I can't really get a straight answer on why we treat tapeworms twice (either 2 or 3 weeks following the first treatment). The instructions on the bottles (in my examples Cestex and Drontal) say "give (blank dose) orally once." However, all doctors that I have worked for just say, 'no ignore that, we'll repeat in 3 weeks.' The best answer I got so far was regarding if the pet was still fighting the flea issue at the time of treatment we should deworm later too. Does anyone have their 2 cents worth? Thanks
http://www.marvistavet.com/html/body_tapeworm.html
It has to do with the lifecycle of the tapeworm.
"[SIZE=-1]Larval fleas are generally hatching in this vicinity and these larvae are busy grazing on organic debris and flea dirt (the black specks of digested blood shed by adult fleas to nourish their larvae). The flea larvae do not pay close attention to what they eat and innocently consume tapeworm eggs.[/SIZE]
[SIZE=-1]As the larval flea progresses in its development, the tapeworm inside it is also progressing in development. By the time the flea is an adult, the tapeworm is ready to infect a dog or cat. The young tapeworm is only infectious to its mammal host at this stage of its development. The flea goes about its usual business, namely sucking its hosts blood, when to its horror, it is licked away by the host and swallowed.[/SIZE]
[SIZE=-1]Inside the hosts stomach, the fleas body is digested away and the young tapeworm is released. It finds a nice spot to attach and the life cycle begins again. It takes 3 weeks from the time the flea is swallowed to the time tapeworm segments appear on the pets rear end or stool
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So... the reason...
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[SIZE=-1]Only one treatment is needed to kill tapeworms present; however, many clinics recommend a second injection in three weeks. The reason for the second injection is this: If the owner finds out at the time of their office visit that they need to control fleas to control tapeworms, they will need at least a month or so to control the fleas. [/SIZE]
[SIZE=-1]After the first treatment is given, there is no reason why the pet cannot immediately reinfect itself. It probably will reinfect itself at some point. By seeing the animal in three weeks and giving another treatment after the fleas are controlled, there is a good chance that the tapeworms will not just be back three weeks later. It takes three weeks from the time tapeworms are swallowed by the pet to the time segments can be seen by the owner.[/SIZE]
[SIZE=-1]On the other hand, who knows when the pet will swallow another infected flea? Our recommendation is that a single treatment be administered whenever segments are seen."[/SIZE]