independent broad field evidence is less extensive than for Milbemax.

Safety and tolerability8.0/10

Safety is generally favourable at labelled doses, but microfilaraemic animals can react, MDR1-sensitive dogs need strict dosing, severe renal or hepatic dysfunction and very young or underweight animals require label-specific restrictions, and neurologic or gastrointestinal adverse effects can occur.

Clinical practicality8.5/10

Weight-band tablets and single-dose intestinal-worm treatment are practical, but administration with food, accurate half-tablet use where authorised and parasite-specific weekly or monthly repeat schedules must be followed; unnecessary repeated praziquantel should be avoided.

Full-course cost-effectiveness-

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

Important safety and use flags

  • Use the fixed combination only when cestodes and nematodes, heartworm prevention or another exact combined label role are indicated at the same time; avoid unnecessary exposure to either component.
  • Before heartworm prevention or treatment in an endemic area, establish infection and microfilariae status; a high circulating microfilarial burden can cause acute hypersensitivity-type reactions after treatment.
  • Use caution with other macrocyclic lactones or P-glycoprotein substrates/inhibitors and follow the exact label; toxicity risk can rise in susceptible patients.
  • For Dipylidium, control fleas and chewing lice to prevent reinfection; for Echinococcus, apply local zoonosis reporting, hygiene and disposal requirements.
  • Weigh accurately and use only the matching feline tablet and authorised split. Observe minimum age and weight limits; severe renal or hepatic dysfunction requires the exact label benefit-risk restriction.
Assessment sources
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
Formulation Type
Scored tablet
Administration route
By mouth
Manufacturer
Virbac · France
Registration
Georgia Yes, veterinary
Veterinary (National Food Agency)
In the register: მილპრო® - 16მგ/40მგ შემოგარსული ტაბლეტები კატებისთვის (≥2კგ)
№ 322-11
Verified on: 15 Oct 2026
EU Yes, veterinary
Verified on: 15 Oct 2026
UK Yes, veterinary
Verified on: 15 Oct 2026
US No
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

NexGard Spectra 9 mg/2 mg, Chewable tablet

afoxolaner 9.375 mg + milbemycin oxime 1.875 mg, chewable tablet for dogs 1.35-3.5 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
8.5/10
Very good
vetman assessment

NexGard Spectra

9 mg/2 mg, afoxolaner 9.375 mg + milbemycin oxime 1.875 mg, chewable tablet for dogs 1.35-3.5 kg
Assessed clinical scopeDog · Full labelled canine mixed-parasite scope, only when flea or tick control and one or more other labelled parasite targets are indicated at the same time · By mouth
Care settingVeterinary-selected monthly or indication-specific integrated parasite control after diagnosis and exposure-risk assessment
vetman score 8.5/10 Very good
Evidence confidence: High Georgia: Yes, veterinary · № 40-11, 453-11, 173-11 · Verified on 15 Oct 2026

A strong broad-spectrum canine option when ectoparasite control and an additional labelled nematode target coincide; avoid using the fixed combination when one component adds no clinical value.

Regulatory and scientific credibility9.5/10

All five exact weight bands are centrally authorised in the EU, covered by a current official SPC and registered in Georgia, with an extensive indication-specific evidence package.

Clinical efficacy9.0/10

Controlled and field studies support high efficacy across major labelled fleas, ticks, mites and nematodes, including heartworm and lungworm prevention; the fixed combination is justified only when both components are clinically needed.

Safety and tolerability7.0/10

Usually well tolerated, but isoxazoline-associated neurologic reactions, macrocyclic-lactone susceptibility, heartworm screening, young or underweight dogs and unestablished reproductive safety require deliberate case selection.

Clinical practicality8.5/10

A palatable monthly whole chew and clear weight bands are convenient in practice, but the tablet cannot be divided and the indication, body weight, heartworm status and treatment interval must be checked.

