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<?xml-stylesheet type="text/xsl" href="https://www.vetnurse.co.uk/utility/feedstylesheets/rss.xsl" media="screen"?><rss version="2.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:slash="http://purl.org/rss/1.0/modules/slash/" xmlns:wfw="http://wellformedweb.org/CommentAPI/"><channel><title>Advocate - alternatives?</title><link>https://www.vetnurse.co.uk/f/clinical-discussions/16943/advocate---alternatives</link><description> Wanted to pick your brains as I&amp;#39;m no longer in practice and rusty on new things available for parasites these days (defected to the NHS!) 
 I use Advocate monthly on my dog Dotty, because she&amp;#39;s a real pond-drinking/snail sniffing/grass snorting lungworm</description><dc:language>en-US</dc:language><generator>Telligent Community 10</generator><item><title>Re: Advocate - alternatives?</title><link>https://www.vetnurse.co.uk/thread/128410?ContentTypeID=1</link><pubDate>Wed, 07 Mar 2012 19:18:06 GMT</pubDate><guid isPermaLink="false">1a0763ec-3885-442c-853e-6cef656dfec5:953b0da3-219d-42b2-87b6-2ec1357785d8</guid><dc:creator>Kate Claxton DipAVN(Med)VN</dc:creator><description>&lt;p&gt;Not particularly bothered about that as long as it does the job for her - we&amp;#39;re already using it 4 times a year anyway so no great drama to do it every month. I just wanted a preventative product versus a &amp;#39;treatment&amp;#39; product if that makes sense? If I can use it monthly, then great. Sorry if I wasn&amp;#39;t very clear with my original question and thanks for the help. &lt;img src="http://www.vetnurse.co.uk/emoticons/new/Happy_smiley.png" alt="Smile" /&gt;&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Advocate - alternatives?</title><link>https://www.vetnurse.co.uk/thread/128406?ContentTypeID=1</link><pubDate>Wed, 07 Mar 2012 18:25:39 GMT</pubDate><guid isPermaLink="false">1a0763ec-3885-442c-853e-6cef656dfec5:eb064814-2c30-4fa0-9495-53dff26c1301</guid><dc:creator>Gillian Mostyn</dc:creator><description>&lt;p&gt;Or just use milbemax every month! oh - wait - it isn&amp;#39;t licensed for this - oops! &lt;img src="http://www.vetnurse.co.uk/emoticons/new/Winking_smiley.gif" alt="Wink" /&gt;&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Advocate - alternatives?</title><link>https://www.vetnurse.co.uk/thread/128403?ContentTypeID=1</link><pubDate>Wed, 07 Mar 2012 17:37:20 GMT</pubDate><guid isPermaLink="false">1a0763ec-3885-442c-853e-6cef656dfec5:87cb2ed3-dff4-40ea-a2ac-046527b58d6b</guid><dc:creator>Kate Claxton DipAVN(Med)VN</dc:creator><description>&lt;p&gt;Yep - we&amp;#39;re in Cheltenham &lt;img src="http://www.vetnurse.co.uk/emoticons/new/Sad_smiley.png" alt="Sad" /&gt; Went to see a vet friend yest who made me feel a bit better - she said why put her though the misery of the reaction every month for the possibility of infection so we&amp;#39;re going to do that and keep an eye out for the next new drug! Thanks all. &lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Advocate - alternatives?</title><link>https://www.vetnurse.co.uk/thread/128389?ContentTypeID=1</link><pubDate>Wed, 07 Mar 2012 14:36:45 GMT</pubDate><guid isPermaLink="false">1a0763ec-3885-442c-853e-6cef656dfec5:e862ceb3-6e81-401e-a8ae-cb7b439f0184</guid><dc:creator>Angiy Michael</dc:creator><description>&lt;p&gt;She&amp;#39;s South West so yes &lt;img src="http://www.vetnurse.co.uk/emoticons/new/Sad_smiley.png" alt="Sad" /&gt;&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Advocate - alternatives?</title><link>https://www.vetnurse.co.uk/thread/128385?ContentTypeID=1</link><pubDate>Wed, 07 Mar 2012 13:54:15 GMT</pubDate><guid isPermaLink="false">1a0763ec-3885-442c-853e-6cef656dfec5:394814ce-0f2c-4917-87c3-dfd22ee64d9f</guid><dc:creator>wendy rattray</dc:creator><description>&lt;p&gt;Getting back to Kate&amp;#39;s original query - There doesnt seem to be anything other than Advocate on the market to prevent Lungwrom infestation.