Противогельминтный препарат, в составе которого два активных... Инструкция
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Противогельминтный препарат, в составе которого два активных вещества, которые и обеспечивают его цестодоцидное и нематодоцидное действие. Мильбемицина оксим и празиквантел активны в отношении паразитирующих у кошек и собак, круглых и ленточных червей (личинок и половозрелых особей).
СОСТАВ Милпразон таблетки для собак в качестве действующих веществ содержит мильбемицина оксим и празиквантел. Выпускают препарат в двух модификациях: «Милпразон для щенков и маленьких собак весом до 5 кг», содержащий в одной таблетке в качестве действующих веществ мильбемицина оксим – 2,5 мг и празиквантел – 25 мг; и «Милпразон для собак весом более 5 кг», содержащий в одной таблетке в качестве действующих веществ: мильбемицина оксим – 12,5 мг и празиквантел – 125 мг. В качестве вспомогательных компонентов препарат содержит микрокристаллическую целлюлозу, моногидрат лактозы, повидон, натрий кроскармеллозу, кремний коллоидный безводный, магния стеарат, мясной ароматизатор, сухие дрожжи.
ФАРМАКОЛОГИЧЕСКИЕ СВОЙСТВА Милпразон таблетки для собак относятся к группе комбинированных антигельминтных лекарственных препаратов нематодоцидного и цестодоцидного действия. Входящие в состав препарата активные компоненты обеспечивают его широкий спектр антигельминтного действия. Мильбемицина оксим – макроциклический лактон, получаемый в результате ферментативной деятельности Streptomyces hygroscopicus var. Aureolacrimosus, активен в отношении личинок и имаго нематод, паразитирующих в желудочно-кишечном тракте собак, а также личинок Dirofilaria immitis. Механизм действия мильбемицина обусловлен повышением проницаемости клеточных мембран для ионов хлора (СГ), что приводит к сверхполяризации мембран клеток нервной и мышечной ткани, параличу и гибели паразита. Максимальная концентрация мильбемицина оксима в плазме крови собак достигается в течение 2-4 часов, биодоступность составляет около 80%. Из организма соединение выводится в основном в неизмененном виде. Празиквантел является ацилированным производным пиразинизохинолина, обладает выраженным действием против цестод и нематод. Повышая проницаемость клеточных мембран паразита для ионов кальция (Са2+), вызывает деполяризацию мембран, сокращение мускулатуры и разрушение тегу мента, что приводит к гибели паразита и способствует его выведению из организма животного. Максимальная концентрация празиквантела в плазме крови собак достигается через 1-4 часа. Соединение подвергается быстрой и практически полной биотрансформации в печени. Уровень связывания в плазме составляет около 80%, выводится из организма в течение 2 суток в основном с мочой.
Милпразон таблетки для собак по степени воздействия на организм относятся к веществам малоопасным (4 класс опасности по ГОСТ 12.1.007-76), в рекомендуемых дозах не оказывают сенсибилизирующего, эмбриотоксического и тератогенного действия, хорошо переносятся собаками разных пород и возраста. Препарат токсичен для пчел, а также рыб и других гидробионтов.
ПОКАЗАНИЯ Милпразон таблетки для собак назначают с лечебной и профилактической целью при нематодозах, цестодозах и ассоциативных нематодо-цестодозных инвазиях, вызванных гельминтами следующих видов: цестоды – Dipylidium caninum, Taenia spp., Echinococcus spp., Mesocestoides spp.; нематоды – Ancylostoma caninum, Toxocara canis, Toxascaris leonina, Trichuris vulpis, Thelazia callipaeda; Angiostrongylus vasorum (снижает интенсивность заражения), Crenosoma vulpis (снижает интенсивность заражения), Dirofilaria immitis (профилактика заболевания).
ДОЗЫ И СПОСОБ ПРИМЕНЕНИЯ Милпразон таблетки для собак применяют однократно во время кормления с небольшим количеством корма или вводят принудительно на корень языка после кормления в минимальной терапевтической дозе 0,5 мг мильбемицина оксима и 5 мг празиквантела на 1 кг массы животного. Предварительной голодной диеты и применения слабительных средств перед дегельминтизацией не требуется.
