Good morning Emma,
In regards ***** ***** UK perspective, let me first say that we are see high levels of flea resistance to Frontline. Its just not working at all for our patients. So, we do tend to use other products for these situations. From a flea treatment point of view, Capstar, Advantage II, Advantix, Activyl, Vectra 3-D or Bravecto would all be options. I'd note that most are prescription but Advantage II + Capstar can be obtained at Pets At Home. So, those would be options for at least treating for the fleas.
Otherwise, Dr. Salkin and the council are absolutely right about our treatment of choice for lungworm alongside fleas.Though I would note that we are a wee bit different from our US friends, as we do use Advocate regularly as a preventative for lungworm (akin to what they do for heartworm). So, often we have dogs on regular treatments of Advocate.
Now in regards ***** ***** this, you are correct that Advocate is a prescription product. That said, most vets don't require that the dog be seen by a vet for this, but instead has a recent weight (and has been seen before). In fact, we often have patients pop in for a weight check with the nurse before this is dispensed. Afterwards, their owners can choose to just buy a month's supply or more as needed.
With that all in mind, I'd note that your estimate seems a wee bit off for a prescription only. These do not tend to cost that much (in my practice they are £11 & then you obviously pay the online pharmacy their fee for the medication). I suspect that is a consult fee plus a prescription fee or the cost of the medication may have been included in this too. So, it is worth clarifying what that £60 includes. Otherwise, since most practices only require a weight check before dispensing (to ensure the right dose is given), you may want to ring around to other practices to see if they can offer a less painful estimate.
Now I do appreciate that he is not a keen traveller, but we do at least need a recent weight for his vet this once. So, I would suggest seeing if there is a closer practice or branch (RCVS practice database HERE
) that you could walk to with him. Or you could speak to the practice about a home visit (though these tend to cost a wee bit). In either case, it is just that weight they will need to be able to then dispense that to him. Or again if that is not an option at all, then we'd need to consider at least addressing the fleas with Capstar or Advantage II from Pets At Home.
Take care & all the best for Winston,