&amp;nbsp; Panacur does kill lungworm but its Oslerus and not Angiostrongylus vasorum. It&amp;#39;s a shame your dog has reacted after every application, i&amp;#39;d be very cautious about using it in the future.&amp;nbsp; Are you in a high risk area?&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Advocate - alternatives?</title><link>https://www.vetnurse.co.uk/thread/128374?ContentTypeID=1</link><pubDate>Wed, 07 Mar 2012 09:05:15 GMT</pubDate><guid isPermaLink="false">1a0763ec-3885-442c-853e-6cef656dfec5:260c3989-6dbc-455d-9502-698aa4dbaaff</guid><dc:creator>Mark Hedberg</dc:creator><description>&lt;p&gt;I concede the point :D&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Advocate - alternatives?</title><link>https://www.vetnurse.co.uk/thread/128373?ContentTypeID=1</link><pubDate>Wed, 07 Mar 2012 08:08:17 GMT</pubDate><guid isPermaLink="false">1a0763ec-3885-442c-853e-6cef656dfec5:3d59ae23-40cc-4c39-86fa-2160b02f88bb</guid><dc:creator>Gillian Mostyn</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Mark Hedberg&amp;quot;]Oh, go to bed &lt;img src="http://www.vetnurse.co.uk/emoticons/new/Tonque_out_smiley.png" alt="Stick out tongue" /&gt;[/quote]&lt;/p&gt;
&lt;p&gt;I&amp;nbsp; had......&lt;img src="http://www.vetnurse.co.uk/emoticons/new/Dont_tell_anyone_smiley.png" alt="Zip it!" /&gt;&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Advocate - alternatives?</title><link>https://www.vetnurse.co.uk/thread/128372?ContentTypeID=1</link><pubDate>Wed, 07 Mar 2012 08:07:44 GMT</pubDate><guid isPermaLink="false">1a0763ec-3885-442c-853e-6cef656dfec5:6e7760ca-7616-405a-9a40-36532d212eb7</guid><dc:creator>Gillian Mostyn</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Claire &amp;#39;Duke&amp;#39; York&amp;quot;]
Besides I&amp;#39;ve met more than my fair share of vets who get facts wrong too.[/quote]&lt;/p&gt;
&lt;p&gt;Yep - myself included (not often, obviously &lt;img src="http://www.vetnurse.co.uk/emoticons/new/Winking_smiley.gif" alt="Wink" /&gt;)&amp;nbsp; That was why I was curious where the info came from.....&lt;/p&gt;
&lt;p&gt;[quote user=&amp;quot;Claire &amp;#39;Duke&amp;#39; York&amp;quot;]I&amp;#39;ve also steered Collies away from it, better safe than sorry.[/quote]&lt;/p&gt;
&lt;p&gt;&lt;img src="http://www.vetnurse.co.uk/emoticons/new/Crying_smiley.gif" alt="Crying" /&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Advocate - alternatives?</title><link>https://www.vetnurse.co.uk/thread/128366?ContentTypeID=1</link><pubDate>Tue, 06 Mar 2012 23:57:42 GMT</pubDate><guid isPermaLink="false">1a0763ec-3885-442c-853e-6cef656dfec5:563ed091-6cd6-4372-be82-16da0b08ff97</guid><dc:creator>Claire  Cameron</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Gillian Mostyn&amp;quot;]&lt;p&gt;[quote user=&amp;quot;Vicky RVN&amp;quot;]Milbemax isn&amp;#39;t a good alternative for collie types either, being that they&amp;#39;re sensitive to it.&amp;nbsp; Sorry Kate, I have no suggestions![/quote]&lt;/p&gt;&lt;p&gt;Collies are more sensitive to &lt;span style="text-decoration:underline;"&gt;overdose&lt;/span&gt;. They are absolutely fine at therapeutic doses.&lt;/p&gt;&lt;p&gt;I would be interested to know who told you that milbemax is unsafe in collies?&amp;nbsp; I get this rubbish told me by clients but wouldn&amp;#39;t expect it from qualified veterinary staff. &lt;img src="http://1.2.3.9/bmi/www.vetnurse.co.uk/emoticons/new/Thinking_smiley.gif" alt="Thinking" /&gt;&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;[/quote]

Bit harsh on Vicky, Gillian.

