What general wormers do you use in practice?

Re: What general wormers do you use in practice?

Susannah Carrigan SVN — Mon, 31 May 2010 21:36:15 GMT

We also use Advocate, Advantix and Frontline Combo is what we use for flea and tick treatment, Frontline being the most popular.

Re: What general wormers do you use in practice?

Sal the 1st — Sun, 30 May 2010 15:31:50 GMT

[quote user="SmegSlayer"]

What makes a product a better product: one that works. If the clients complained and we did nothing to change it would be poor customer care

[/quote]

Indeed, and that is a product I would choose to use - I was just pointing out that clients are hugely influenced by the information they receive through advertising (not only the information they receive through their veterinary practice) and in fact so are many veterinary practices, and the product that is perceived to be the best isnt always when you take a careful look at it

Re: What general wormers do you use in practice?

SmegSlayer — Sun, 30 May 2010 14:24:20 GMT

[quote user="Sal (the 1st) Holesworth VN CMH Chyp (M)PNLP"]

well have to say I have not experienced any problems with frontline combo - advantage yes I have had clients complain that even after 5 days they have found live fleas. I think a lot depends on how the product is used and also the situation it is used in. ie if you have an environment hooching in fleas and no environmental treatment is being used then there will still be fleas no matter what you use as a spot on.

I must admit I do not believe all of the bs some of the reps spout - and any rep who spends the majority of their visit telling me how bad a competitors product is I dont have a lot of time for. (its especially gratifying when you find a rep changes company and the next time you see them they are selling the product they were so keen to diss just a few months earlier - speaks volumes )

what makes a product a better product? - is it just down to the amount of money thrown at advertising and creating a popular name that a client will relate to and therefore a practice will want to stock?

[/quote]

Didn't go through the reps, went to vets at each company.

Personally I had problems with Frontline when I got Tiddles (and he didn't go outside). I tried for a few doses and staykilled my small flat twice. changed to advocate and never had a problem till he died (only had him 8 months)

Can't comment of advantage- we do stock a small amount but hardly ever sell it so have had no feedback.

What makes a product a better product: one that works. If the clients complained and we did nothing to change it would be poor customer care

Re: What general wormers do you use in practice?

Stuart McQueen RVN MBVNA — Sun, 30 May 2010 14:00:14 GMT

I had a woman in consulting yesterday telling me that she always buys milbemax, it takes 4 people to corner the cat, towel it and then using a modified pill giver and after 3-4 attempts finally manages to worm her ferral cat... I asked if she had ever thought about pro-fender - and she didn't even know it exsisted! very happy client! ♥

Re: What general wormers do you use in practice?

Sarah Bolton — Sun, 30 May 2010 13:46:35 GMT

We have in stock. Advocate, Stronghold pup/kitten, milbemax, droncit, drontal, panacur and droncal pup suspension and profender. (I love profender)

Re: What general wormers do you use in practice?

Nicola Smith — Sun, 30 May 2010 13:35:22 GMT

Dogs - advocate or milbemax - some clients dont want spot on prefer a tablet instead. Would use drontal every 6 months with advocate if need tapeworm tx. Sell prob 50/50 milbemax or advocate for dogs.

Cats - advocate but not if they are regular hunters, if they hunt regularly or outdoors a lot then milbemax with a flea tx, or milbemax if o prefers tablets or no flea tx eg indoor cats. Also stock profender too for those who cant tablet cat. I would say sell mostly milbemax for cats.

Have panacur granules and liquid for pregnant bitches and litters of pups.

Flea tx wise sell advocate, advantage and also stock some frontline for non clients. Also keep some advantix for travelling. As has been previously said if the flea tx isnt working usually becaue they have household problems - so always adv to tx house as well though often they dont take up on that.

Re: What general wormers do you use in practice?

Susannah Carrigan SVN — Sun, 30 May 2010 12:14:44 GMT

We use Panacur grains for puppies and kittens, then Drontal for adult dogs and cats, we have one or two clients who prefer Milbemax so we do keep that in stock as well.

Re: What general wormers do you use in practice?

Sal the 1st — Sun, 30 May 2010 11:36:22 GMT

Re: What general wormers do you use in practice?

SmegSlayer — Sun, 30 May 2010 10:33:54 GMT

[quote user="StephB"]

Frontline Combo will not work if not used year round. Where as Advocate and Stronghold will if used less frequently. Something to do with the way the drug deposits in the body. The system has to be constantly primed with Frontline Combo in order to get the best results for the product. go figure.. Stronghold I find works brilliantly if it's rotated with Advocate through the year. Never had a problem since i started doing that.

[/quote]

It was mainly people who used it properly. you could tell from their record of when they last bought it. It's too old now- the fleas are resistant

Re: What general wormers do you use in practice?

SmegSlayer — Sun, 30 May 2010 10:31:29 GMT

[quote user="StephB"]

surely it would make more sense to worm after you flea treat no? otherwise if there are still fleas on the pets body or area for consumption they will only reinfect themselves with the flea bodies being worm carriers.

[/quote]

Advocate told me this was a big no-no with milbemax. something to do with the duration of advocate vs duration of milbemax.

Re: What general wormers do you use in practice?

Anonymous — Sat, 29 May 2010 17:53:35 GMT

[quote user="SmegSlayer"]

We had to stop using frontline and stronghold- they stopped working and we were getting loads of complaints from clients.

