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<?xml-stylesheet type="text/xsl" href="https://www.vetsurgeon.org/utility/feedstylesheets/rss.xsl" media="screen"?><rss version="2.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:slash="http://purl.org/rss/1.0/modules/slash/" xmlns:wfw="http://wellformedweb.org/CommentAPI/"><channel><title>Demodex: panomec and advocate</title><link>https://www.vetsurgeon.org/f/clinical-questions/23837/demodex-panomec-and-advocate</link><description> I&amp;#39;ve inherited a case from a colleague that is on daily panomec PO for management of demodicosis. 
 I&amp;#39;m concerned about side effects if advocate is used alongside - am I being overcautious or should I be advising something different? Owner is particularly</description><dc:language>en-US</dc:language><generator>Telligent Community 10</generator><item><title>RE: Demodex: panomec and advocate</title><link>https://www.vetsurgeon.org/thread/152372?ContentTypeID=1</link><pubDate>Fri, 05 Feb 2016 13:47:41 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:def6bb25-a799-477f-b2d7-ba5db1b5ea33</guid><dc:creator>Robin Grimmer</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Evelyn Barbour-Hill&amp;quot;]&lt;/p&gt;
&lt;p&gt;[quote user=&amp;quot;Robin Grimmer&amp;quot;] Aludex is licensed but is pretty nasty stuff to handle.[/quote]&lt;/p&gt;
&lt;p&gt;I think that&amp;#39;s a little bit of an exaggeration.&lt;/p&gt;
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&lt;p&gt;[/quote]&lt;/p&gt;
&lt;p&gt;I guess I wasn&amp;#39;t exaggerating then. See above comment.&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: Demodex: panomec and advocate</title><link>https://www.vetsurgeon.org/thread/152344?ContentTypeID=1</link><pubDate>Fri, 05 Feb 2016 10:15:08 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:5ba0ad63-f28d-47d6-b1e0-05200f8c1895</guid><dc:creator>Tim Browning</dc:creator><description>&lt;p&gt;I have also found Bravecto extremely&amp;nbsp; effective and cost effective&amp;nbsp;and is higher up the cascade than Ivomectin, though below Advocate which I have found pretty&amp;nbsp;useless. In fact Bravecto has produced some &amp;#39;miracle&amp;#39; cures in adult cases. I hope it gets a license soon for Demodex.&lt;/p&gt;
&lt;p&gt;Aludex is nasty to use, the fumes have caused a death in a human due to some reaction I have heard, in America I think.&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: Demodex: panomec and advocate</title><link>https://www.vetsurgeon.org/thread/152337?ContentTypeID=1</link><pubDate>Fri, 05 Feb 2016 08:56:34 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:34e8059e-b02b-4cf0-9aee-d2594ab518d0</guid><dc:creator>emma o&amp;amp;#39;connor</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Robin Grimmer&amp;quot;]It&amp;#39;s a bit better if you give it weekly but that&amp;#39;s off licence[/quote]&lt;/p&gt;
&lt;p&gt;I believe it does actually have a licence for weekly application for the treatment of demodex. &amp;nbsp;The Noah compendium says&lt;/p&gt;
&lt;p&gt;&amp;#39;Advocate can be applied once a week and for a prolonged time&amp;#39; when treating demodex. &amp;nbsp;&lt;/p&gt;
&lt;p&gt;That aside i do find it still less effective than weekly aludex washes. &amp;nbsp;I have yet to try Bravecto but the paper does seem to show this as a promising alternative. &amp;nbsp;As for using advocate and panomec together i would avoid this for the same reasons as everyone else has given already. &amp;nbsp;&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: Demodex: panomec and advocate</title><link>https://www.vetsurgeon.org/thread/152308?ContentTypeID=1</link><pubDate>Thu, 04 Feb 2016 19:11:40 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:41084e45-f120-4976-afd3-8be5c502a455</guid><dc:creator>Sorrel Proctor</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;ruths&amp;quot;]&lt;/p&gt;
&lt;p&gt;I don&amp;#39;t know how effective panamec is vs lungworm but I&amp;#39;d agree that is might be worrying to use another macrocyclic lactone orally&amp;nbsp;&lt;/p&gt;
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&lt;p&gt;[/quote]&lt;/p&gt;
&lt;p&gt;Sorry, I was reading the bit advocating (&amp;#39;scuse the pun :P) Bravecto and thinking&amp;nbsp;milbemax, my mistake! I have heard that Nexgard is soon to be licensed for lungworm, although obviously wouldn&amp;#39;t help cascade-wise for now.&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: Demodex: panomec and advocate</title><link>https://www.vetsurgeon.org/thread/152306?ContentTypeID=1</link><pubDate>Thu, 04 Feb 2016 19:03:54 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:0c628b19-615b-40e8-833b-a03590fabe1e</guid><dc:creator>Evelyn Barbour-Hill</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Robin Grimmer&amp;quot;] Aludex is licensed but is pretty nasty stuff to handle.[/quote]&lt;/p&gt;
&lt;p&gt;I think that&amp;#39;s a little bit of an exaggeration.&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: Demodex: panomec and advocate</title><link>https://www.vetsurgeon.org/thread/152305?ContentTypeID=1</link><pubDate>Thu, 04 Feb 2016 18:58:30 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:0ac59eaa-9f58-4217-8817-c7046baa7e6f</guid><dc:creator>Robin Grimmer</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Hannah Wynne Richards&amp;quot;]&lt;/p&gt;
&lt;p&gt;&amp;nbsp;I&amp;#39;d say you were on dodgy ground regarding the cascade - unless licensed treatments have been tried, and found ineffective.&lt;/p&gt;
&lt;p&gt;Wynne&lt;/p&gt;
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&lt;p&gt;[/quote]&lt;/p&gt;
