Canada Drugs Direct

Visiting from Canada?

Want to save up to 80% on your medications? Signup below to be notified if we open a Canadian Online Pharmacy.

I agree to receive email updates from Canada Drugs Direct

Looking for Call us toll free 1-800-500-2897

Milbemax (Milbemycin Oxime / Praziquantel)

Prescription medicineOnly Available By Prescription

Top brand choice

Strength Pack Size Qty
Pack Size
Pack Size

You'll have option to make 4 interest-free payments by credit card once your order is confirmed using

What if I find a lower price with another pharmacy?

We guarantee the lowest price on all of our prescription products. If you find your medications cheaper at any other recognized licensed mail order pharmacy, we will not only match their price, we will beat it by 25% of the difference. It is our 125% price match guarantee!

Example: If you find a product on Canada Drugs Direct for $50.00 and find the same product for $40.00 at another mail order pharmacy, we will provide you with a $12.50 discount, bringing your total to $37.50.

To get the discount please make sure to mention the price match to the customer service team when they call to collect payment for your order. Or call toll free at 1-888-904-8467 to place the order through the phone.

Terms & Conditions of Program

  • Guaranteed lowest price is only valid at the time of sale.
  • We will only match the current advertised price.
  • Products must be identical and in stock at the time of placing an order with a licensed mail order pharmacy. The must be a member of CIPA (Canadian International Pharmacy Association).
  • Products must be authentic in brand and size (same manufacturer, same country of manufacture, same pack size, same strength and same quantity).
  • Products must be new. We cannot match the price of any used, short expiry or expired product.
  • Price match can only be issued over the phone with our customer service team
What is a Generic Drug?

A generic drug is a copy of the brand-name drug with the same dosage, safety, strength, quality, consumption method, performance, and intended use. Before generics become available on the market, the generic company must prove it has the same active ingredients as the brand-name drug and works in the same way and in the same amount of time in the body.

The only differences between generics and their brand-name counterparts is that generics are less expensive and may look slightly different (eg. different shape or color), as trademarks laws prevent a generic from looking exactly like the brand-name drug.

Generics are less expensive because generic manufacturers don't have to invest large sums of money to develop a drug. When the brand-name patent expires, generic companies can manufacture a copy of the brand-name and sell it at a substantial discount.


Your veterinarian may prescribe Milbemax if your dog has intestinal parasites. Milbemax is a combination medication that can treat a variety of different worms, including:

  • Cestodes:
    • Dipylidium caninum
    • Taenia spp.
    • Echinococcus spp.
    • Mesocestoides spp.
  • Nematodes
    • Ancylostoma caninum
    • Toxocara canis
    • Toxascaris leonina
    • Trichuris vulpis
    • Crenosoma vulpis
    • Angiostrongylus vasorum
    • Thelazia callipaeda

Milbemax can also be used for the prevention of heartworm disease.


Give Milbemax exactly as directed by the prescribing veterinarian. The dosage is based upon weight and should not be changed unless directed.


The active ingredients in the drug are Milbemycin Oxime and Praziquantel.

Milbemycin Oxime affects the permeability of the parasite membrane, causing paralysis and eventual death of the parasite.

Praziquantel increases the permeability of the cell membrane of certain parasites by affecting the influx and efflux of calcium ions. The parasite is then paralyzed and can be killed by the dog's immune system.

You can purchase this drug in the following dosages:

  • Milbemax 12.5/125 mg
  • Milbemax 16/40 mg


The possible drug-drug interactions with this drug can include:


Always wash your hands after giving this drug to your dog.

Use this drug for the shortest duration and at the lowest dose to prevent drug resistance.

This drug should be used with caution in Collies.

It is unknown how this drug will impact dogs with kidney or liver problems.

Side Effects

While giving this drug to your dog or puppy, look for the following possible side effects.

  • Anorexia
  • Ataxia
  • Convulsions
  • Diarrhea
  • Drooling
  • Emesis
  • Hypersensitivity
  • Lethargy
  • Muscle tremors


Milbemax [package insert]. France. Elanco France S.A.S.; 2017.

IMPORTANT NOTE: The above information is intended to increase awareness of health information and does not suggest treatment or diagnosis. This information is not a substitute for individual medical attention and should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. See your health care professional for medical advice and treatment.

product-reviews Product Reviews