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Boehringer Ingelheim launches its first-in-class broad-spectrum topical parasite treatment for cats

The new treatment is designed to safeguard cats from a wider range of parasites than any other product on the market, covering both external parasites and internal parasites such as fleas, ticks, ear mites, face mange, hookworm, roundworm, vesical worm, lungworm, heartworm prevention, as well as tapeworm infections that affect their health and quality of life.

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Boehringer Ingelheim, a global leader in animal health, has launched the parasite treatment, NexGard COMBO for cats. With nearly 20 years of expertise in preventing parasites such as fleas, ticks, Lyme disease and more in dogs, NexGard now adds a feline-specific product to the NexGard family. The new treatment is designed to safeguard cats from a wider range of parasites than any other product on the market, covering both external parasites and internal parasites such as fleas, ticks, ear mites, face mange, hookworm, roundworm, vesical worm, lungworm, heartworm prevention, as well as tapeworm infections that affect their health and quality of life.

Parasite infections are common in cats and prevalent across Asia. According to an epidemiological study of over 1,000 cats in eastern and Southeast Asia, 43% of pet cats suffer from external parasites such as fleas, ticks and mites and 14% harbour deadly internal parasites such as hookworm, heartworm and roundworm.[i]

“Boehringer Ingelheim has always been on the cutting edge of research and development in the parasiticide space. Trusted by pet owners and veterinarians alike, our NexGard® family of products is currently ranked top in pet parasiticide sales worldwide. In Asia where over 26% of pet owners have cats[ii], we are thrilled to expand our feline parasite prevention line-up, which includes Broadline and FRONTLINE PLUS Cat, with NexGard COMBO for cats. It is an innovative one-and-done formula with esafoxolaner, the first isoxazoline parasiticide formulated for cats plus eprinomectin and praziquantel for the broadest external and internal parasite coverage to date,” said Sukje Sung, Head of Boehringer Ingelheim Animal Health Philippines, Inc.

Common misconceptions about parasites in cats

Parasite infections are often disregarded as trivial issues but can cause serious health complications in cats such as bloody diarrhoea, dehydration, skin inflammation and anaemia. Ear mites are common causes of feline ear infections which are often picked up when roaming outdoors and can cause itchiness, inflammation and swelling of the ear canal.3 Additionally, some internal parasites such as hookworms can attach themselves to the intestines and to feed on the blood of cats. Left untreated, hookworm infections can result in potentially life-threatening blood loss, weakness, and malnutrition.4

Despite the high prevalence of parasite infections, many pet owners remain unaware of how common they are. In fact, according to veterinary specialist Dr. Ross Antonio Banayo, Technical Manager for the Companion Animal Business Segment of Boehringer Ingelheim Animal Health Philippines, Inc. pet owners remain misinformed about how these parasites are transmitted and impact their cats. These common misconceptions include:

  • Cats that are kept indoors are not susceptible to parasite infections and do not require regular veterinary visits.
  • Cats only require treatment when they are infected with parasites. Preventive treatment is not necessary.
  • Parasite infections are self-limiting and do not cause serious health issues.
  • Removal of ticks and fleas can be effectively managed with parasite prevention shampoos alone.

According to Dr. Ross Antonio Banayo, Technical Manager for the Companion Animal Business Segment of Boehringer Ingelheim Animal Health Philippines, Inc. “Parasite infections can be particularly dangerous for cats. Common feline behaviours like grooming and roaming outdoors put them at a higher risk of contracting a variety of parasites. Often, cats only present with symptoms much later into the infection, resulting in worse complications. This highlights the need for us to change perceptions and move towards a preventive approach to parasite infections to safeguard their health.”

Parasites can be transmitted and affect human health too

Parasite infections not only impact the health of cats but can be transmitted to humans to cause complications such as skin infections, anaemia, gastrointestinal disturbances and more. Fortunately, transmission can be effectively prevented by administering regular parasiticide treatment for cats and adhering to regular follow-ups with a veterinarian.

“The lives of pets and humans are so deeply interconnected that their health issues can impact our own. Just as we are shifting towards a preventive approach to human health, NexGard COMBO is our preventive solution to preserve the health of cats. It represents the next step that we are taking to improve the health of animals across the region and drive a positive impact on our own health into the future,” said Sung.

The monthly treatment protects pet cats and their households from the deadly, debilitating, and transmittable internal and external parasites.

Important Safety Information

NexGard COMBO is for topical use only in cats. The most frequently reported adverse reactions include vomiting, application site reactions, and anorexia. If ingested, hypersalivation may occur.

Avoid direct contact with application site for 4 hours or until visibly dry.

Esafoxolaner is a member of the isoxazoline class. This class has been associated with neurologic adverse reactions including tremors, ataxia, and seizures in cats with or without a history of seizures.

Use with caution in cats with a history of seizures or neurologic disorders.

The safety of NexGard COMBO has been tested and is approved in breeding, pregnant, or lactating queen (cats) in the Philippines. The safety of the product has not been established in breeding male cats.