Full-course cost-effectiveness-

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

Important safety and use flags

  • Use only when flea or tick control and one or more other labelled parasite targets are indicated simultaneously; avoid the fixed combination when one active component is unnecessary.
  • In heartworm-endemic areas, test dogs before administration; the product does not kill adult heartworms and infected dogs require specialist management.
  • Use caution in dogs with a history of seizures or neurologic disorders and strictly observe the recommended dose in Collies and related breeds.
  • For dogs younger than 8 weeks or below 1.35 kg, use only after an individual benefit-risk assessment; safety in breeding males and during pregnancy or lactation is not established.
Assessment sources
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
Afoxolaner9.375 mg Milbemycin oxime1.875 mg
Formulation Type
Chewable tablet
Administration route
By mouth
Manufacturer
Registration
Georgia Yes, veterinary
Veterinary (National Food Agency)
In the register: ნექსგარდი სპექტრა - 2-3,5კგ ძაღლებისთვის
№ 40-11, 453-11, 173-11
Verified on: 15 Oct 2026
EU Yes, veterinary
Verified on: 15 Oct 2026
UK Yes, veterinary
Verified on: 15 Oct 2026
US No
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

NexGard Spectra 19 mg/4 mg, Chewable tablet

afoxolaner 18.75 mg + milbemycin oxime 3.75 mg, chewable tablet for dogs 3.5-7.5 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
8.5/10
Very good
vetman assessment

NexGard Spectra

19 mg/4 mg, afoxolaner 18.75 mg + milbemycin oxime 3.75 mg, chewable tablet for dogs 3.5-7.5 kg
Assessed clinical scopeDog · Full labelled canine mixed-parasite scope, only when flea or tick control and one or more other labelled parasite targets are indicated at the same time · By mouth
Care settingVeterinary-selected monthly or indication-specific integrated parasite control after diagnosis and exposure-risk assessment
vetman score 8.5/10 Very good
Evidence confidence: High Georgia: Yes, veterinary · № 41-11, 351-11 · Verified on 15 Oct 2026

A strong broad-spectrum canine option when ectoparasite control and an additional labelled nematode target coincide; avoid using the fixed combination when one component adds no clinical value.

Regulatory and scientific credibility9.5/10

All five exact weight bands are centrally authorised in the EU, covered by a current official SPC and registered in Georgia, with an extensive indication-specific evidence package.

Clinical efficacy9.0/10

Controlled and field studies support high efficacy across major labelled fleas, ticks, mites and nematodes, including heartworm and lungworm prevention; the fixed combination is justified only when both components are clinically needed.

Safety and tolerability7.0/10

Usually well tolerated, but isoxazoline-associated neurologic reactions, macrocyclic-lactone susceptibility, heartworm screening, young or underweight dogs and unestablished reproductive safety require deliberate case selection.

Clinical practicality8.5/10

A palatable monthly whole chew and clear weight bands are convenient in practice, but the tablet cannot be divided and the indication, body weight, heartworm status and treatment interval must be checked.

Full-course cost-effectiveness-

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

Important safety and use flags

  • Use only when flea or tick control and one or more other labelled parasite targets are indicated simultaneously; avoid the fixed combination when one active component is unnecessary.
  • In heartworm-endemic areas, test dogs before administration; the product does not kill adult heartworms and infected dogs require specialist management.
  • Use caution in dogs with a history of seizures or neurologic disorders and strictly observe the recommended dose in Collies and related breeds.
  • For dogs younger than 8 weeks or below 1.35 kg, use only after an individual benefit-risk assessment; safety in breeding males and during pregnancy or lactation is not established.
Assessment sources
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
Afoxolaner18.75 mg Milbemycin oxime3.75 mg
Formulation Type
Chewable tablet
Administration route
By mouth
Manufacturer
Registration
Georgia Yes, veterinary
Veterinary (National Food Agency)
In the register: ნექსგარდი სპექტრა ->3,5-7,5კგ ძაღლებისთვის
№ 41-11, 351-11
Verified on: 15 Oct 2026
EU Yes, veterinary
Verified on: 15 Oct 2026
UK Yes, veterinary
Verified on: 15 Oct 2026
US No
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

NexGard Spectra 38 mg/8 mg, Chewable tablet

afoxolaner 37.5 mg + milbemycin oxime 7.5 mg, chewable tablet for dogs 7.5-15 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
8.5/10
Very good
vetman assessment

NexGard Spectra

38 mg/8 mg, afoxolaner 37.5 mg + milbemycin oxime 7.5 mg, chewable tablet for dogs 7.5-15 kg
Assessed clinical scopeDog · Full labelled canine mixed-parasite scope, only when flea or tick control and one or more other labelled parasite targets are indicated at the same time · By mouth
Care settingVeterinary-selected monthly or indication-specific integrated parasite control after diagnosis and exposure-risk assessment
vetman score 8.5/10 Very good
Evidence confidence: High Georgia: Yes, veterinary · № 42-11, 452-11 · Verified on 15 Oct 2026

A strong broad-spectrum canine option when ectoparasite control and an additional labelled nematode target coincide; avoid using the fixed combination when one component adds no clinical value.

