Stronghold Product Information

Stronghold Spot-on Solutions Questions

What conditions does Stronghold treat?

For cats-with, or at risk from, mixed parasitic infestations by ticks and fleas, lice, mites, gastrointestinal nematodes or heartworm. The veterinary medicinal product is exclusively indicated when used against ticks and one or more of the other target parasites is indicated at the same time.

Ectoparasites:

- For the treatment and prevention of flea infestations (Ctenocephalides spp.). The veterinary medicinal product has immediate and persistent flea killing activity against new infestations for 5 weeks. The product kills adult fleas before they lay eggs for 5 weeks. Through its ovicidal and larvicidal action, the veterinary medicinal product may aid in the control of existing environmental flea infestations in areas to which the animal has access.

- The product can be used as part of a treatment strategy for flea allergy dermatitis (FAD).

- Treatment of tick infestations. The veterinary medicinal product has immediate and persistent acaricidal effect for 5 weeks against Ixodes ricinus and Ixodes hexagonus, and 4 weeks against Dermacentor reticulatus and Rhipicephalus sanguineus.

- Treatment of ear mites (Otodectes cynotis).

- Treatment of biting lice infestations (Felicola subrostratus).

Treatment of notoedric mange (Notoedres cati).

Ticks must attach to the host and commence feeding in order to be exposed to sarolaner.

Nematodes:

- Treatment of adult roundworms (Toxocara cati) and adult intestinal hookworms (Ancylostoma tubaeforme).- Prevention of heartworm disease caused by Dirofilaria immitis with monthly administration.

∙ Treatment of biting lice infestations (Felicola subrostratus).

∙ Treatment of adult roundworms (Toxocara cati).

∙ Treatment of adult intestinal hookworms (Ancylostoma tubaeforme).

For dogs-
∙ Treatment and prevention of flea infestations caused by Ctenocephalides spp. for one month following a single administration. This is as a result of the adulticidal, larvicidal and ovicidal properties of the product. The product is ovicidal for 3 weeks after administration. Through a reduction in the flea population, monthly treatment of pregnant and lactating animals will also aid in the prevention of flea infestations in the litter up to seven weeks of age. The product can be used as part of a treatment strategy for flea allergy dermatitis and through its ovicidal and larvicidal action may aid in the control of existing environmental flea infestations in areas to which the animal has access.

∙ Prevention of heartworm disease caused by Dirofilaria immitis with monthly administration. The veterinary medicinal product may be safely administered to animals infected with adult heartworms; however, it is recommended, in accordance with good veterinary practice, that all animals 6 months of age or more living in countries where a vector exists should be tested for existing adult heartworm infections before the administration of the veterinary medicinal product. It is also recommended that dogs should be tested periodically for adult heartworm infections, as an integral part of a heartworm prevention strategy, even when the veterinary medicinal product has been administered monthly. This product is not effective against adult D. immitis.

∙ Treatment of ear mites (Otodectes cynotis).

∙ Treatment of biting lice infestations (Trichodectes canis).

∙ Treatment of sarcoptic mange (caused by Sarcoptes scabiei).

∙ Treatment of adult intestinal roundworms (Toxocara canis).

How does Stronghold work?

It enters the blood stream after being absorbed through the skin. When the parasites bite it kills them. It causes paralysis and death to the parasites.

How should I administer Stronghold to my pet?

Remove the pipette from its packaging. Apply when the coat is dry. Hold it upright, firmly depress the cap to puncture the applicator seal, then remove the cap. Part the hair at the base of the animal’s neck in front of the shoulder blades to expose a small area of skin. Apply the tip to the skin without massaging. Squeeze the pipette firmly to empty the contents in one spot. 

This product is highly flammable; keep away from heat, sparks, open flames or other sources of ignition.

Do not smoke, eat or drink while handling the product.

Wash hands after use and wash off any product in contact with the skin immediately with soap and water. In case of accidental eye exposure, flush the eyes immediately with water, seek medical advice immediately and show the package leaflet or the label to the physician.

