

Trifexis is a monthly beef-flavored chewable that combines spinosad and milbemycin oxime to kill adult fleas, prevent heartworm disease, and treat hookworm, roundworm and whipworm infections in one dose. It starts killing fleas within 30 minutes and is approved for puppies 8 weeks and older, in five weight-based sizes. Unlike topicals, there is no residue or greasy coat, and it suits dogs that react badly to spot-on products. The trade-offs are real: the tablets are large and many dogs refuse the taste, and it does not cover ticks, so tick-prone dogs need a separate product.
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Lowest price we've seen: $154.09 on Nov 4 at Chewy.com; highest $200.91 on Nov 11. Tracked across 5 stores since Nov 4.
Owners report years of flea-free dogs and clean heartworm tests on one monthly pill, and many switched after topicals caused reactions. The main complaints are the tablet size, the taste dogs refuse, and the lack of tick coverage.
Trifexis is a monthly chewable tablet for dogs that protects against heartworm, fleas and intestinal parasites. It contains two active ingredients, spinosad and milbemycin oxime. It kills adult fleas and prevents flea infestations, prevents heartworm disease, and treats and controls adult hookworm, roundworm and whipworm infections.
Each dose is one round, brown, beef-flavored chewable tablet given by mouth once a month, with a meal. The tablets are made with pork-based proteins and hydrolyzed soy. Flea killing starts within 30 minutes, and each tablet gives 30 days of protection.
The dose is based on the dog's weight, and the tablets get larger as the weight range increases. The product is for dogs and puppies 8 weeks of age or older. It comes in five sizes.