Для дегельминтизации собак при инвазии, вызванной сердечным червем (Angiostrongylus vasorum), Милпразон таблетки для собак применяют с лечебной целью четырехкратно с интервалом 7 суток, с целью профилактики – каждые 4 недели в терапевтической дозе. Для дегельминтизации собак при инвазии, вызванной глазным червем (Thelazia callipaeda), препарат применяют двукратно с интервалом 7 суток.
С целью профилактики дирофиляриоза в неблагополучных по заболеванию регионах препарат применяют в весенне-летне-осенний период: перед началом лёта комаров и москитов (переносчиков возбудителя D. immitis) однократно, затем один раз в месяц и последний раз в сезоне через 1 месяц после завершения лёта насекомых. Перед дегельминтизацией, следует проконсультироваться с ветеринарным врачом, чтобы исключить наличие у животного в крови микрофилярий.
При передозировке препарата у некоторых собак могут наблюдаться угнетенное состояние, слюнотечение, парез мышц, дрожь и (или) шаткая походка. Эти симптомы проходят спонтанно в течение суток, при необходимости животному назначают средства симптоматической терапии.
Особенностей действия препарата при его первом применении и отмене не выявлено.
Не следует применять препарат щенкам моложе 2-недельного возраста и массой менее 0,5 кг. Дегельминтизацию кормящих и беременных сук при необходимости проводят под наблюдением ветеринарного врача.
При проведении дегельминтизации следует придерживаться рекомендуемых инструкцией сроков. В случае пропуска очередной обработки применение препарата возобновляют в той же дозе и по той же схеме.
ПОБОЧНЫЕ ДЕЙСТВИЯ Побочных явлений и осложнений при применении препарата согласно настоящей инструкции, как правило, не наблюдается. У некоторых животных может наблюдаться вялость, атаксия, тремор мышц, рвота и/или диарея, в этих случаях применение препарата прекращают и животному назначают средства симптоматической терапии.
ПРОТИВОПОКАЗАНИЯ Противопоказанием к применению является индивидуальная повышенная чувствительность животного к компонентам препарата (в том числе в анамнезе), выраженные нарушения функции почек и печени. Не подлежат дегельминтизации истощенные и больные инфекционными болезнями животные. Дегельминтизацию щенков породы колли, бобтейл и шелти при необходимости проводят под наблюдением ветеринарного врача.
ОСОБЫЕ УКАЗАНИЯ Милпразон таблетки для собак совместимы с селамектином, сведения о совместимости препарата с другими макроциклическими лактонами отсутствуют. Препарат не предназначен для применения продуктивным животным. Меры личной профилактики При применении Милпразона необходимо соблюдать общие правила личной гигиены и техники безопасности, предусмотренные при работе с лекарственными препаратами. Людям с гиперчувствительностью к компонентам препарата следует избегать прямого контакта с Милпразоном. Пустую упаковку из-под лекарственного препарата запрещается использовать для бытовых целей, она подлежит утилизации с бытовыми отходами. При случайном контакте лекарственного препарата с кожей или слизистыми оболочками глаз, их необходимо промыть большим количеством проточной воды. В случае проявления аллергических реакций или при случайном попадании препарата в организм человека следует немедленно обратиться в медицинское учреждение (при себе иметь инструкцию по применению препарата или этикетку).
УСЛОВИЯ ХРАНЕНИЯ В закрытой упаковке производителя в сухом, защищенном от прямых солнечных лучей, недоступном для детей и животных месте, отдельно от продуктов питания и кормов, при температуре от 5°С до 25°С. Срок годности препарата при соблюдении условий хранения в закрытой упаковке производителя – 2 года со дня изготовления. Неиспользованную половину таблетки в модификации препарата для щенков и маленьких собак весом до 5 кг можно поместить в блистер и хранить до следующей дегельминтизации, но не более 6 месяцев после вскрытия упаковки. Запрещается использование лекарственного препарата по истечении срока годности. Неиспользованный препарат утилизируют в соответствии с требованиями законодательства.
