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Moxidectin

PrescriptionCDSCO approved
Macrocyclic lactone (milbemycin) antiparasitic
Last reviewed 19 Apr 2026 · PetCare.AI Editorial Team
Species
Dog, Cat
Brands
3 available
Formulations
2

Mechanism of action

Activates glutamate-gated chloride channels causing paralysis and death of parasites; longer half-life than ivermectin; lipophilic with sustained tissue concentrations

At a glance

Class
Macrocyclic lactone (milbemycin) antiparasitic
Schedule
Prescription
Storage
Store below 25°C, protect from light; do not refrigerate SR injection
CDSCO (India)
Vet-approved — 2000-01

Dosing

🐕

Dog

Heartworm prevention / Intestinal parasites / Demodex
Dose
0.003 mg/kg
Route
SC (sustained-release), Topical
Frequency
Every 6 months (SR injection) or monthly (topical)
Max dose
0.17 mg
Duration: Year-round
Generalized demodicosis
Dose
0.2–0.5 mg/kg
Route
PO
Frequency
SID
Max dose
20 mg
Duration: Until 2 negative skin scrapings
🐈

Cat

Heartworm prevention / Ear mites / Intestinal parasites
Dose
1 mg/kg
Route
Topical
Frequency
Monthly
Max dose
10 mg
Duration: Year-round

Formulations

🧴

Topical solution (with imidacloprid) — 1

Strength
2.5% moxidectin / 10% imidacloprid
Available in India
💉

Sustained-release injection — 1

Strength
10% w/v

Storage

Store below 25°C, protect from light; do not refrigerate SR injection

Safety

Absolute contraindications — do not use

  • MDR1-mutant breeds (at high oral doses)
    Safe at approved topical/injectable doses
    CollieShetland SheepdogAustralian Shepherd

Use with caution

  • Puppies under 7 weeks

Adverse effects

Common
Injection site reaction (SR formulation)
Lethargy
Pruritus at application site (topical)
Serious
Neurotoxicity (MDR1-mutant at high doses)
Anaphylaxis (rare, injectable)

Monitoring parameters

Heartworm antigen test (annual)Skin scrapings (demodicosis)Injection site examination

Interactions

No documented interactions.

Brands

International

ProHeart
Zoetis
Advantage Multi (with imidacloprid)
Bayer/Elanco

India

Moxivet
Intas

FAQs

Frequently asked questions

What is Moxidectin?
Moxidectin is a macrocyclic lactone (milbemycin) antiparasitic used in pets. Activates glutamate-gated chloride channels causing paralysis and death of parasites; longer half-life than ivermectin; lipophilic with sustained tissue concentrations
What is Moxidectin used for in pets?
Moxidectin is used in veterinary medicine for: Heartworm prevention / Intestinal parasites / Demodex; Generalized demodicosis; Heartworm prevention / Ear mites / Intestinal parasites.
What is the Moxidectin dose for dogs?
For dogs, Moxidectin is typically dosed as follows — Heartworm prevention / Intestinal parasites / Demodex: 0.003 mg/kg SC (sustained-release)/Topical Every 6 months (SR injection) or monthly (topical); Generalized demodicosis: 0.2–0.5 mg/kg PO SID. Always consult your veterinarian for a dose tailored to your pet's weight, age, and condition.
What is the Moxidectin dose for cats?
For cats, Moxidectin is typically dosed as follows — Heartworm prevention / Ear mites / Intestinal parasites: 1 mg/kg Topical Monthly. Always consult your veterinarian for a dose tailored to your pet's weight, age, and condition.
What are the side effects of Moxidectin?
Common: Injection site reaction (SR formulation), Lethargy, Pruritus at application site (topical). Serious (call your vet immediately): Neurotoxicity (MDR1-mutant at high doses), Anaphylaxis (rare, injectable).
Does Moxidectin need a prescription?
Yes. Moxidectin is a prescription medication and should only be administered under veterinary supervision.
When should Moxidectin not be used?
Do not use Moxidectin if: MDR1-mutant breeds (at high oral doses).

References

CDSCO approvals (India) — 2

Moxidectin 1% w/v injection
M/s Cyanamid India Ltd · Approved 16.01.1997
In the treatment and control of internal and external parasites in cattle.
Sarolaner/Moxidectin/Pyrant el Embonate Chewable Tablets (Simparica Trio).
M/s Zoetis India Ltd · Approved 04.08.2022
1. Ectoparasite Treatment of tick infestation. Treatments of flea infestation (ctenocephalides felis and ctenocephalides
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 →

Related medicines

Other medicines in the same class (Macrocyclic lactone).

Doramectin
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Binds to glutamate-gated chloride channels in nematode and arthropod nerve and muscle cells, causing prolonged opening and irreversible hyperpolarization, resulting in paralysis and death of parasites. Does not cross intact mammalian BBB.
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Milbemycin Oxime
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Activates glutamate-gated chloride channels in invertebrate nerve and muscle cells, causing paralysis and death of parasites; effective against heartworm larvae, roundworms, and hookworms
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