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Hello and thanks for your question.It's my first priority to help you.
I understand your concern.
Trifexis contains spinosad + milbemycin oxime.There is nothing to worry milbemycin oxime is an anti parasitic drug used in animals.It is not harmful if its taken accidentally by a human.And small dose of spinosad doesn't cause toxicity.Only thing which can occur is that it can cause change of your mouth taste after a few days.Just eat and drink normally.And in my opinion you should wait and watch for symptoms like vomiting,diarrhea,pain abdomen,allergy,rash on skin for few hours.If you develop any associated symptoms then you should visit ER.
Hope this helps.
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