{"product_id":"nexgard-plus-afoxolaner-moxidectin-and-pyrantel-chewable-tablets-from","title":"NexGard PLUS (afoxolaner, moxidectin, and pyrantel chewable tablets) from Boehringer Ingelheim","description":"\u003cdiv class=\"sv-rx-required-banner\" style=\"background:#fdf3f1;border:1px solid #f3cfc7;border-radius:8px;padding:10px 14px;margin:0 0 14px;font-size:.95rem\"\u003e\n\u003cstrong\u003ePrescription required.\u003c\/strong\u003e A valid prescription is needed to dispense this medication. If your pet has not been examined by a veterinarian within the past 12 months, a current prescription will be required first. \u003ca href=\"\/pages\/prescription-help\"\u003eNeed help? Request prescription assistance →\u003c\/a\u003e\n\u003c\/div\u003e\u003cp\u003e\u003cstrong\u003eNexGard PLUS\u003c\/strong\u003e (afoxolaner, moxidectin, and pyrantel chewable tablets) from Boehringer Ingelheim is a once-monthly prescription soft chew that protects dogs against fleas, ticks, heartworm disease, roundworms, and hookworms in a single dose. It is approved for dogs and puppies 8 weeks of age and older weighing at least 4 lb.\u003c\/p\u003e\n\u003ch3\u003eKey facts\u003c\/h3\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eActive ingredients:\u003c\/strong\u003e afoxolaner (an isoxazoline), moxidectin, and pyrantel (as pamoate salt)\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSpecies:\u003c\/strong\u003e dogs and puppies 8 weeks of age and older, weighing 4 lb or more\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eProtects against:\u003c\/strong\u003e fleas, ticks, heartworm disease (prevention), roundworms, and hookworms\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eAvailable sizes:\u003c\/strong\u003e five color-coded weight bands — Orange (4–8 lb), Green (8.1–17 lb), Yellow (17.1–33 lb), Purple (33.1–66 lb), Red (66.1–132 lb) — in 1, 3, 6, or 12-dose packs\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eForm:\u003c\/strong\u003e flavored soft chew given once monthly\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch3\u003eHow to use\u003c\/h3\u003e\n\u003cp\u003eGive one chew by mouth once a month, with or without food, at the strength your veterinarian prescribes for your dog's weight. Make sure your dog consumes the complete dose and that no part is lost or refused. If a dose is missed, give a NexGard PLUS chew as soon as possible and resume the monthly schedule.\u003c\/p\u003e\n\u003ch3\u003eSafety information\u003c\/h3\u003e\n\u003cp\u003eDogs should be tested for existing heartworm infection before starting NexGard PLUS or any heartworm preventive. Afoxolaner belongs to the isoxazoline class, which has been associated with neurologic adverse reactions including tremors, ataxia, and seizures — reported even in dogs without a prior seizure history; use with caution in dogs with a history of seizures or neurologic disorders. The most frequently reported adverse reactions in clinical trials were diarrhea, vomiting, lethargy, and itching. Safe use in breeding, pregnant, or lactating dogs has not been evaluated. For dogs only.\u003c\/p\u003e\n\u003ch3\u003eFrequently asked questions\u003c\/h3\u003e\n\u003ch4\u003eWhat is the difference between NexGard and NexGard PLUS?\u003c\/h4\u003e\n\u003cp\u003eNexGard (afoxolaner) covers fleas and ticks only. NexGard PLUS adds moxidectin and pyrantel, so one chew also prevents heartworm disease and treats and controls roundworms and hookworms.\u003c\/p\u003e\n\u003ch4\u003eDoes NexGard PLUS kill ticks?\u003c\/h4\u003e\n\u003cp\u003eYes. The afoxolaner component kills fleas before they can lay eggs and treats and controls tick infestations for a full month per dose.\u003c\/p\u003e\n\u003ch4\u003eIs a prescription required for NexGard PLUS?\u003c\/h4\u003e\n\u003cp\u003eYes. NexGard PLUS is a prescription medication, so your veterinarian must authorize it under a valid vet-client-patient relationship.\u003c\/p\u003e\n\u003ch4\u003eDoes my dog need a heartworm test before starting NexGard PLUS?\u003c\/h4\u003e\n\u003cp\u003eYes. Because it contains a heartworm preventive (moxidectin), dogs should test negative for existing heartworm infection before their first dose, with retesting as your veterinarian recommends.