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                     Flea Control                    

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Fleas are the most common external parasite of companion animals.  Flea allergy dermatitis is the most common skin disease of dogs and cats!  Flea control has always been a challenge for veterinarians and pet owners because the adult fleas cause the clinical signs, yet the majority of the flea population (eggs, larvae and pupae) are to be found off the pet in and around the home.  The ideal flea control programe utilizes products that target the various stages of the flea life cycle, not only the adult fleas on the pet.  Generally the most effective are the treatments that are available as prescription-only medications, so your vet is a good starting place to ask for advice about  which is most suitable for your dog.

For the flea allergic patient, continuous excellent flea control is required to remain symptom free.  Even very minimal exposure may be sufficient to perpetuate itching in a hypersensitive patient.  In the past, veterinarians and pet owners always had to try to control fleas by treating the environment of the animal for the immature stages of the flea. This approach, although effective when properly instituted, is labour intensive and requires frequent repetitive applications.  Also, some of the older products made for killing fleas on our pets do not kill fleas instantly or are not long lasting enough to really help flea allergy patients, because the female fleas survived long enough to lay a few eggs and perpetuate the life cycle.

 
The Life Cycle of the Flea: Ctenocephalides felis
The flea has the potential to breed inside your house within 12 days and each female flea can lay several hundred eggs per week starting 24-48 hours after her first blood feed from your dog.  Eggs are laid in the hair coat and are designed to fall off the host. They are resistant to insecticides, but susceptible to various insect growth regulators.  Hatching and survival is dependent on temperature and humidity. Modern houses with carpets and central heating, providing an ideal microclimate for the larvae to thrive and feed on organic matter such as dead skin cells.  Larvae develop in the host’s environment and feed on adult flea feces (blood) that fall out of the hair coat of the pet.  Larvae are susceptible to traditional insecticides, borates and insect growth regulators.  Larvae eventually spin cocoons (often within carpet fibers) for pupation.  Pupae are resistant to freezing, desiccation, and insecticides.  Pupae can lie dormant for many months; they are stimulated to expupate as emergent adults by vibration, warming and increased carbon dioxide.  Normally, expupation occurs when a host is near and the new flea finds the pet within seconds of emergence. Emergent fleas are fairly mobile and can survive a few days without a host, if in a suitable environment.  New fleas begin feeding within hours of finding a dog or cat.  Once a blood meal has been taken, the flea can survive only a short time if it is dislodged from the host.  New fleas experience very high mortality on healthy adult hosts.  Most fleas do not survive 72 hours on an animal that is itching and able to groom itself. The adult flea usually lives for less than 20 days but due to the short life cycle and high egg count, many thousands of fleas can form in a room within a matter of a few weeks of a single female flea being introduced into a household.

Unfortunately, limited egg production does occur even on allergic animals. The entire life cycle of C. felis can be completed in as few as 16 days!

Program® and Sentinel® (Lufenuron) from Novartis
A flea contraceptive such as Program which works by preventing the flea pupa from emerging from the egg.  It is extremely effective and has a high safety margins.  Where there are no fleas in the house, this product alone should prevent any household infestation so long as all dogs (and cats) in the house are treated at the same time every month. The manufacturers even guarantee its efficacy.  Please remember it prevents flea breeding but does not kill fleas. These prescription drugs are available as a once a month flavored chewable (soy and pork) pill or oral liquid suspension to be given with a full meal.  Female fleas that feed on pets treated with lufenuron produce sterile eggs. The product does not kill adult fleas.  It is a very easy way to break the life cycle but pets remain fully susceptible to the emergence of any fleas from pupa already present in the environment.  Therefore, 4 to 7 months may pass before the flea free state is reached. In order to stop the life cycle, every animal in the patient’s environment must receive lufenuron or another insect growth regulator.  Pets should be treated for fleas with an adult flea-killing product during the first few weeks of starting Program®.
 
Frontline® Spray, Frontline Plus® and Frontline Top Spot® (fipronil) from Merial
Fipronil is a broad spectrum topical insecticide available as a spray or a drip-on.  Fipronil binds chemically to the hair and is absorbed through the hair follicle by the sebaceous glands.  Frontline Spray works by dissolving into the sebum (the fat covering of the skin) and hence doesn't get washed out by rain or even weekly shampooing.  (It is not recommended to bath dogs 2 days either side of treating with Frontline as it may reduce its adherence and effectiveness.)  It will last for up to 3 months. In spray formulation fipronil may kill fleas at 95% for up to 30 days after application on dogs and stands up to biweekly bathing.  It is labeled for puppies and kittens of 8 weeks (10 weeks for Top Spot®).  It is also affective against ticks. The major problem with the spray is the high volume of alcohol based product that must be applied.  Many cats will show minor adverse reactions with this application technique.  The product is labeled to be applied no more than once a month. Frontline Plus® contains the insect growth regulator, S-methoprene and so provides control of eggs and adult fleas.

