Frontpro (previously known as Afoxolaner Merial)

Frontpro is available as chewable tablets in four different strengths for use in dogs of different weights. It can only be obtained with a prescription. The appropriate strength of tablets to be given is determined based on the dog’s bodyweight.

Frontpro kills fleas within 8 hours and ticks within 48 hours. After being given, its actions last for at least 5 weeks against fleas and up to one month against ticks. Treatment should be repeated at monthly intervals during the flea or tick seasons, monthly for demodectic mange until the mange is successfully treated (as confirmed by two negative skin scrapings one month apart) and monthly for two months for sarcoptic mange, or longer if treatment is unsuccessful as indicated by clinical signs and skin scrapings.

For more information about using Frontpro, see the package leaflet or contact your veterinarian or pharmacist.

The active substance in Frontpro, afoxolaner, acts as an ‘ectoparasiticide’. This means that it kills parasites that live on or in the skin or in the fur of animals, such as fleas, ticks and mites. In order for the active substance to have an effect, fleas and ticks must attach to the skin and start feeding on the dog’s blood.

Afoxolaner kills parasites by causing over-stimulation of their nervous system. It blocks the normal movement of charged chloride particles (ions) in and out of nerve cells, especially those nerves that produce the substance gamma-aminobutyric acid (GABA) to regulate the nervous system. This results in uncontrolled activity of the nervous system and the paralysis and death of fleas, ticks and mites. Afoxolaner kills fleas before they can lay eggs and so helps to reduce contamination of the dogs’ environment.

The effectiveness of Frontpro was investigated in both laboratory and field studies.

In an EU field study involving 146 dogs with flea and/or tick infestations, a single treatment with Frontpro was effective in treating flea and tick infestations in dogs for up to 30 days after treatment. Frontpro reduced the number of fleas and ticks by at least 98% and was at least as effective as a spot-on medicine containing pyriprole (another medicine against fleas and ticks).

A second EU field study involved 31 dogs with demodectic mange which were treated monthly on 3 occasions with Frontpro. Frontpro reduced the number of live mites by 97% 56 days after starting treatment and by 98% 84 days after starting treatment.

A third EU field study involved 38 dogs with sarcoptic mange which were treated monthly for two months with Frontpro. Frontpro reduced the number of live mites by 96% 28 days after starting treatment and by 100% 56 days after starting treatment.

Because parasites must start feeding on the dog in order to be killed by the medicine, there may be a risk of transmission of diseases with which they may be infected.

Only one chewable tablet at a time should be removed from the blister to prevent children from accessing the product. The blister with the remaining chewable tablets should be returned into the carton.

People handling the medicine should wash their hands after handling the product.

The European Medicines Agency decided that Frontpro’s benefits are greater than its risks and it can be authorised for use in the EU.

Frontpro received a marketing authorisation valid throughout the EU on 20 May 2019.

This authorisation was based on the authorisation granted to NexGard in 2014 (‘informed consent’).