
When to re-test for heartworms in dogs?
You need to consult your veterinarian, and immediately re-start your dog on monthly preventive—then retest your dog 6 months later. The reason for re-testing is that heartworms must be approximately 7 months old before the infection can be diagnosed.
How long does heartworm last after treatment?
The latest reading I’ve done suggests that adult heartworm protein can persist for up to 7 months after the treatment. What about 8 months? Hard to say. We know that there are some dogs from whom you can never completely eliminate every single worm.
What to do if your dog tests positive for heartworms?
If your dog tests positive for heartworms, your vet will discuss the best way to treat him given your particular situation. Heartworm treatment consists of killing both the mature heartworms and the babies, known as the microfilariae. Your dog will receive oral medication to kill off the immature worms.
How long does it take to get a positive heartworm test?
This test is specific for adult female heartworms. Antigen is detectable by 6½ to 7 months after infection and positive results may be obtained with as few as 1 to 3 adult females in the heart. Antigen tests will be falsely negative if:

When should you retest for heartworms after treatment?
Approximately 9 months after treatment is completed, your veterinarian will perform a heartworm test to confirm that all heartworms have been eliminated. To avoid the possibility of your dog contracting heartworm disease again, you will want to administer heartworm prevention year-round for the rest of his life.
How long can a dog test positive for heartworms after treatment?
It is important to know that the heartworm test can remain positive for four-six months following treatment even if all worms were killed, so review the time line of your dog's therapy.
How many treatments does it take to get rid of heartworms in dogs?
Once a positive test is confirmed, our veterinarians (in alignment with the American Heartworm Society) recommend treating adult heartworm infections with 3 treatments (injections) of a drug called melarsomine.
Do dogs fully recover from heartworm?
It is crucial to take your dog to the veterinarian as soon as you notice any symptoms at all. Routine veterinary appointments are also always a must, even if your pet seems to be in perfect health. Dogs can indeed recover completely from heartworm, although the degree of the ailment has a lot to do with outcome.
How long after heartworm treatment is dog negative?
Heartworm antigen testing is the most reliable method of confirming that all of the adult heartworms have been eliminated. Although many dogs are antigen-negative 16 weeks after treatment, it can take longer for the antigen to be completely cleared from some dogs.
What is the success rate of heartworm treatment?
There is some risk involved in treating dogs with heartworms, although fatalities are rare. "A new drug is available that does not have as many side effects, allowing successful treatment of more than 95% of dogs with heartworms."
How do dogs get rid of heartworms after treatment?
After treatment, the adult worms die and are carried by the blood to the lungs where they lodge in small blood vessels. There they decompose and are absorbed by the body over a period of several months.
Does heartworm treatment shorten a dog's life?
Although there's a risk involved in heartworm treatment, there's a greater risk in not taking care of the infestation. Once in a while, a dog succumbs during the course of heartworm treatment. However, he's almost certainly going to have a shortened life expectancy if heartworms are left alone.
Why is it important to restrict dog activities after heartworm diagnosis?
But your dog’s normal physical activities must be restricted as soon as the diagnosis is confirmed, because physical exertion increases the rate at which the heartworms cause damage in the heart and lungs.
How long does it take for a dog to get heartworm treatment?
In severe cases of heartworm disease, or when a dog has another serious condition, the process can take several months. Administer treatment.
How long after a dog is antigen positive should it be rechecked?
Consequently, in most cases, a dog that is still antigen positive at 4 months should be rechecked 2 to 3 months later before determining whether there are still adult heartworms remaining, and a second treatment course may be required.
How long do worms last after melarsomine?
After treating a dog with melarsomine injections, adult worms may continue to die for more than a month following this treatment. Heartworm antigen testing is the most reliable method of confirming that all of the adult heartworms have been eliminated.
What is the best medicine for heartworm in dogs?
Your veterinarian is recommending what is best. Only one drug, which is called melarsomine, is approved by the U.S. Food and Drug Administration (FDA) for treatment of heartworm infection in dogs; this drug should be administered by injection in the veterinary hospital.
