Afoxolaner is a broad-spectrum antiparasitic active ingredient used in veterinary medicine in pets against external parasites (fleas, ticks, lice, mites, etc.). It is not used against agricultural and household pests. It belongs to the chemical class of the isoxazolines.
Common name: AFOXOLANER, ESAFOXOLANER
EFFICACY AGAINST PARASITES
Type of action: Broad-spectrum, systemic ectoparasiticide: insecticide, tickicide
Main veterinary parasites controlled: fleas, ticks (USA: Dermacentor variabilis; Ixodes scapularis, Amblyomma americanum; EU: Dermacentor reticulatus, Ixodes ricinus, Rhipicephalus sanguineus).
Efficacy against a specific parasite depends on the delivery form and on the dose administered.
Click here for general information on features and characteristics of PARASITICIDES.
Dosing recommendations for antiparasitics depend on national regulations. National regulatory authorities determine whether a product is approved for a given indication, i.e. use on a particular host at a specific dose and against a specific parasite. Check the labels of the products available in your country for specific information on approved indications.
Afoxolaner is an insecticide and acaricide with systemic mode of action that belongs to the chemical class of the isoxazolines, a pesticide class introduced in 2013. So far it is only available for oral administration to dogs (chewable tablets). Afoxolaner controls fleas, ticks and a few other external parasites. It is ineffective against any kind of parasitic worms.
The table below indicates some usual dosing recommendations for afoxolaner issued by manufacturers or documented in the scientific literature. They may not be approved in some countries.
|Dosing recommendations for AFOXOLANER
||Parasites||Dose (against afoxolaner-susceptible parasites)
|Oral||Fleas||2.5-6.8 mg/kg; 4-5 weeks protection|
|Oral||Ticks||2.5-6.8 mg/kg; 4-5 weeks protection|
|Oral||Generalized demodicosis||2.5-6.8 mg/kg x4 with 15 days interval; >99% control after 4 weeks|
|Oral||Generalized demodicosis||2.5-6.8 mg/kg x3 with 4 weeks interval; mite free after 8 weeks|
|Oral||Sarcoptes scabiei||2.5-6.8 mg/kg x2 with 4 weeks interval; 100% mite control|
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Oral LD50, rat, acute*: >1000 mg/kg (source: EMEA)
Dermal LD50, rat, acute*: >2000 mg/kg (source: EMEA)
* These values refer to the active ingredient. Toxicity has to be determined for each formulation as well. Formulations are usually significantly less toxic than the active ingredients.
MRL (maximum residue limit) set for animal tissues: NOT APPLICABLE. Approved only for dogs.
Withholding periods: NOT APPLICABLE. Approved only for dogs.
Target Animal Safety studies done on the tablets approved for dogs indicate that such products are well tolerated by dogs at the therapeutic dose. Beagle dogs treated at up to 5 times the therapeutic dose showed no signs of intoxication.
Due to their recent introduction there is very little knowledge on tolerance in different dog breeds or in young, old or otherwise weak animals.
Since all approved products are for oral administration, no chemical residues are expected to contaminate the hair-coat of dogs after treatment. Therefore, in contrast with products for external use (e.g. spot-ons) there is no risk of contamination of humans (particularly children) getting in close contact with treated animals.
In September 2018 the FDA of the USA has alerted pet owners and veterinarians about potential neurological adverse events following the use of products containing isoxazolines in dogs. In August 2021 The FDA has extended this alert to cats. Some treated animals have experienced adverse events such as muscle tremors, ataxia (lack of voluntary coordination of muscle movements), and seizures. This regards all products containing isoxazolines. Most treated animals will not show such adverse drug reactions, but some may be affected.
For additional information read the article on afoxolaner safety in this site.
General information on the safety of veterinary antiparasitics is available in specific articles in this site (click to visit):
- General safety of antiparasitics for domestic animals
- General safety of antiparasitics for humans
- General safety of antiparasitics for the environment
It is obvious that veterinary products are not intended for and should never be used on humans!!!
MARKETING & USAGE
Use in LIVESTOCK: NO
Use in HORSES: NO
Use in DOGS and CATS: YES
Main delivery forms:
- Chewable tablets
Use in human medicine: No
Use in public/domestic hygiene: No
Use in agriculture: No
Generics available: No
On pets: No
Afoxolaner is a representative of the isoxazolines, a new class of insecticides discovered in the 2000s. It is similar to fluralaner, another isoxazoline derivative recently introduced by MSD ANIMAL HEALTH (but first described by NISSAN). Afoxolaner for use against fleas and ticks in dogs has been approved in the USA and in the EU in 2013.
Afoxolaner is a mixture of optical isomers (enantiomers). Esafoxolaner is the urified S-isomer of afoxolaner.
Afoxolaner is available for oral administration to dogs (NEXGARD), i.e. it has a systemic mode of action. Ingested afoxolaner is rapidly absorbed into blood and distributed throughout the whole body of the treated dog. Blood-sucking parasites (mainly fleas and ticks) are killed during their blood meal.
But the systemic mode of action means also that for fleas and/or ticks to be killed, they have to bite the dog first and suck enough blood before the ingested active ingredient kills them.
As other isoxazolines with insecticidal and tickicidal efficacy, afoxolaner is a non-competitive GABA (gamma-aminobutyric acid) receptor antagonist, much more selective for GABA receptors in insects or ticks, than for those in mammals, including humans. It binds to chloride channels in nerve and muscle cells, which blocks the transmission of neuronal signals. Affected parasites are paralyzed and die.
Efficacy of afoxolaner
NEXGARD was the first product containing afoxolaner that was approved only for use on dogs. Indications in the US label include control and prevention of cat fleas (Ctenocephalides felis) and several tick species (Dermacentor variabilis; Ixodes scapularis, Amblyomma americanum) for one month. The EU approval indicates control of fleas (Ctenocephalides felis and C. canis) for at least 5 weeks, and control of ticks (Dermacentor reticulatus, Ixodes ricinus, Rhipicephalus sanguineus).
According to the US label, full efficacy (>98%) against fleas is achieved about 12 hours after administration, and against american dog ticks (>97%) 48 hours after administration. The EU approval specifies that the "for fleas (C. felis), the onset of effect is within 8 hours of attachment. For ticks, the onset of effect (death) is within 48 hours of attachment".
Later on NEXGARD SPECTRA was introduced, a combination of afoxolaner with milbemycin oxime that adds efficacy against several dog roundworms (Toxocara canis, Toxascaris leonina), hookworms (Ancylostoma caninum & Ancylostoma braziliense) and whipworms (Trichuris vulpis) and ensures heartworm prevention (Dirofilaria spp).