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препарат, в составе которого два активных вещества, которые и обеспечивают его цестодоцидное и нематодоцидное действие. Мильбемицина оксим и празиквантел активны в отношении паразитирующих у кошек и собак, круглых и ленточных червей (личинок и половозрелых особей)."}},{"type":"paragraph","data":{"text":"СОСТАВ \u003cbr /\u003eМилпразон таблетки для собак в качестве действующих веществ содержит мильбемицина оксим и празиквантел. Выпускают препарат в двух модификациях: «Милпразон для щенков и маленьких собак весом до 5 кг», содержащий в одной таблетке в качестве действующих веществ мильбемицина оксим – 2,5 мг и празиквантел – 25 мг; и «Милпразон для собак весом более 5 кг», содержащий в одной таблетке в качестве действующих веществ: мильбемицина оксим – 12,5 мг и празиквантел – 125 мг.\u003cbr /\u003eВ качестве вспомогательных компонентов препарат содержит микрокристаллическую целлюлозу, моногидрат лактозы, повидон, натрий кроскармеллозу, кремний коллоидный безводный, магния стеарат, мясной ароматизатор, сухие дрожжи."}},{"type":"paragraph","data":{"text":"ФАРМАКОЛОГИЧЕСКИЕ СВОЙСТВА\u003cbr /\u003eМилпразон таблетки для собак относятся к группе комбинированных антигельминтных лекарственных препаратов нематодоцидного и цестодоцидного действия.\u003cbr /\u003eВходящие в состав препарата активные компоненты обеспечивают его широкий спектр антигельминтного действия.\u003cbr /\u003eМильбемицина оксим – макроциклический лактон, получаемый в результате ферментативной деятельности Streptomyces hygroscopicus var. Aureolacrimosus, активен в отношении личинок и имаго нематод, паразитирующих в желудочно-кишечном тракте собак, а также личинок Dirofilaria immitis.\u003cbr /\u003eМеханизм действия мильбемицина обусловлен повышением проницаемости клеточных мембран для ионов хлора (СГ), что приводит к сверхполяризации мембран клеток нервной и мышечной ткани, параличу и гибели паразита. Максимальная концентрация мильбемицина оксима в плазме крови собак достигается в течение 2-4 часов, биодоступность составляет около 80%. Из организма соединение выводится в основном в неизмененном виде.\u003cbr /\u003eПразиквантел является ацилированным производным пиразинизохинолина, обладает выраженным действием против цестод и нематод. Повышая проницаемость клеточных мембран паразита для ионов кальция (Са2+), вызывает деполяризацию мембран, сокращение мускулатуры и разрушение тегу мента, что приводит к гибели паразита и способствует его выведению из организма животного. Максимальная концентрация празиквантела в плазме крови собак достигается через 1-4 часа. Соединение подвергается быстрой и практически полной биотрансформации в печени. Уровень связывания в плазме составляет около 80%, выводится из организма в течение 2 суток в основном с мочой."}},{"type":"paragraph","data":{"text":"Милпразон таблетки для собак по степени воздействия на организм относятся к веществам малоопасным (4 класс опасности по ГОСТ 12.1.007-76), в рекомендуемых дозах не оказывают сенсибилизирующего, эмбриотоксического и тератогенного действия, хорошо переносятся собаками разных пород и возраста. Препарат токсичен для пчел, а также рыб и других гидробионтов."}},{"type":"paragraph","data":{"text":"ПОКАЗАНИЯ\u003cbr /\u003eМилпразон таблетки для собак назначают с лечебной и профилактической целью при нематодозах, цестодозах и ассоциативных нематодо-цестодозных инвазиях, вызванных гельминтами следующих видов: цестоды – Dipylidium caninum, Taenia spp., Echinococcus spp., Mesocestoides spp.; нематоды – Ancylostoma caninum, Toxocara canis, Toxascaris leonina, Trichuris vulpis, Thelazia callipaeda; Angiostrongylus vasorum (снижает интенсивность заражения), Crenosoma vulpis (снижает интенсивность заражения), Dirofilaria immitis (профилактика заболевания)."}},{"type":"paragraph","data":{"text":"ДОЗЫ И СПОСОБ ПРИМЕНЕНИЯ\u003cbr /\u003eМилпразон таблетки для собак применяют однократно во время кормления с небольшим количеством корма или вводят принудительно на корень языка после кормления в минимальной терапевтической дозе 0,5 мг мильбемицина оксима и 5 мг празиквантела на 1 кг массы животного.\u003cbr /\u003eПредварительной голодной диеты и применения слабительных средств перед дегельминтизацией не требуется."