Liz Buchanan BVSc MRCVS
Keymaster
Hello! It can be pretty distressing when your cat coughs up a huge tapeworm! How is your cat? If they are well and eating / drinking / urinating / deafecating / breathing normally, then you don't need to present as an emergency. Cats also get roundworms (nematodes), so you may want to check that you have correctly identified this one (I think the drug company's website may be a good source of information for owners in this case). Interesting, tapeworms don't have the effect of a cats' weight that one imagines, needing relatively little food themselves, but in moderate worm cases I have seen cats, particularly youngsters, having a swollen tummy. You should always check drug use with the label, and if any different to label use then contact your vet. However, Milbemycin can often be given a week for so early so it's well worth making that phone-call. It probably goes without saying, but make sure that you wash your hands extremely well. All the best!
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