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The drugâs initial approval noted mild side effects such as vomiting, itching, lethargy and diarrhea. Some 70 million doses of Trifexis have been distributed through 15,000 veterinary clinics, said Elanco spokeswoman Julie Lawless.
Trifexis Chewable Tablets for Dogs Rx. Trifexis for Dogs is a monthly chewable tablet for dogs that kills fleas, prevents heartworm disease, and treats and controls adult hookworm, whipworm and roundworm infections. See the Allivet Heartworm Comparison chart to find which heartworm prevention is best for your pet. Please confirm.