}},{"type":"paragraph","data":{"text":"Для дегельминтизации собак при инвазии, вызванной сердечным червем (Angiostrongylus vasorum), Милпразон таблетки для собак применяют с лечебной целью четырехкратно с интервалом 7 суток, с целью профилактики – каждые 4 недели в терапевтической дозе.\u003cbr /\u003eДля дегельминтизации собак при инвазии, вызванной глазным червем (Thelazia callipaeda), препарат применяют двукратно с интервалом 7 суток."}},{"type":"paragraph","data":{"text":"С целью профилактики дирофиляриоза в неблагополучных по заболеванию регионах препарат применяют в весенне-летне-осенний период: перед началом лёта комаров и москитов (переносчиков возбудителя D. immitis) однократно, затем один раз в месяц и последний раз в сезоне через 1 месяц после завершения лёта насекомых. Перед дегельминтизацией, следует проконсультироваться с ветеринарным врачом, чтобы исключить наличие у животного в крови микрофилярий."}},{"type":"paragraph","data":{"text":"При передозировке препарата у некоторых собак могут наблюдаться угнетенное состояние, слюнотечение, парез мышц, дрожь и (или) шаткая походка. Эти симптомы проходят спонтанно в течение суток, при необходимости животному назначают средства симптоматической терапии."}},{"type":"paragraph","data":{"text":"Особенностей действия препарата при его первом применении и отмене не выявлено."}},{"type":"paragraph","data":{"text":"Не следует применять препарат щенкам моложе 2-недельного возраста и массой менее 0,5 кг. Дегельминтизацию кормящих и беременных сук при необходимости проводят под наблюдением ветеринарного врача."}},{"type":"paragraph","data":{"text":"При проведении дегельминтизации следует придерживаться рекомендуемых инструкцией сроков. В случае пропуска очередной обработки применение препарата возобновляют в той же дозе и по той же схеме."}},{"type":"paragraph","data":{"text":"ПОБОЧНЫЕ ДЕЙСТВИЯ\u003cbr /\u003eПобочных явлений и осложнений при применении препарата согласно настоящей инструкции, как правило, не наблюдается. У некоторых животных может наблюдаться вялость, атаксия, тремор мышц, рвота и/или диарея, в этих случаях применение препарата прекращают и животному назначают средства симптоматической терапии."}},{"type":"paragraph","data":{"text":"ПРОТИВОПОКАЗАНИЯ\u003cbr /\u003eПротивопоказанием к применению является индивидуальная повышенная чувствительность животного к компонентам препарата (в том числе в анамнезе), выраженные нарушения функции почек и печени. Не подлежат дегельминтизации истощенные и больные инфекционными болезнями животные.\u003cbr /\u003eДегельминтизацию щенков породы колли, бобтейл и шелти при необходимости проводят под наблюдением ветеринарного врача."}},{"type":"paragraph","data":{"text":"ОСОБЫЕ УКАЗАНИЯ\u003cbr /\u003eМилпразон таблетки для собак совместимы с селамектином, сведения о совместимости препарата с другими макроциклическими лактонами отсутствуют.\u003cbr /\u003eПрепарат не предназначен для применения продуктивным животным.\u003cbr /\u003eМеры личной профилактики\u003cbr /\u003eПри применении Милпразона необходимо соблюдать общие правила личной гигиены и техники безопасности, предусмотренные при работе с лекарственными препаратами.\u003cbr /\u003eЛюдям с гиперчувствительностью к компонентам препарата следует избегать прямого контакта с Милпразоном.\u003cbr /\u003eПустую упаковку из-под лекарственного препарата запрещается использовать для бытовых целей, она подлежит утилизации с бытовыми отходами.\u003cbr /\u003eПри случайном контакте лекарственного препарата с кожей или слизистыми оболочками глаз, их необходимо промыть большим количеством проточной воды. В случае проявления аллергических реакций или при случайном попадании препарата в организм человека следует немедленно обратиться в медицинское учреждение (при себе иметь инструкцию по применению препарата или этикетку)."}},{"type":"paragraph","data":{"text":"УСЛОВИЯ ХРАНЕНИЯ\u003cbr /\u003eВ закрытой упаковке производителя в сухом, защищенном от прямых солнечных лучей, недоступном для детей и животных месте, отдельно от продуктов питания и кормов, при температуре от 5°С до 25°С. Срок годности препарата при соблюдении условий хранения в закрытой упаковке производителя – 2 года со дня изготовления.