I know several people on here have said that they use Trifexis for fleas, worms, and HW prevention. We just switched the dogs over to it May 1, after years of using Ivomec ivermectin for HW and Frontline or other topicals for fleas. We were struggling with the topicals -- Advantage and Advantix gave Button and Tucker chemical burns, though they worked really well, Frontline was easier on them, but didn't seem to be that effective -- and two vets have told us that for most of their clients, they're not encouraging topicals anymore but oral meds for flea prevention. Even though it's expensive, I chose Trifexis because it's HW and worming and flea prevention in a single dose ... so easier for us to remember to administer everything on time, once a month. And at this point, I'll do pretty much whatever it takes to avoid fleas.
We gave the boys their first dose on May 1, no side effects, though I was warned it makes some dogs vomit. Hopefully it works on the fleas!
Curious to know what others' experiences with it have been like over longer-term use.

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