What to do if my dog has worms?
The goal is to first stabilize your dog if he is showing signs of disease, then kill all adult and immature worms while keeping the side effects of treatment to a minimum. Here's what you should expect if your dog tests positive: Confirm the diagnosis.
Can dogs get heartworms?
My dog has heartworms. My vet started her on monthly prevention before he started treatment. Is this OK?#N#Yes, it is recommended in the American Heartworm Society's Guidelines to do so. This should be done under the direct supervision of a veterinarian because dogs with microfilaria (baby worms in the blood that the mosquito picks up when feeding) could possibly have a reaction to the preventive. And while this is an extra-label use of heartworm preventives, it is appropriate under the supervision of a veterinarian. However, it is important that your veterinarian assesses the severity of the disease and chooses the proper preventive accordingly. By starting the prevention program you are ensuring that your dog will not get a new heartworm infection while being treated for the existing heartworm disease. Furthermore, you are helping to keep your dog from being a source of heartworm larvae (microfilaria) for mosquitoes to pick up and eventually infect other dogs. This approach makes the treatment of the existing infection more effective.
What happens if my dog tests positive for heartworms?
The goal is to first stabilize your dog if he is showing signs of disease, then kill all adult and immature worms while keeping the side effects of treatment to a minimum.
How significant is my pet's risk for heartworm infection?
Your community may have a greater incidence of heartworm disease than you realize—or you may unknowingly travel with your pet to an area where heartworms are more common. Heartworm disease is also spreading to new regions of the country each year. Stray and neglected dogs and certain wildlife such as coyotes, wolves, and foxes can be carriers of heartworms. Mosquitoes blown great distances by the wind and the relocation of infected pets to previously uninfected areas also contribute to the spread of heartworm disease (this happened following Hurricane Katrina when 250,000 pets, many of them infected with heartworms, were “adopted” and shipped throughout the country).
What is heartworm disease?
Heartworm disease is a serious and potentially fatal disease in pets in the United States and many other parts of the world. It is caused by foot-long worms (heartworms) that live in the heart, lungs and associated blood vessels of affected pets, causing severe lung disease, heart failure and damage to other organs in the body. Heartworm disease affects dogs, cats and ferrets, but heartworms also live in other mammal species, including wolves, coyotes, foxes, sea lions and—in rare instances—humans. Because wild species such as foxes and coyotes live in proximity to many urban areas, they are considered important carriers of the disease.
How is heartworm disease transmitted from one pet to another?
The mosquito plays an essential role in the heartworm life cycle. Adult female heartworms living in an infected dog, fox, coyote, or wolf produce microscopic baby worms called microfilaria that circulate in the bloodstream. When a mosquito bites and takes a blood meal from an infected animal, it picks up these baby worms, which develop and mature into “infective stage” larvae over a period of 10 to 14 days. Then, when the infected mosquito bites another dog, cat, or susceptible wild animal, the infective larvae are deposited onto the surface of the animal's skin and enter the new host through the mosquito’s bite wound. Once inside a new host, it takes approximately 6 months for the larvae to develop into sexually mature adult heartworms. Once mature, heartworms can live for 5 to 7 years in dogs and up to 2 or 3 years in cats. Because of the longevity of these worms, each mosquito season can lead to an increasing number of worms in an infected pet.
What are the signs of heartworm disease in dogs?
The longer the infection persists, the more likely symptoms will develop. Active dogs, dogs heavily infected with heartworms, or those with other health problems often show pronounced clinical signs.
What are the symptoms of heartworm in dogs?
Signs of heartworm disease may include a mild persistent cough, reluctance to exercise, fatigue after moderate activity, decreased appetite, and weight loss.
How long do heartworms live in a dog?
Once mature, heartworms can live for 5 to 7 years in dogs and up to 2 or 3 years in cats.
When would heartworms be susceptible to immiticide?
The baby heartworms that entered the body in June would not have been susceptible to the Immiticide until December (six months after the mosquito bites).
