Effective management of liver fluke in sheep can be based on a ‘4 Point Plan’:
Where there is confirmed resistance to triclabendazole, careful use of all the remaining actives will be necessary. Just switching to closantel (the next on the list for ability to kill immature fluke) will lead to overuse of this active and will then generate resistance to closantel too. So far there have been no confirmed cases of resistance to closantel in the UK. However in other parts of the world there is already significant levels of closantel resistance. If closantel is overused here in the UK, it is not a case of if resistance occurs, but when.
Combinex™ Oral Suspension contains 3.75% w/v levamisole hydrochloride and 5% w/v triclabendazole. Fasimec™ Duo 50 mg/ml + 1 mg/ml Oral Suspension for Sheep contains 50 mg/ml triclabendazoleand 1 mg/ml ivermectin. Fasinex™ 5% Oral Suspension contains 5% w/v triclabendazole. Flukiver™ 5% w/v oral Suspension contains 50mg/ml closantel. Rycoben™ SC for Sheep contains 2.5% w/v albendazole oxide (ricobendazole), 1.8% w/v cobalt sulphate and 0.097% w/v sodium selenite. Supaverm™ Oral Suspension contains 5% w/v closantel and 7.5% w/v mebendazole. Legal category: POM-VPS Information regarding the side effects, precautions, warnings and contra-indications can be found in product packaging and leaflets; further information can also be found in the Summary of Product Characteristics. Elanco™, Combinex™, Fasimec™ Duo, Fasinex™, Flukiver™, Rycoben™ and Supaverm™ are trademarks of Elanco or its affiliates. Use medicines responsibly (http://www.noah.co.uk/responsible) Advice should be sought from the prescriber prior to use. PM-UK-20-0672.
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