Treatment FAQ

why do you give heartworm preventatives as part of the treatment protocol

by Jarret Krajcik Published 3 years ago Updated 2 years ago

Heartworm preventatives work to kill only the heartworm larvae that have infected the dog within the previous one to two months. Any larvae that have been in your dog longer are more likely to survive the treatment and go on to develop into adult worms that will require adulticide treatment (discussed above).

Heartworm prevention is given beforehand to make sure that all the worms in your dog's body are old enough to be eliminated by the melarsomine. We strongly recommend continuing monthly heartworm prevention throughout treatment and for the duration of your pet's life to prevent re-infection.

Full Answer

Do you know what heartworm prevention really is?

The American Heartworm Society recommends that all dogs be treated with three doses of melarsomine for the safest and most efficacious adulticidal therapy. This course of treatment, consisting of one injection followed by two injections given 24 hours apart 1 month later, should result in the clearance of 99% of the worms.

Are there natural ways to prevent heartworms?

  • Feed a high quality diet including raw meat and bones
  • Avoid over vaccination
  • Eliminate areas of standing water where mosquitoes can breed
  • Use a natural product like Flea Free Naturally to repel fleas and mosquitos
  • Use HWF as maintenance instead of dangerous Heartworm meds

Which heartworm preventative is best?

Topical Heartworm Prevention

  • Advantage Multi. Advantage Multi is a topical medication that protects your pet from more than just heartworms. ...
  • Revolution. With selamectin as its active ingredient, Revolution covers fleas, sarcoptic mange mites, ear mites and some ticks ( American dog tick ), as well as heartworms.
  • Precautions for Topical Heartworm Treatments. ...

How can I treat and prevent heartworm naturally?

  • Reduce the frequency of vaccinations, feed your dog a healthy diet, and use antioxidants and omega-3 fatty acids to reduce inflammation and oxidation. ...
  • Take your dog for regular veterinary visits and blood tests to allow for early diagnosis. ...
  • Limit your dog’s exposure to mosquitoes. ...

More items...

Why is it important to give heartworm prevention to dogs?

Why won't my vet give me heartworm medication?

Why do vets test dogs for heartworms?

What happens if you don't test for heartworm in dogs?

How long does heartworm medication last in dogs?

How does heartworm break the life cycle?

How long does it take for moxidectin to work?

See more

About this website

Why is heartworm preventative important?

One of the main reasons why heartworm prevention is so important is because of how heartworms are detected. In the early stages of the disease, most animals show few or no symptoms whatsoever. This makes it incredibly hard to detect.

What is the protocol for heartworm treatment?

Treatment to kill adult heartworms. Your veterinarian will determine the specific injection schedule according to your dog's condition. Most dogs receive an initial injection, followed by a 30-day period of rest, and then two more injections that are given 24 hours apart.

Why do dogs need to be tested for heartworms before being put on a preventive?

This means heartworm preventives must be purchased from your veterinarian or with a prescription through a pet pharmacy Prior to prescribing a heartworm preventive, the veterinarian typically performs a heartworm test to make sure your pet doesn't already have adult heartworms, as giving preventives can lead to rare ...

How important is it to give your dog monthly preventative medication for heartworm?

Prevention kills only early stage larvae and microfilariae. This is why it is important to give your dog heartworm prevention every month. It kills the larvae before they develop into a stage that is immune to the medication in heartworm prevention.

When do you give heartworm prevention after heartworm treatment?

Approximately 6 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.

Why do dogs need antibiotics before heartworm treatment?

If you decide to proceed with the heartworm treatment, an antibiotic will be prescribed to your dog for 30 days in order to kill bacteria that immature heartworms require for survival.

Can I put my dog on heartworm medicine without testing?

If a heartworm-positive dog is not tested before starting a preventive, the dog will remain infected with adult heartworms until it gets sick enough to show symptoms. Heartworm preventives do not kill adult heartworms. Also, giving a heartworm preventive to a dog infected with adult heartworms may be harmful or deadly.

Is heartworm preventative necessary?

One of the most common questions heard by our veterinarians during an annual wellness exam is, “Does my pet really need heartworm prevention?” To put it simply: yes! Even if your pet is considered “indoors-only,” all cats and dogs should be on a heartworm prevention medication.

Is it bad to not give your dog heartworm medicine?

Monthly heartworm preventives should be given every 30 days. If you skip or delay giving your dog even one dose, she will be at risk of infection. The way that heartworm prevention works is by killing a larval stage of the worm. These larvae get into your dog from the bite of an infected mosquito.