How long does it take to die on Heartgard?
If you just stay on Heartgard, you shouldn’t get any more than you have right now. Those will, however, take years to die.
How many worms does immiticide kill?
Hello, Sandy, A single injection of Immiticide kills the weakest worms. Statistically, this is believed to be about 50% of them, primarily male worms, very young worms, or very old worms. Two injections kills in the high ninety-percent (from 94 to 100%) of the worms.
How long does it take for white blood cells to clear up after a stroke?
You kill a few, they clog up the smaller arteries, and the white blood cells take several weeks to clean them out.
Why do you stay on Triheart?
Stay on your Triheart so that you don’t get any more worms than you already have, as then you might have to do the big-buck treatment all over again.
Does it hurt to retest a dog for worms?
It won’t hurt to re-test, but if your dog has a really low number of worms, the results may continue to go back and forth. The upside of that is that dogs with really low numbers of worms rarely have any complications with the treatment. January 25, 2017 at 4:11 pm . Reply.
Does Minocycline help with heartworm?
Hello, Conrad, You don’t say if your dog has been taking preventive medicine regularly, and has just tested positive anyway (perhaps a missed dose, or just less than 100% effectiveness, even with no missed doses). Minocycline (like doxycycline) inhibits a micro-organism called Wohlbachia that benefits the heartworm.
How to treat heartworms early?
Treating heartworms early, using an adulticide, prevents worsening damage and leads to faster resolution of clinical signs.
What is the goal of heartworm treatment?
The primary goals of heartworm treatment are to minimize the clinical signs associated with heartworm disease and to eliminate all heartworms (adults, juveniles, larvae, and microfilariae) from the body.
What are the symptoms of heartworm disease?
This leads to the clinical signs associated with heartworm disease: coughing, exercise intolerance, syncope, abnormal heart and lung sounds, ascites, and a host of other symptoms.
What is a pretreatment thoracic radiograph?
Pre-treatment thoracic radiographs are often recommended for patients with heartworm disease. A technical proficiency in diagnostic imaging and proper positioning on the vet table are paramount in assessing the degree of pulmonary damage and predicting the likelihood of treatment-related complications.
What is the best medicine for heartworm in dogs?
In addition to melarsomine, a number of adjunct medications are recommended in dogs undergoing heartworm treatment. These medications, which help improve treatment efficacy and minimize side effects, include: Steroids. Anti-inflammatory doses of steroids minimize clinical signs associated with pulmonary thromboembolism.
How to reduce risk of pulmonary thromboembolism?
Begin exercise restriction to reduce risk of pulmonary thromboembolism.
Can heartworms cause inflammation in dogs?
In fact, dogs are often at a higher risk of clinical signs of heartworm disease as heartworms die, regardless of whether the parasite’s death is caused by adulticide treatment or the natural end of the life cycle.
How to treat heartworm in dogs?
Heartworm treatment consists of killing both the mature heartworms and the babies, known as the microfilariae. Your dog will receive oral medication to kill off the immature worms. To kill adult worms, your vet injects Melarsomine into the deep muscles in the dog's lumbar region, either two or three times. The second and third injections follow the first by a month. Spacing the drug out helps prevent the dog from going into shock because of a huge worm die-off. Melarsomine is the only currently approved Food and Drug Administration pharmaceutical for killing grown heartworms. The injection site may swell or bother your dog for a few days.
How long does it take for worms to go through a dog's heart?
The worms work their way through the animal's bloodstream, ending up at the heart approximately six months after that initial infecting mosquito bite. At maturity, heartworms can be up to a foot long, although most top out at about half that length. If your dog tests positive for heartworms, your vet will discuss the best way to treat him given ...
What happens if a dog has heartworms?
If your dog has been diagnosed with heartworms, the most difficult part comes after the vet gives your dog medication to kill these parasites. You are responsible for keeping your dog quiet for a prolonged period -- a difficult task if your dog is young and active.
How long after worm injections can dogs be inactive?
