Selamectin Sarolaner Cats in Cats

Selamectin and sarolaner topical solution

Brand Names
Revolution Plus
Drug Class
Macrocyclic lactone antiparasitic 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 hookworms
Prescription
Yes — Requires vet prescription
Cost Range
$21–$36
Used For
cats

Overview

Selamectin plus sarolaner is a prescription monthly topical parasite preventive made for cats. In the US, pet parents usually know it by the brand name Revolution Plus. It combines two active ingredients so one product can cover several common parasites at the same time, including fleas, certain ticks, ear mites, heartworm prevention, roundworms, and hookworms. That broad coverage is why many vets use it when they want one monthly medication instead of several separate products.

This medication is labeled for cats and kittens 8 weeks of age and older that weigh at least 2.8 pounds. It is applied to the skin at the base of the neck, not given by mouth and not placed into the ear canal. For many households, that makes it easier to use than giving multiple medications, especially if a cat resists pills.

Even though it is widely used, selamectin plus sarolaner is not the right fit for every cat. Your vet may be more cautious if your cat has a history of neurologic problems, is very young, is underweight, or is pregnant or nursing. Indoor cats can still be exposed to fleas and mosquitoes, so your vet may still recommend year-round prevention depending on your region, lifestyle, and parasite risk.

This article is meant to help you understand the medication and prepare for a conversation with your vet. It cannot replace an exam, parasite testing, or individualized advice. If your cat seems weak, is having tremors, trouble breathing, repeated vomiting, or a possible reaction after application, see your vet immediately.

How It Works

This medication works because it combines two different parasite-control ingredients with different jobs. Selamectin is a macrocyclic lactone. It is used to prevent heartworm disease and helps control certain internal and external parasites, including 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.

After the product is applied to the skin, the medication is absorbed and spreads through the body. That is why it can help with parasites that live on the skin and in the body. The label directions call for monthly use, and staying close to an every-30-day schedule matters because protection drops off if doses are delayed.

For cats with active ear mites, roundworms, or hookworms, your vet may use one dose as treatment and then continue monthly dosing to help prevent reinfestation. For flea control, the product kills adult fleas and helps stop the flea life cycle by killing fleas before they can keep reproducing. That can be especially helpful in homes where one flea problem quickly becomes an environmental problem.

Because parasite risk varies by region, your vet may recommend this medication as a year-round preventive or as part of a seasonal plan. The best option depends on where you live, whether your cat goes outdoors, whether other pets share the home, and which parasites are common in your area.

Side Effects

Most cats tolerate selamectin plus sarolaner well, but side effects can happen. Mild reactions are usually related to the application site and may include temporary hair changes, a wet or stiff coat, white residue, mild itching, redness, or small areas of hair loss. Some cats may also have digestive upset such as vomiting, diarrhea, decreased appetite, or brief lethargy.

The more important caution involves sarolaner, which belongs to the isoxazoline class. Drugs in this class have been associated with neurologic reactions in some pets. Reported signs can include tremors, wobbliness, poor coordination, unusual behavior, and seizures. These reactions are uncommon, but they matter enough that pet parents should know what to watch for, especially if a cat has a history of neurologic disease.

If your cat licks the product before it dries, drooling, gagging, or vomiting can happen because the medication tastes bitter. That does not always mean a dangerous overdose, but it is still worth calling your vet for guidance. Keep treated cats separated from other pets until the application site is dry so they do not groom each other.

See your vet immediately if your cat develops tremors, collapse, seizures, severe vomiting, marked weakness, trouble breathing, facial swelling, or a large skin reaction after treatment. If the reaction seems mild, contact your vet the same day for next steps. Your vet may recommend monitoring, bathing the area, supportive care, or switching to a different preventive in the future.

Dosing & Administration

Selamectin plus sarolaner is dosed by body weight and sold in single-use tubes for different cat weight ranges. The labeled minimum dose is 2.7 mg per pound of selamectin and 0.45 mg per pound of sarolaner, applied topically once every month. In practical terms, pet parents should use only the exact cat product and weight range prescribed by their vet. Never substitute a dog product, split tubes, or guess at the dose.

Apply the full contents to one spot on the skin at the base of the neck, in front of the shoulder blades, where your cat is less likely to lick it. The fur should be parted so the medication reaches the skin, not just the hair coat. Do not apply it to wet fur. Wash your hands after use, and avoid touching the site until it is dry.

If you miss a dose, give it when you remember and then ask your vet whether to reset the monthly schedule from that date. Do not double up unless your vet specifically tells you to. For cats being started on heartworm prevention, your vet may recommend heartworm testing first, especially in cats older than 6 months.

Bathing is not common for most cats, but if your cat is bathed, follow your vet’s instructions and the product guidance. Also store the medication in its original packaging at or below 86 degrees Fahrenheit. If you accidentally use the wrong product, your cat ingests the medication, or you are unsure whether the full dose reached the skin, call your vet right away.