What happens if you give heartworm preventative to a dog with heartworms?

It doesn't kill adult heartworms. An infected dog has microfilariae, or baby heartworms produced by the adults, circulating in his bloodstream. Giving him a preventative can cause a sudden microfilariae die-off, which can result in a dog going into shock and dying.

What happens if you give your dog heartworm medicine too soon?

These side effects can include vomiting, diarrhea, lethargy, and in serious cases seizures and allergic reactions. Dogs may also experience a loss of appetite and a higher frequency of diarrhea and vomiting for the next 24 hours as parasites are eliminated from the body.

Can my dog jump on the couch after heartworm treatment?

There is no reason to allow running, jumping, or other physical activity at any time for 8 weeks after the start of the injectable heartworm adulticide treatment.

Can I walk my dog during heartworm treatment?

Most dogs can be safely leash-walked during the treatment recovery period and providing appropriate chew toys can help relieve some of that stored up physical energy.

How long is heartworm treatment for dogs?

60 daysThe treatment for heartworm disease takes at least 60 days to complete and consists of a series of drug injections that kills the worms.

Do dogs stay overnight for heartworm treatment?

Your dog will be kept in a size appropriate kennel while here. Your pet will stay 1 night, 2 days. On day 1 we will run a full panel of blood work to ensure your dogs' levels are within a normal range.

What to Expect at The Vet’S Office

If your pet has been diagnosed with heartworm disease via a heartworm antigen test (the most common form of testing), this is what you can expect t...

Questions to Ask Your Veterinarian

As with any type of laboratory test, false positive and false negative results on heartworm tests are possible. In particular, dogs who have been b...

Possible Complications to Watch For With Heartworms

Side effects are common with heartworm treatment. Many dogs experience soreness and swelling at the site of melarsomine injections (the muscles on...

How do heartworm preventives work?

Heartworm preventives work by treating heartworms that already infected the pet within the past month or longer; meanwhile, preventives need to be given on time, every time to be effective. That’s why the American Heartworm Society recommends year-round heartworm prevention for pets.

Is there such a thing as a natural heartworm preventive?

While there are drug-free strategies owners can put in place to reduce a pet’s exposure to mosquitoes, there’s no such thing as a “natural” heartworm preventives.

Is heartworm disease a part of dog care?

Prevention is an important part of providing essential care, and heartworm disease prevention for dogs is something every owner can do. Consider this: Dogs have been diagnosed with heartworm disease in every state in the U.S. Heartworms are spread by mosquitoes, so any area of the country that has mosquitoes—even just a few ...

Can ferrets get heartworms?

Cats and ferrets can also get heartworm disease. Heartworm preventives are safe, relatively inexpensive and easy to give, but if a dog becomes infected, heartworm treatment can be costly and difficult, requiring multiple veterinary visits and months of exercise restriction.

What is the best medicine for heartworms?

Medications: Protocols for treating heartworms often call for the use of multiple medications including several injections to kill the adult heartworms, doxycycline and prednisone taken orally to reduce the chances of unwanted side effects, and heartworm preventative to kill the juvenile heartworms and prevent further infection. In some cases, other medications may be prescribed or different protocols recommended.

How long does it take for Melarsomine to kill heartworms?

Restrict exercise and closely monitor for side effects for the next 30 days. Give the second injection of melarsomine 30 days after the first. Give the third injection of melarsomine one day after the second.

How long after melarsomine injection do you test for heartworms?

Test for adult heartworms and microfilariae approximately six months after the third melarsomine injection.

How to tell if a dog has heartworms?

The most severe problems that are seen after heartworm treatment in dogs are related to the sudden death of large numbers of worms. Call your veterinarian immediately if you notice any of the following: 1 Your dog develops a cough or a preexisting cough becomes worse 2 Your dog has difficulty breathing or pants excessively 3 Your dog becomes weak or lethargic or collapses 4 Your dog’s appetite significantly decreases 5 Your dog begins to vomit or drool excessively or develops diarrhea

What test is done for heartworms in dogs?

If no microfilariae are found, a confirmatory test for adult heartworms should be run by sending a sample to an outside lab. Complete blood cell count, blood chemistry tests, a urinalysis and chest X-rays to assess your dog’s overall condition and plan ...

How long does a dog grow with heartworms?

Once there, they can grow to be up to a foot long. It is possible for one dog to be infected with hundreds of heartworms. If not treated properly, heartworms in dogs will lead to serious health complications and death. This is why it is so important to keep your dog on continuous heartworm prevention.

