Buy Trifexis at Global Pharmacy Plus with confidence knowing that your are buying brand name Trifexis manufactured by Elanco that has been sourced in Europe under the Panoramis name. The cost of Trifexis/Panoramis is less expensive in Europe and we are passing on the savings to you. Trifexis, also known as Panoramis Chewable Tablets for Dogs, are a meat flavored tablet that rapidly kills fleas on dogs, prevents heart worm disease and treats roundworm, hookworm and whipworm in dogs and puppies. Trifexis (Panoramis) starts to kill fleas within 30 minutes of administration and then goes on to prevent flea infestations for a further month. The chewable meat flavored tablet is readily accepted by dogs and as the product is an oral medication there are no restrictions with regards to swimming or washing after treatment. Trifexis (Panoramis) comes in 5 convenient sizes for dogs between 5 and 120lbs in weight. Panoramis is registered for the control of flea allergy dermatitis in dogs. In the US this product is known as Trifexis, outside of the USA it is known as Panoramis.