Regulatory and scientific credibility9.5/10

All five exact weight bands are centrally authorised in the EU, covered by a current official SPC and registered in Georgia, with an extensive indication-specific evidence package.

Clinical efficacy9.0/10

Controlled and field studies support high efficacy across major labelled fleas, ticks, mites and nematodes, including heartworm and lungworm prevention; the fixed combination is justified only when both components are clinically needed.

Safety and tolerability7.0/10

Usually well tolerated, but isoxazoline-associated neurologic reactions, macrocyclic-lactone susceptibility, heartworm screening, young or underweight dogs and unestablished reproductive safety require deliberate case selection.

Clinical practicality8.5/10

A palatable monthly whole chew and clear weight bands are convenient in practice, but the tablet cannot be divided and the indication, body weight, heartworm status and treatment interval must be checked.

Full-course cost-effectiveness-

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

Important safety and use flags

  • Use only when flea or tick control and one or more other labelled parasite targets are indicated simultaneously; avoid the fixed combination when one active component is unnecessary.
  • In heartworm-endemic areas, test dogs before administration; the product does not kill adult heartworms and infected dogs require specialist management.
  • Use caution in dogs with a history of seizures or neurologic disorders and strictly observe the recommended dose in Collies and related breeds.
  • For dogs younger than 8 weeks or below 1.35 kg, use only after an individual benefit-risk assessment; safety in breeding males and during pregnancy or lactation is not established.
Assessment sources
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
Formulation Type
Chewable tablet
Administration route
By mouth
Manufacturer
Registration
Georgia Yes, veterinary
Veterinary (National Food Agency)
In the register: ნექსგარდი სპექტრა ->7,5-15კგ ძაღლებისთვის
№ 42-11, 452-11
Verified on: 15 Oct 2026
EU Yes, veterinary
Verified on: 15 Oct 2026
UK Yes, veterinary
Verified on: 15 Oct 2026
US No
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

NexGard Spectra 75 mg/15 mg, Chewable tablet

afoxolaner 75 mg + milbemycin oxime 15 mg, chewable tablet for dogs 15-30 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
8.5/10
Very good
vetman assessment

NexGard Spectra

75 mg/15 mg, afoxolaner 75 mg + milbemycin oxime 15 mg, chewable tablet for dogs 15-30 kg
Assessed clinical scopeDog · Full labelled canine mixed-parasite scope, only when flea or tick control and one or more other labelled parasite targets are indicated at the same time · By mouth
Care settingVeterinary-selected monthly or indication-specific integrated parasite control after diagnosis and exposure-risk assessment
vetman score 8.5/10 Very good
Evidence confidence: High Georgia: Yes, veterinary · № 43-11, 352-11 · Verified on 15 Oct 2026

A strong broad-spectrum canine option when ectoparasite control and an additional labelled nematode target coincide; avoid using the fixed combination when one component adds no clinical value.

Regulatory and scientific credibility9.5/10

All five exact weight bands are centrally authorised in the EU, covered by a current official SPC and registered in Georgia, with an extensive indication-specific evidence package.

Clinical efficacy9.0/10

Controlled and field studies support high efficacy across major labelled fleas, ticks, mites and nematodes, including heartworm and lungworm prevention; the fixed combination is justified only when both components are clinically needed.

Safety and tolerability7.0/10

Usually well tolerated, but isoxazoline-associated neurologic reactions, macrocyclic-lactone susceptibility, heartworm screening, young or underweight dogs and unestablished reproductive safety require deliberate case selection.

Clinical practicality8.5/10

A palatable monthly whole chew and clear weight bands are convenient in practice, but the tablet cannot be divided and the indication, body weight, heartworm status and treatment interval must be checked.