Erring on the side of caution isn&amp;#39;t usually a bad thing in my book.

Besides I&amp;#39;ve met more than my fair share of vets who get facts wrong too.

I was actually told by a medicine certificate holder that Collies are hypersensitive to Milbemycin. So it seems it&amp;#39;s not just Vicky who thought that. I&amp;#39;ve also steered Collies away from it, better safe than sorry.&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Advocate - alternatives?</title><link>https://www.vetnurse.co.uk/thread/128364?ContentTypeID=1</link><pubDate>Tue, 06 Mar 2012 23:53:32 GMT</pubDate><guid isPermaLink="false">1a0763ec-3885-442c-853e-6cef656dfec5:33d0c278-a1aa-459d-9bec-d71ea75dd4d9</guid><dc:creator>Mark Hedberg</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Gillian Mostyn&amp;quot;]&lt;/p&gt;
&lt;p&gt;[quote user=&amp;quot;Mark Hedberg&amp;quot;]I&amp;#39;m not disagreeing that the original information was re milbemax was incorrect[/quote]&lt;/p&gt;
&lt;p&gt;&lt;img src="http://www.vetnurse.co.uk/emoticons/new/Angry_smiley.png" alt="Angry" /&gt;&lt;img src="http://www.vetnurse.co.uk/emoticons/new/Tonque_out_smiley.png" alt="Stick out tongue" /&gt;&lt;/p&gt;
&lt;div style="clear:both;"&gt;&lt;/div&gt;
&lt;p&gt;[/quote] &lt;/p&gt;
&lt;p&gt;
Oh, go to bed &lt;img src="http://www.vetnurse.co.uk/emoticons/new/Tonque_out_smiley.png" alt="Stick out tongue" /&gt;&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Advocate - alternatives?</title><link>https://www.vetnurse.co.uk/thread/128363?ContentTypeID=1</link><pubDate>Tue, 06 Mar 2012 23:36:07 GMT</pubDate><guid isPermaLink="false">1a0763ec-3885-442c-853e-6cef656dfec5:d73d7747-c3fd-44f2-aa24-60d278eec00a</guid><dc:creator>Gillian Mostyn</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Mark Hedberg&amp;quot;]I&amp;#39;m not disagreeing that the original information was re milbemax was incorrect[/quote]&lt;/p&gt;
&lt;p&gt;&lt;img src="http://www.vetnurse.co.uk/emoticons/new/Angry_smiley.png" alt="Angry" /&gt;&lt;img src="http://www.vetnurse.co.uk/emoticons/new/Tonque_out_smiley.png" alt="Stick out tongue" /&gt;&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Advocate - alternatives?</title><link>https://www.vetnurse.co.uk/thread/128362?ContentTypeID=1</link><pubDate>Tue, 06 Mar 2012 23:29:06 GMT</pubDate><guid isPermaLink="false">1a0763ec-3885-442c-853e-6cef656dfec5:b2207fde-23d3-459b-90b0-c36cc077df86</guid><dc:creator>Gillian Mostyn</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Angiy Michael&amp;quot;]&lt;/p&gt;
&lt;p&gt;Some information from this study appears to have been being digested by various breed clubs and on several dog forums so that is probably where this information you keep hearing about is coming from Gillian..I found this on the Smooth Collie Breeders Site&lt;/p&gt;
&lt;p&gt;&lt;a href="http://www.smoothcollieclub.com/09mdr.htm"&gt;http://www.smoothcollieclub.com/09mdr.htm&lt;/a&gt;&lt;/p&gt;
&lt;p&gt;[/quote]&lt;/p&gt;
&lt;p&gt;Oh yes - google - the bane of our lives eh? But the list of drugs that they say should only be used under close veterinary supervision is hilarious. It includes vincristine, doxorubicin and morphine. No sh1t sherlock! &lt;img src="http://www.vetnurse.co.uk/emoticons/new/Very_happy_smiley.png" alt="Big Smile" /&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Advocate - alternatives?</title><link>https://www.vetnurse.co.uk/thread/128361?ContentTypeID=1</link><pubDate>Tue, 06 Mar 2012 23:22:46 GMT</pubDate><guid isPermaLink="false">1a0763ec-3885-442c-853e-6cef656dfec5:5cb7deda-fd0f-4d92-915f-6a4f1f40ca3b</guid><dc:creator>Mark Hedberg</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Gillian Mostyn&amp;quot;]&lt;/p&gt;
