Selamectin And Sarolaner in Cats

Selamectin and sarolaner topical solution

Brand Names
Revolution Plus
Drug Class
Macrocyclic lactone antiparasiticide plus isoxazoline ectoparasiticide
Common Uses
Prevention of heartworm disease, Treatment and prevention of flea infestations, Treatment and control of tick infestations, Treatment and control of ear mites, Treatment and control of roundworms, Treatment and control of intestinal hookworms
Prescription
Yes — Requires vet prescription
Cost Range
$25–$32
Used For
cats

Overview

Selamectin and sarolaner is a prescription monthly topical parasite preventive for cats. In the U.S., the best-known brand is Revolution Plus. It combines two active ingredients in one small-volume liquid applied to the skin at the base of the neck. The product is labeled for cats and kittens 8 weeks of age and older that weigh at least 2.8 pounds.

This medication is used to prevent heartworm disease and to treat or control several common parasites. That includes fleas, certain ticks, ear mites, roundworms, and intestinal hookworms. For many pet parents, the main advantage is broad coverage in one monthly dose, especially for cats that go outdoors, live with dogs, or have a history of flea problems.

Even indoor cats can benefit from parasite prevention. Fleas can come into the home on people, other pets, or wildlife exposure around doors and windows. Mosquitoes can also get indoors, which matters because heartworm prevention in cats is much easier than managing heartworm disease after infection.

Selamectin and sarolaner is not the only option. Your vet may recommend a different product based on your cat’s age, weight, neurologic history, pregnancy status, parasite risk, and how comfortable your cat is with topical medication. Spectrum of Care means there is more than one reasonable path, and the best choice is the one that fits your cat and your household.

How It Works

This medication works by combining two parasite-control strategies. Selamectin is a macrocyclic lactone. It helps prevent heartworm disease and also treats certain parasites such as ear mites, roundworms, and hookworms. Sarolaner is an isoxazoline. It targets fleas and ticks by disrupting nerve signaling in parasites, which leads to paralysis and death.

Because the two ingredients cover different parasite groups, the combination gives broader monthly protection than selamectin alone. According to the U.S. label, Revolution Plus is indicated for prevention of heartworm disease caused by Dirofilaria immitis, kills adult fleas, treats and controls black-legged ticks, Gulf Coast ticks, and American dog ticks, and treats and controls ear mites, roundworms, and intestinal hookworms for one month.

The product is applied topically, but it is not only a surface treatment. After application, the active ingredients are absorbed and provide systemic protection. That is one reason your vet may choose it for cats that need both internal and external parasite control in a single monthly medication.

If your cat already has fleas in the home environment, the medication can kill adult fleas on the cat before they lay eggs, but it may still take time to fully control an established household infestation. Your vet may suggest environmental cleaning and treatment of other pets at the same time.

Side Effects

Most cats tolerate selamectin and sarolaner well, but side effects can happen. Mild effects may include temporary hair changes, residue, or irritation at the application site. In field studies and post-marketing information, reported reactions have included lethargy, decreased appetite, itching, and skin lesions. Some cats may also drool, vomit, or have soft stool if they lick the product.

The most important caution involves sarolaner, which belongs to the isoxazoline class. This class has been associated with neurologic adverse reactions, including tremors, ataxia, and seizures. These reactions have been reported even in some cats without a prior neurologic history, though cats with a known history of neurologic disorders deserve extra caution and a careful risk-benefit discussion with your vet.

If your cat seems weak, wobbly, unusually sleepy, starts twitching, collapses, or has a seizure after application, see your vet immediately. Also contact your vet promptly if your cat develops severe vomiting, marked skin irritation, or signs that the wrong product may have been used.

For pet parents, safe handling matters too. Avoid touching the application site until it is dry, wash your hands after use, and keep children away from the treated area for the period listed on the label. Never use a dog parasite product on a cat unless your vet specifically instructs you to do so.

Dosing & Administration

Selamectin and sarolaner is given once every 30 days as a topical medication. The correct tube size is based on body weight, and the labeled cat weight bands are 2.8 to 5.5 pounds, 5.6 to 11 pounds, and 11.1 to 22 pounds. Cats under 2.8 pounds or younger than 8 weeks are not labeled candidates for this product.

To apply it, part the hair at the base of the neck in front of the shoulder blades until the skin is visible, then empty the full tube onto one spot on the skin. Do not split doses between pets, do not apply to wet fur, and do not massage it in unless your vet instructs you otherwise. Try to prevent licking until the area dries.

For heartworm prevention, monthly timing matters. If a dose is late, give it as soon as you remember and then resume the monthly schedule. Your vet may recommend heartworm testing in some cats, especially those 6 months of age or older or those with an unknown prevention history. Cats with adult heartworms can still receive prevention to help prevent new infections, but that decision should come from your vet.

If your cat has an active ear mite or intestinal worm infection, one dose may be used as treatment, with monthly use helping control future infestations. Still, follow-up can be important. Your vet may recommend ear cleaning, fecal testing, or treatment of other pets in the home depending on the parasite involved.

Drug Interactions

No specific contraindications are listed on the U.S. product insert, and field studies reported concurrent use with vaccines, dewormers, antibacterials, sedatives, anesthetics, opioid pain medications, corticosteroids, and NSAIDs without adverse reactions attributed to the combination. That said, every cat is different, and medication plans should still be reviewed by your vet.