Full-course cost-effectiveness-

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

Important safety and use flags

  • Use only when flea or tick control and one or more other labelled parasite targets are indicated simultaneously; avoid the fixed combination when one active component is unnecessary.
  • In heartworm-endemic areas, test dogs before administration; the product does not kill adult heartworms and infected dogs require specialist management.
  • Use caution in dogs with a history of seizures or neurologic disorders and strictly observe the recommended dose in Collies and related breeds.
  • For dogs younger than 8 weeks or below 1.35 kg, use only after an individual benefit-risk assessment; safety in breeding males and during pregnancy or lactation is not established.
Assessment sources
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
Formulation Type
Chewable tablet
Administration route
By mouth
Manufacturer
Registration
Georgia Yes, veterinary
Veterinary (National Food Agency)
In the register: ნექსგარდი სპექტრა ->15-30კგ ძაღლებისთვის
№ 43-11, 352-11
Verified on: 15 Oct 2026
EU Yes, veterinary
Verified on: 15 Oct 2026
UK Yes, veterinary
Verified on: 15 Oct 2026
US No
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

NexGard Spectra 150 mg/30 mg, Chewable tablet

afoxolaner 150 mg + milbemycin oxime 30 mg, chewable tablet for dogs 30-60 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
8.5/10
Very good
vetman assessment

NexGard Spectra

150 mg/30 mg, afoxolaner 150 mg + milbemycin oxime 30 mg, chewable tablet for dogs 30-60 kg
Assessed clinical scopeDog · Full labelled canine mixed-parasite scope, only when flea or tick control and one or more other labelled parasite targets are indicated at the same time · By mouth
Care settingVeterinary-selected monthly or indication-specific integrated parasite control after diagnosis and exposure-risk assessment
vetman score 8.5/10 Very good
Evidence confidence: High Georgia: Yes, veterinary · № 19-11, 338-11 · Verified on 15 Oct 2026

A strong broad-spectrum canine option when ectoparasite control and an additional labelled nematode target coincide; avoid using the fixed combination when one component adds no clinical value.

Regulatory and scientific credibility9.5/10

All five exact weight bands are centrally authorised in the EU, covered by a current official SPC and registered in Georgia, with an extensive indication-specific evidence package.

Clinical efficacy9.0/10

Controlled and field studies support high efficacy across major labelled fleas, ticks, mites and nematodes, including heartworm and lungworm prevention; the fixed combination is justified only when both components are clinically needed.

Safety and tolerability7.0/10

Usually well tolerated, but isoxazoline-associated neurologic reactions, macrocyclic-lactone susceptibility, heartworm screening, young or underweight dogs and unestablished reproductive safety require deliberate case selection.

Clinical practicality8.5/10

A palatable monthly whole chew and clear weight bands are convenient in practice, but the tablet cannot be divided and the indication, body weight, heartworm status and treatment interval must be checked.

Full-course cost-effectiveness-

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

Important safety and use flags

  • Use only when flea or tick control and one or more other labelled parasite targets are indicated simultaneously; avoid the fixed combination when one active component is unnecessary.
  • In heartworm-endemic areas, test dogs before administration; the product does not kill adult heartworms and infected dogs require specialist management.
  • Use caution in dogs with a history of seizures or neurologic disorders and strictly observe the recommended dose in Collies and related breeds.
  • For dogs younger than 8 weeks or below 1.35 kg, use only after an individual benefit-risk assessment; safety in breeding males and during pregnancy or lactation is not established.
Assessment sources
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
Formulation Type
Chewable tablet
Administration route
By mouth
Manufacturer
Registration
Georgia Yes, veterinary
Veterinary (National Food Agency)
In the register: ნექსგარდი სპექტრა - >30-60კგ ძაღლებისთვის
№ 19-11, 338-11
Verified on: 15 Oct 2026
EU Yes, veterinary
Verified on: 15 Oct 2026
UK Yes, veterinary
Verified on: 15 Oct 2026
US No
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

Supramil, Tablet

milbemycin oxime 1.25 mg + R-praziquantel 6.25 mg, tablet for dogs up to 5 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
6.8/10
Situational / acceptable
vetman assessment

Supramil

milbemycin oxime 1.25 mg + R-praziquantel 6.25 mg, tablet for dogs up to 5 kg
Assessed clinical scopeDog · Full labelled species-specific scope for susceptible intestinal cestodes and nematodes and prevention of Dirofilaria immitis infection, with combined use only when both active components are justified · By mouth
Care settingWeight-band tablet used after accurate weighing, parasite and heartworm-risk assessment, and review of the exact current package instruction
vetman score 6.8/10 Situational / acceptable
Evidence confidence: Low Georgia: Expired · № 002533 · Verified on 15 Oct 2026

A practical broad anthelmintic with direct exact-brand field data, but no Georgian registration is currently in force and its evidence and regulatory transparency remain materially thinner than for mature internationally assessed alternatives.