Drug Interactions

There are no widely listed absolute drug contraindications on the product label, but that does not mean interactions are impossible. The main practical concern is stacking parasite products. Using selamectin plus sarolaner along with another flea, tick, or deworming medication can increase the risk of side effects or lead to duplicate coverage that is not necessary.

Your vet will want to know about every product your cat receives, including prescription medications, over-the-counter flea products, dewormers, supplements, medicated shampoos, and anything used on other pets in the home. This matters because accidental exposure to a dog flea product or combining multiple preventives without a plan can cause avoidable problems.

Cats with a history of seizures, tremors, or other neurologic disease deserve extra discussion before starting an isoxazoline-containing product. That does not automatically rule it out, but it may change the risk-benefit conversation. Your vet may recommend a different preventive if your cat has had prior neurologic events or reacted badly to a similar medication before.

If your cat is pregnant, nursing, intended for breeding, sick, debilitated, or underweight, ask your vet whether this medication is appropriate or whether another option fits better. Spectrum of Care means matching the preventive plan to the cat in front of you, the parasite risks in your area, and your household’s budget and goals.

Cost & Alternatives

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

Conservative Care

$15–$28
Best for: Pet parents seeking budget-conscious, evidence-based options
  • Consult with your vet for specifics
Expected outcome: If your cat mainly needs heartworm and flea coverage, your vet may discuss narrower-spectrum monthly prevention or a seasonal plan based on local parasite risk. This can lower monthly medication costs, but it may not cover ticks or all intestinal parasites. It works best when your cat’s exposure risk is low and your vet is comfortable with a more targeted approach.
Consider: If your cat mainly needs heartworm and flea coverage, your vet may discuss narrower-spectrum monthly prevention or a seasonal plan based on local parasite risk. This can lower monthly medication costs, but it may not cover ticks or all intestinal parasites. It works best when your cat’s exposure risk is low and your vet is comfortable with a more targeted approach.

Advanced Care

$120–$350
Best for: Complex cases or pet parents wanting every available option
  • Consult with your vet for specifics
Expected outcome: For complex parasite problems, your vet may recommend selamectin plus sarolaner plus added diagnostics, fecal testing, ear cytology, environmental flea control, treatment for housemate pets, or follow-up visits if there is a reaction or persistent infestation. This is not automatically better care. It is a more intensive plan for cats with heavier exposure, ongoing symptoms, or multi-pet household challenges.
Consider: For complex parasite problems, your vet may recommend selamectin plus sarolaner plus added diagnostics, fecal testing, ear cytology, environmental flea control, treatment for housemate pets, or follow-up visits if there is a reaction or persistent infestation. This is not automatically better care. It is a more intensive plan for cats with heavier exposure, ongoing symptoms, or multi-pet household challenges.

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 plus sarolaner the best match for my cat’s parasite risks? Coverage needs vary by region, indoor versus outdoor lifestyle, and whether ticks are a concern.
  2. Does my cat need year-round prevention or a seasonal plan? Some cats benefit from continuous coverage, while others may have a more targeted plan based on local mosquito and flea activity.
  3. Should my cat be tested for heartworm or intestinal parasites before starting this medication? Testing can help your vet build a safer, more tailored prevention plan.
  4. My cat has had tremors, seizures, or odd reactions before. Is this medication still appropriate? Sarolaner is an isoxazoline, so neurologic history should be part of the decision.
  5. What should I do if my cat licks the medication or another pet grooms the site? Your vet can tell you what mild bitter-taste reactions look like and when to worry.
  6. If I miss a monthly dose, how should I restart it? Timing matters for reliable heartworm and flea prevention.
  7. Are there more targeted or lower-cost alternatives if my cat does not need tick coverage? Spectrum of Care includes matching coverage and cost range to the actual risk.

FAQ

What is selamectin plus sarolaner used for in cats?

It is a prescription monthly topical medication used in cats for heartworm prevention and for treatment or control of fleas, certain ticks, ear mites, roundworms, and hookworms.

Is selamectin plus sarolaner the same as Revolution Plus?

Yes. Revolution Plus is the common US brand name for the combination of selamectin and sarolaner for cats.

Can indoor cats still need this medication?

Often, yes. Indoor cats can still be exposed to fleas carried in by people or other pets, and mosquitoes can enter homes and spread heartworm larvae.

How often is it given?

It is usually applied once every 30 days. Your vet may adjust the plan based on your cat’s needs and parasite risk.

What if my cat licks it after application?

Some cats drool, gag, or vomit because the product tastes bitter. Call your vet for advice, especially if signs are strong, persistent, or include tremors or weakness.

Can I use a dog version if the dose looks similar?

No. Never use a dog flea or tick product on a cat unless your vet specifically instructs you to do so. Wrong-species products can be dangerous.

What side effects should I watch for?

Watch for vomiting, diarrhea, low appetite, lethargy, skin irritation at the application site, tremors, wobbliness, unusual behavior, or seizures. Neurologic signs need prompt veterinary attention.

How much does it usually cost?

In the US in 2026, many pet parents pay about $21 to $36 per monthly dose, depending on box size, retailer, and cat weight range. Your clinic may also charge for the exam or prescription management.