Recommendations for Heartworm Testing and Prevention

Heartworm disease is a very serious  and fatal disease in dogs and cats. It is one of the most
common causes of death in dogs in the South. Heartworms are carried by the mosquito. When an
infected mosquito bites a dog, it can inject immature heartworms into the blood stream of the dog.
These immature worms eventually find their way to the heart where they mature into adult worms.
When there are worms in the heart, the heart can not function correctly. The worms disrupt the flow
of blood through the heart and to the lungs, and they also damage the muscles of the heart. The
worms present in the heart can continue to mate and create more worms. The baby worms stay in
the blood stream until they become adults. The adults then move to the heart. Untreated, heartworm
disease will lead to congestive heart failure and death. Indoor cats and dogs are not immune
from developing heartworm disease
. Mosquitoes can enter our homes, and the dogs must go
outside to urinate and defecate.

Heartworm disease is very easy to prevent. It is much better to prevent the disease than to end
up having to treat the disease.
Treatment does have some risks associated with it and can be very
costly. There is no treatment for heartworm disease in cats. All dogs and cats should be put on
heartworm preventative as early as three months of age. Heartworm prevention must be given to the
animal the rest of its life. There are several brands of heartworm preventative available.

Testing for Heartworms
Dogs and cats 6 months and older should be tested for heartworms prior to beginning heartworm prevention. The growth period of the heartworm is approximately 5-6 months. This means that if the dog were to be exposed to heartworms at a very early age, the disease should show positive by six months of age. There are many veterinarians who believe that it is not necessary to test a dog that is younger than 1 year of age, because it is most likely they are negative. I do agree that it is very rare to find a dog less than one year of age that is positive for heartworms. However, I have had a 9 month old dog test positive for heartworms. I prefer not to take any chances. Some heartworm preventatives can actually be harmful if given to a dog that does have heartworms. Testing a dog prior to putting him/her on preventative is important for many reasons. If you place a dog on preventative without first testing it and then later down the road it is discovered that the dog is positive for heartworms, there could be several possibilities why. One, the dog could have had heartworms prior to starting prevention. Two, the product may have failed. Three, the owner may not have been compliant and may have forgotten to give the preventative. If the dog is tested prior to giving preventative, we can at least determine in this scenario that the dog was not positive prior to starting prevention. Also, as mentioned previously, some heartworm preventatives can be harmful if given to a positive dog. Dogs and cats should be tested every year for heartworms regardless if they have been given heartworm preventative. Like vaccines, no heartworm prevention can be 100% effective for every dog. It is also very easy for some owners to forget to give the preventative on a regular basis. A lapse in giving preventative can lead to infection. Also, some dogs are very clever and will take the heartworm tablet and spit it out without the owner knowing. Testing a dog or cat every year for heartworms in not a way for veterinarians to make more money. It is to ensure that your dog or cat does indeed stay heartworm negative.

Heartworm Preventatives
Heartgard
Heartgard is a chewable tablet that can be given to dogs as young as three months of age. Heartgard must be given once a month. This drug kills any baby worms that may be in the blood stream, thus preventing them from growing to adults. Heartgard does not kill adult worms. Heartgard also kills and prevents the intestinal parasites, roundworms and hookworms. This preventative is also made for cats.

Iverhart Max
Iverhart Max is the generic form of Heartgard Plus with an added ingredient that kills and prevents tapeworms. No other heartworm prevention is labeled for the treatment and prevention of tapeworms. Iverhart Max cost less than Heartguard Plus. It comes in a flavored tablet. This preventative is not made for cats.

Interceptor
Interceptor is a non-chewable tablet that must be given every month to prevent heartworms. It, too, can be given as early as three months of age. It works in the same manner as Heartgard. Interceptor also helps kill and prevent roundworms, hookworms, and whipworms. It does not kill adult worms. The difference between Interceptor and Heartgard is that Interceptor is affective against whip worms, Heartgard is not. This preventative is also made for cats. This preventative should not be given to heartworm positive dogs or cats.

Sentinel
Sentinel is also a non-chewable tablet that must be given once a month. It prevents heartworms, roundworms, hookworms, whip worms, and helps control fleas. It does not kill adult heartworms. Sentinel does not kill adult fleas. It only sterilizes them so that they can not produce more fleas. You may still see adult fleas on your dog. This heartworm prevention is not made for cats.

Revolution
Revolution is a topical medication that prevents heartworms, roundworms, hookworms, earmites, mange, and fleas. It is available for both cats and dogs.