The biggest practical interaction concern is overlap with other flea, tick, or deworming products. Using multiple parasite preventives at the same time can increase the chance of side effects or accidental overdosing, especially if another product also contains an isoxazoline, macrocyclic lactone, or pyrethrin-related ingredient. This is one reason your vet should know about every prescription, over-the-counter product, and supplement your cat receives.

Cats with a history of seizures, tremors, balance problems, or other neurologic disease need extra discussion before starting this medication. The same is true for breeding, pregnant, or lactating cats, because the product label states that safe use in those groups has not been fully evaluated.

If your cat is on several medications, has chronic liver or kidney disease, or has reacted badly to parasite prevention in the past, ask your vet whether a different preventive plan would be safer or easier to monitor. There are multiple parasite-control approaches, and the right one depends on the whole patient, not only the parasite list on the box.

Cost & Alternatives

Spectrum of Care means you have options. Here are treatment tiers at different price points.

Conservative Care

$15–$24
Best for: Pet parents seeking budget-conscious, evidence-based options
  • Consult with your vet for specifics
Expected outcome: Use selamectin-only prevention or another narrower-spectrum monthly plan when tick coverage is low and your cat’s risk profile is limited. This can be a reasonable option for indoor cats in lower-risk areas or households mainly focused on fleas and heartworm prevention. Your vet may also pair a lower-cost preventive plan with targeted fecal testing or treatment only when needed.
Consider: Use selamectin-only prevention or another narrower-spectrum monthly plan when tick coverage is low and your cat’s risk profile is limited. This can be a reasonable option for indoor cats in lower-risk areas or households mainly focused on fleas and heartworm prevention. Your vet may also pair a lower-cost preventive plan with targeted fecal testing or treatment only when needed.

Advanced Care

$80–$250
Best for: Complex cases or pet parents wanting every available option
  • Consult with your vet for specifics
Expected outcome: Use a broader parasite-management plan that combines monthly prevention with diagnostics and environmental control. This may include heartworm testing when indicated, fecal testing, treatment of all pets in the home, and home flea-control measures for persistent infestations or multi-pet households. It is often chosen for outdoor cats, rescue cats, or homes with repeated parasite exposure.
Consider: Use a broader parasite-management plan that combines monthly prevention with diagnostics and environmental control. This may include heartworm testing when indicated, fecal testing, treatment of all pets in the home, and home flea-control measures for persistent infestations or multi-pet households. It is often chosen for outdoor cats, rescue cats, or homes with repeated parasite exposure.

Cost estimates as of 2026. Actual costs vary by location, clinic, and individual case.

Questions to Ask Your Vet

Bring these questions to your vet appointment to get the most out of your visit.

  1. Is selamectin and sarolaner the best match for my cat’s parasite risks? Cats have different exposure levels based on indoor or outdoor lifestyle, region, and contact with other pets.
  2. Does my cat need tick coverage, or would a narrower-spectrum option work? This helps match treatment to risk and may affect the monthly cost range.
  3. My cat has had tremors, seizures, or balance issues before. Is this medication still appropriate? Sarolaner is an isoxazoline, and that drug class carries a neurologic caution.
  4. Should my cat be tested for heartworm before starting or restarting prevention? Testing may be recommended in some cats, especially if prevention history is unknown or doses were missed.
  5. What should I do if I miss a dose or apply it late? Monthly timing matters most for heartworm prevention, and your vet can tell you how to get back on schedule.
  6. What side effects should make me call right away? Knowing the difference between mild application-site changes and urgent neurologic signs can help you respond quickly.
  7. Can I use this with my cat’s other medications or supplements? Your vet should review all products to avoid overlap with other parasite preventives or unnecessary risk.

FAQ

What brand name contains selamectin and sarolaner for cats?

In the U.S., the main brand is Revolution Plus. It is a prescription topical medication for cats and kittens 8 weeks and older that weigh at least 2.8 pounds.

What parasites does selamectin and sarolaner cover in cats?

It is labeled to prevent heartworm disease and to treat or control fleas, certain ticks, ear mites, roundworms, and intestinal hookworms for one month.

How often do cats need selamectin and sarolaner?

It is given once every 30 days. Staying close to the monthly schedule is especially important for heartworm prevention.

Can indoor cats still need this medication?

Sometimes, yes. Indoor cats can still be exposed to fleas and mosquitoes, and some homes have enough parasite risk to justify year-round prevention. Your vet can help you decide based on your area and your cat’s lifestyle.

What are the most common side effects?

Mild side effects can include temporary hair changes or irritation where the product was applied, along with lethargy or decreased appetite in some cats. More serious neurologic signs like tremors, wobbliness, or seizures are uncommon but important to watch for.

Can this medication be used in pregnant or nursing cats?

Use extra caution here. The product label states that safe use has not been fully evaluated in breeding, pregnant, or lactating cats, so your vet should guide that decision.

What if my cat licks the medication?

Some cats may drool, vomit, or act bothered by the taste if they lick the product before it dries. Contact your vet if signs are severe, persistent, or if you think a large amount was ingested.