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Cestex (epsiprantel) Rx

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Cestex (epsiprantel) Tablets: Tapeworm Removal Medication for Pets (Rx) 

Why has my veterinarian prescribed Epsiprantel?

Epsiprantel is an oral anthelmintic (dewormer) prescribed to kill tapeworms in dogs and cats. This medicine kills the common types of tapeworms your pet may contract from fleas or rodents. Four different strengths of film-coated tablets are available and they can be given orally by crumbling or mixing them in to your pet’s food. Fasting is not necessary.  The trade name for Epsiprantel is Cestex®.


What should I talk to my veterinarian about before giving my pet this medication?

Talk to your veterinarian about any required rechecks while on this medication and what tests may need to be performed prior to and during treatment with this drug. Also ask your veterinarian about the risks and benefits of using this drug. Be sure to tell your veterinarian about all medicines and supplements that you give your pet or plan to give your pet, including those you can get without a prescription. Your veterinarian may want to check that all of your pet's medicines can be given together.


Pets that should not take this medication include:

  • · Puppies and kittens less than 7 weeks of age
  • · Use with caution in pregnant and nursing dogs and cats
  • · If your pet has had an allergic reaction to Epsiprantel or like products before


Let your veterinarian know if your pet is pregnant, nursing, or if you plan to breed your pet.


How do I give Epsiprantel?



Give Epsiprantel to your pet as directed by your veterinarian.


Fasting is not necessary prior to giving this medication, nor is it recommended.

Tablets may be given with or without food.

Ensure that your pet swallows all of the medication.

A single treatment of Epsiprantel should be sufficient, but your pet will need another dose if it’s re-infected. Re-infection will occur if there is a heavy, uncontrolled flea problem or if your pet eats mice or rabbits. Tapeworms are always acquired by ingesting an infected intermediate host (flea, dog louse, rabbit, rodent, or uncooked beef/lamb/pork/venison/fish/wild animals).

Ensure that fleas are eliminated from your pet’s environment and do not allow your pet to eat uncooked meat/fish.

To maximize the benefit of deworming, it is best to treat all animals in the environment.


Periodic fecal exams are recommended to monitor effectiveness and re-exposure to parasites.

Some intestinal parasites can infect humans. You should follow strict hygienic precautions when handling infected pets and their feces. Consult your veterinarian or family doctor to discuss how to prevent human infection and re-infection of your pet.


If I miss a dose, what do I do?

Epsiprantel is given as a single dose.


How do I store Epsiprantel? 

Keep this medicine out of reach of children and pets. This medicine is not for human use.

Call your physician immediately if you accidentally take this product.


Store this medicine in a tight, light resistant, childproof container at room temperature in a dry, cool place. Keep this medicine away from heat and direct sunlight.


What are the potential side effects of Epsiprantel?

Side effects of Epsiprantel are rare, but at high doses, vomiting or diarrhea may occur.

If you notice anything unusual, contact your veterinarian.


What about possible drug interactions?

There are no known drug interactions with Epsiprantel. If your pet experiences any unusual reactions when taking multiple medications, contact your veterinarian.


What about overdosing?

Contact your veterinarian immediately if your pet receives more than the prescribed amount.


What else should I know?

Notify your veterinarian if your animal's condition does not improve or worsens despite this treatment. As with all prescribed medicines, Epsiprantel should only be given to the pet for which it was prescribed. It should be given only for the condition for which it was prescribed.

This is just a summary of information about Epsiprantel. If you have any questions or concerns about Epsiprantel or the condition it was prescribed for, contact your veterinarian.  



You can find a Client Information Sheet which provides a summary of information about Cestex by following the link below:


Cestex Client Information Sheet*


If you have questions or concerns about Cestex, or conditions related to its use, contact your pet's veterinarian or pharmacist.


*This link opens in a new window.