Cestal

Cestal Plus Flavour comes in the form of chewable tablets, packaged in blister packs of 8 tablets. This pharmaceutical form is designed to facilitate oral administration directly into the dog's mouth.

Cestal Plus Dog is intended for dogs of all ages and sizes for the treatment of infestations with the following intestinal parasites:

• Roundworms: Toxocara canis, Toxascaris leonina – adult and immature forms;
• Hookworms: Ancylostoma tubaeforme, Uncinaria stenocephala – adult forms;
• Trichocephalidae: Trichuris vulpis – adult forms;
• Broad worms (cestodes): Echinococcus spp., Taenia spp., Dipylidium caninum – adult and immature forms.

Treatment is recommended for both isolated infections and as part of a regular deworming programme.

Cestal Plus for dogs is given orally, depending on the animal's body weight.

The recommended dose is 1 tablet per 10 kg body weight, which corresponds to the following amounts of active substances: praziquantel 5 mg/kg, pyrantel embonate 14.4 mg/kg, fenbendazole 20 mg/kg.

No prior diet is necessary, and in case of massive infestation, treatment can be repeated after 14 days. To prevent reinfestation, deworming is recommended every 3 months.

Cestal for cats is administered orally in a single dose equivalent to 1 tablet per 4 kg body weight. This dose is equivalent to praziquantel – 5 mg/kg body weight and pyrantel embonate – 57.5 mg/kg body weight.

Cestal should not be administered in cases of:

• known hypersensitivity to any of the active substances or excipients;
• cachexia (very emaciated animals) due to possible sensitivity to pyrantel.

To prevent environmental contamination and reinfestation, it is recommended to temporarily isolate dogs after treatment for 24 hours and to burn faeces and any parasites that have been eliminated.

Regular cleaning of the area where the animals live is essential. It is recommended to wash hands after handling treated animals.

Safety studies have not shown any significant adverse reactions. However, in very rare cases, mild digestive disorders (vomiting, mild diarrhoea), skin allergic reactions or hypersalivation may occur.

If serious reactions or other effects not mentioned in the package leaflet are observed, consult your veterinarian.

Cestal should not be administered concomitantly with certain drugs such as carbamazepine, dexamethasone or phenytoin. It is recommended that you discuss with your veterinarian any other drugs in your dog or cat's treatment regimen before administering Cestal.

The tablets can be administered with food without affecting the effectiveness of the treatment.

Due to its safety profile, cases of overdose are rare.

If suspicious reactions occur in the event of extreme overdose, symptomatic treatment and close monitoring of the dog or cat is recommended.

Keep out of the reach of children. Store in the original packaging in a dry place away from light. The product should be stored at a temperature below 25°C.

Do not use after the expiry date stated on the packaging. Divided tablets should be kept in the original blister pack and used within 2 days.

• DrunkBank, Pirantel
• MayoClinic, Praziquantel
• PubMed, An update on the biological effects of fenbendazole
• VCA hospitals, Fenbendazole