For a month after each injection, you must keep your dog as quiet and inactive as possible while the heartworms within him die off. That's two months of rest, no recreation. You might need to keep him in a crate or cage. As much as he hates it, remember it's for his own good. Keep walks to a minimum, just long enough for him to do his business. Discourage visitors if possible, as they may get him excited. If he becomes active and his heart rate increases, the dying worms inside his body may kill him as they break up.
Can a dog get heartworms from a vet?
In severely affected dogs, surgical extraction of large worms may be performed by your vet before the dog receives drugs to kill off the remaining heartworms . The vet must view echocardiograms of the dog's heart and pulmonary arteries to determine whether the worms are in area accessible to the surgeon, according to the American Heartworm Society. When the dog recovers from his surgery a few weeks later, he can begin receiving the injectable heartworm medications.
How to diagnose heartworm disease?
Heartworm disease is usually diagnosed with a simple blood test. There are two main tests for detecting heartworm infection; one test detects adult worms and the other detects microfilariae.
How to keep a dog from getting heartworms?
Annual heartworm testing followed by preventive medication is recommended to keep your dog free of heartworm disease. Several excellent preventive products are available to prevent heartworm disease in dogs.
What is heartworm disease? How does a dog become infected?
Dogs become infected when they are bitten by an infected mosquito that is carrying immature, infective heartworm larvae.
What are the clinical signs of heartworm disease?
In the early stages of disease, dogs often have no clinical signs, especially if they are carrying only a small number of worms.
How is heartworm disease diagnosed in the dog?
Heartworm disease is usually diagnosed with a simple blood test. There are two main tests for detecting heartworm infection; one test detects adult worms and the other detects microfilariae.
What other methods are used to detect heartworm infection?
In some infected dogs, the blood tests are negative even though there are heartworms in the heart.
What is the cause of heartworm in dogs?
Heartworm disease is caused by a parasite called Dirofilaria immitis, better known as heartworm. The parasites are long, hair-like worms that live in the right ventricle of the heart and the pulmonary artery, which is the large blood vessel that carries blood from the heart to the lungs. Dogs become infected when they are bitten by an infected ...

Other animals
Life cycle
- The mosquito plays an essential role in the heartworm life cycle. Adult female heartworms living in an infected dog, fox, coyote, or wolf produce microscopic baby worms called microfilaria that circulate in the bloodstream. When a mosquito bites and takes a blood meal from an infected animal, it picks up these baby worms, which develop and mature into infective stage larvae over …
Symptoms
- In the early stages of the disease, many dogs show few symptoms or no symptoms at all. The longer the infection persists, the more likely symptoms will develop. Active dogs, dogs heavily infected with heartworms, or those with other health problems often show pronounced clinical signs. Signs of heartworm disease may include a mild persistent cough, reluctance to exercise, f…
Epidemiology
- The fact is that heartworm disease has been diagnosed in all 50 states, and risk factors are impossible to predict. Multiple variables, from climate variations to the presence of wildlife carriers, cause rates of infections to vary dramatically from year to yeareven within communities. And because infected mosquitoes can come inside, both outdoor and indoor pets are at risk.
Prevention
- For that reason, the American Heartworm Society recommends that you think 12: (1) get your pet tested every 12 months for heartworm and (2) give your pet heartworm preventive 12 months a year.
Diagnosis
- Heartworm disease is a serious, progressive disease. The earlier it is detected, the better the chances the pet will recover. There are few, if any, early signs of disease when a dog or cat is infected with heartworms, so detecting their presence with a heartworm test administered by a veterinarian is important. The test requires just a small blood sample from your pet, and it work…
Treatment
- No one wants to hear that their dog has heartworm, but the good news is that most infected dogs can be successfully treated. The goal is to first stabilize your dog if he is showing signs of disease, then kill all adult and immature worms while keeping the side effects of treatment to a minimum.
Results
- Here's what you should expect if your dog tests positive: Heres what to expect if your cat tests positive for heartworm: