If I still see fleas on my dog, does that mean my flea treatment isn’t working?

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Dr. Jeff Werber (“Fox & Friends,” “Dr. Oz”) explains why you may still see fleas on your dog after starting a monthly flea treatment program and what you can do to help your pet. To learn more about flea control, visit http://www.trifexis.com/about-parasites/about-fleas/default.aspx.

Ask your veterinarian about Trifexis® (spinosad + milbemycin oxime), the 3-in-1 combination tablet that kills fleas and prevents infestations, prevents heartworm disease, and treats and controls hookworm, roundworm, and whipworm infections.

IMPORTANT SAFETY INFORMATION
See the full product label for complete safety information at http://www.elanco.us/labels/Companion-Animals/Trifexis.pdf.

Serious adverse reactions have been reported following concomitant extra-label use of ivermectin with spinosad, one of the components of Trifexis.

Treatment with fewer than three monthly doses after the last exposure to mosquitoes may not provide complete heartworm prevention. Prior to administration of Trifexis, dogs should be tested for existing heartworm infection.

Use with caution in dogs with pre-existing epilepsy. The most common adverse reactions reported are vomiting, depression, itching and decreased appetite.

To ensure heartworm prevention, observe your dog for one hour after administration. If vomiting occurs within an hour of administration, redose.

About Trifexis
Trifexis is a monthly, chewable tablet for dogs that kills fleas, prevents heartworm disease, and treats and controls adult hookworm, roundworm and whipworm infections. Trifexis combines two trusted active ingredients to provide protection for your dog against these three kinds of dangerous parasites. And Trifexis is a flavored, chewable tablet that can be offered as a treat.

Convenience. Proven effectiveness.All in one chewable tablet.

Benefits of Trifexis:
• Kills fleas and prevents infestations
• Prevents heartworm disease
• Treats and controls intestinal parasite infections (hookworm, roundworm, whipworm)
• One easy-to-administer chewable tablet
• With Trifexis, you can play with your dog immediately after treatment. There is no need to isolate your pet. Just treat and play!

Trifexis is an ideal choice for:
• Families with children or other pets
• Anyone worried about staining carpeting, clothing or furniture
• Dogs that swim or are bathed frequently
• Dogs with dermatological (skin) conditions requiring topical therapy

Green Chemistry
The introduction of spinosad for use in agriculture resulted in the receipt of a Presidential Green Chemistry Challenge Award in 1999 from the U.S. Environmental Protection Agency. The award was presented to Dow Agro Sciences LLC in the category of Designing Safer Chemicals for the introduction of spinosad as an insect control product for use on crops. This award demonstrates that spinosad, as a technology for insect control, has a favorable environmental profile. This award is not relevant to the safety and efficacy of Trifexis, nor does it confer any environmental benefit to Trifexis.

Your veterinarian is your best source of advice about your dog’s healthcare.

Your dog should be tested for heartworm infection before starting Trifexis.

To minimize 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 a monthly interval between doses is exceeded, then immediately give Trifexis with food and resume monthly dosing. This will minimize the opportunity for heartworm infection. Also, continuing normal monthly dosing will allow you to gain control of any flea infestation or intestinal parasite infection that might have affected your dog. Trifexis should be administered at monthly intervals beginning within 1 month of the dog’s first seasonal exposure and continuing until at least 3 months after the dog’s last exposure to mosquitoes.

Trifexis is not for use in humans. Like all medications, keep Trifexis out of reach of children.

Have questions? Visit http://www.trifexis.com/about-trifexis/faqs.aspx for more about Trifexis.

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