Medication comparison

NexGard vs Frontline: what's the difference?

How NexGard and Frontline compare: what each is for, how it works, side effects and cost, side by side.

Last updated: October 2026 · 2 sources · see sources

Quick answerNexGard is a prescription chew for fleas and ticks in dogs; Frontline is an over-the-counter topical for dogs and cats. [1][2]

Side by side

NexGard vs Frontline compared
NexGardFrontline
Generic nameAfoxolanerFipronil
Brand namesNexGard, NexGard Plus, NexGard SpectraFrontline, PetArmor, Parastar
ForDogsDogs and cats
PrescriptionPrescriptionOver the counter (ask your vet first)
Used forA monthly chew that kills fleas and ticks in dogs and helps prevent Lyme disease. [1]A topical that kills fleas, ticks and chewing lice in dogs and cats. [2]
How it worksIt spreads through the dog's body, and fleas and ticks die after biting. [1]It disrupts the nervous system of insects and ticks. [2]
Common side effectsVery few in most dogs. Vomiting and diarrhea can happen. [1]Uncommon. Temporary irritation at the application spot. [2]
Use with careAn isoxazoline: the FDA has warned of possible tremors, wobbliness and seizures. Not for puppies under 8 weeks or 4 pounds unless your vet says so. [1]Not for puppies or kittens under 8 weeks, or for rabbits. Use the right product for your pet's species and weight. [2]
Full guideNexGard guideFrontline guide

Key differences

Which one is right for my pet?

That is a call for your vet. They weigh your pet's age, weight, other health problems, other medicines and what you can realistically give at home.

Switching from NexGard to Frontline is common, but do it only with your vet's plan.

About dosesWe don't list doses. The right amount depends on your pet's weight, health and other medicines, and only your vet can set it.

Common questions

What is the difference between NexGard and Frontline?

NexGard is a prescription chew for fleas and ticks in dogs; Frontline is an over-the-counter topical for dogs and cats.

Is NexGard better than Frontline?

Neither is better for every pet. Your vet chooses based on your pet's species, age, health history, other medicines and what you can manage at home.

Can my pet take NexGard and Frontline together?

Only if your vet says so. Some medicines in the same family should not be combined, and others are often used together. Always check before adding or switching.

Do NexGard and Frontline need a prescription?

NexGard: Yes. It needs a prescription from a veterinarian. Frontline: Many forms are sold without a prescription. Still, check with your vet first. Pet doses and safe products are not the same as for people.

This page is general information for planning, not veterinary advice. Talk to your vet about your own pet.

Sources (2) — tap to show
  1. VCA Animal Hospitals – Afoxolaner (veterinary drug handout)
  2. VCA Animal Hospitals – Fipronil (veterinary drug handout)