Trifexis Poisoning: What Every Dog Owner Needs to Know

As a dog owner, your pet’s safety is always a top priority. While medications like Trifexis (a combination of spinosad and milbemycin oxime) are commonly used for parasite prevention, concerns have emerged regarding potential side effects and poisoning. Knowing the signs, symptoms, and prevention tips can empower you to make informed decisions.

Key Takeaways

  • What is Trifexis? Trifexis is a monthly oral tablet for dogs that protects against fleas, heartworms, and intestinal parasites.
  • Can Trifexis cause poisoning? While rare, some dogs may experience side effects that mimic poisoning symptoms.
  • Symptoms of Trifexis poisoning: Vomiting, lethargy, lack of coordination, seizures.
  • What should I do if my dog shows symptoms? Stop the medication and contact your vet immediately.
  • How can I prevent Trifexis poisoning? Ensure your dog receives the correct dosage based on weight and health conditions.

What is Trifexis?

Trifexis is a popular combination medication that protects your dog from multiple threats: fleas, heartworm, and intestinal parasites like hookworm, roundworm, and whipworm. It’s given as a monthly oral tablet, and while it is highly effective, not all dogs react to it the same way. This variation in tolerance is why owners need to be aware of potential risks.


Can Trifexis cause poisoning?

While Trifexis has been extensively tested and deemed safe by the FDA, some dogs may experience severe side effects. Poisoning from Trifexis, though rare, typically occurs when the dog’s body reacts adversely to the active ingredients, spinosad and milbemycin oxime. These reactions can be influenced by the dog’s breed, size, and pre-existing health conditions.


What are the Symptoms of Trifexis Poisoning?

It’s essential to recognize the symptoms early. If your dog displays any of the following after taking Trifexis, you should take immediate action:

SymptomsSeverity
VomitingModerate
LethargyModerate
Loss of coordinationSevere
Tremors or seizuresCritical
Loss of appetiteMild
DiarrheaMild to moderate

What should I do if my dog shows symptoms of poisoning?

Time is of the essence. If your dog shows any signs of Trifexis poisoning:

  1. Stop administering the medication immediately.
  2. Contact your veterinarian or an emergency animal hospital.
  3. Monitor your dog’s symptoms and ensure they have a calm, quiet environment to recover in.
  4. Don’t administer any additional medications without veterinary guidance, as this could worsen the condition.

How can I prevent Trifexis poisoning?

Prevention starts with proper administration and dosage:

  • Weigh your dog before administering each dose. Trifexis comes in weight-specific doses, so ensuring accurate weight measurement is key.
  • Consult your vet if your dog has pre-existing conditions, especially liver or neurological issues, as these can increase the likelihood of adverse reactions.
  • Monitor your dog after giving them the medication, particularly for the first few hours.
  • Consider alternatives if your dog has had negative reactions to similar medications in the past.

What breeds are more sensitive to Trifexis?

Certain breeds, especially those with a known mutation in the MDR1 gene (like Collies, Australian Shepherds, and Shetland Sheepdogs), may have an increased risk of adverse reactions to medications like Trifexis. If your dog is one of these breeds, make sure to consult with your vet about whether Trifexis is the best option.


Is Trifexis safe for puppies?

Yes, but with caution. Trifexis is approved for puppies over 8 weeks old and weighing at least 5 pounds. However, because younger dogs are more sensitive, it’s crucial to observe them closely after administration for any signs of discomfort or side effects.


Tips to Minimize Risk:

Start with a test dose. If your dog has never taken Trifexis before, ask your vet about giving a half-dose initially and observing the response.

Administer the pill with food to reduce the likelihood of gastrointestinal distress, one of the most common side effects.

Be consistent with dosage intervals—ensure you give the tablet at the same time every month to avoid under or overdosing.

Keep emergency contacts for your vet and the nearest 24-hour clinic readily available, just in case of a severe reaction.


Final Thoughts

While Trifexis is an effective medication, it’s not without risks. As a responsible dog owner, always stay informed about what you’re giving your pet. Monitor for symptoms, talk to your vet about any concerns, and always ensure you’re following the recommended guidelines for dosing and administration.

This way, you can keep your furry friend safe while protecting them from parasites—without fear of poisoning. 😊


Comment Section

“Can Trifexis poisoning happen even if I follow the instructions perfectly?”

Yes, even with perfect administration, some dogs may experience adverse reactions. Trifexis contains spinosad, which kills fleas, and milbemycin oxime, which targets heartworms and intestinal parasites. Some dogs might have sensitivities to these active ingredients, despite following the recommended dosage. Breed predispositions and underlying health conditions could also play a significant role in these reactions. Always monitor your dog after giving the medication, regardless of whether you’ve followed the dosage and administration instructions accurately.