&lt;p&gt;[quote user=&amp;quot;Vicky RVN&amp;quot;]Thanks for that Mark, nice to see some people aren&amp;#39;t treating me like an idiot who &amp;quot;talks rubbish&amp;quot;.&amp;nbsp; FFS!&amp;nbsp; Yes a lot of collies ok with it, but like you say, err on the side of caution. [/quote]&lt;/p&gt;
&lt;p&gt;I think mark has stirred this up somewhat - I simply said that the statement of milbemax being unsafe in collies was rubbish - maybe I am just frustrated as more and more clients are quoting this to me and it is bugging me wondering where this is coming from.&amp;nbsp; You still seem to insinuate that some collies &lt;span style="text-decoration:underline;"&gt;aren&amp;#39;t &lt;/span&gt;OK with it and I am not aware of any facts to back this up - but I am happy to be corrected....&lt;/p&gt;
&lt;p&gt;[quote user=&amp;quot;Vicky RVN&amp;quot;]But hey, maybe I am an idiot and shouldn&amp;#39;t be doing my job.....[/quote]&lt;/p&gt;
&lt;p&gt;I do not think my original post said anything to that effect, but was then misrepresented.&lt;/p&gt;
&lt;div style="clear:both;"&gt;&lt;/div&gt;
&lt;p&gt;[/quote]&lt;/p&gt;
&lt;p&gt;On my part, no misrepresentation was intended. I&amp;#39;m not particularly good at dissecting the fine points of grammar, except to say that when my mother told me I was speaking rubbish (which still happens, she hasn&amp;#39;t changed! &lt;img src="http://www.vetnurse.co.uk/emoticons/new/Winking_smiley.gif" alt="Wink" /&gt; ) I rarely felt good, even if she hadn&amp;#39;t specifically accused me of being in any way foolish or stupid. &lt;/p&gt;
&lt;p&gt;I also have no desire or intention to stir anything up.&lt;/p&gt;
&lt;p&gt;I&amp;#39;m not disagreeing that the original information was re milbemax was incorrect - just glad it&amp;#39;s all sorted for now. Right now I&amp;#39;m just sorry I don&amp;#39;t speak better German, the paper looks interesting!&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Advocate - alternatives?</title><link>https://www.vetnurse.co.uk/thread/128360?ContentTypeID=1</link><pubDate>Tue, 06 Mar 2012 23:21:02 GMT</pubDate><guid isPermaLink="false">1a0763ec-3885-442c-853e-6cef656dfec5:b252fdc7-ea3b-420b-b571-c686407116f9</guid><dc:creator>Angiy Michael</dc:creator><description>&lt;p&gt;Interestingly there is actually a German study on-going regarding drug sensitivity and multi-drug resistance in certain breeds of dog including Collies which looks at a gene involved which enables certain drugs inc MIlbemax to pass the blood brain barrier and cause neurological problems.. &amp;nbsp;&lt;a href="http://www.acd-ev.de/Rasseinfo/Gesundheit/MDR-1-Defekt/mdr-1-defekt.html"&gt;http://www.acd-ev.de/Rasseinfo/Gesundheit/MDR-1-Defekt/mdr-1-defekt.html&lt;/a&gt;&amp;nbsp;&amp;nbsp;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;p&gt;..unfortunately you would need a reasonable grasp of German in order to read the link but as this thread was started by a query by Kate C it&amp;#39;s fortunate that I know that she is the most likely person to be able to read a reasonable proportion of it in German &lt;img src="http://www.vetnurse.co.uk/emoticons/new/Very_happy_smiley.png" alt="Big Smile" /&gt;&lt;/p&gt;
