Anthelmintic Treatments for Lungworms a

Parasite

Host

Treatment/Doseb

Dictyocaulus viviparus

Cattle

Ivermectin (0.2 mg/kg, PO or SC; or 0.5 mg/kg, pour-on)

Doramectin (0.2 mg/kg, SC; or 0.5 mg/kg, pour-on)

Moxidectin (0.2 mg/kg, SC; or 0.5 mg/kg, pour-on)

Eprinomectin (1 mg/kg, SC; or 0.5 mg/kg, pour-on)

Fenbendazole (10 mg/kg, PO)

Albendazole (10 mg/kg, PO)

Oxfendazole (4.5 mg/kg, PO)

D filaria, Muellerius capillaris

Sheep, goats

Ivermectin (sheep: 0.2 mg/kg, PO; goats: 0.4 mg/kg, PO)

Moxidectin (sheep: 0.2 mg/kg, PO; goats: 0.4 mg/kg, PO)

Fenbendazole (5 mg/kg, PO)

Albendazole (sheep: 7.5 mg/kg, PO; goats: 10 mg/kg, PO)

D filaria, D viviparus

Alpacas, llamas

Ivermectin (0.2 mg/kg, POc)

D arnfieldi

Donkeys,c) horses

Ivermectin (0.2 mg/kg, PO)

Moxidectin (0.4 mg/kg, POc)

Metastrongylus spp

Pigs

Ivermectin (0.3 mg/kg, SC)

Doramectin (0.3 mg/kg, SC)

Fenbendazole (9 mg/kg, mixed in feed, for 3–12 days)

Aelurostrongylus abstrusus

Catsc

Fenbendazole (50 mg/kg, PO, for 2–5 days)

Emodepside (3 mg/kg, topical)

Eprinomectin (0.5 mg/kg, topical)

Moxidectin (1 mg/kg, topical)

Selamectin (6 mg/kg, topical)

Oslerus osleri

Dogsc

Fenbendazole (50 mg/kg, PO, q 24 h for 10–14 days)

Ivermectin (0.2–0.3 mg/kg; may need up to three doses)

Eucoleus aerophilus

Dogs, catsc

Fenbendazole (dogs: 50 mg/kg, PO, q 24 h for 14 days)

Eprinomectin (cats: 0.5 mg/kg, topical)

Moxidectin (cats: 1 mg/kg, topical)

Crenosoma vulpis

Dogsc

Fenbendazole (50 mg/kg, PO, q 24 h for 3 days)

Milbemycin oxime (0.5 mg/kg, PO)

Moxidectin (2.5 mg/kg, topical)

a In severe cases, anti-inflammatories may also be helpful.

b Dose depends on the product and the species. Sustained-release devices are not included. Always follow manufacturers' recommendations, including withdrawal times as applicable. Depending on parasite species, multiple treatments may be needed. Be aware that some recommendations constitute off-label use.

c Anecdotal evidence for efficacy but no published evidence.