Topical and oral flea control treatments are most effective
Fleas are more than an annoyance -- they can affect the health of their host dog or cat. A flea's saliva could trigger allergies, and the itching and scratching that ensues can lead to a more serious skin infection. Infected fleas can also transmit tapeworms and bacteria -- including bacteria that are harmful to humans. A large enough number of fleas can even cause life-threatening blood loss.
Unfortunately, fleas are not a problem that will go away on its own. In fact, ignoring a few fleas can quickly lead to an infestation. Female fleas can lay up to 50 eggs a day, many of which fall off and land in carpets, bedding and furniture. Once the larvae hatch, they remain inactive in cocoons for weeks or even months. Unsuspecting pet owners might think the problem is resolved after killing the adult fleas, but the life cycle will repeat weeks later unless eggs and larvae are prevented from maturing into adult fleas. Experts say the most effective way to keep fleas off a dog or cat is with a topical or oral medication.
Types of Flea Control
Also known as spot-on products, topical treatments are squeezed out of a tube and applied to the pet's neck or back. One advantage of these products is that they generally contain insect growth regulators (IGRs), which prevent eggs from hatching and larvae from maturing into adult fleas. This means that a single application can completely eliminate fleas for up to a month. However, these products have drawbacks as well. Although they're generally safe for pets if applied correctly, they can irritate the skin or eyes of humans; should you come in contact with the product, it must be rinsed off promptly. Once applied, the product may take several hours to dry. During this time, it may rinse off in water, and the residue may transfer to other pets, furniture or humans. Moreover, some pet owners find the smell or feel of the spot-on treatments unpleasant.
Flea Collars
Until recently, experts have said that flea collars are generally ineffective; some are toxic to pets and people as well. There is one exception, however, Seresto, which uses the same active ingredient as a well-rated topical treatment, Advantage, but in a slow-release formulation. Seresto also has a tick killing ingredient. Seresto is pricey, so other options are more cost effective if you pet is indoors most or all of the time, but for pets that spend lots of time out of doors, it can make sense. No other flea collar receives much, if any, positive feedback from pet experts.
Oral Medications
Flea control medications pose no risk to humans, and they don't leave any messy residue. Oral flea treatments tend to kill adult fleas very quickly, but most of them don't contain an IGR to deal with the eggs and larvae. This means that pet owners must either combine the tablet with a second treatment that contains an IGR, such as a spot-on product, or keep repeating the dose until no new fleas are hatching. Another problem is getting a pet to take the pill. While some users say their pets will gobble them happily if they're tucked inside a treat, others -- especially cat owners -- find it very difficult to get them down their pets' throats. Also, some oral medications are available only with a prescription from a vet.
Do other remedies work?
Flea shampoos can provide immediate relief by killing adult fleas on the pet, but they don't leave enough residue behind to kill new fleas as they hatch. As for flea dips, bombs, powders and sprays, many of them contain chemicals called pyrethroids, such as permethrin. Experts warn that these chemicals are highly toxic, especially to cats. Some vets say that products containing permethrin can be safe if you only have dogs in your household, but all warn to not use such products on cats or even on dogs if one is likely to come in contact with a cat. Permethrin comes in for the sternest cautions, but some experts also warn against the use of other pyrethroids as well.
Natural remedies are more controversial. We see lots of recommendations for them around the Internet, and receive plenty of questions about them from our readers. However, there's little scientific evidence that they are effective in most cases. In a recent blog post, Nancy Kearns of The Whole Dog Journal says that she's "never had much luck with the plethora of natural remedies out there." And some natural remedies are rated to be just as toxic according the GreenPaws Flea and Tick Products Directory published by the Natural Resources Defense Council, and in some cases more so, than many of the topical and oral treatments recommended in this report
Because comparative, unbiased testing is hard to find when it comes to flea control products, we looked first at feedback from veterinarians and other recognized pet experts who have extensive experience with the options, their relative effectiveness, and their safety. One scientific journal, Parasites & Vectors, provides testing based information and is also helpful, but is written for a professional audience, rather than pet owners, and some of the research is paid for by flea control makers, so though peer-reviewed, bias can't be ruled out. The Natural Resources Defense Council provides feedback on relative safety of many products, but doesn't weigh in at all on effectiveness.
The rest of the feedback is supplied by pet owners. We scoured thousands of user reviews at sites like Amazon.com, Petco.com, and 1800PetMeds.com to find flea control treatments that pet owners say are effective and safe. We looked at both positive and negative feedback -- assessing the latter to weed out instances where supplier issues or incorrect usage might be factors -- to find those options that work successfully to rid pets of fleas and, in some instances, other parasites. The result of that research is our recommendation for the best topical and oral flea control products.
