Felis ISSN 2398-2950

Fluralaner

Contributor(s): Dwight Bowman, Linda Horspool, Ian Wright

Introduction

Name

  • Fluralaner, Bravecto®.

Class of drug

  • Ectoparasiticides for systemic use.
  • Isoxazoline.
  • Systemic insecticide and acaricide.

Description

Chemical name

  • 4-[(5R)-5-(3,5-dichlorophenyl)-5-(trifluoromethyl)-4H-1,2-oxazol-3-yl]-2-methyl-N-[2-oxo-2-(2,2,2-trifluoroethylamino)ethyl]benzamide.

Molecular formula

  • C22H17Cl2F6N3O3

Molecular weight

  • 556.28

Physical properties

  • Spot-on solution.
  • Clear, colorless to yellow solution.

Storage requirements

  • Shelf life as packaged for sale: 2 years.
  • Do not store above 86°F (30°C).
  • Pipettes should be kept in the outer packaging to prevent solvent loss or moisture uptake. The sachets should only be opened immediately prior to use.

Uses

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Indications

  • Treatment and prevention of flea infestations for 12 weeks.
  • Immediate and persistent flea killing activity for 12 weeks:
    • Onset of effect 100% of fleas (C. felis) killed within 8 hours after treatment and >98% within 12 hours.
    • Newly emerged fleas are killed before viable eggs are produced.
    • In vitro very low concentrations of fluralaner stop the production of viable eggs by fleas.
    • Flea life cycle is broken due to the rapid onset of action and long acting efficacy against adult fleas on the animal and the absence of viable egg production.
    • Part of treatment strategy for the control of flea allergy dermatitis (FAD) Flea bite hypersensitivity.
    • Contributes to control of the environmental flea populations in areas to which treated cats have access Flea: control.
  • Treatment and control of tick infestations Tick control:
    • Onset of effect is within 48 hours for ticks (I. ricinus Ixodes ricinus, I.scapularis and Dermacentor variabilis).
  • Immediate and persistent tick killing activity for 12 weeks:
    • For 12 weeks:
      • EU: Ixodes ricinus.
      • US: Ixodes scapularis.
    • For 8 weeks:
      • ​US: Dermacentor variabilis (American dog tick).

Efficacy against other ectoparasites

  • Lynxacarus radovskyi  Lynxacarus radovskyi mites were eliminated 4 weeks post treatment in infested cats. 
  • A single topical treatment of cats with fluralaner reduced the mean mite count of Otodectes cynotis Otodectes cynotis by 100% 28 days post treatment.

Administration

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Pharmocokinetics

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Precautions

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Interactions

with other drugs

  • None known.
  • Theoretical competition with other highly bound drugs (eg non-steroidal anti-inflammatory drugs (NSAIDs). However, protein binding of fluralaner, carprofen or warfarin was not reduced in an in vitro study in dog plasma using the maximum expected plasma concentrations.
  • No interactions with routinely used veterinary medicinal products in cats during clinical field trials.

Adverse Reactions

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Further Reading

Publications

Refereed papers

  • Recent references from VetMed Resource and PubMed.
  • Curtis C F, Bourdeau P J, Barr P A, Mukherjee R (2019) Use of the novel ectoparasiticide fluralaner in the treatment of feline sarcoptic mange. Veterinary Record Case Report7, e000772 Abstract.
  • Bosco A, Leone F, Vascone R, Pennacchio S, Ciuca L, Cringoli G, Rinaldi L (2019) Efficacy of fluralaner spot-on solution for the treatment of Ctenocephalides felis and Otodectes cynotis mixed infestation in naturally infested cats. BMC Vet Res 15, 28 PubMed Article.
  • Dryden MW, Canfield MS, Bocon C, Phan L, Niedfeldt E, Kinnon A, Warcholek SA, Smith V, Bress TS, Smith N, Heaney K, Royal C, Normile D, Armstrong R, Sun F (2018) In-home assessment of either topical fluralaner or topical selamectin for flea control in naturally infested cats in West Central Florida, USA. Parasit Vectors 11, 422 PubMed Article.
  • Duangkaew L, Hoffman H (2018) Efficacy of oral fluralaner for the treatment of Demodex gatoi in two shelter cats. Vet Dermatol 29, 262 PubMed.
  • Geurden T, Borowski S, Wozniakiewicz M, King V, Fourie J, Liebenberg J  (2017) Comparative efficacy of a new spot-on combination product containing selamectin and sarolaner (Stronghold®Plus) versus fluralaner (Bravecto®) against induced infestations with Ixodes ricinus ticks on cats. Parasit Vectors 10, 319 PubMed Article.
  • Meadows C, Guerino F, Sun F (2017) A randomized, blinded, controlled USA field study to assess the use of fluralaner topical solution in controlling feline flea infestations. Parasit Vectors 10, 37 PubMed Article.
  • Taenzler J, de Vos C, Roepke R K A (2016) Efficacy of fluralaner against Otodectes cynotis infestations in dogs and cats. Parasites and Vectors 10, 30 PubMed.
  • Han H S, Noli C & Cena T (2016) Efficacy and duration of action of oral fluralaner and spot-on moxidectin/imidacloprid in cats infested with Lynxacarus radovskyi. Vet Dermatol 27, 474 PubMed.
  • Walther F M, Allan M J, Roepke R K A (2016) Safety of concurrent treatment of cats with fluralaner and emodespsid-praziquantel. Parasites and Vectors 9, 322 PubMed.
  • Kilp S, Ramirez D, Allan M J, Roepke R K (2016) Comparative pharmacokinetics of fluralaner in dogs and cats following single topical or intravenous administration. Parasit Vectors 9, 296  PubMed Article.
  • Asahi M, Kobayashi M, Matsui H, Nakahira K (2014) Differential mechanisms of action of the novel ³-aminobutyric acid receptor antagonist ectoparasiticides fluralaner (A1443) and fipronil. Pest Manag Sci 71 (1), 91-95 PubMed.
  • Gassel M, Wolf C, Noack S, Williams H, Ilg T (2014) The novel isoxazoline ectoparasiticide fluralaner: selective inhibition of arthropod ³-aminobutyric acid- and L-glutamate-gated chloride channels and insecticidal/acaricidal activity. Insect Biochem Mol Biol 45, 111-124 PubMed Article.

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