Stronghold Plus Cat 2.5-5kg Pipettes 0.5ml Pack of 3

Stronghold Plus is a powerful spot-on solution containing two active ingredients, selamectin and sarolaner, which work together to provide broad-spectrum protection. It's an essential part of responsible pet care, helping to keep your cat healthy and comfortable while preventing infestations in your home environment.

Targeted Protection for Your Cat

Stronghold Plus Cat 2.5-5kg Pipettes 0.5ml Pack of 3 is effective against:

• Fleas: Quickly kills adult fleas within 24 hours and breaks the flea lifecycle by preventing egg hatching and killing larvae in the environment, offering protection for up to 5 weeks. It can also be used as part of a treatment strategy for flea allergy dermatitis (FAD).
• Ticks: Provides immediate and persistent killing activity against common UK tick species including Ixodes ricinus (sheep tick), Ixodes hexagonus (hedgehog tick), Dermacentor reticulatus (marsh tick), and Rhipicephalus sanguineus (brown dog tick) for 5 weeks.
• Mites: Treats ear mites (Otodectes cynotis) and notoedric mange (Notoedres cati).
• Lice: Effective against biting lice infestations (Felicola subrostratus).
• Gastrointestinal Worms: Treats adult roundworms (Toxocara cati) and adult intestinal hookworms (Ancylostoma tubaeforme).
• Heartworm: Helps prevent heartworm disease caused by Dirofilaria immitis with monthly administration.

As a Prescription Only Medicine – Veterinarian (POM-V), Stronghold Plus ensures your pet receives the correct and safest treatment under the guidance of a qualified vet.

Method of Administration

• Route: Spot-on use, applied topically to the skin surface only. Do not administer orally or parenterally (by injection).
• Preparation: Do not apply when your cat's hair coat is wet.
• Ear Mites: For ear mite treatment, do not apply directly to the ear canal.
• Prevent Ingestion: It is important to apply the dose as indicated to prevent the animal from licking and ingesting the product. If significant ingestion occurs, transient gastrointestinal effects such as hypersalivation, emesis, soft faeces or reduced food consumption may be observed and should normally resolve without treatment.

How to Apply Stronghold Plus Cat 2.5-5kg Pipettes 0.5ml Pack of 3

1. Remove the pipette from the protective package immediately prior to administration.
2. Holding the pipette upright, firmly depress the cap to puncture the applicator seal, then remove the cap.
3. Part the hair at the base of your cat's neck in front of the shoulder blades to expose a small area of skin.
4. Apply the tip of the pipette directly to the skin without massaging.
5. Squeeze the pipette firmly 3–4 times to empty the contents in one spot. Avoid contact between the product and your fingers.

Transient cosmetic effects may occur at the application site such as temporary clumping or spiking of the hair, greasiness or dry white deposits, which normally resolve within 24 hours after product application. These effects do not affect the safety or efficacy of the veterinary medicinal product.

Dosage and Frequency

• For Fleas and Ticks: For optimal control, administer at monthly intervals and continue throughout the flea and/or tick season based on local epidemiological situations. Adult fleas on the animal are killed within 24 hours, no viable eggs are produced, and larvae are also killed, breaking the flea lifecycle.
• For Heartworm Disease Prevention: Administer year-round or at least within one month of the animal's first exposure to mosquitoes, and monthly thereafter until the end of the mosquito season. The final dose must be given within one month after the last exposure to mosquitoes. If a dose is missed and a monthly interval is exceeded, immediately administer the product and resume monthly dosing.
• For Roundworm, Hookworm, Biting Lice, Ear Mites, Notoedric Mange: A single dose should be administered. For ear mite treatment, a further veterinary examination 30 days after treatment is recommended to determine if a second administration is necessary.

Contraindications

• Do not use in cases of hypersensitivity to the active substances (selamectin, sarolaner) or to any of the excipients.
• Do not use in cats that are suffering from concomitant disease, or are debilitated and underweight (for size and age).

Special Warnings

• It is recommended that cats 6 months of age or more, living in countries where heartworm is present, should be tested for existing adult heartworm infections before beginning preventive use. This product is not effective against adult Dirofilaria immitis.
• Ticks need to start feeding on the host to become exposed to sarolaner; therefore, the transmission of infectious tick-borne diseases cannot be excluded.
• The efficacy of the veterinary medicinal product has not been established in cats with severe clinical signs of Notoedres cati mange. Use in such cases should be based on a benefit-risk assessment by the responsible veterinarian.
• Use this product only in cats aged at least 8 weeks old and weighing at least 1.25 kg bodyweight.
• Keep treated animals away from fires and other sources of ignition for at least 30 minutes or until the hair coat is dry.

Precautions for the Person Administering the Product

• This veterinary medicinal product is harmful after ingestion. Keep it in the original packaging until use to prevent children from getting direct access. Used pipettes should be disposed of immediately. In case of accidental ingestion, seek medical advice immediately and show the package leaflet or the label to the physician.
• The veterinary medicinal product may cause eye irritation. Avoid eye contact, including hand-to-eye contact. In case of accidental eye exposure, flush the eyes immediately with water and seek medical advice.
• Avoid direct contact with treated animals until the application area is dry. Wash hands thoroughly with soap and water after use and wash off any product from skin immediately.
• People with sensitive skin or a known allergy to veterinary medicinal products of this type should handle with caution.
• Children are not allowed to play with treated cats for 4 hours after treatment. It is recommended to treat animals in the evening.
• On the day of treatment, treated animals should not be permitted to sleep in the same bed as their owner, especially children.
• This veterinary medicinal product is highly flammable. Keep away from heat, sparks, open flame or other sources of ignition.

Pregnancy, Lactation and Fertility

The safety of sarolaner has not been evaluated in breeding, pregnant or lactating cats. Selamectin is considered safe for use in breeding, pregnant and lactating cats. Use only according to the benefit-risk assessment by your responsible veterinarian.

Adverse Events in Cats

• Uncommon (1 to 10 animals / 1,000 treated): Application site pruritus (itching), application site alopecia (hair loss), erythema (redness), drooling. These are usually mild and transient.
• Very rare (<1 animal / 10,000 treated): Convulsions, ataxia (incoordination), vomiting, diarrhoea. These are mostly transient.

Storage Precautions

• Keep out of the sight and reach of children.
• Store below 30 °C.
• Do not remove the pipette from the blister until ready to use.
• Do not use this veterinary medicinal product after the expiry date stated on the carton, blister and pipette.

Disposal

Do not dispose of this veterinary medicinal product via wastewater. It 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. Ask your veterinary surgeon or pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

Active Substances (per 0.5 ml pipette)

• Selamectin: 30 mg
• Sarolaner: 5 mg

Excipient

• Butylhydroxytoluene: 0.2 mg/ml

Stronghold Plus is a clear, colourless to yellow spot-on solution.