    “Is there a specific timeframe when side effects usually appear?”

    Most adverse reactions to Trifexis occur within the first 24 hours after administration. During this period, keep a close eye on your dog for any vomiting, lethargy, or lack of coordination. If you notice tremors or seizures within this window, contact your vet immediately. However, some milder reactions, like a decrease in appetite or diarrhea, might show up up to 48 hours after dosing. The faster you spot these signs, the quicker you can act to alleviate any discomfort or risk to your dog’s health.


      “What are my options if my dog has a bad reaction to Trifexis?”

      If your dog reacts negatively to Trifexis, you have a few options. First, discontinue Trifexis immediately and consult with your vet to determine if it’s a one-time reaction or part of a broader intolerance. Your vet may suggest alternative medications, such as topical flea and heartworm treatments or chewable tablets like Sentinel that contain different active ingredients. In some cases, your vet might recommend splitting the heartworm and flea prevention treatments into separate medications to reduce the load on your dog’s system. Monitor your dog’s overall health moving forward to ensure any future medications are safe.


        “Can I give Trifexis with other medications?”

        Yes, but always with caution. Drug interactions can occur, especially if your dog is on steroids, antibiotics, or other flea/tick preventatives. Trifexis’ active ingredients could amplify or interfere with certain medications, particularly those that also target parasites. Always provide your vet with a full list of your dog’s current medications so they can assess any potential risks. If you notice any unusual behaviors or symptoms after combining Trifexis with other treatments, notify your veterinarian right away.


          “What should I do if my dog vomits after taking Trifexis?”

          If your dog vomits within the first hour of taking Trifexis, it’s possible they didn’t absorb the full dose. In such cases, consult your vet to see if a replacement dose is necessary. Vomiting is one of the more common side effects and doesn’t necessarily indicate poisoning. You can minimize the risk of vomiting by administering the pill with food, which helps buffer the stomach and reduce irritation. If vomiting continues beyond a single episode or is accompanied by diarrhea, lethargy, or other worrisome symptoms, contact your vet immediately.


            “Are there natural alternatives to Trifexis?”

            While Trifexis is highly effective, some owners may prefer natural alternatives due to concerns about potential side effects. Natural options include diatomaceous earth for fleas, essential oil sprays (such as lavender and lemongrass), and herbal supplements like garlic (in small, vet-approved doses). However, these natural alternatives may not offer the same level of protection, particularly against heartworm, which requires prescription-grade medication. Always consult your vet before switching to a natural remedy, especially if your dog lives in a high-risk area for parasites. It’s important to find a balance that protects your dog while aligning with your preferences for natural care.


              “Is it safe to use Trifexis for older dogs?”

              Older dogs can safely take Trifexis, but with special considerations. Senior dogs often have slower metabolisms or may suffer from underlying conditions like kidney disease, liver problems, or arthritis that could make them more susceptible to side effects. It’s vital to work closely with your vet to evaluate whether the benefits of Trifexis outweigh any risks for your aging pet. In some cases, vets may recommend lower doses or alternative treatments for senior dogs that are easier on their system. Always monitor your senior dog closely after administering any medication.


                “Is there a way to detox my dog if they have a reaction to Trifexis?”

                If your dog is experiencing a moderate to severe reaction, your vet may prescribe treatments like activated charcoal or IV fluids to help flush out toxins from their system. These treatments aim to neutralize the active ingredients and support your dog’s recovery by hydrating them and preventing organ damage. In cases where neurological symptoms are present (e.g., seizures), more specific therapies may be necessary, including anticonvulsants. It’s critical to act quickly and follow your vet’s advice to minimize long-term effects.


                  “Does Trifexis poisoning lead to long-term effects?”

                  In most cases, once the immediate symptoms of Trifexis poisoning are addressed, dogs recover without long-term consequences. However, in severe instances, especially those involving seizures or extreme lethargy, there could be lasting neurological or liver damage. Your vet may recommend follow-up appointments to monitor for any signs of residual effects. If your dog has had a particularly bad reaction, it’s likely your vet will advise against using Trifexis in the future and instead switch to safer alternatives.


                    “How can I ensure my dog doesn’t suffer from Trifexis poisoning?”

                    The best prevention is ensuring proper dosage based on your dog’s accurate weight. Always use the appropriate-sized tablet, never splitting or combining doses to try and “make it fit.” Before starting Trifexis, consult your vet, especially if your dog has any underlying conditions that might predispose them to a negative reaction. After giving the pill, observe your dog for several hours, making note of any changes in behavior or health. If in doubt, always err on the side of caution by seeking veterinary advice early.


                    “Can I give my dog human anti-nausea medicine if they vomit after Trifexis?”