Many of these are produced as an aerosol (eg. Frontline) and will kill adult fleas on the dog. Other products are produced as a monthly 'spot-on' treatment applied to the back of the neck and are very easy to apply, (eg Frontline Spot On and Advantage Spot On).

Advantage® (imidacloprid), K9 Advantix® (with permethrin), Advantage Multi® (with moxidectin) from Bayer
These products are available as a spot ons for either dogs or cats. Advantage Multi® is a prescription drug that also is a heartworm preventive. Advantage® seems to be very well tolerated by sensitive cats. It provides flea knockdown in about 8 hours. 100% killing can be maintained for at least two weeks. It is susceptible to wash off, therefore outdoor active dogs and dogs that swim or that must be bathed because of dermatitis must be re treated frequently. (Weekly re treatment is allowed with Advantage only®). Imidacloprid has no efficacy against ticks, but K-9Advantix®, with permethrin does. K9 Advantix is only labeled for once a month, and ONLY FOR DOGS.


An environmental insecticide  
Indorex products by Virbac are used to spray your house.  All the rooms where your dog (and cat) may have access must be treated.  It has two functions: Firstly, a chemical which kills any adult fleas in the room and secondly an 'insect growth and development inhibitor' which prevents the eggs and larvae progressing to their next stage and lasts for up to 7 months.  Acclaim adheres at the base of the carpet where the flea larvae live (other household sprays do not adhere and are vacuumed up). Spray your rooms with this product twice a year and you will substantially depopulate the house of fleas. (Read the directions carefully as many are potentially toxic to fish)

About Traditional Insecticides / Over-the-Counter Flea Control Products
Several adulticide insecticides or shampoos are available and some have insect growth regulators such as s-methoprene included.  Shampoos are less effective than sprays, dips or spot ons because they have little residual activity.  For cats, pyrethrins as sprays or foaming mousses may useful for safe, quick knock-down of fleas. For dogs, permethrin sprays or spot-on products with methoprene or Nylar may be effective, but cats MUST NOT BE EXPOSED directly or indirectly to permethrin products. There is some resistance in fleas to permethrin products now documented. Over-the-counter products with etofenprox and S-methoprene can be used with some caution in cats and may be effective in some settings but are not fast enough for good results in flea allergy.

Treat all animals in the household at the same time, not just those showing immediate signs of flea infestation.

Natural Solutions

Flea Combs
These catch adult fleas found in the coat, which can move quickly and be hard to catch.  Have a bowl of soapy water to hand to drown them in.

Electronic Flea Combs and Brushes
These zap any adult fleas found in the coat.

Food Supplements
It is thought that sime supplements such as garlic and brewers yeast can help deter fleas by making the host animal less 'tasty'.

Flea Traps
These will catch only adult fleas, and need to be sited near to places frequented by your dog, so you may need several.

Pest Repellers
Electromagnetic and/or ultrasonic technology are supposed to create an unpleasant environment for fleas, but they tend to have limited cover.

When it comes to using herbal products or those containing essential oils, its important to remember that just because they are 'natural' doesn't necessarily mean they are safe.

Pennyroyal, for example is recommended but can cause skin irritation, liver and neurological damage and can be toxic if ingested.  Herbal and essential oil remedies are specialist areas and it is best to consult someone qualified and knowledgeable about there use for animals rather than trying to make up your own anti-flea preparations.

Vacuuming
Regular thorough vacuuming has been shown to remove up to 20% larvae and 32-59% of flea eggs from a carpet. A good tip is to spray the inside of your vacuum cleaner bag with Acclaim or place a flea collar in the vacuum bag eg. Vetkem Dog Flea Collar.  Wash all your pet bedding in hot soapy water, including fleeces and throws used to protect furniture or car interiors.

Do bear in mind that a very high percentage of dog skin conditions are caused by fleas and that the above control measures will work if thoroughly carried out. Also remember that 80% of fleas infesting dogs can be cat fleas, so flea control in your cat (if you have one) is also very important.

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The above information is simply informational. It's intent is not to replace the advice of a veterinarian nor to assist you in making a diagnosis of your pet. Please consult with your own veterinarian for confirmation of any diagnosis. Your pets life may depend on it.