&lt;p&gt;Some information from this study appears to have been being digested by various breed clubs and on several dog forums so that is probably where this information you keep hearing about is coming from Gillian..I found this on the Smooth Collie Breeders Site&lt;/p&gt;
&lt;p&gt;&lt;a href="http://www.smoothcollieclub.com/09mdr.htm"&gt;http://www.smoothcollieclub.com/09mdr.htm&lt;/a&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Advocate - alternatives?</title><link>https://www.vetnurse.co.uk/thread/128359?ContentTypeID=1</link><pubDate>Tue, 06 Mar 2012 23:19:51 GMT</pubDate><guid isPermaLink="false">1a0763ec-3885-442c-853e-6cef656dfec5:e945fed0-a3b4-459e-8ae4-5c948cb072ef</guid><dc:creator>Gillian Mostyn</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Vicky RVN&amp;quot;]The way the post was written made me feel like an idiot![/quote]&lt;/p&gt;
&lt;p&gt;That wasn&amp;#39;t the intention, and I have already apologised if it was taken that way.&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Advocate - alternatives?</title><link>https://www.vetnurse.co.uk/thread/128358?ContentTypeID=1</link><pubDate>Tue, 06 Mar 2012 23:16:38 GMT</pubDate><guid isPermaLink="false">1a0763ec-3885-442c-853e-6cef656dfec5:eb786307-ca51-44a7-983e-aa624eaf29fb</guid><dc:creator>Vicky RVN</dc:creator><description>&lt;p&gt;I personally do not think Mark is stirring.&amp;nbsp; I would have interpreted your post just as I have without his input.&amp;nbsp;&amp;nbsp; The way the post was written made me feel like an idiot!&amp;nbsp; I do not remember who told me that collies are sensitive to Milbemax, but I do know i&amp;#39;ve heard it more than once.&amp;nbsp; And not from clients!&amp;nbsp; Always used it at my old practice with collies, we didn&amp;#39;t stock Drontal, and we used Advocate on collies too, with no bad effects.&amp;nbsp; But my thinking is that if a collie has had problems with Advocate then they&amp;#39;re sensitive to the product, so I wondered if they&amp;#39;d be sensitive to Milbemax too.&amp;nbsp; This is obviously not the case for this dog as she&amp;#39;s been given it before.&amp;nbsp; I&amp;#39;ll shut up now, as i&amp;#39;m obviously not adding anything useful to the thread.&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Advocate - alternatives?</title><link>https://www.vetnurse.co.uk/thread/128355?ContentTypeID=1</link><pubDate>Tue, 06 Mar 2012 23:05:10 GMT</pubDate><guid isPermaLink="false">1a0763ec-3885-442c-853e-6cef656dfec5:991fc434-6918-4da0-a0e6-83c530b10fa3</guid><dc:creator>Angiy Michael</dc:creator><description>&lt;p&gt;Hello, Just to clarify I didn&amp;#39;t read it the same way, hence why I said that I thought Vicky meant Collies are sensitive to it . I did think your post came across as strongly worded and appeared to take Vicky out of context when she was trying to be helpful..it&amp;#39;s actually surprising how many qualified &amp;nbsp;people don&amp;#39;t know Collie&amp;#39;s are sensitive to Milbemax..so she was actually doing everyone &amp;nbsp;a favour by drawing &amp;nbsp;attention to it. I think this is a classic case of typing causing offence..as there is no intonation or facial expressions to go by in written communication...at least I hope so...so let&amp;#39;s have a bit of loveliness and niceness everyone &lt;img src="http://www.vetnurse.co.uk/emoticons/new/Winking_smiley.gif" alt="Wink" /&gt;&lt;img src="http://www.vetnurse.co.uk/emoticons/new/Very_happy_smiley.png" alt="Big Smile" /&gt;&lt;/p&gt;
&lt;p&gt;As for milbemax here is some info relevant to this point from the NOAH data&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;div class="contentWrapper"&gt;
