Praziquantel for Animals

Praziquantel

Praziquantel is an anthelmintic used principally against tapeworms in companion animals and horses. It is also used for selected trematode infections and less common cestodes in other veterinary species. Single-ingredient and combination products provide different overall parasite coverage, while praziquantel supplies the principal cestocidal component.

Group

Cestocidal anthelmintic

Mechanism of Action

Praziquantel alters calcium permeability and calcium-dependent signaling in susceptible parasites, producing rapid contraction and paralysis. Disruption of the tegument exposes parasite tissues to host digestive and immune processes and contributes to elimination. The relative importance of specific channel targets varies among parasite groups. This activity accounts for its effects against susceptible cestodes and selected trematodes.

Dose Rates

Dogs

Use / stageDoseRouteScheduleInstructions
Cestode infection7.5 mg/kgPOOnceDogs under 6.8 kg.
Cestode infection5 mg/kgPOOnceDogs over 6.8 kg.
Cestode infection7.5 mg/kgIM, SCOnceDogs under 2.3 kg.
Cestode infection5 mg/kgIM, SCOnceDogs over 5 kg.
Intermediate-weight injectable cestode treatmentReference onlyIMReported lists 6.3 mg/kg once IM or SC for dogs described as weighing more than 2.7-4.5 kg; the boundary wording and gaps need clarification.
Paragonimus infection23 mg/kgPOEvery 8 hUp to 3 days
Spirometra or Diphyllobothrium infection25 mg/kgPOEvery 24 hUp to 2 days
Common cestode infection5 mg/kgPO, SCOnce
Sparganum proliferum infection7.5 mg/kgPO, SCEvery 24 hUp to 2 days
Sparganum proliferum infection25 mg/kgPO, SCEvery 24 hUp to 2 days
Diphyllobothrium infection7.5 mg/kgPOEvery 24 hUp to 2 days; Single-dose alternative also reported.
Spirometra infection7.5 mg/kgPOEvery 24 hUp to 2 days
Paragonimus infection23–25 mg/kgPOEvery 8 hUp to 3 days
Liver fluke infection20–40 mg/kgPOEvery 24 hUp to 10 days; Reported course 3-10 days.
Alaria infection20 mg/kgPO
Nanophyetus fluke infection10–30 mg/kgPO, SCOnce

Cats

Use / stageDoseRouteScheduleInstructions
Cestode infection11.4 mg/animalPOOnceCats under 1.8 kg.
Cestode infection11.4 mg/animalIM, SCOnceCats 1.8-2.2 kg.
Cestode infection22.7 mg/animalIM, SCOnceCats 2.3-4.5 kg.
Cestode infection23 mg/animalPOOnceCats 2.3-5 kg.
Cestode infection34.5 mg/animalPOOnceCats over 5 kg.
Cestode infection34.1 mg/animalIM, SCOnceCats over 5 kg.
Spirometra or Diphyllobothrium infection25 mg/kgPOEvery 24 hUp to 2 days
Spirometra or Diphyllobothrium infection35 mg/kgPOOnceSeparate reported single-dose alternative.
Common cestode infection5 mg/kgPO, SCOnce
Sparganum proliferum infection7.5 mg/kgPO, SCEvery 24 hUp to 2 days
Sparganum proliferum infection25 mg/kgPO, SCEvery 24 hUp to 2 days
Paragonimus infection23–25 mg/kgPOEvery 8 hUp to 3 days
Alaria infection20 mg/kgPO
Spirometra infection30–35 mg/kgPO

Horses

Use / stageDoseRouteScheduleInstructions
Cestode infection1.5–2.5 mg/kgPO

Mice

Use / stageDoseRouteScheduleInstructions
Cestode infection30 mg/kgPOOnce
Cestode infection6–10 mg/kgPO

Rats

Use / stageDoseRouteScheduleInstructions
Cestode infection30 mg/kgPOOnce
Cestode infection6–10 mg/kgPO

Hamsters

Use / stageDoseRouteScheduleInstructions
Cestode infection30 mg/kgPOOnce
Cestode infection6–10 mg/kgPO

Gerbils

Use / stageDoseRouteScheduleInstructions
Cestode infection30 mg/kgPOOnce
Cestode infection6–10 mg/kgPO

Guinea pigs

Use / stageDoseRouteScheduleInstructions
Cestode infection6–10 mg/kgPO

Chinchillas

Use / stageDoseRouteScheduleInstructions
Cestode infection6–10 mg/kgPO

Rabbits

Use / stageDoseRouteScheduleInstructions
Cestode or trematode infection5–10 mg/kgPOOnce

Llamas

Use / stageDoseRouteScheduleInstructions
Susceptible parasite infection5 mg/kgPO

Birds

Use / stageDoseRouteScheduleInstructions
Cestode infection5.75 mg/kgPOOne-quarter of a 23-mg tablet/kg; repeat after 10-14 days.
Cestode or trematode infection5–10 mg/kgPO, IMOnceDo not use in: Finches receiving injectable formulation

Reptiles

Use / stageDoseRouteScheduleInstructions
Cestode or trematode infection7.5 mg/kgPOOnceRepeat after 2 weeks.
Cestode or trematode infection7–8 mg/kgPO, IM, SC

Amphibian

Use / stageDoseRouteScheduleInstructions
Cestode or trematode infection7–8 mg/kgPO, IM, SC

Indications

  • Treatment of common canine and feline tapeworm infections, including Dipylidium, Taenia and susceptible Echinococcus species.
  • Treatment of equine tapeworm infections, including Anoplocephala perfoliata.
  • Treatment of selected Spirometra or broad fish-tapeworm infections in dogs and cats with a parasite-specific regimen.
  • Treatment of selected trematode infections, including supported Paragonimus, Alaria or Nanophyetus cases.
  • Treatment of selected susceptible cestode or trematode infections in birds and other exotic veterinary patients.

Contraindications

  • Cats younger than 6 weeks
  • Dogs younger than 4 weeks

Adverse effects

  • Vomiting, anorexia and transient diarrhea at higher doses.

Toxicity

Major parenteral exposure can cause marked ataxia and depression, especially in cats. Vomiting is common at high oral exposure; animal and formulation sensitivity differ.

Preparations

PreparationFormStrengthRoute
Praziquantel 23 mgTablet23 mg / tabletPO
Praziquantel 34 mgTablet34 mg / tabletPO
Praziquantel injection 56.8 mg/mLInjection56.8 mg / mLIM, SC

Monitoring and Administration

Select the species, body-weight qualification and route carefully. Inconsistent injection weight boundaries in the reported guidance are not interpolated.

Product-specific Droncit tables contain rounded pound boundaries rather than continuous weight ranges. Dog injection 56.8 mg/mL: under 5 lb 17 mg; 6-10 lb 28.4 mg; 11-25 lb 56.8 mg; over 25 lb 0.2 mL/5 lb with 3-mL maximum. Oral 34-mg tablets: under 5 lb 17 mg; 6-10 lb 34 mg; 11-15 lb 51 mg; 16-30 lb 68 mg; 31-45 lb 102 mg; 46-60 lb 136 mg; over 60 lb 170 mg maximum. Gaps are not interpolated.

Feline product table: oral 23-mg tablets, under 4 lb 11.5 mg, 5-11 lb 23 mg, above 11 lb 34.5 mg. Injectable table has an ambiguous final 10-lb boundary. Drontal/Drontal Plus Giardia regimens concern the entire combination, not praziquantel alone. Injectable formulation is toxic to finches; medicated-cake delivery lacks predictable individual intake.

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