\u003cbr /\u003eНеиспользованную половину таблетки в модификации препарата для щенков и маленьких собак весом до 5 кг можно поместить в блистер и хранить до следующей дегельминтизации, но не более 6 месяцев после вскрытия упаковки.\u003cbr /\u003eЗапрещается использование лекарственного препарата по истечении срока годности.\u003cbr /\u003eНеиспользованный препарат утилизируют в соответствии с требованиями законодательства."}}]}],"source":{"title":"Бетховен","url":"https://bethowen.ru"}},"description_toggle":false,"short_description":"Противогельминтный препарат, в составе которого два активных вещества, которые и обеспечивают его цестодоцидное и нематодоцидное действие. Мильбемицина оксим и празиквантел активны в отношении паразитирующих у кошек и собак, круглых и ленточных червей (личинок и половозрелых особей). СОСТАВ Милпразон таблетки для собак в качестве действующих веществ содержит мильбемицина оксим и празиквантел. Выпускают препарат в двух модификациях: «Милпразон для щенков и маленьких собак весом до 5 кг», содержащий в одной таблетке в качестве действующих веществ мильбемицина оксим – 2,5 мг и празиквантел – 25 мг; и «Милпразон для собак весом более 5 кг», содержащий в одной таблетке в качестве действующих веществ: мильбемицина оксим – 12,5 мг и празиквантел – 125 мг. В качестве вспомогательных компонентов препарат содержит микрокристаллическую целлюлозу, моногидрат лактозы, повидон, натрий кроскармеллозу, кремний коллоидный безводный, магния стеарат, мясной ароматизатор, сухие дрожжи. ФАРМАКОЛОГИЧЕСКИЕ СВОЙСТВА Милпразон таблетки для собак относятся к группе комбинированных антигельминтных лекарственных препаратов нематодоцидного и цестодоцидного действия. Входящие в состав препарата активные компоненты обеспечивают его широкий спектр антигельминтного действия. Мильбемицина оксим – макроциклический лактон, получаемый в результате ферментативной деятельности Streptomyces hygroscopicus var. Aureolacrimosus, активен в отношении личинок и имаго нематод, паразитирующих в желудочно-кишечном тракте собак, а также личинок Dirofilaria immitis. Механизм действия мильбемицина обусловлен повышением проницаемости клеточных мембран для ионов хлора (СГ), что приводит к сверхполяризации мембран клеток нервной и мышечной ткани, параличу и гибели паразита. Максимальная концентрация мильбемицина оксима в плазме крови собак достигается в течение 2-4 часов, биодоступность составляет около 80%. Из организма соединение выводится в основном в неизмененном виде. Празиквантел является ацилированным производным пиразинизохинолина, обладает выраженным действием против цестод и нематод. Повышая проницаемость клеточных мембран паразита для ионов кальция (Са2+), вызывает деполяризацию мембран, сокращение мускулатуры и разрушение тегу мента, что приводит к гибели паразита и способствует его выведению из организма животного. Максимальная концентрация празиквантела в плазме крови собак достигается через 1-4 часа. Соединение подвергается быстрой и практически полной биотрансформации в печени. Уровень связывания в плазме составляет около 80%, выводится из организма в течение 2 суток в основном с мочой. Милпразон таблетки для собак по степени воздействия на организм относятся к веществам малоопасным (4 класс опасности по ГОСТ 12.1.007-76), в рекомендуемых дозах не оказывают сенсибилизирующего, эмбриотоксического и тератогенного действия, хорошо переносятся собаками разных пород и возраста. Препарат токсичен для пчел, а также рыб и других гидробионтов. ПОКАЗАНИЯ Милпразон таблетки для собак назначают с лечебной и профилактической целью при нематодозах, цестодозах и ассоциативных нематодо-цестодозных инвазиях, вызванных гельминтами следующих видов: цестоды – Dipylidium caninum, Taenia spp., Echinococcus spp., Mesocestoides spp.; нематоды – Ancylostoma caninum, Toxocara canis, Toxascaris leonina, Trichuris vulpis, Thelazia callipaeda; Angiostrongylus vasorum (снижает интенсивность заражения), Crenosoma vulpis (снижает интенсивность заражения), Dirofilaria immitis (профилактика заболевания). ДОЗЫ И СПОСОБ ПРИМЕНЕНИЯ Милпразон таблетки для собак применяют однократно во время кормления с небольшим количеством корма или вводят принудительно на корень