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Choosing a monthly parasite treatment can feel confusing when two products offer similar protection. Both options are applied to the skin and help protect cats against several common internal and external parasites.
However, they do not cover exactly the same parasites. This comparison of Revolution Plus and NexGard Combo for cats highlights their main differences, helping you and your veterinarian choose the most appropriate protection for your cat.
Important: The comparison below is based on current U.S. product labels. Approved uses, packaging, and directions may differ between countries.
Revolution Plus vs NexGard Combo for Cats: Quick Comparison
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Feature |
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Active ingredients |
Selamectin and sarolaner |
|
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Treatment type |
Monthly topical solution |
Monthly topical solution |
|
Fleas |
|
|
|
Heartworm prevention |
|
|
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Roundworms |
|
|
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Hookworms |
|
|
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Ticks on the U.S. label |
Four tick species |
Two tick species |
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Ear mites |
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Not listed on the U.S. label |
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Existing tapeworm infections |
No direct treatment |
Treats Dipylidium caninum |
|
Minimum age |
8 weeks |
8 weeks |
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Minimum weight |
2.8 lbs |
1.8 lbs |
Revolution Plus is indicated for four tick species, ear mites, fleas, heartworm prevention, roundworms, and hookworms. NexGard Combo covers fleas, two tick species, heartworm prevention, roundworms, hookworms, and existing Dipylidium caninum tapeworm infections under its U.S. label.
What Is Revolution Plus?
Revolution Plus is a monthly spot-on treatment containing selamectin and sarolaner. It is approved for cats and kittens aged eight weeks or older that weigh at least 2.8 lbs.
It protects against:
- Fleas
- Lone star ticks
- Gulf Coast ticks
- American dog ticks
- Black-legged ticks
- Ear mites
- Roundworms
- Intestinal hookworms
- Heartworm disease
Revolution Plus also helps prevent flea tapeworm infections by killing the fleas that transmit them. However, this is different from directly treating an existing tapeworm infection.
In the Revolution Plus vs NexGard Combo for Cats decision, Revolution Plus may be especially useful when ear mites or broader tick coverage are important concerns.
What Is NexGard Combo?
NexGard Combo contains esafoxolaner, eprinomectin, and praziquantel. It is also applied monthly and can be used in cats and kittens from eight weeks of age that weigh at least 1.8 lbs.
The U.S. label covers:
- Fleas
-
Black-legged ticks
-
Lone star ticks
- Heartworm prevention
- Roundworms
- Hookworms
- Dipylidium caninum tapeworms
Praziquantel gives NexGard Combo an important advantage for cats that require direct treatment for an existing flea tapeworm infection. Its lower minimum weight may also make it suitable for some smaller kittens, provided they meet the age requirement and a veterinarian recommends it.
Which Product Offers Better Parasite Coverage?
Neither product is automatically better for every cat. The right choice depends on the parasites that are common in your area and your cat’s individual health history.
Revolution Plus May Be More Suitable When:
- Protection against four tick species is needed.
- Your cat has or is at risk of ear mites.
- You want flea, tick, heartworm and common intestinal-worm protection in one monthly treatment.
- Your veterinarian recommends selamectin and sarolaner.
NexGard Combo May Be More Suitable When:
- Your cat needs treatment for an existing Dipylidium caninum tapeworm infection.
- Your kitten weighs between 1.8 and 2.7 lbs and is at least eight weeks old.
- The parasites covered by NexGard Combo match the risks in your location.
- Your veterinarian recommends a product containing praziquantel.
The most important difference in Revolution Plus vs NexGard Combo for Cats is that NexGard Combo directly treats tapeworms, while Revolution Plus offers ear-mite treatment and covers more tick species under its U.S. label.
How Are These Treatments Applied?
Both products are topical liquids. Part the hair around the base of your cat’s neck until the skin is visible, and apply the entire contents directly to dry skin where the cat cannot lick it.
Use the correct applicator for your cat’s current weight. Do not divide a single applicator between cats or apply a dog product to a cat. Follow the package directions and your veterinarian’s instructions carefully.
Possible Side Effects and Safety Precautions
Temporary reactions may include vomiting, reduced appetite, tiredness, or changes to the hair and skin around the application area. Contact your veterinarian if the reaction is persistent, severe, or unusual.
Both products contain an ingredient from the isoxazoline class. This class has been associated with neurological reactions such as tremors, poor coordination, and seizures. Extra caution is recommended for cats with a history of seizures or other neurological conditions. Their safety has also not been fully established in breeding, pregnant, or nursing cats.
Can You Switch Between Revolution Plus and NexGard Combo?
Do not apply both products together or switch treatments without professional advice. Your veterinarian may recommend waiting until the next scheduled dose, depending on when the previous treatment was given and why the change is needed.
Giving parasite treatments too close together could expose your cat to overlapping ingredients and increase the possibility of adverse effects.
Final Verdict
The Revolution Plus vs NexGard Combo for Cats choice comes down to your cat’s parasite risks. Revolution Plus may be preferred for ear mites and broader tick coverage, while NexGard Combo may be more appropriate when direct tapeworm treatment is required.
Before purchasing, weigh your cat accurately and confirm the correct treatment with your veterinarian. Browse the range of cat flea, tick, heartworm and deworming treatments at 79pets.com to find an appropriate pack for your cat’s size and protection needs.
