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Afoxolaner

PrescriptionCDSCO approved
Isoxazoline ectoparasiticide
Last reviewed 19 Apr 2026 · PetCare.AI Editorial Team
Species
Dog
Brands
2 available
Formulations
4

Mechanism of action

Inhibits GABA-gated and glutamate-gated chloride channels in arthropod neurons, causing uncontrolled neuromuscular activity and death of fleas and ticks

At a glance

Class
Isoxazoline ectoparasiticide
Schedule
Prescription
Storage
Store below 30°C
CDSCO (India)
Vet-approved — 2016-01

Dosing

🐕

Dog

Flea and tick prevention/treatment
Dose
2.5–5 mg/kg
Route
PO
Frequency
Once monthly
Max dose
250 mg
Duration: Year-round or seasonal

Formulations

💊

Chewable tablet — 4

Strength
11.3mg (2–4kg)
Available in India
Strength
28.3mg (4–10kg)
Available in India
Strength
68mg (10–25kg)
Available in India
Strength
136mg (25–50kg)
Available in India

Storage

Store below 30°C

Safety

Absolute contraindications — do not use

  • Cats (not approved for feline use)

Use with caution

  • Dogs with history of seizures
    Isoxazolines may lower seizure threshold

Adverse effects

Common
Vomiting
Diarrhoea
Lethargy
Serious
Seizures (rare)
Ataxia
Muscle tremors

Monitoring parameters

Ectoparasite burdenNeurological signs

Interactions

No documented interactions.

Brands

International

NexGard
Boehringer Ingelheim

India

NexGard
Boehringer Ingelheim India

FAQs

Frequently asked questions

What is Afoxolaner?
Afoxolaner is a isoxazoline ectoparasiticide used in pets. Inhibits GABA-gated and glutamate-gated chloride channels in arthropod neurons, causing uncontrolled neuromuscular activity and death of fleas and ticks
What is Afoxolaner used for in pets?
Afoxolaner is used in veterinary medicine for: Flea and tick prevention/treatment.
What is the Afoxolaner dose for dogs?
For dogs, Afoxolaner is typically dosed as follows — Flea and tick prevention/treatment: 2.5–5 mg/kg PO Once monthly. Always consult your veterinarian for a dose tailored to your pet's weight, age, and condition.
What are the side effects of Afoxolaner?
Common: Vomiting, Diarrhoea, Lethargy. Serious (call your vet immediately): Seizures (rare), Ataxia, Muscle tremors.
Does Afoxolaner need a prescription?
Yes. Afoxolaner is a prescription medication and should only be administered under veterinary supervision.
When should Afoxolaner not be used?
Do not use Afoxolaner if: Cats (not approved for feline use).

References

CDSCO approvals (India) — 1

Afoxolaner 68.0mg and 136.0 mg chewable tablet
M/s Boehringer Ingelheim India Ltd · Approved 07-08.2019
Treatment and prevention of flea infestation in dogs ctenocephalides felis and c canis for at least 1 month the product
Source: CDSCO Veterinary Drug Approval Registry (1969–2026)

References

Textbooks & handbooks

  • Plumb, D.C. Plumb's Veterinary Drug Handbook. 10th ed., Wiley-Blackwell, 2023.
  • Vail, D.M., Thamm, D.H., & Liptak, J.M. (eds.). Withrow & MacEwen's Small Animal Clinical Oncology. 6th ed., Saunders/Elsevier, 2020.
  • Riviere, J.E., & Papich, M.G. (eds.). Veterinary Pharmacology and Therapeutics. 10th ed., Wiley-Blackwell, 2018.
  • National Research Council. Nutrient Requirements of Dogs and Cats. National Academies Press, Washington DC, 2006.
  • The Merck Veterinary Manual. Merck & Co., Online edition. https://www.merckvetmanual.com/

Clinical guidelines & consensus

  • Fletcher, D.J., Boller, M., Brainard, B.M., et al. "RECOVER Evidence and Knowledge Gap Analysis on Veterinary CPR." Journal of Veterinary Emergency and Critical Care, 2012;22(S1):S102–S131.
  • American Animal Hospital Association. 2018 AAHA Diabetes Management Guidelines for Dogs and Cats. AAHA Press.

Journals & peer-reviewed studies

  • Hogan, D.F., Fox, P.R., Jacob, K., et al. "Secondary prevention of cardiogenic arterial thromboembolism in the cat: The FAT CAT study." Journal of Veterinary Cardiology, 2015;17(Suppl 1):S306–S317.
  • Boswood, A., Häggström, J., Gordon, S.G., et al. "Effect of Pimobendan in Dogs with Preclinical Myxomatous Mitral Valve Disease and Cardiomegaly: The EPIC Study — A Randomized Clinical Trial." Journal of Veterinary Internal Medicine, 2016;30(6):1765–1779.
  • ASPCA Animal Poison Control Center. Toxicology and Poison Management Guidelines. American Society for the Prevention of Cruelty to Animals. https://www.aspca.org/pet-care/animal-poison-control

Regulatory & approvals

  • Central Drugs Standard Control Organisation (CDSCO), Government of India. Veterinary Drug Approval Registry, 1969–2026. Directorate General of Health Services. https://cdsco.gov.in/

Databases

  • Washington State University, College of Veterinary Medicine. Veterinary Clinical Pharmacology Laboratory (VCPL) — MDR1 Multidrug Sensitivity Database. https://vcpl.vetmed.wsu.edu/
Educational reference only
This information is provided for educational purposes and is not a substitute for professional veterinary advice, diagnosis, or treatment. Always consult a qualified veterinarian before administering any medication to your pet. Find a vet near you →

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