языка после кормления в минимальной терапевтической дозе 0,5 мг мильбемицина оксима и 5 мг празиквантела на 1 кг массы животного. Предварительной голодной диеты и применения слабительных средств перед дегельминтизацией не требуется. Для дегельминтизации собак при инвазии, вызванной сердечным червем (Angiostrongylus vasorum), Милпразон таблетки для собак применяют с лечебной целью четырехкратно с интервалом 7 суток, с целью профилактики – каждые 4 недели в терапевтической дозе. Для дегельминтизации собак при инвазии, вызванной глазным червем (Thelazia callipaeda), препарат применяют двукратно с интервалом 7 суток. С целью профилактики дирофиляриоза в неблагополучных по заболеванию регионах препарат применяют в весенне-летне-осенний период: перед началом лёта комаров и москитов (переносчиков возбудителя D. immitis) однократно, затем один раз в месяц и последний раз в сезоне через 1 месяц после завершения лёта насекомых. Перед дегельминтизацией, следует проконсультироваться с ветеринарным врачом, чтобы исключить наличие у животного в крови микрофилярий. При передозировке препарата у некоторых собак могут наблюдаться угнетенное состояние, слюнотечение, парез мышц, дрожь и (или) шаткая походка. Эти симптомы проходят спонтанно в течение суток, при необходимости животному назначают средства симптоматической терапии. Особенностей действия препарата при его первом применении и отмене не выявлено. Не следует применять препарат щенкам моложе 2-недельного возраста и массой менее 0,5 кг. Дегельминтизацию кормящих и беременных сук при необходимости проводят под наблюдением ветеринарного врача. При проведении дегельминтизации следует придерживаться рекомендуемых инструкцией сроков. В случае пропуска очередной обработки применение препарата возобновляют в той же дозе и по той же схеме. ПОБОЧНЫЕ ДЕЙСТВИЯ Побочных явлений и осложнений при применении препарата согласно настоящей инструкции, как правило, не наблюдается. У некоторых животных может наблюдаться вялость, атаксия, тремор мышц, рвота и/или диарея, в этих случаях применение препарата прекращают и животному назначают средства симптоматической терапии. ПРОТИВОПОКАЗАНИЯ Противопоказанием к применению является индивидуальная повышенная чувствительность животного к компонентам препарата (в том числе в анамнезе), выраженные нарушения функции почек и печени. Не подлежат дегельминтизации истощенные и больные инфекционными болезнями животные. Дегельминтизацию щенков породы колли, бобтейл и шелти при необходимости проводят под наблюдением ветеринарного врача. ОСОБЫЕ УКАЗАНИЯ Милпразон таблетки для собак совместимы с селамектином, сведения о совместимости препарата с другими макроциклическими лактонами отсутствуют. Препарат не предназначен для применения продуктивным животным. Меры личной профилактики При применении Милпразона необходимо соблюдать общие правила личной гигиены и техники безопасности, предусмотренные при работе с лекарственными препаратами. Людям с гиперчувствительностью к компонентам препарата следует избегать прямого контакта с Милпразоном. Пустую упаковку из-под лекарственного препарата запрещается использовать для бытовых целей, она подлежит утилизации с бытовыми отходами. При случайном контакте лекарственного препарата с кожей или слизистыми оболочками глаз, их необходимо промыть большим количеством проточной воды. В случае проявления аллергических реакций или при случайном попадании препарата в организм человека следует немедленно обратиться в медицинское учреждение (при себе иметь инструкцию по применению препарата или этикетку). УСЛОВИЯ ХРАНЕНИЯ В закрытой упаковке производителя в сухом, защищенном от прямых солнечных лучей, недоступном для детей и животных месте, отдельно от продуктов питания и кормов, при температуре от 5°С до 25°С. Срок годности препарата при соблюдении условий хранения в закрытой упаковке производителя – 2 года со дня изготовления. Неиспользованную половину таблетки в модификации препарата для щенков и маленьких собак весом до 5 кг можно поместить в блистер и хранить до следующей дегельминтизации, но не более 6 месяцев после вскрытия упаковки. Запрещается использование лекарственного препарата по истечении срока годности. 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