NexGard COMBO is for use in cats 8 weeks of age and older, weighing 0.8 kg or more.


[i] Colella V, Nguyen VL, Tan DY, Lu N, Fang F, Zhijuan Y, et al. Zoonotic Vectorborne Pathogens and Ectoparasites of Dogs and Cats in Eastern and Southeast Asia. Emerg Infect Dis. 2020;26(6):1221-1233. https://doi.org/10.3201/eid2606.191832. Accessed April 2023.

[i] Rakuten Insight. Pet Ownership in Asia. Available from https://insight.rakuten.com/pet-ownership-in-asia/. Accessed April 2023.

3 Little, S., and K. Duncan. “Ear mites: Uncovering, treating, and preventing infestations.” Today’s Veterinary Practice, 16 June 2021, todaysveterinarypractice.com/parasitology/ear-mites-uncovering-treating-and-preventing-infestations/. Accessed 9 May 2023

4 American Veterinary Medical Association. Parasites in cats and dogs. Available from https://ebusiness.avma.org/files/productdownloads/LR_COM_ClientBroch_InternalParasites.pdf Accessed May 2023.

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Pet Care

Dogs can distinguish between human fear and sadness

Dogs process smiles in a unique brain region and, for the first time, provided evidence that dogs can distinguish between negative facial expressions, including anger, sadness, and fear. 

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Scientists—and dog lovers—have long known that dogs are remarkably good at interpreting our laughs, frowns, and tears. But the biology behind this ability has remained largely unexplored until now. 

In a study published in the Cell Press journal iScience, researchers peered inside the brains of dogs as they viewed images of various human expressions. The brain scans revealed that dogs process smiles in a unique brain region and, for the first time, provided evidence that dogs can distinguish between negative facial expressions, including anger, sadness, and fear. 

“Humans are really good at picking up small details on the face, and so are dogs,” says first author Raúl Hernández-Pérez from the University of Vienna. “This makes dogs very interesting. By studying their brains, we can understand what adaptations have developed to support their remarkable social and emotional understanding of humans.” 

The researchers first focused on happiness, an expression that previous studies suggest holds particular significance for dogs. They scanned eight dogs while showing them images of strangers with either happy or neutral expressions. The happy faces lit up the temporal cortex and caudate nucleus in the dogs’ brains—regions associated with higher cognitive and reward processing, respectively. 

“The activity in the caudate nucleus is particularly interesting,” says Laura Cuaya, also of the University of Vienna, who began the research at the National Autonomous University of Mexico and later expanded it through a collaboration at Eötvös Loránd University in Hungary. “It suggests that happy human faces may have emotional significance for dogs.” 

The team then asked whether the same brain regions respond to other emotions. They showed images of people displaying happiness, anger, fear, and sadness to 12 dogs and analyzed their brain activity using machine learning. They found that the dogs did not react in the same to these negative emotions; the temporal cortex-caudate nucleus network responded uniquely to happiness, allowing researchers to easily distinguish brain reactions to smiles from all three negative expressions.  

But the canine brain was not merely sorting the world into good and bad, the team found. A whole-brain analysis revealed distinct patterns of activity that separated fear from anger and sadness, providing the first evidence that dogs can distinguish between specific negative facial expressions.  

The researchers say that this ability does not mean that dogs experience emotions exactly as humans do. Also, a still photo of a human face doesn’t tell the whole story; in real life, dogs watch human body language, listen to nuances in our voices, and detect information from our scent. 

“When we compare humans with primates, we are looking at abilities that may have come from a common ancestor,” says senior author Laura Cuaya of the University of Vienna. “With dogs, the story is totally different. They followed a very different evolutionary path, yet through domestication, they developed the social abilities needed to understand and cooperate with us.” 

In this study, the canine participants were all pets from loving families, notes the team. Free-ranging dogs, such as those that live on the street, navigate a very different social world and may process human cues differently. 

Next, the researchers plan to adopt a more dog-centric perspective to understand how dogs integrate these brain signals to make sense of the humans around them. Their future work will also compare how human and dog brains process the same emotional signals. 

“I would like people to see dogs as emotional beings,” says Cuaya. “They have evolved with us to understand our expressions and cooperate with us, and recognizing that can change how we communicate with and care for them.” 

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Pet Care

Pet dog microbiota may protect young children from respiratory tract infections and reduce the need for antibiotic courses

Children who have been in contact with dogs in early childhood are on average healthier and require fewer antibiotic courses than children without such contact.

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Children who have been in contact with dogs in early childhood are on average healthier and require fewer antibiotic courses than children without such contact. The protective association is explained, at least in part, by the spread of dog-associated microbes in the home.

In the recent study, the presence of specific dog-associated microbes in the home were linked to fewer respiratory tract infections, fewer antibiotic courses and more healthy weeks during the child’s first year of life. The richness and diversity are higher in homes with a dog than in homes without a dog, but these general characteristics of the microbiota were not associated with the incidence of respiratory tract infections or morbidity in the child.