                    Administering human medication to dogs without veterinary guidance is highly discouraged. While some human anti-nausea medications, such as Pepto-Bismol or Dramamine, may seem safe, they can lead to complications or worsen symptoms in dogs. Trifexis contains specific active ingredients that may interact poorly with human drugs. If vomiting persists after Trifexis, the best course of action is to consult your vet. They may recommend a pet-specific anti-nausea medication like Cerenia, which is formulated to address vomiting in dogs safely.


                      “Can I split Trifexis tablets to reduce the dosage?”

                      No, splitting Trifexis tablets is not recommended. The active ingredients are not evenly distributed throughout the tablet, which means splitting it could lead to improper dosing. This increases the risk of either underdosing, leaving your dog unprotected, or overdosing, which can result in adverse reactions or poisoning. Always follow the dosing instructions specific to your dog’s weight class and consult your veterinarian if you have concerns about dosage or tablet size. If a smaller dose is necessary, your vet will prescribe the appropriate strength for your dog’s needs.


                        “Can Trifexis cause neurological damage in dogs?”

                        While rare, some dogs may experience neurological side effects from Trifexis, particularly those sensitive to milbemycin oxime. Symptoms can include tremors, confusion, disorientation, and even seizures in severe cases. These side effects are more likely in dogs with a genetic mutation in the MDR1 gene, which affects their ability to process certain medications. Breeds like Collies, Australian Shepherds, and Shetland Sheepdogs are particularly prone to this mutation. If your dog belongs to one of these breeds, it’s crucial to speak with your vet before starting Trifexis. Early intervention can help minimize the risk of long-term neurological damage.


                          “Does Trifexis poisoning affect the kidneys or liver?”

                          Trifexis is processed through the liver, meaning dogs with pre-existing liver conditions are at a higher risk of toxicity. Over time, improper dosing or adverse reactions can cause strain on the liver, potentially leading to liver damage or failure if left unchecked. In extreme cases, this toxicity can extend to the kidneys, as the body struggles to filter out the medication. Dogs with liver or kidney issues should be monitored closely, and regular blood work may be recommended to track liver enzyme levels. If you notice yellowing of the eyes or gums (a sign of jaundice), contact your vet immediately.


                            “Is Trifexis safe for dogs with epilepsy?”

                            Dogs with epilepsy or a history of seizures may be at a higher risk when taking medications like Trifexis, particularly due to the active ingredient milbemycin oxime, which can lower the seizure threshold in sensitive dogs. While some epileptic dogs tolerate Trifexis without issue, others may experience seizure episodes shortly after administration. If your dog has epilepsy, it’s crucial to have a detailed discussion with your vet to assess whether Trifexis is the safest option. Alternative preventatives may be more suitable to avoid triggering seizures.


                              “Can stress exacerbate side effects of Trifexis?”

                              Yes, stress can amplify the side effects of medications like Trifexis. If your dog is already under stress due to environmental factors, anxiety, or even illness, their immune system may be less effective at handling the medication. Stress can also lead to gastrointestinal issues, such as vomiting or diarrhea, which could be confused with side effects from the drug. To reduce the likelihood of side effects, try to administer Trifexis when your dog is calm and in a familiar environment. After administration, give your dog time to rest and recover, monitoring closely for any signs of discomfort or stress-induced symptoms.


                                “How do I know if my dog has the MDR1 gene mutation?”

                                The MDR1 gene mutation can be identified through a simple genetic test, which your vet can perform using a cheek swab or blood sample. This test specifically looks for the mutation that impairs your dog’s ability to process certain medications, including Trifexis. Breeds most commonly affected by this mutation include Collies, Border Collies, Australian Shepherds, and Old English Sheepdogs. If your dog is from one of these breeds or a mixed breed with potential lineage, it’s highly recommended to have them tested before starting any medication that could trigger a reaction. Results from the MDR1 test can help your vet choose safer alternatives for parasite prevention.


                                  “What should I do if my dog misses a dose of Trifexis?”

                                  If your dog misses a scheduled dose of Trifexis, it’s important to administer it as soon as you remember. However, if it’s close to the time for the next dose, do not double up on medication. Instead, resume the normal schedule and keep a close eye on your dog’s behavior to ensure no parasites have taken hold in the gap between doses. Missing a dose increases the risk of exposure to fleas, heartworms, and intestinal parasites, so it’s crucial to stay as close to the monthly dosing regimen as possible. Set reminders or use a medication tracker app to stay on top of dosing schedules and avoid missed treatments in the future.


                                    “What makes Trifexis different from other flea and heartworm medications?”

