If you forget a month of preventative, make sure to give the next 2 doses on time to "catch up" for that missed month. If you miss several months in a row, you should give your vet a call for advice on when to plan for the next heartworm test and how to get started back on preventatives.
I have missed 2 months of heartworm prevention for my dog. What should I do? You need to consult your veterinarian, and immediately re-start your dog on monthly preventive—then retest your dog 6 months later.
Most of the monthly heartworm medicines have a safety factor of at least 15 days of protection if a dose is missed. This means that if you're just a week or two late, your pet is likely still within that window of protection and would be unlikely to become infected during that time.
Is heartworm detection/diagnosis immediate? No, heartworms are undetectable until they have finished maturing. Because of this, it can take 6-7 months before modern vet tests detect that your pet has been infected. However, they can live for years and reproduce inside the animal.
If you miss a dose of your heartworm prevention for your dog, get them back on prevention ASAP—speak to your veterinarian. Six months from that time that you missed is really the only time that we're going to be able to detect whether or not your dog was infected during that period.
If you forget a month of preventative, make sure to give the next 2 doses on time to "catch up" for that missed month. If you miss several months in a row, you should give your vet a call for advice on when to plan for the next heartworm test and how to get started back on preventatives.
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.
A diagnosis of heartworms is not a death sentence, even in a somewhat older dog.
Signs of heartworm disease may include a mild persistent cough, reluctance to exercise, fatigue after moderate activity, decreased appetite, and weight loss. As heartworm disease progresses, pets may develop heart failure and the appearance of a swollen belly due to excess fluid in the abdomen.
Prognosis: heartworm treatment success rates
With the three-dose adulticide protocol described above, in conjunction with doxycycline and macrocyclic lactones as recommended by the American Heartworm Society, 98% of dogs will be cleared of heartworm infection.
However, due to the heartworm life-cycle, it is likely that giving the medication every 45 to 60 days, rather than every 30 days, will allow immature heartworms to develop into adult heartworms. In other words, heartworm prevention medication is not effective when given every 45 to 60 days.
What if I miss giving my pet the medication? If you miss a dose, give it when you remember, but if it is close to the time for the next dose, skip the dose you missed and give it at the next scheduled time, and return to the regular dosing schedule. Never give your pet two doses at once or give extra doses.
If you miss that monthly dose, your pet is at a potential risk of getting flea or tick bites, which can transmit some serious diseases. Heartworm preventive medicine is especially important to keep on schedule for your pet.
The common consensus is that it takes about 40‒50 days for heartworm larvae to mature to the point where heartworm preventatives no longer work. So, from the initial mosquito bite to the beginning of maturation, there is an approximate 45-day grace period that a heartworm preventative can provide protection.
Although there are fewer mosquitoes in the winter, there is still a risk that your pet could get heartworms if you stop giving heartworm prevention medication during this season. That's one reason veterinarians strongly recommend pets receive heartworm prevention medication year-round.
“No running, jumping, playing or high-impact exercise as these activities may cause the worms to break loose and cause significant harm to the pet being treated.”
Discussion. Hemoptysis (expectoration or coughing up of blood) has been reported as a consequence of severe heartworm infection in dogs,2-6 although it remains a relatively uncommon finding. Even fewer reports exist of dogs coughing up or vomiting up adult heartworms.
Stage 4. There is a large mass of worms which physically blocks the blood flowing back to the heart. This stage is life-threatening and requires quick surgical removal of the heartworms. However, surgery is risky and even with surgery, most dogs in this stage die.
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.
Middle to late-stage symptoms of dog heartworm include:
Enlarged liver or heart. Panting at rest. Exercise intolerance. Fluid backup into the lungs and abdomen.
If owners can't afford treatment at the time of diagnosis, Dr. Herrin recommended delaying melarsomine therapy but still initiating treatment with both a preventive and doxycycline. This will prevent further infection and remove the dog as a heartworm reservoir.
They can be controlled naturally with citrus oils, cedar oils, and diatomaceous earth. Dogs needing conventional treatment may benefit from herbs such as milk thistle and homeopathics such as berberis; these minimize toxicity from the medications and dying heartworms.
Does my dog need heartworm medicine year-round? Yes, your dog needs heartworm medicine year-round. Just because mosquitoes may hibernate in the winter doesn't mean they're gone. And just because you live in a colder state doesn't mean your dog is safe either.
If a dose is missed, give SIMPARICA TRIO immediately and resume monthly dosing. When replacing a monthly heartworm preventive product, SIMPARICA TRIO should be given within one month of the last dose of the former medication.
Have you ever been a few days late giving your dog monthly tick and flea protection? We get it. Simparica is a monthly tick and flea chewable that gives you a few extra days of wiggle room at the end of the month. Rest assured, your dog is protected (even if you're a few days late giving the next dose).