\u003c\/p\u003e\n\u003ch4\u003eIs NexGard PLUS safe for dogs with a history of seizures?\u003c\/h4\u003e\n\u003cp\u003eUse with caution. Isoxazoline-class drugs have been associated with tremors, ataxia, and seizures, even in dogs without a prior history. Discuss your dog's neurologic history with your veterinarian before starting.\u003c\/p\u003e\n\u003ch4\u003eWhere can I buy NexGard PLUS?\u003c\/h4\u003e\n\u003cp\u003eOrder it from our \u003ca href=\"https:\/\/smartyvets.ourvet.com\/pet\/products\/3078\"\u003eVetcove pharmacy store\u003c\/a\u003e — it ships from our home pharmacy and Autoship savings are available.\u003c\/p\u003e\n\u003cp\u003e\u003cem\u003eOnly need flea and tick coverage? See \u003ca href=\"\/products\/vc-1664\"\u003eNexGard Chew for Dogs\u003c\/a\u003e. Prefer a dedicated heartworm preventive? See \u003ca href=\"\/products\/vc-1554\"\u003eHeartgard Plus Chew for Dogs\u003c\/a\u003e.\u003c\/em\u003e\u003c\/p\u003e","brand":"NexGard PLUS","offers":[{"title":"Orange for X-Small Dogs 4-8lbs \/ 1 dose","offer_id":51858915295463,"sku":"168346","price":44.29,"currency_code":"USD","in_stock":true},{"title":"Orange for X-Small Dogs 4-8lbs \/ 3 doses","offer_id":51858915328231,"sku":"608388","price":113.49,"currency_code":"USD","in_stock":true},{"title":"Orange for X-Small Dogs 4-8lbs \/ 6 doses","offer_id":51858915360999,"sku":"608389","price":210.59,"currency_code":"USD","in_stock":true},{"title":"Orange for X-Small Dogs 4-8lbs \/ 12 doses","offer_id":51858915393767,"sku":"vc-3078-5977-31576","price":421.18,"currency_code":"USD","in_stock":true},{"title":"Green for Small Dogs 8.1-17lbs \/ 1 dose","offer_id":51858915426535,"sku":"168350","price":45.09,"currency_code":"USD","in_stock":true},{"title":"Green for Small Dogs 8.1-17lbs \/ 3 doses","offer_id":51858915459303,"sku":"608390","price":115.19,"currency_code":"USD","in_stock":true},{"title":"Green for Small Dogs 8.1-17lbs \/ 6 doses","offer_id":51858915492071,"sku":"608391","price":214.19,"currency_code":"USD","in_stock":true},{"title":"Green for Small Dogs 8.1-17lbs \/ 12 doses","offer_id":51858915524839,"sku":"vc-3078-5978-31577","price":428.38,"currency_code":"USD","in_stock":true},{"title":"Yellow for Medium Dogs 17.1-33lbs \/ 1 dose","offer_id":51858915557607,"sku":"168360","price":46.49,"currency_code":"USD","in_stock":true},{"title":"Yellow for Medium Dogs 17.1-33lbs \/ 3 doses","offer_id":51858915590375,"sku":"608396","price":122.89,"currency_code":"USD","in_stock":true},{"title":"Yellow for Medium Dogs 17.1-33lbs \/ 6 doses","offer_id":51858915623143,"sku":"608397","price":228.39,"currency_code":"USD","in_stock":true},{"title":"Yellow for Medium Dogs 17.1-33lbs \/ 12 doses","offer_id":51858915655911,"sku":"vc-3078-5979-31578","price":456.78,"currency_code":"USD","in_stock":true},{"title":"Purple for Large Dogs 33.1-66lbs \/ 1 dose","offer_id":51858915688679,"sku":"168356","price":47.79,"currency_code":"USD","in_stock":true},{"title":"Purple for Large Dogs 33.1-66lbs \/ 3 doses","offer_id":51858915721447,"sku":"608394","price":123.79,"currency_code":"USD","in_stock":true},{"title":"Purple for Large Dogs 33.1-66lbs \/ 6 doses","offer_id":51858915754215,"sku":"608395","price":235.59,"currency_code":"USD","in_stock":true},{"title":"Purple for Large Dogs 33.1-66lbs \/ 12 doses","offer_id":51858915786983,"sku":"vc-3078-5980-31579","price":471.18,"currency_code":"USD","in_stock":true},{"title":"Red for X-Large Dogs (66.1-132lbs) \/ 1 dose","offer_id":51858915819751,"sku":"168353","price":48.99,"currency_code":"USD","in_stock":true},{"title":"Red for X-Large Dogs (66.1-132lbs) \/ 3 doses","offer_id":51858915852519,"sku":"608392","price":130.79,"currency_code":"USD","in_stock":true},{"title":"Red for X-Large Dogs (66.1-132lbs) \/ 6 doses","offer_id":51858915885287,"sku":"608393","price":242.49,"currency_code":"USD","in_stock":true},{"title":"Red for X-Large Dogs (66.1-132lbs) \/ 12 doses","offer_id":51858915918055,"sku":"vc-3078-5981-31580","price":484.98,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0698\/4387\/8119\/files\/102374-2.webp?v=1774103707","url":"https:\/\/www.smartyvets.com\/products\/nexgard-plus-afoxolaner-moxidectin-and-pyrantel-chewable-tablets-from","provider":"Smarty Vets","version":"1.0","type":"link"}