&lt;p&gt;That&amp;#39;s an interesting one. I don&amp;#39;t know how Advocate is licensed for Demodex because it is pretty poor, especially monthly as in the data sheet. It&amp;#39;s a bit better if you give it weekly but that&amp;#39;s off licence. Aludex is licensed but is pretty nasty stuff to handle. Daily Milbemax is effective but again off licence. Bravecto seems to be effective. Ivermectin is pretty safe so long as you avoid sheepdogs or test for MDR 1 gene first.&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: Demodex: panomec and advocate</title><link>https://www.vetsurgeon.org/thread/152304?ContentTypeID=1</link><pubDate>Thu, 04 Feb 2016 18:57:38 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:ba9654d8-27d3-4dee-bb29-8e73cbb5095d</guid><dc:creator>ruths</dc:creator><description>&lt;p&gt;I don&amp;#39;t know how effective panamec is vs lungworm but I&amp;#39;d agree that is might be worrying to use another macrocyclic lactone orally&amp;nbsp;&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: Demodex: panomec and advocate</title><link>https://www.vetsurgeon.org/thread/152300?ContentTypeID=1</link><pubDate>Thu, 04 Feb 2016 18:53:40 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:fc824491-d008-4a16-a7cf-5f7360b32d38</guid><dc:creator>Hannah Wynne Richards</dc:creator><description>&lt;p&gt;&amp;nbsp;I definitely wouldn&amp;#39;t give milbemax and ivomec together - sane class of drug&lt;/p&gt;
&lt;p&gt;Wynne&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: Demodex: panomec and advocate</title><link>https://www.vetsurgeon.org/thread/152299?ContentTypeID=1</link><pubDate>Thu, 04 Feb 2016 18:49:40 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:99cbef7e-5e5f-458d-9a0f-936ce3548794</guid><dc:creator>Sorrel Proctor</dc:creator><description>&lt;p&gt;I would also have thought milbemax for lungworm cover if they&amp;#39;re especially worried.&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: Demodex: panomec and advocate</title><link>https://www.vetsurgeon.org/thread/152298?ContentTypeID=1</link><pubDate>Thu, 04 Feb 2016 18:37:49 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:a9975c70-a41d-4a50-8aa3-4e88fa03fdc8</guid><dc:creator>Hannah Wynne Richards</dc:creator><description>&lt;p&gt;&amp;nbsp;I&amp;#39;d say you were on dodgy ground regarding the cascade - unless licensed treatments have been tried, and found ineffective.&lt;/p&gt;
&lt;p&gt;Wynne&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: Demodex: panomec and advocate</title><link>https://www.vetsurgeon.org/thread/152294?ContentTypeID=1</link><pubDate>Thu, 04 Feb 2016 18:26:12 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:1ca8b147-a420-4ed7-906f-2ba1dcf719b7</guid><dc:creator>Gillian Mostyn</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Robin Grimmer&amp;quot;]Surely if the dog is on daily oral ivermectin, than that will cover it for lungworm as well? I thought Ivermectin covered pretty much everything except tapeworm.[/quote]&lt;/p&gt;
&lt;p&gt;I&amp;#39;m glad someone else thought the same as me! I don&amp;#39;t think most parasites are going to be a problem....&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: Demodex: panomec and advocate</title><link>https://www.vetsurgeon.org/thread/152262?ContentTypeID=1</link><pubDate>Thu, 04 Feb 2016 16:25:26 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:fbf88c96-90af-45da-92b3-71b56a5c16d4</guid><dc:creator>Robin Grimmer</dc:creator><description>&lt;p&gt;Surely if the dog is on daily oral ivermectin, than that will cover it for lungworm as well? I thought Ivermectin covered pretty much everything except tapeworm.&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: Demodex: panomec and advocate</title><link>https://www.vetsurgeon.org/thread/152254?ContentTypeID=1</link><pubDate>Thu, 04 Feb 2016 15:18:44 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:fceb1d6c-8da2-44cc-99db-f111c2797a46</guid><dc:creator>Rob Loxley</dc:creator><description>&lt;p&gt;here&amp;#39;s the bravecto vs advocate for demodex paper http://parasitesandvectors.biomedcentral.com/articles/10.1186/s13071-015-0775-8&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: Demodex: panomec and advocate</title><link>https://www.vetsurgeon.org/thread/152247?ContentTypeID=1</link><pubDate>Thu, 04 Feb 2016 14:31:24 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:e3cb0833-b09e-4b19-8ecf-3446d91ad48f</guid><dc:creator>Hannah Wynne Richards</dc:creator><description>&lt;p&gt;&amp;nbsp;You&amp;#39;d be more than justified in giving 1/2 strength panacur for the lungworm. Treatment course is 21 days, but I find (very high risk area) that a 7 day course alternate months is very effective at prevention.&lt;/p&gt;
&lt;p&gt;Wynne&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: Demodex: panomec and advocate</title><link>https://www.vetsurgeon.org/thread/152246?ContentTypeID=1</link><pubDate>Thu, 04 Feb 2016 14:30:42 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:be498624-3c97-4b63-a1a2-eff66ae953ab</guid><dc:creator>Andrew Mellor</dc:creator><description>&lt;p&gt;for demodex that is, then use milbemax for lungworm.&amp;nbsp;&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: Demodex: panomec and advocate</title><link>https://www.vetsurgeon.org/thread/152245?ContentTypeID=1</link><pubDate>Thu, 04 Feb 2016 14:29:45 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:73749630-0ec5-4c58-9c8d-897a58c0d77d</guid><dc:creator>Andrew Mellor</dc:creator><description>&lt;p&gt;use bravecto , one tablet job done its amazing!!&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item></channel></rss>