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Flea and tick control options

Ask Dr. Lee
October 23, 2018

What options are available for flea and tick control in pets, and how do they work? Dr. Lee discusses insect control options with a pet parent.

Flea and tick control options

Q: Pixie, my toy poodle, has been using a popular topical liquid for fleas and ticks, but the monthly applications don’t seem to be killing the fleas as well as they once did. What do you suggest?

A: Three categories of products are effective alternatives for flea and tick control.

Your first option is a different topical liquid, preferably one that contains permethrin, which repels and kills fleas, ticks, mosquitos, and other insects.

Note: Mosquitos transmit heartworms, and since I live in an area where heartworm disease is common, I apply a permethrin-containing liquid to my dogs’ skin every month to supplement their monthly heartworm medication. (Common brands are K9 Advantix II and Vectra 3D.)

A second choice is a chewable tablet that kills fleas and ticks that bite. Credelio, NexGard and Simparica are monthly options; Bravecto is given every three months. Your veterinarian probably carries one of these medications.

A third product that works against fleas and ticks is a collar such as the Seresto collar, which lasts for eight months.

If Pixie continues to have problems with fleas, talk with her veterinarian.

Editor’s Note: Insect-borne pet diseases—like Lyme and Heartworm—are on the rise this year due to the impact of climate change. Dr. Lee shares import information about a 4Dx detection test and prevention tips.


Lee Pickett, V.M.D. practices companion animal medicine. Contact her at askdrlee@insurefigo.com.

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