Panoramis is a monthly, chewable tablet for dogs that; treats, prevents and controls fleas, controls flea allergy dermatitis, prevents heartworm disease, and treats and controls adult hookworm, roundworm and whipworm infections. Panoramis combines two trusted active ingredients (Spinosad and Milbeycin Oxime) to provide protection for your dog against these potentially dangerous parasites. Convenience. Proven effectiveness. All in one chewable tablet. Benefits of Panoramis: Kills fleas, treats and prevents infestations Controls flea allergy dermatitis Prevents heartworm disease Treats and controls intestinal parasite infections (adult hookworm, roundworm, whipworm One easy-to-administer chewable tablet With Panoramis, you can play with your dog immediately after treatment. There is no need to isolate your pet. Just treat and play! Panoramis is an ideal choice for: Dog owners who dislike mess and inconvenience Households with children or other pets Dogs that swim or are washed frequently Dogs with dermatological (skin) conditions requiring topical therapy Your veterinarian is your best source of advice about your dog's healthcare. As with other monthly heartworm preventatives, your dog should be tested for heartworm infection before starting Panoramis. To minimise the likelihood of fleas continuing to jump onto your dog, it is important to treat all household pets with an approved flea protection product. If a dose is missed and the monthly interval between doses is exceeded by less than 14 days, immediate administration of Panoramis with food and resumption of a monthly dosing schedule will minimise the opportunity for the development of adult heartworms, intestinal worms and reinfestation by fleas. Consult your veterinarian for advice if the inter-dosing interval has exceeded six weeks. Precautions PANORAMIS should not be administered to puppies less than 8 weeks of age. Puppies less than 14 weeks of age may experience an increased rate of vomiting. Seek veterinary advice regarding the use of PANORAMIS in pregnant and lactating females, and in dogs with pre-existing epilepsy. The safe use of PANORAMIS in breeding males has not been evaluated. Concurrent use of PANORAMIS with high extra-label doses of ivermectin for parasitic mange or demodicosis may be associated with an increased risk of developing neurological signs typically associated with ivermectin toxicity. PANORAMIS should not be administered concurrently with extra-label high doses of macrocyclic lactones. The use of PANORAMIS in dogs suffering from microfilaremia is not recommended. On rare occasions, transient shock-like (hypersensitivity) reactions have been observed in heartworm positiveanimals carrying a high number of microfilariae at the time of the first treatment with milbemycin oxime. Dogs with an existing adult D. immitis heartworm infection should be treated with an adulticide prior to commencement of PANORAMIS. ie - if there is a chance that your dog has heartworm then dont start on this product. See your vet for a heartworm test first! The following adverse events have been recorded following administration of spinosad and milbemycin oxime together: vomiting, pruritis, lethargy and diarrhoea. Safety Directions May irritate the eyes. Avoid contact with eyes. Wash hands after use.