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Peer-reviewed veterinary case report

Effective oral treatment for sarcoptic mange in dogs with NexGardPlus

By Antoine, Loïc et al.·Published in Parasite (Paris, France)·2026·Boehringer Ingelheim Animal Health, France·View original on PubMed

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Original publication title: Field efficacy assessment of a combination of afoxolaner, moxidectin and pyrantel pamoate to treat dogs naturally infested with Sarcoptes scabiei.

Species:
dog

Plain-English summary

A group of 20 dogs with sarcoptic mange, a highly contagious skin condition caused by mites, were treated with an oral medication called NexGard Plus, which combines afoxolaner, moxidectin, and pyrantel pamoate. After just one treatment, the mite infestation dropped by 97%, and by the second treatment, it was completely eliminated. The dogs showed significant improvement, with no itching, skin lesions, or crusts, and they began to regrow their fur within a few weeks. This treatment proved effective in clearing the infestation and improving the dogs' skin health.

People also search for: dog sarcoptic mange treatment · NexGard Plus for dogs · how to treat dog skin mites

Abstract

Canine sarcoptic mange, caused by Sarcoptes scabiei, is a highly contagious and intensely pruritic skin disease in dogs. It is prevalent worldwide and has zoonotic potential. Therefore, effective treatment is important to safeguard animal welfare and public health. The present clinical field study aimed to confirm the efficacy of NexGardPlus, an oral combination of afoxolaner, moxidectin and pyrantel pamoate, in treating dogs naturally infested with S. scabiei. It was a blinded, randomised, single-centre, negative-controlled efficacy study. Twenty naturally infested dogs were allocated into two groups: a group treated on Day 0 and Day 26/28 at the label dose, and an untreated control group. Skin scrapings were conducted similarly, once between Day -6 to 0, then on Days 26/28 and 56 for mite counts. Assessments of clinical signs were conducted at the same time intervals. In the treated group, mite infestations were reduced by 97% after the first treatment and were eliminated (100%) after the second treatment (p&#xa0;<&#xa0;0.0005), while all dogs in the untreated control group remained infested for the whole study. Treated dogs had no pruritus, papules or crusts and clear evidence of hair regrowth by Day 56, unlike the dogs in the control group. This study demonstrated the elimination of S. scabiei mites and significant improvement of sarcoptic mange clinical signs in naturally infested dogs treated with the oral combination of afoxolaner, moxidectin and pyrantel.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/41568903/