                                    Trifexis stands out from other flea and heartworm medications due to its broad-spectrum coverage. The combination of spinosad and milbemycin oxime targets fleas, heartworms, and several types of intestinal parasites, including hookworms, roundworms, and whipworms. Unlike topical treatments, Trifexis is an oral tablet, which many owners find easier to administer, especially for dogs with sensitive skin. However, because it’s systemic, it works by circulating through your dog’s bloodstream, which is why some dogs may experience more significant side effects compared to topical treatments that remain on the skin’s surface. Trifexis is a good choice for dogs needing comprehensive parasite protection in one convenient dose.


                                      “How long does it take for Trifexis to work?”

                                      Trifexis begins working within hours of administration. For flea infestations, it typically starts killing adult fleas in 4 hours and achieves nearly 100% flea kill within 24 hours. For heartworm and intestinal parasites, the effects are more preventative, ensuring that larvae and parasites do not mature and cause further harm. Though you may not see immediate results for heartworm prevention, Trifexis’ protective effects are long-lasting, working over a 30-day period to keep your dog free from infestations. Regular monthly administration ensures continuous protection.

                                        HELP US PUT FOOD ON THE TABLE

                                        2 Responses

                                        1. My dog, GSP, has seizures due to Trifexis. After withdrawing the drug from his diet about two weeks ago he had another seizure. Will these seizures go away after no longer giving the drug? He is now on Ivermectin.

                                          1. It’s concerning to hear that your dog has been experiencing seizures, possibly due to Trifexis. Your decision to discontinue Trifexis and switch to Ivermectin is a significant step. However, the presence of seizures even after stopping Trifexis indicates that the situation might be more complex.

                                            Understanding Trifexis and Seizures:

                                            Trifexis, a combination of spinosad and milbemycin oxime, is designed to prevent heartworm disease, kill fleas, and treat and control adult hookworm, roundworm, and whipworm infections. While effective, it has been associated with adverse neurological reactions in some dogs, including seizures. If your dog has had a history of seizures or a genetic predisposition to them, Trifexis might exacerbate this condition.

                                            Post-Withdrawal Symptoms:

                                            Even after discontinuing Trifexis, it’s not uncommon for dogs to experience lingering effects for a while. The drug components might take some time to completely leave your dog’s system, and during this detox period, your GSP could still experience seizures. Additionally, the stress on the nervous system caused by previous doses may have set off a pattern of seizures that could take time to stabilize.

                                            Potential Underlying Conditions:

                                            It’s also important to consider that the seizures might not solely be due to Trifexis. Your dog might have an underlying neurological condition that was triggered or worsened by the medication. Conditions such as epilepsy, brain tumors, or metabolic disorders could also be at play. Therefore, it’s crucial to work closely with your veterinarian to rule out or manage these conditions.

                                            Monitoring and Management:

                                            During this transition period, meticulous monitoring is key. Keep a detailed seizure log noting the frequency, duration, and severity of each seizure, as well as any potential triggers. This record will be invaluable to your vet in determining whether the seizures are decreasing over time or if further intervention is necessary.

                                            Introducing Ivermectin:

                                            Now that your dog is on Ivermectin, it’s important to monitor him closely for any adverse reactions. While Ivermectin is generally well-tolerated, some dogs, particularly those with certain genetic mutations like the MDR1 gene mutation found in some herding breeds, can have severe reactions. Ensure that your vet has tested for this mutation, or proceed with caution if your dog’s breed is susceptible.

                                            Neurological Support and Treatment:

                                            In the meantime, there are supportive treatments that can help manage seizures. Anti-seizure medications such as phenobarbital or potassium bromide might be recommended by your vet. Additionally, dietary supplements like omega-3 fatty acids, CBD oil, and certain vitamins have shown potential in supporting neurological health.

                                            Holistic and Alternative Therapies:

                                            Exploring holistic approaches such as acupuncture, chiropractic care, and herbal supplements might provide additional relief. These therapies aim to support overall well-being and may help reduce seizure frequency and severity. Always discuss these options with your vet to ensure they are safe and appropriate for your dog’s specific condition.

                                            Environmental Management:

                                            Creating a calm and safe environment for your dog is essential. Stress can be a trigger for seizures, so maintaining a routine, providing a quiet space for rest, and avoiding sudden changes in the environment can help. During a seizure, keep your dog safe by removing any nearby objects that could cause injury and providing a soft surface for him to lie on.

                                            Ongoing Veterinary Care:

                                            Regular check-ups with your veterinarian are critical during this period. Your vet may recommend blood tests, imaging studies like an MRI or CT scan, or a referral to a veterinary neurologist to get a clearer picture of your dog’s health and to adjust his treatment plan as needed.

                                            By taking these steps, you’re providing the best care for your GSP and increasing the chances of reducing or eliminating his seizures over time. Stay vigilant, maintain open communication with your vet, and provide your dog with the love and support he needs during this challenging period.

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