When do i start heartworm




















Right now, heartworm disease can only be prevented through the regular and appropriate use of preventive medications, which are prescribed by your veterinarian. These medications are available as a once-a-month chewable, a once-a-month topical, and either a once or twice-a-year injection.

You should determine the best option for your pet by talking with your veterinarian. Many of the medications have the added benefit of preventing other parasites as well. Only heartworm prevention products that are tested and proven effective by the U.

Heartworm disease is very complex and can affect many vital organs, including the heart, lungs, kidneys, and liver. As a result, the outcome of infection varies greatly from patient to patient. The adult worms cause inflammation of the blood vessels and can block blood flow leading to pulmonary thrombosis clots in the lungs and heart failure.

Heartworm disease can also lead to liver or kidney failure. Dogs that are exposed to a large number of infective larvae at once are at great risk of sudden death due to massive numbers of developing larvae bombarding the vascular system. Other animals may live for a long time with only a few adult heartworms and show no clinical signs unless faced with an environmental change, such as an extreme increase in temperature, or another significant health problem.

The age of the dog is just one factor affecting the success of heartworm treatment. Older dogs with long-term heartworm infections may have damage to their lungs, hearts, livers, and kidneys that can complicate heartworm treatment. 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. Your veterinarian is recommending what is best. Only one drug, which is called melarsomine, is approved by the U.

Food and Drug Administration FDA for treatment of heartworm infection in dogs; this drug should be administered by injection in the veterinary hospital. Cage rest and drastically restricted exercise during this period can decrease the chances of complications from treatment. Along with melarsomine, the heartworm treatment protocol recommended by the American Heartworm Society includes several other medications that help improve the chances of treatment success and reduce the incidence of side effects.

This includes administering a heartworm preventive medication to an infected dog for 2 months prior to melarsomine treatment. Long-term, continuous use of heartworm preventives alone to treat heartworm infections, however, is not recommended as an alternative to melarsomine, because it is well documented that additional damage to the heart and lungs occurs the longer adult heartworms are present.

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.

Although many dogs are antigen-negative 16 weeks after treatment, it can take longer for the antigen to be completely cleared from some dogs. Additionally, even though melarsomine is highly effective, a single course of treatment may not completely clear all dogs of infection the American Heartworm Society protocol calls for three separate injections of melarsomine.

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. Just like dogs and cats, ferrets can become infected with heartworms, and are at risk even if they are indoor pets. While dogs may not show symptoms until they have many worms infecting their hearts, lungs, and blood vessels, just one worm can cause serious respiratory distress in a ferret.

Preventing heartworm disease is much less expensive and much safer than treating it, just as it is for other pets, and your veterinarian can prescribe heartworm medication approved for use in ferrets. The American Heartworm Society recommends year-round prevention for ferrets as well as regular checkups with a veterinarian to ensure they stay healthy and heartworm-free. As with all drugs or pharmaceutical products, heartworm preventives should be used before the expiration date on the package, because it is impossible to predict if it will be effective or safe.

The expiration date is established by a series of tests mandated by the U. Food and Drug Administration to provide assurance that the product is effective and has undergone no significant deterioration. 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. To make matters worse, many are infected with hea…. The bad news: a cat has tested Heartworm-positive.

Check out these "dos" and "don'ts" about protection. Heartworm Basics. If so, why? How do monthly heartworm preventives work?

I heard that certain heartworm prevention medications can also protect against intestinal parasites. Is this true? At what age should young animals be started on heartworm prevention? What do I need to know about prevention in my new pet? Are heartworms more common in certain areas of the United States? Puppy Heartworm Prevention Has Other Benefits Many options for heartworm prevention for puppies also act as monthly dewormers for a host of other intestinal parasites, some of which can be contagious to people.

Featured Image: iStock. Help us make PetMD better Was this article helpful? Yes No. Share this article. What did you find helpful? What was not helpful? Say more Sign me up for the PetMD Newsletter. Save my name, email, and website in this browser for the next time I comment. Toronto Animal Health Partners 21 min drive Toronto Veterinary Emergency Clinic 26 min drive Phone: Fax: Email: wecare tcah.

Powered by LifeLearn Veterinary Websites. No Comments. By Dr. Brian Laing With the warm weather comes the return of parasites attempting to prey on our pets.

AM PM. Leave a Reply Cancel Reply My comment is.. Surgical removal of adult heartworms may be a treatment option if the heartworms can be seen by ultrasound. But surgery is risky, and if the heartworms are not removed intact, there can be potentially serious complications, such as shock and death. Several products are FDA-approved to prevent heartworms in cats.

Again, year-round prevention is best! It is recommended that cats be tested for heartworms before starting heartworm prevention, although this pre-testing is less useful than in dogs. 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. Infected ferrets typically have low worm burdens, and microfilariae are seen in the bloodstream in only 50 to 60 percent of ferrets with heartworm disease.

Symptoms of heartworm disease in ferrets include decreased activity level, coughing, trouble breathing, and overall weakness. Heart failure can occur in severe cases. Blood tests to detect heartworm infections in ferrets are generally unreliable. No drugs are FDA-approved to treat heartworm disease in ferrets. And only one drug, Advantage Multi for Cats imidacloprid and moxidectin , is approved to prevent heartworms in ferrets.

Besides preventing heartworms, Advantage Multi for Cats also treats flea infestations on ferrets by killing adult fleas. Again, prevention is the best treatment! Year-round prevention is recommended for all ferrets. 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.

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