Advantage II stands out for safety and effectiveness
The top two topical flea treatments for both dogs and cats are Advantage II and Frontline Plus. They use different active ingredients, imidacloprid and fipronil, respectively, to eradicate infestations. The two insecticides work differently, but experts say that when used correctly, they are both safe and effective.
Both products receive mostly positive reviews from veterinarians and pet owners, but we found somewhat stronger recommendations for Advantage II. Cat owners, in particular, tend to give Advantage II for Cats
(Est. $45 and up for a four-month supply) high marks for its effectiveness, safety and ease of use. While it does not work for every cat, it's more consistently effective than any other topical treatment. Most owners also find it easy to apply and are not bothered by the odor.
Advantage II is a reformulated version of an older product called Advantage, first released in 1996, which killed only adult fleas. The current version includes an insect growth regulator (IGR) to kill flea eggs and larvae as well. Both the original Advantage and Advantage II get positive reviews from veterinarians, including those who specialize in cat care. Vets at the All Feline Hospital in Lincoln, Neb., describe Advantage II as "very safe and effective on cats." However, reviews from cat owners indicate that in very rare cases, cats may have dangerous reactions to this treatment, so it's probably wise to consult a vet before use.
Advantage II for Dogs
(Est. $40 and up for a four-month supply) is sold in several different dosages, for small, medium, large and extra-large dogs; as you might expect, versions for larger dogs cost a little more than those for smaller ones. Dog owners are not quite as enthusiastic about Advantage II as cat owners. Although most owners find it effective, dog owners were more likely than cat owners to complain that Advantage II either didn't work or stopped working before the one-month treatment period was up. Veterinarian dermatologist Jon Plant, writing at the Itchy Dog Blog, notes a study, albeit in cats, that shows some drop in effectiveness toward the end of a month. He adds that "the Advantage line of products are generally very effective for flea control in most situations, when used as directed (monthly)."
Bayer (the maker of Advantage II) also offers Advantage Multi (Est. $85 for a 6 month supply). Advantage Multi, offered by prescription only and in formulations for dogs and cats, adds additional protections against hookworms, round worms and other parasites (depending on the species). However, it is not an all life cycle flea killer and is only effective on adult fleas, not flea eggs and larvae. The cat version is the only product that's also FDA approved for use on ferrets (minimum weight of 2 pounds). One disadvantage to products in the Advantage line is that they don't protect against ticks. If that's a concern, a different product could be a better choice.
Frontline Plus, like Advantage II, is a reformulated version of an older product. The original Frontline killed adult fleas, as well as lice and ticks. The new version, Frontline Plus, also contains an IGR to kill fleas at every stage of their life cycle. It continues to protect against ticks and chewing lice as well, something that Advantage II can't do. Frontline Plus for Cats
(Est. $40 for a three month supply) comes in a single formulation. Frontline Plus for Dogs
(Est. $35 and up for a three month supply), like Advantage II for Dogs, comes in four dosage versions for dogs of different sizes.
Frontline Plus gets high marks for safety from both vets and pet owners. Frontline works by over-stimulating a flea's nervous system, making them hyperactive before they die. That can make it look like your pet's flea infestation is actually getting worse as fleas that were previously unseen rise to the top of its coat, and that results in some negative feedback in user reviews, but vets have few reservations. Dr. Plant notes that Frontline Plus is "100% effective at 12 and 24 hours from 1 day to 28 days post treatment."
There have been some reports, such as this article in The New York Times, indicating that, while fleas in a few parts of the country have become more resistant to fipronil (the active ingredient in Frontline), it and other treatments are still largely still effective in most regions. That's echoed in comments by Dr. Thomas B. McMillen at the Mercy Animal Hospital in Cranston, R.I., who says "There have apparently been some resistance problems in Florida, but there is no evidence of that around here." In a study published in Parasites & Vectors, a scientific journal, researchers Tad Coles and Michael Dryden find that reports of resistance to flea treatments is more likely to be caused by improper or insufficient application rather than resistance to the product by the fleas or other pests themselves.
ConsumerReports.org notes that, because the patent for fipronil has expired, generic versions of Frontline Plus are now available. Examples include Pet Armor Plus for Dogs
(Est. $16 and up for a three month supply) and Sentry Fiproguard Plus for Dogs
(Est. $15 and up for a three month supply). Formulations for cats are also available, as are generic versions of the original Frontline, designed to kill adult fleas but not eggs or larvae.
Experts do sound some cautions, however. While the active ingredients are the same, inactive ingredients can differ. ConsumerReports.org says that the least expensive generic substitutes can have lower dosages, requiring you to treat more often. The Whole Dog Journal specifically recommends against using low-budget spot on treatments as they can be more toxic and less effective than those "made by the most reputable and responsible manufacturers." Still, some vets and other experts consider generic versions of Frontline to be a reasonable alternative where budgets are a concern. If you are considering a generic version of Frontline or Frontline Plus, the best guidance would be to ask your vet. Finally, choose your vendor wisely as counterfeit versions of Frontline Plus have also been reported.
For dog owners who want to control both fleas and ticks, another option is K9 Advantix II
(Est. $45 and up for a 4-month supply). Made by the same company that makes Advantage II, K9 Advantix II contains the same ingredients, plus an additional ingredient called permethrin that kills ticks and mosquitoes. Permethrin is highly toxic to cats, so K9 Advantix II is for use on dogs only. While permethrin is not generally considered harmful to dogs, reviews from dog owners suggest that K9 Advantix II is more likely to cause side effects than either Advantage II or Frontline Plus. Skin irritation is the most common problem, but a few owners describe more serious reactions. Still, K9 Advantix II appears to be an effective product for treating both fleas and ticks in dogs.
A flea collar to consider
In general, flea collars get a thumbs down from experts as being both ineffective and often toxic. One that breaks from the pack, however, is the Seresto Flea and Tick Collar
(Est. $55). This is another product that uses the same active ingredient as Advantage, and is made by the same company, but in a gradual release format that keeps pets pest free for eight months. There's no IGR, but one's not needed as the active ingredient is constantly killing fleas as they emerge. Seresto collars also have a tick-killing component, flumethrin, so they are a great choice for animals that spend a lot of time outdoors.
Vet feedback thus far has been largely positive, and the Seresto flea collar receives lots of user feedback at sites like Amazon.com, most of which has been very good. In a blog post, Nancy Kearns of The Whole Dog Journal reports using Seresto to keep her dogs flea free after an outbreak had been eradicated. "So far, so good; I haven't spotted any fleas, and you can believe I've been looking," she writes. Dr. Plant notes that it kills 100 percent of existing fleas on dogs within 24 hours, and re-infesting fleas in two hours. It's also 98 percent effective on cats within 6 hours. One caution that he shares is that while the collar is rated to be effective for eight months, frequent swimming or bathing can reduce that duration.
Adverse reactions seem to be relatively rare. However, since this flea collar uses the same active ingredient as Advantage, if your pet has not done well with Advantage, Seresto also won't be a good choice. Some complaints are seen about the cost, a concern that Kearns echoes as well, especially for those with multiple pets, but keep in mind that a single collar is the equivalent of eight monthly does of Advantage. Versions are available for both dogs and cats.
Fleas may be small in size, but they can cause your dog to experience excessive itching, hot spots, and skin infections. In general, these conditions can be prevented by using a flea control preventative. Don't let your dog suffer from an uncomfortable flea infestation. Help remove fleas on your dog and prevent future infestations by using the variety of available flea control products such as those listed below.
Oral flea treatments such as Comfortis are quick and effective. The medication travels through your dog's bloodstream and to the skin's surface, helping to kill biting fleas. Newer combination pill treatments such as Sentinel and Trifexis also prevent heartworm disease and other intestinal parasites like roundworms, hookworms and whipworms. See product label for details.
Topical flea control for dogs is most popular in liquid drop form. These products can treat existing infestations and help prevent future outbreaks. Apply the product directly onto your dog's skin, between the shoulder blades, unless otherwise noted on the product packaging. For small breeds, Flea5X Plus for Dogs is recommended and for large dogs, we recommend Frontline Plus or K9 Advantix II. All are waterproof.
Collars are thin, flexible, and adjustable. The plastic band is coated in a chemical meant to repel fleas and ticks. Most flea collars like Seresto last for several months and are considered an economical choice.
Flea sprays are best in between baths, since the product will wash off when your dog gets wet. However, the sprays are inexpensive and relatively effective. Simply spritz your dog's coat all over, from the neck down and along the tail. For the head and eye area, spray on a gloved hand or washcloth and rub gently into your dog's hair, being careful not to get any of the product in your dog's eyes or mouth.
Flea shampoos are used like any other bath product, yet most require allowing the product to sit on the skin for several minutes before rinsing.
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