Avoid direct contact with treated animals until the application site is dry. On the day of treatment, children must not handle treated animals and the animals should not be permitted to sleep with their owners, especially children. Used applicators should be disposed of immediately and not left within the sight or reach of children.

People with sensitive skin or known allergy to veterinary medicinal products of this type should handle the veterinary medicinal product with caution.

Avoid contact between fingers and Stronghold. Wash hands after use.

Keep your pet away from fires for at least half an hour or until the product is dry.

Stronghold should not enter water courses as this may be dangerous for fish and other aquatic organisms. Containers and residual contents should be disposed of along with collected domestic refuse to avoid contamination of any water courses.

What is the correct dosage of Stronghold for my animal's weight and species?

The correct dose for your animal is as prescribed by your vet. Your vet will follow the data sheet for the medication prescribed and for some medications will adjust this taking into consideration your animal's medical history.

How long should I continue with Stronghold for?

You should continue for the length of time your vet prescribed the medication for. Please read the label your vet has attached to the medication. If you suspect that your pet may be having an adverse reaction to a medication, please contact your vet for advice on continuing the medication.

What should I do if I miss a dose of Stronghold?

If you miss a dose of medication, please contact your vet for advice on when to give the next dose.

Where can I buy Stronghold?

You can purchase Stronghold cheaper than from your Vet Practice from www.vets4u.uk. To contact vets4u.uk, call us on +44 116 218 4244 between 09:30am and 4:30pm Monday to Friday, chat to us directly or email us at mail@vets4u.uk.

Does Stronghold need a prescription?

Yes, as it is classified as a POM-V.

How can I buy Stronghold from Vets4u?

You can buy Stronghold via our website via a valid prescription by adding to the basket on our website www.vets4u.uk.

NOAH Compendium Datasheet Link to Stronghold

Stronghold Datasheet

What are the side-effects of Stronghold?

Cats

These are the adverse reactions reported in cats:

-     Rare (1 to 10 animals /10000 animals treated-application site alopecia (hair loss) or hair changes

• Very rare (<1 animal per 10000 treated, including isolated reports-application site irritation, neurological signs including seizures
  

Dogs

These are the adverse reactions seen in dogs:

• Rare-1 to 10 /10000 animals-applications site hair changes
• Very rare-< 1 animal per 10000 treated-neurological signs including seizures

How long does Stronghold take to kill fleas?

It starts to work within 24 hours of application.

Does Stronghold kill fleas? 

Yes.

How does Stronghold flea treatment work? 

It enters the blood stream after being absorbed through the skin. When the parasites bite it kills them. It causes paralysis and death to the parasites.

How long does Stronghold take to work on fleas?

It starts to work in 4-6 hours and reaches maximum blood levels within 24 hours.

Is Stronghold suitable for fleas and worms?

Fleas and roundworms are covered as well as some other parasites.

Are fleas becoming resistant to Stronghold?

Fleas can become resistant to any product over time. Stronghold remains effective. You also need to treat the environment with a household spray.

Can cats go out after Stronghold flea drops are put on?

Yes, once it is dry.

Can cats still get fleas when on Stronghold Plus? 

They could pick them up but then they will die once they bite your pet.

Can I bathe my dog with Stronghold flea on? 

You can bathe at least 2 hours prior to application and at least 2 hours after application with shampoo and water. You need to be mindful of the drug getting into water courses as it can kill fish and aquatic organisms.

Can I give my cat Stronghold and program flea suspension

There is no need to use more than one product.

Can I re-apply Stronghold flea to cat? 

Not before a month after the application.

Can Stronghold flea treatment make your puppy vomit? 

This is not an adverse reaction on the data sheet of the drug.

Can you use a flea shampoo with Stronghold?

You can shampoo your dog 2 hours before applying it and at least 2 hours after but you do not need a flea shampoo as the Stronghold will kill the fleas within 24 hours.

Does Stronghold kill fleas in the house 

It kills eggs and larvae as well as adult fleas. It is also advisable to treat the environment with a good house spray, vacuum regularly, and wash bedding at over 60 degrees Centigrade.

Does Stronghold Plus kill flea eggs?
Yes.

Answers Compiled by our RCVS Registered Veterinary Surgeon.