The study shows that certain dog-associated microbes or their combinations can explain up to one quarter of the protective effect of dog ownership on children’s respiratory tract infections, antibiotic use and the number of healthy weeks during the first year of life.

The protective effect of a dog ownership remained also after accounting for other factors known to influence childhood infection risk, including family size, living environment and exposure to tobacco smoke. In addition to the dog’s microbiota, a more outdoor-oriented lifestyle in dog-owning families, shared responsibilities related to caring for the dog and partly similar dietary habits shared among dog owners may influence the microbiota in the home and among its inhabitants, and thereby the development of the child’s resistance to pathogens. These factors were not examined in this study.

“The results strengthen our understanding that the microbial environment during early childhood plays an important role in the development of child’s immune system. It has been suggested that in the future it may be possible to modify the home microbiota in ways that promote health. Our study shows that dog ownership already does this today,” says paediatrician Jenni Mäki.

“Respiratory tract infections in early childhood are a significant risk factor for asthma. When some of children’s respiratory tract infections can be prevented with dog-associated microbes, this may also reduce the child’s risk of developing asthma later in life,” says chief researcher Anne Karvonen.

The LUKAS study included nearly 400 families from Finland. About one third of the families lived on farms, half in rural areas and the rest in towns.

The study was carried out by the Finnish Institute for Health and Welfare, Kuopio University Hospital and the University of Eastern Finland.

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Pet Care

Keeping kitty indoors is not the cat-astrophe that owners fear

Owners often need reassurance that the behaviours they see during the transition are temporary and that there are practical strategies – such as providing climbing spaces, scratching posts, toys and opportunities for play – that can help cats adapt successfully.

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Moving a pet cat from an outdoor lifestyle to living indoors is easier than many owners expect, according to new research that could help improve feline welfare, protect wildlife, and ease concerns about keeping cats contained.

Australian and New Zealand researchers surveyed 87 cat owners, revealing that most who transitioned their pets to indoor living reported the change was ultimately worthwhile, with the benefits to both cats and owners outweighing the challenges.

The study, published in Applied Animal Behaviour Science, found that while owners initially worried about their cat’s happiness and behaviour, more than two-thirds said the process was easier than expected.

Lead author Dr Julia Henning, from Adelaide University’s School of Animal and Veterinary Sciences, said the findings challenge the perception that cats cannot adapt to an indoor lifestyle.

“Many people worry that keeping a cat indoors will be stressful for their cat, but our findings suggest that the transition was often easier than expected,” Dr Henning said.

“Owners certainly faced some challenges during the transition, particularly in the first few weeks, but most found these were temporary and that the long-term benefits far outweighed the difficulties.”

The research found cat safety was the strongest motivation for moving cats indoors, with owners concerned about road traffic, attacks by other animals, disease, parasites, poisoning and cats’ threats to local wildlife, particularly birds. After the transition, these same issues were overwhelmingly cited as the greatest benefits, alongside improved peace of mind.

Owners also reported being better able to monitor their cat’s health, spending more quality time with their pet and, in many cases, experiencing closer bonds with their cats.

The study found approximately half of the cats adjusted to indoor living within a matter of weeks, while younger cats generally adapted more quickly than older animals.

However, the research also identified several common challenges. Cats were more vocal, scratched at doors and windows, or appeared frustrated during the adjustment period. Owners also reported concerns about providing enough environmental enrichment, maintaining litter trays and preventing weight gain.

Moving cats indoors increased some costs (including food, litter and household modifications), however veterinary costs reduced over time because their cats faced fewer injuries and health risks associated with roaming.

Many owners described feelings of guilt about restricting their cat’s freedom, despite believing they were making the safest decision for their pet. Others worried their cat might become bored or unhappy indoors.

Senior author Dr Susan Hazel, from Adelaide University, said these findings highlight the importance of supporting both pets and their owners.

“Keeping cats indoors offers significant benefits for their safety and welfare, but successful transitions depend on supporting owners as much as their cats,” Dr Hazel said.

“Our research shows that owners often need reassurance that the behaviours they see during the transition are temporary and that there are practical strategies – such as providing climbing spaces, scratching posts, toys and opportunities for play – that can help cats adapt successfully.”

The study also found that transitioning cats indoors was often prompted by unexpected events, including injuries, illness, moving house or sudden safety concerns. More than one-third of owners reported having little or no time to prepare, while almost half made no preparations before the transition.

Despite this, most owners still described the experience as easier than anticipated.

Researchers say the findings highlight the need for readily accessible information and practical resources to help owners make the transition successfully, particularly when circumstances change unexpectedly.

Owner-reported experiences of transitioning cats from outdoor to indoor living’ is published in Applied Animal Behaviour Science. The authors are from Adelaide University, Companion Animals New Zealand, EthicoNZ Ltd and Navigate Welfare.

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