How do experienced vets answer your pet questions?

Experienced vets answer all your pet questions via chat or video.

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 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.

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.

How long does it take for heartworm medicine to work?

This is due to the fact that many heartworm medications have a 45-day effectiveness period. Heartworm medicine may also not be as vital in cooler climates where there are less mosquitoes- though again this is no guarantee since places as cold as Alaska can be home to the little bloodsuckers!

How long do heartworm injections last?

Note that there are heartworm medicines that last longer, though – some injections can last as long as a year before you’ll need to medicate again.

Are There Natural Alternatives To Heartworm Medicine?

While we all want to avoid as many strong, harsh chemicals as possible (and the dangers that may be involved ), it may not be a good idea to skip the medication when it comes to heartworms.

What happens when a heartworm reproduces?

Once the adult heartworm matures and begins to reproduce within the body, it will release microfilaria (baby heartworms) into your pet’s bloodstream.

How long can you miss a heartworm test?

If you miss more than 15 days , it’s best to adjust your pets to a new monthly schedule and administer a heartworm test to each pet at their next exam.

Is heartworm prevention a real thing?

Monthly heartworm prevention is not actually a real “preventative”; rather than killing and repelling the heartworm parasite throughout the month, it only kills the larvae present in your pet when you administer a dose.

Can heartworms spike during mosquito booms?

Additionally, we can’t overstate that outside contributors, such as weather, are largely beyond our control. As such, it’s possible – and even expected – to see heartworm disease cases spike during mosquito “booms” and low numbers during mosquito “busts.”

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.

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.

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.

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.

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.

Can a dog be tested positive for heartworm?

Confirm the diagnosis. Once a dog tests positive on an antigen test, the diagnosis should be confirmed with an additional—and different—test. Because the treatment regimen for heartworm is both expensive and complex, your veterinarian will want to be absolutely sure that treatment is necessary.

How many pets have heartworms?

More than a million pets in the United States have heartworms. Let that sink in, because it is one... 02 Apr. Prevention is better than the cure: April is heartworm awareness month. Ruth Olsen is the Operational Manager for the Sumter Humane Society. She provides a healthy home... 01 Apr.

Is heartworm a serious disease?

Heartworms are a serious and potential ly fatal disease that mainly affects dogs, cats and ferrets.... 13 Apr. Heartworm cases on the rise this time of year. Experts say prevention starts now Heartworm can be turn into a deadly disease if not treated...

What is heartgard used for?

Heartgard is also considered a chemoprophylactic drug, meaning that it's a medication administered for the purpose of preventing disease. If you forgot to give your dog's heartworm pill on time, there are chances that if your dog has heartworm larvae, ...

Why do dogs take Heartgard?

Heartgard is a monthly medication that is given to dogs so to prevent heartworm larvae from developing into adults. When you give your dog his monthly Heartgard pill, it is killing all the microfiliaria (the immature forms of the worm) that have been growing in your dog's system in the past 30 days. These larvae are therefore killed ...

What is the purpose of immiticide injections in dogs?

A series of immiticide injections will be needed to kill the worms before they have a chance to wreck havoc to the dog's body. Immiticide is therefore an adulticide drug, meaning that it's for the most part a pesticide designed to kill adult insects rather than their larvae.

Does heartgard kill heartworms?

To kill adult worms, you will need an adulticide drug such as immiticide (melarsomine dihydrochloride). So to recap, heartgard will kill all the potential young heartworm larvae (microfiliaria) who may have been living in your dog's tissues in the past 30 days, preventing them from developing into adults.

How long does it take for worms to go away in dogs?

On top of worms being allowed to continue to cause damage and potential scarring to the dog's heart and lungs, the slow kill method is very long, and even after 18 months, there are risks that it may not eliminate all adult worms.

Can you give a dog a heart guard?

Veterinarians often warn dog owners about the dangers of giving heartguard to a heartworm positive dog. If you ever questioned why heartworm pills are only given by prescription and why veterinarians recommend yearly heartworm testing before refilling your dog's heartworm prescription, this article should help you understand why. Interestingly, heartguard has been used as part of a treatment plan for dogs suffering from heartworm, but the American Heartworm Society warns about its dangers and does not recommend it.

Can heartworms cause damage to dogs heart?

While this may seem like a cheaper and most cost-effective option, it's important understanding that, in the meanwhile, the adult heartworms will continue to cause damage to the dog's heart and lungs with possibly long-term repercussions.