&lt;div class="content"&gt;
&lt;table cellspacing="0"&gt;
&lt;tbody&gt;
&lt;tr&gt;
&lt;td valign="top"&gt;
&lt;div&gt;
&lt;div class="level2"&gt;Contra-indications, warnings, etc&lt;/div&gt;
&lt;div class="p"&gt;Do not use the &amp;lsquo;tablets for small dogs and puppies&amp;rsquo; in dogs of less than 2 weeks of age and/or weighing less than 0.5&amp;nbsp;kg&lt;/div&gt;
&lt;div class="p"&gt;Do not use the &amp;lsquo;tablets for dogs&amp;rsquo; in dogs weighing less than 5&amp;nbsp;kg.&lt;/div&gt;
&lt;div class="p"&gt;See also &amp;quot;Precautions for use&amp;quot;.&lt;/div&gt;
&lt;div class="p"&gt;Studies with milbemycin oxime indicate that 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.&lt;/div&gt;
&lt;div class="p"&gt;The tolerance of MILBEMAX in young puppies from these breeds has not been investigated. Clinical signs in Collies are similar to those seen in the general dog population when overdosed.&lt;/div&gt;
&lt;/div&gt;
&lt;/td&gt;
&lt;/tr&gt;
&lt;/tbody&gt;
&lt;/table&gt;
&lt;/div&gt;
&lt;/div&gt;
&lt;div&gt;&lt;img src="http://www.noahcompendium.co.uk/Resources/NOAH_Compendium_Sponsor1.jpg" alt="" /&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&lt;img src="http://www.noahcompendium.co.uk/Resources/NOAH_Compendium_Sponsor2.jpg" alt="" /&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&lt;img src="http://www.noahcompendium.co.uk/Resources/NOAH_Compendium_Sponsor3.jpg" alt="" /&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&lt;img src="http://www.noahcompendium.co.uk/Resources/NOAH_Compendium_Sponsor4.jpg" alt="" /&gt;&lt;/div&gt;
&lt;div&gt;XX&lt;/div&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Advocate - alternatives?</title><link>https://www.vetnurse.co.uk/thread/128354?ContentTypeID=1</link><pubDate>Tue, 06 Mar 2012 22:57:17 GMT</pubDate><guid isPermaLink="false">1a0763ec-3885-442c-853e-6cef656dfec5:cff56f5f-a284-4156-a5a2-5a239a2047a7</guid><dc:creator>Gillian Mostyn</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Vicky RVN&amp;quot;]Thanks for that Mark, nice to see some people aren&amp;#39;t treating me like an idiot who &amp;quot;talks rubbish&amp;quot;.&amp;nbsp; FFS!&amp;nbsp; Yes a lot of collies ok with it, but like you say, err on the side of caution. [/quote]&lt;/p&gt;
&lt;p&gt;I think mark has stirred this up somewhat - I simply said that the statement of milbemax being unsafe in collies was rubbish - maybe I am just frustrated as more and more clients are quoting this to me and it is bugging me wondering where this is coming from.&amp;nbsp; You still seem to insinuate that some collies &lt;span style="text-decoration:underline;"&gt;aren&amp;#39;t &lt;/span&gt;OK with it and I am not aware of any facts to back this up - but I am happy to be corrected....&lt;/p&gt;
&lt;p&gt;[quote user=&amp;quot;Vicky RVN&amp;quot;]But hey, maybe I am an idiot and shouldn&amp;#39;t be doing my job.....[/quote]&lt;/p&gt;
&lt;p&gt;I do not think my original post said anything to that effect, but was then misrepresented.&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Advocate - alternatives?</title><link>https://www.vetnurse.co.uk/thread/128353?ContentTypeID=1</link><pubDate>Tue, 06 Mar 2012 22:53:18 GMT</pubDate><guid isPermaLink="false">1a0763ec-3885-442c-853e-6cef656dfec5:ef962433-aa22-4091-a0ab-006a2aa261d8</guid><dc:creator>Gillian Mostyn</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Mark Hedberg&amp;quot;]Vicky was erring on the side of caution[/quote]&lt;/p&gt;
&lt;p&gt;I am sorry if I appeared harsh but the post seemed to say, unequivocally, that the OP shouldn&amp;#39;t use milbemax in collies - if i misunderstood this I apologise.&amp;nbsp;&amp;nbsp; The other two replies stating that people do use it in their own collies presumably shows they also read it the same way as me.&amp;nbsp; I am genuinely interested where this information came from.&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Advocate - alternatives?</title><link>https://www.vetnurse.co.uk/thread/128352?ContentTypeID=1</link><pubDate>Tue, 06 Mar 2012 22:46:08 GMT</pubDate><guid isPermaLink="false">1a0763ec-3885-442c-853e-6cef656dfec5:06075cfe-ee90-411f-8b03-bb2a9496a6f4</guid><dc:creator>Vicky RVN</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Mark Hedberg&amp;quot;]
&lt;p&gt;[quote user=&amp;quot;Gillian Mostyn&amp;quot;]&lt;/p&gt;
&lt;p&gt;[quote user=&amp;quot;Vicky RVN&amp;quot;]Milbemax isn&amp;#39;t a good alternative for collie types either, being that they&amp;#39;re sensitive to it.&amp;nbsp; Sorry Kate, I have no suggestions![/quote]&lt;/p&gt;
&lt;p&gt;Collies are more sensitive to &lt;span style="text-decoration:underline;"&gt;overdose&lt;/span&gt;. They are absolutely fine at therapeutic doses.&lt;/p&gt;
&lt;p&gt;I would be interested to know who told you that milbemax is unsafe in collies?&amp;nbsp; I get this rubbish told me by clients but wouldn&amp;#39;t expect it from qualified veterinary staff. &lt;img src="http://www.vetnurse.co.uk/emoticons/new/Thinking_smiley.gif" alt="Thinking" /&gt;&lt;/p&gt;
&lt;div style="CLEAR:both;"&gt;&lt;/div&gt;
&lt;p&gt;[/quote]&lt;/p&gt;
&lt;p&gt;Gillian, isn&amp;#39;t it better to just correct the error? Seems a bit harsh - and Vicky was erring on the side of caution, which is personally my favorite side. &lt;img src="http://www.vetnurse.co.uk/emoticons/new/tongue-in-cheek.gif" alt="Tongue-in-cheek" /&gt; So milbemax is fine in collies - is there any need to compound any possible embarrassment at an error in public?&lt;/p&gt;
&lt;div style="CLEAR:both;"&gt;&lt;/div&gt;
[/quote]&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;p&gt;Thanks for that Mark, nice to see some people aren&amp;#39;t treating me like an idiot who &amp;quot;talks rubbish&amp;quot;.&amp;nbsp; FFS!&amp;nbsp; Yes a lot of collies ok with it, but like you say, err on the side of caution.&amp;nbsp; But hey, maybe I am an idiot and shouldn&amp;#39;t be doing my job.....&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Advocate - alternatives?</title><link>https://www.vetnurse.co.uk/thread/128346?ContentTypeID=1</link><pubDate>Tue, 06 Mar 2012 20:28:27 GMT</pubDate><guid isPermaLink="false">1a0763ec-3885-442c-853e-6cef656dfec5:3e9ab2a4-8efd-40bf-8dae-733a14ebcefa</guid><dc:creator>Mark Hedberg</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Gillian Mostyn&amp;quot;]&lt;/p&gt;
&lt;p&gt;[quote user=&amp;quot;Vicky RVN&amp;quot;]Milbemax isn&amp;#39;t a good alternative for collie types either, being that they&amp;#39;re sensitive to it.&amp;nbsp; Sorry Kate, I have no suggestions![/quote]&lt;/p&gt;
&lt;p&gt;Collies are more sensitive to &lt;span style="text-decoration:underline;"&gt;overdose&lt;/span&gt;. They are absolutely fine at therapeutic doses.&lt;/p&gt;
&lt;p&gt;I would be interested to know who told you that milbemax is unsafe in collies?&amp;nbsp; I get this rubbish told me by clients but wouldn&amp;#39;t expect it from qualified veterinary staff. &lt;img src="http://www.vetnurse.co.uk/emoticons/new/Thinking_smiley.gif" alt="Thinking" /&gt;&lt;/p&gt;