[/quote]

Re: What general wormers do you use in practice?

Anonymous — Sat, 29 May 2010 17:49:34 GMT

[quote user="SmegSlayer"]

I was also told about using advocate and milbemax apart but you have to use milbemax first and then do advocate a minimum of a week later but it would at your own risk and the drug company would not be liable for any adverse effects. It's safer to not bother.

But WHY would you want to use milbemax and advocate together anyway? Advocate does all the worms apart from tapeworm and then you just need droncit every 6 months

[/quote]

My regular protocol for my pets is to flea treat with Advocate OR Stronghold monthly year round and to worm every three months one to two weeks after flea treatment is administered. Never had a problem with fleas or worms.

Re: What general wormers do you use in practice?

Nick Shackleton — Sat, 29 May 2010 15:52:01 GMT

I have now been out of general practice for over 6 years now. I personally think things are over complicated. If the veterinary professionals have a problem understand the different drugs and interactions.

God knows how the general public will cope!

Re: What general wormers do you use in practice?

Sal the 1st — Sat, 29 May 2010 15:35:35 GMT

[quote user="SmegSlayer"]

It seems irresponsible to double worm when both compaines advise not using the products together

[/quote]

yup that was my original point from way back when

Re: What general wormers do you use in practice?

SmegSlayer — Sat, 29 May 2010 15:30:10 GMT

but surely common sense says that if you use a product that worms then you don't need another wormer on top of that.

We had to stop using frontline and stronghold- they stopped working and we were getting loads of complaints from clients. We still had a golden handcuffs deal with milbemax but head office suggested advocate and droncit despite the milbemax deal the company gets.

It seems irresponsible to double worm when both compaines advise not using the products together

Re: What general wormers do you use in practice?

Sal the 1st — Sat, 29 May 2010 14:29:33 GMT

[quote user="SmegSlayer"]

But WHY would you want to use milbemax and advocate together anyway? Advocate does all the worms apart from tapeworm and then you just need droncit every 6 months

[/quote]

possibly because not every practice stocks Drontal - in fact I can name around a dozen that have stopped stocking it - the reason mainly is its legal category which means that people can buy it off the internet or from their chemist, but there is also the advantage with milbemax that it is a smaller tablet , easier to administer and clients like them.

A similar thing has happened with Frontline, which is why many practices only stock Frontline combo or the pump sprays - people are going to their chemist or going on line so it isnt financially viable to stock a product that will sit on the shelves. Chemists and internet buying groups are getting huge discounts on bulk purchases which means that a lot of the time practices are paying more from their wholesaler than joe public is paying on the internet.

Re: What general wormers do you use in practice?

SmegSlayer — Sat, 29 May 2010 13:53:42 GMT

But WHY would you want to use milbemax and advocate together anyway? Advocate does all the worms apart from tapeworm and then you just need droncit every 6 months

Re: What general wormers do you use in practice?

tinydancer — Sat, 29 May 2010 13:29:58 GMT

We like to use Advocate and Milbemax mostly, but we also stock drontal,droncit and profender, the droncit and profender are used on a 6 monthly basis when we administer advocate

Re: What general wormers do you use in practice?

staceyvn — Sat, 29 May 2010 13:01:36 GMT

drontal is sufficient - we use milbemax which is also prophylactic against angiostrog, but stock all the usual, panacur, drontal, program plus etc

Re: What general wormers do you use in practice?

Kim Buckley — Sat, 29 May 2010 12:50:07 GMT

Advocate and droncit

Re: What general wormers do you use in practice?

Katie Tallett RVN MBVNA — Sat, 29 May 2010 12:07:50 GMT

we do not use milbemax as we also use advocate and have also been told that the two should not be given together.

i think if they are given a week or so apart it may be ok but its not worth risking the staff or clients forgetting about this and dosing at the same time.

we have drontal 1st line but also panacur paste/liquid/powder, profender and droncit. we can order milb in for clients but as we don't use it much we are more on the ball about dosing with other tx

Re: What general wormers do you use in practice?

SmegSlayer — Sat, 29 May 2010 12:04:45 GMT

milbemax and advocate should not be used together. Vet had me investigate this week and it has now become practice policy to never give both to the same animal.

both contain macrocyclic lactones as their worming agent. milbemax bods told me that they couldn't advise it as they had not tested the 2 together whereas milbemax and stronghold had to be tested to together.

Re: What general wormers do you use in practice?

Sal the 1st — Sat, 29 May 2010 09:31:35 GMT

[quote user="Polly Player SVN"]

We don't keep Milbemax due to the contraindication with one of the flea treatments (I forget which one?) but we will order it if requested.

[/quote]

thanks for that

when I mentioned it on this thread

http://www.vetnurse.co.uk/forums/p/8019/78250.aspx#78250

it was pretty much ridiculed.

Re: What general wormers do you use in practice?

Steph Phillips — Fri, 28 May 2010 21:59:19 GMT

[quote user="Polly Player SVN"]We don't keep Milbemax due to the contraindication with one of the flea treatments (I forget which one?) [/quote]

Really?? What happens.. if you remember what flea treatment can you pls let me know?

Re: What general wormers do you use in practice?

Lolita — Fri, 28 May 2010 21:54:11 GMT

we use Milbemax for cats and dogs, drontal syrup, profender & advocate