Why are worms called heartworms?

The worms are called “heartworms” because the adults live in the heart, lungs, and associated blood vessels of an infected animal.

How is a Dog Tested for Heartworms?

A veterinarian uses blood tests to check a dog for heartworms. An antigen test detects specific heartworm proteins, called antigens, which are released by adult female heartworms into the dog’s bloodstream. In most cases, antigen tests can accurately detect infections with one or more adult female heartworms. The earliest that the heartworm proteins can be detected in a dog’s bloodstream is about 5 months after it is bitten by an infected mosquito.

What are the Symptoms of Heartworm Disease in a Dog?

Symptoms of heartworm disease may not be obvious in dogs that have low worm burdens, have been recently infected, or are not very active. Dogs that have heavy worm burdens, have been infected for a long time, or are very active often show obvious symptoms of heartworm disease.

Is Heartworm Disease Different in Cats?

Heartworm disease in cats is a bit different than in dogs. Heartworms in cats do not live as long (average lifespan is only 2 to 4 years) or grow as long, and fewer of them mature into adults. Worm burdens are lower in cats than dogs. Usually a cat has only one or two worms. However, due to its relatively small body size, a cat with only a few worms is still considered to be heavily infected.

What about Heartworm Disease in Ferrets?

Ferrets can also get heartworms from the bite of an infected mosquito. Ferrets are similar to dogs in their susceptibility to heartworm infections, but their symptoms are more similar to those seen in cats.

Can People Get Heartworms from Their Pets?

People cannot get heartworms from their pets. Heartworms are only transmitted by the bite of an infected mosquito. In rare cases, people can get heartworms after being bitten by an infected mosquito. But because people are not a natural host for heartworms, the larvae usually migrate to the arteries of the heart and lungs and die before they become adult worms.

How many classes of heartworms are there in dogs?

Dogs that have heavy worm burdens, have been infected for a long time, or are very active often show obvious symptoms of heartworm disease. There are four classes, or stages, of heartworm disease. The higher the class, the worse the disease and the more obvious the symptoms.

Why is it important to give heartworm prevention to dogs?

These adults produce microfilariae, the earliest life stage that circulates within the dog’s blood. Prevention kills only early stage larvae and microfilariae. This is why it is important to give your dog heartworm prevention every month. It kills the larvae before they develop into a stage that is immune to the medication in heartworm prevention.

Why won't my vet give me heartworm medication?

And why won’t your veterinarian give you the heartworm medications without first testing your dog for heartworm infection? The reason for this is that your veterinarian wants to make sure your dog doesn’t have an active infection of heartworms before giving a heartworm medication.

Why do vets test dogs for heartworms?

You may have missed a dose, or your dog may have spit the heartworm medication out or vomited it up, leaving your dog unprotected for a period that you were unaware of . If for any reason the dog became infected with heartworms, treatment to rid the body of the infection must be started as early as possible to prevent permanent heart and lung damage.

What happens if you don't test for heartworm in dogs?

If you don’t test for the disease and your dog is infected, the heartworm disease will gradually progress and cause serious, life-threatening illness. This can happen even if you continue to give heartworm medication because those medications kill only early stage larvae. More mature larvae will continue to develop into adults, and adults will continue to produce microfilariae. It’s better to know as soon as possible so treatment can be started before the damage is too severe. Heartworm tests can be run in the veterinarian’s office and require only a small blood sample from your dog.

How long does heartworm medication last in dogs?

Monthly heartworm preventative medications do not stay in your dog’s bloodstream for 30 days. The active ingredients work to kill any larvae that have been in the system for the past 30 days, clearing the body each month. The medication is only needed once a month because it takes longer than a month for the larvae to develop to a stage where they reach the body tissues.

How does heartworm break the life cycle?

The heartworm life cycle is complex. The dog is infected by early stage larvae that are transmitted by a mosquito carrying infected blood. This larvae goes through multiple stages of development within body tissue before migrating to the heart and lungs as an adult heartworm.

How long does it take for moxidectin to work?

Most heartworm medications require monthly administration, while others work longer (up to six months with an injectible product called moxidectin or Proheart® ).

Other animals

Life cycle

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…
See more on heartwormsociety.org

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.
See more on heartwormsociety.org

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.
See more on heartwormsociety.org

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…
See more on heartwormsociety.org

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.
See more on heartwormsociety.org

Results

  • Here's what you should expect if your dog tests positive: Heres what to expect if your cat tests positive for heartworm:
See more on heartwormsociety.org

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