Regulatory and scientific credibility5.5/10

The Georgian register snapshot lists the exact authorisations only through 15-20 October 2026, with no renewal verified as of assessment. The forms appear in the current Russian national instruction but lack an EMA/FDA/VMD-style public assessment dossier and broad international regulatory history.

Clinical efficacy7.5/10

A manufacturer-linked 2019 controlled field report directly studied the exact species presentations and reported complete clearance across susceptible intestinal helminths; the established milbemycin-combination literature is supportive, but independent peer-reviewed exact-brand evidence is limited.

Safety and tolerability6.5/10

The established active ingredients have a generally predictable safety profile at labelled doses, but exact-brand safety evidence is mainly limited to small short-term groups. Microfilaraemic animals can react, MDR1-sensitive dogs require strict dosing, and renal, hepatic, age and weight restrictions apply.

Clinical practicality8.0/10

Small flavoured weight-band tablets and single-dose intestinal-worm treatment are practical; accurate weighing, administration with food and parasite-specific monthly prevention or repeat schedules remain necessary.

Full-course cost-effectiveness-

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

Important safety and use flags

  • Use the fixed combination only when its cestode and nematode or heartworm-prevention components are jointly justified; avoid unnecessary exposure to either active substance.
  • Before heartworm prevention in an endemic area, establish infection and microfilariae status. Do not interpret the small 2019 microfilaricidal study as support for adulticide treatment of established heartworm disease.
  • Use caution with other macrocyclic lactones or P-glycoprotein substrates/inhibitors; susceptible animals may have a narrower safety margin.
  • Control intermediate hosts for Dipylidium and follow local zoonosis procedures for Echinococcus; an anthelmintic dose alone does not prevent reinfection.
  • Weigh accurately and observe the exact minimum age and weight restrictions. In Collies, related breeds or suspected MDR1 deficiency, never exceed the current label dose; avoid use in marked renal or hepatic dysfunction unless the verified label permits it.
Assessment sources
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
Formulation Type
Tablet
Administration route
By mouth
Manufacturer
Astrafarm · Russia
Registration
Georgia Expired
Expired on 15 Oct 2026, not renewed yet
Veterinary (National Food Agency)
In the register: სუპრამილი® ტაბლეტები - 5კგ-მდე ლეკვებისა და ძაღლებისათვის
№ 002533
Verified on: 15 Oct 2026
EU No
Verified on: 15 Oct 2026
UK No
Verified on: 15 Oct 2026
US No
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

Supramil, Tablet

milbemycin oxime 2 mg + R-praziquantel 2.5 mg, tablet for cats up to 2 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.
Cat
6.8/10
Situational / acceptable
vetman assessment

Supramil

milbemycin oxime 2 mg + R-praziquantel 2.5 mg, tablet for cats up to 2 kg
Assessed clinical scopeCat · Full labelled species-specific scope for susceptible intestinal cestodes and nematodes and prevention of Dirofilaria immitis infection, with combined use only when both active components are justified · By mouth
Care settingWeight-band tablet used after accurate weighing, parasite and heartworm-risk assessment, and review of the exact current package instruction
vetman score 6.8/10 Situational / acceptable
Evidence confidence: Low Georgia: Expired · № 002534 · Verified on 15 Oct 2026

A practical broad anthelmintic with direct exact-brand field data, but no Georgian registration is currently in force and its evidence and regulatory transparency remain materially thinner than for mature internationally assessed alternatives.

Regulatory and scientific credibility5.5/10

The Georgian register snapshot lists the exact authorisations only through 15-20 October 2026, with no renewal verified as of assessment. The forms appear in the current Russian national instruction but lack an EMA/FDA/VMD-style public assessment dossier and broad international regulatory history.

Clinical efficacy7.5/10

A manufacturer-linked 2019 controlled field report directly studied the exact species presentations and reported complete clearance across susceptible intestinal helminths; the established milbemycin-combination literature is supportive, but independent peer-reviewed exact-brand evidence is limited.

Safety and tolerability6.5/10

The established active ingredients have a generally predictable safety profile at labelled doses, but exact-brand safety evidence is mainly limited to small short-term groups. Microfilaraemic animals can react, MDR1-sensitive dogs require strict dosing, and renal, hepatic, age and weight restrictions apply.

Clinical practicality8.0/10

Small flavoured weight-band tablets and single-dose intestinal-worm treatment are practical; accurate weighing, administration with food and parasite-specific monthly prevention or repeat schedules remain necessary.

Full-course cost-effectiveness-

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

Important safety and use flags

  • Use the fixed combination only when its cestode and nematode or heartworm-prevention components are jointly justified; avoid unnecessary exposure to either active substance.
  • Before heartworm prevention in an endemic area, establish infection and microfilariae status. Do not interpret the small 2019 microfilaricidal study as support for adulticide treatment of established heartworm disease.
  • Use caution with other macrocyclic lactones or P-glycoprotein substrates/inhibitors; susceptible animals may have a narrower safety margin.
  • Control intermediate hosts for Dipylidium and follow local zoonosis procedures for Echinococcus; an anthelmintic dose alone does not prevent reinfection.
  • Weigh accurately and use only the matching feline tablet. Observe the exact minimum age and weight restrictions, and avoid use in marked renal or hepatic dysfunction unless the verified label permits it.
Assessment sources
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
Formulation Type
Tablet
Administration route
By mouth
Manufacturer
Astrafarm · Russia
Registration
Georgia Expired
Expired on 15 Oct 2026, not renewed yet
Veterinary (National Food Agency)
In the register: სუპრამილი® ტაბლეტები - 2კგ-მდე კატებისა და კნუტებისთვის
№ 002534
Verified on: 15 Oct 2026
EU No
Verified on: 15 Oct 2026
UK No
Verified on: 15 Oct 2026
US No
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

Supramil, Tablet

milbemycin oxime 5 mg + R-praziquantel 25 mg, tablet for dogs up to 20 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
6.8/10
Situational / acceptable
vetman assessment

Supramil

milbemycin oxime 5 mg + R-praziquantel 25 mg, tablet for dogs up to 20 kg
Assessed clinical scopeDog · Full labelled species-specific scope for susceptible intestinal cestodes and nematodes and prevention of Dirofilaria immitis infection, with combined use only when both active components are justified · By mouth
Care settingWeight-band tablet used after accurate weighing, parasite and heartworm-risk assessment, and review of the exact current package instruction
vetman score 6.8/10 Situational / acceptable
Evidence confidence: Low Georgia: Expired · № 002532 · Verified on 15 Oct 2026

A practical broad anthelmintic with direct exact-brand field data, but no Georgian registration is currently in force and its evidence and regulatory transparency remain materially thinner than for mature internationally assessed alternatives.

Regulatory and scientific credibility5.5/10

The Georgian register snapshot lists the exact authorisations only through 15-20 October 2026, with no renewal verified as of assessment. The forms appear in the current Russian national instruction but lack an EMA/FDA/VMD-style public assessment dossier and broad international regulatory history.

Clinical efficacy7.5/10

A manufacturer-linked 2019 controlled field report directly studied the exact species presentations and reported complete clearance across susceptible intestinal helminths; the established milbemycin-combination literature is supportive, but independent peer-reviewed exact-brand evidence is limited.

Safety and tolerability6.5/10

The established active ingredients have a generally predictable safety profile at labelled doses, but exact-brand safety evidence is mainly limited to small short-term groups. Microfilaraemic animals can react, MDR1-sensitive dogs require strict dosing, and renal, hepatic, age and weight restrictions apply.

Clinical practicality8.0/10

Small flavoured weight-band tablets and single-dose intestinal-worm treatment are practical; accurate weighing, administration with food and parasite-specific monthly prevention or repeat schedules remain necessary.

Full-course cost-effectiveness-

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

Important safety and use flags

  • Use the fixed combination only when its cestode and nematode or heartworm-prevention components are jointly justified; avoid unnecessary exposure to either active substance.
  • Before heartworm prevention in an endemic area, establish infection and microfilariae status. Do not interpret the small 2019 microfilaricidal study as support for adulticide treatment of established heartworm disease.
  • Use caution with other macrocyclic lactones or P-glycoprotein substrates/inhibitors; susceptible animals may have a narrower safety margin.
  • Control intermediate hosts for Dipylidium and follow local zoonosis procedures for Echinococcus; an anthelmintic dose alone does not prevent reinfection.
  • Weigh accurately and observe the exact minimum age and weight restrictions. In Collies, related breeds or suspected MDR1 deficiency, never exceed the current label dose; avoid use in marked renal or hepatic dysfunction unless the verified label permits it.
Assessment sources
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
Formulation Type
Tablet
Administration route
By mouth
Manufacturer
Astrafarm · Russia
Registration
Georgia Expired
Expired on 15 Oct 2026, not renewed yet
Veterinary (National Food Agency)
In the register: სუპრამილი® ტაბლეტები“ 20კგ-მდე ლეკვებისა და ძაღლებისათვის
№ 002532
Verified on: 15 Oct 2026
EU No
Verified on: 15 Oct 2026
UK No
Verified on: 15 Oct 2026
US No
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

Supramil, Tablet

milbemycin oxime 8 mg + R-praziquantel 10 mg, tablet for cats from 2 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.
Cat
6.8/10
Situational / acceptable
vetman assessment

Supramil

milbemycin oxime 8 mg + R-praziquantel 10 mg, tablet for cats from 2 kg
Assessed clinical scopeCat · Full labelled species-specific scope for susceptible intestinal cestodes and nematodes and prevention of Dirofilaria immitis infection, with combined use only when both active components are justified · By mouth
Care settingWeight-band tablet used after accurate weighing, parasite and heartworm-risk assessment, and review of the exact current package instruction
vetman score 6.8/10 Situational / acceptable
Evidence confidence: Low Georgia: Expired · № 002536 · Verified on 15 Oct 2026

A practical broad anthelmintic with direct exact-brand field data, but no Georgian registration is currently in force and its evidence and regulatory transparency remain materially thinner than for mature internationally assessed alternatives.

Regulatory and scientific credibility5.5/10

The Georgian register snapshot lists the exact authorisations only through 15-20 October 2026, with no renewal verified as of assessment. The forms appear in the current Russian national instruction but lack an EMA/FDA/VMD-style public assessment dossier and broad international regulatory history.

Clinical efficacy7.5/10

A manufacturer-linked 2019 controlled field report directly studied the exact species presentations and reported complete clearance across susceptible intestinal helminths; the established milbemycin-combination literature is supportive, but independent peer-reviewed exact-brand evidence is limited.

Safety and tolerability6.5/10

The established active ingredients have a generally predictable safety profile at labelled doses, but exact-brand safety evidence is mainly limited to small short-term groups. Microfilaraemic animals can react, MDR1-sensitive dogs require strict dosing, and renal, hepatic, age and weight restrictions apply.

Clinical practicality8.0/10

Small flavoured weight-band tablets and single-dose intestinal-worm treatment are practical; accurate weighing, administration with food and parasite-specific monthly prevention or repeat schedules remain necessary.

Full-course cost-effectiveness-

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

Important safety and use flags

  • Use the fixed combination only when its cestode and nematode or heartworm-prevention components are jointly justified; avoid unnecessary exposure to either active substance.
  • Before heartworm prevention in an endemic area, establish infection and microfilariae status. Do not interpret the small 2019 microfilaricidal study as support for adulticide treatment of established heartworm disease.
  • Use caution with other macrocyclic lactones or P-glycoprotein substrates/inhibitors; susceptible animals may have a narrower safety margin.
  • Control intermediate hosts for Dipylidium and follow local zoonosis procedures for Echinococcus; an anthelmintic dose alone does not prevent reinfection.
  • Weigh accurately and use only the matching feline tablet. Observe the exact minimum age and weight restrictions, and avoid use in marked renal or hepatic dysfunction unless the verified label permits it.
Assessment sources
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
Formulation Type
Tablet
Administration route
By mouth
Manufacturer
Astrafarm · Russia
Manufacturer (register)
Scientific Innovative Enterprise Astrafarm Ltd, Russia
Manufacturer and country as in the veterinary medicines register (National Food Agency), row 485, 19 Oct 2026.
Registration
Georgia Expired
Expired on 20 Oct 2026, not renewed yet
Veterinary (National Food Agency)
In the register: სუპრამილი® ტაბლეტები - 2კგ-დან კატებისთვის
№ 002536
Verified on: 15 Oct 2026
EU No
Verified on: 15 Oct 2026
UK No
Verified on: 15 Oct 2026
US No
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

Supramil, Tablet

milbemycin oxime 12.5 mg + R-praziquantel 62.5 mg, tablet for dogs 20-50 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
6.1/10
Situational / acceptable
vetman assessment

Supramil

milbemycin oxime 12.5 mg + R-praziquantel 62.5 mg, tablet for dogs 20-50 kg
Assessed clinical scopeDog · Full labelled species-specific scope for susceptible intestinal cestodes and nematodes and prevention of Dirofilaria immitis infection, with combined use only when both active components are justified · By mouth
Care settingWeight-band tablet used after accurate weighing, parasite and heartworm-risk assessment, and review of the exact current package instruction
vetman score 6.1/10 Situational / acceptable
Evidence confidence: Low Georgia: Expired · № 002535 · Verified on 15 Oct 2026

Direct but limited exact-form evidence prevents dismissal, yet both the expired Georgian certificate and the current-label mismatch materially weaken confidence; use only after confirming the current pack, dose table and legal status.

Regulatory and scientific credibility4.5/10

The Georgian register snapshot lists authorisation 002535 only through 19 October 2026, and no renewal has been verified as of assessment. The form was directly studied in 2019 but is absent from the current 2024 Russian national instruction, which now lists only four other presentations.

Clinical efficacy6.5/10

A manufacturer-linked 2019 controlled field report directly studied this strength and reported complete clearance in small groups, including microfilariae; however, it is not peer reviewed, sample sizes were small and the current national label no longer lists this presentation.

Safety and tolerability6.5/10

The established active ingredients have a generally predictable safety profile at labelled doses, but exact-brand safety evidence is mainly limited to small short-term groups. Microfilaraemic animals can react, MDR1-sensitive dogs require strict dosing, and renal, hepatic, age and weight restrictions apply.

Clinical practicality7.5/10

The large-dog tablet is convenient in principle, but the discrepancy between the registered presentation, the 2019 study and the current national instruction makes the current package dosing table essential before use.

Full-course cost-effectiveness-

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

Important safety and use flags

  • Use the fixed combination only when its cestode and nematode or heartworm-prevention components are jointly justified; avoid unnecessary exposure to either active substance.
  • Before heartworm prevention in an endemic area, establish infection and microfilariae status. Do not interpret the small 2019 microfilaricidal study as support for adulticide treatment of established heartworm disease.
  • Use caution with other macrocyclic lactones or P-glycoprotein substrates/inhibitors; susceptible animals may have a narrower safety margin.
  • Control intermediate hosts for Dipylidium and follow local zoonosis procedures for Echinococcus; an anthelmintic dose alone does not prevent reinfection.
  • This 12.5/62.5 mg presentation has an expired Georgian certificate and appears in the 2019 exact-brand report, but not in the current 2024 Russian national instruction. Confirm the physical pack, current leaflet, dose table and legal authorisation before prescribing.
Assessment sources
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
Formulation Type
Tablet
Administration route
By mouth
Manufacturer
Astrafarm · Russia
Manufacturer (register)
Scientific Innovative Enterprise Astrafarm Ltd, Russia
Manufacturer and country as in the veterinary medicines register (National Food Agency), row 484, 19 Oct 2026.
Registration
Georgia Expired
Expired on 19 Oct 2026, not renewed yet
Veterinary (National Food Agency)
In the register: სუპრამილი® ტაბლეტები - 20კგ-დან 50კგ-მდე ძაღლებისთვის
№ 002535
Verified on: 15 Oct 2026
EU No
Verified on: 15 Oct 2026
UK No
Verified on: 15 Oct 2026
US No
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

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.