&lt;div style="clear:both;"&gt;&lt;/div&gt;
&lt;p&gt;[/quote]&lt;/p&gt;
&lt;p&gt;Gillian, isn&amp;#39;t it better to just correct the error? Seems a bit harsh - and Vicky was erring on the side of caution, which is personally my favorite side. &lt;img src="http://www.vetnurse.co.uk/emoticons/new/tongue-in-cheek.gif" alt="Tongue-in-cheek" /&gt; So milbemax is fine in collies - is there any need to compound any possible embarrassment at an error in public?&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Advocate - alternatives?</title><link>https://www.vetnurse.co.uk/thread/128343?ContentTypeID=1</link><pubDate>Tue, 06 Mar 2012 19:22:21 GMT</pubDate><guid isPermaLink="false">1a0763ec-3885-442c-853e-6cef656dfec5:a87a2a41-2370-4693-a7fb-b3575ec9c2bd</guid><dc:creator>Angiy Michael</dc:creator><description>&lt;p&gt;I think she probably meant sensitive to overdose..I was aware it should be used with caution in Collies..however I have a Collie and use it at standard dose rates without any problems &lt;img src="http://www.vetnurse.co.uk/emoticons/new/Very_happy_smiley.png" alt="Big Smile" /&gt;&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Advocate - alternatives?</title><link>https://www.vetnurse.co.uk/thread/128342?ContentTypeID=1</link><pubDate>Tue, 06 Mar 2012 18:31:36 GMT</pubDate><guid isPermaLink="false">1a0763ec-3885-442c-853e-6cef656dfec5:39ec1ecd-288d-465e-b1aa-9930f613bb6f</guid><dc:creator>Gillian Mostyn</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Vicky RVN&amp;quot;]Milbemax isn&amp;#39;t a good alternative for collie types either, being that they&amp;#39;re sensitive to it.&amp;nbsp; Sorry Kate, I have no suggestions![/quote]&lt;/p&gt;
&lt;p&gt;Collies are more sensitive to &lt;span style="text-decoration:underline;"&gt;overdose&lt;/span&gt;. They are absolutely fine at therapeutic doses.&lt;/p&gt;
&lt;p&gt;I would be interested to know who told you that milbemax is unsafe in collies?&amp;nbsp; I get this rubbish told me by clients but wouldn&amp;#39;t expect it from qualified veterinary staff. &lt;img src="http://www.vetnurse.co.uk/emoticons/new/Thinking_smiley.gif" alt="Thinking" /&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Advocate - alternatives?</title><link>https://www.vetnurse.co.uk/thread/128340?ContentTypeID=1</link><pubDate>Tue, 06 Mar 2012 17:47:17 GMT</pubDate><guid isPermaLink="false">1a0763ec-3885-442c-853e-6cef656dfec5:334f0912-da1e-4d98-8d38-0014370f43bf</guid><dc:creator>Selena  Carnell</dc:creator><description>&lt;p&gt;My collie has milbemax and has no problems with it.&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Advocate - alternatives?</title><link>https://www.vetnurse.co.uk/thread/128319?ContentTypeID=1</link><pubDate>Mon, 05 Mar 2012 19:48:27 GMT</pubDate><guid isPermaLink="false">1a0763ec-3885-442c-853e-6cef656dfec5:9f0e689a-cd26-424c-b495-cfdbf5978653</guid><dc:creator>Kate Claxton DipAVN(Med)VN</dc:creator><description>&lt;p&gt;I think that&amp;#39;s going to have to be our strategy - in the absence of any lovely new products on the market! Have to weigh up the possibility of lungworm against the certainty of a very miserable dog every month! She did get her revenge today though - rolled in a load of fox crap to cover the smell of the Advocate! niiiiiiiiiiice! x&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item></channel></rss>