The American Heartworm Society recommends treatment with doxycycline in dogs diagnosed with heartworm disease at a dose of 10 mg/kg twice daily for 28 days. If doxycycline is not available, minocycline can be considered as a substitute.
Melarsomine dihydrochloride (available under the trade names Immiticide and Diroban) is an arsenic-containing drug that is FDA-approved to kill adult heartworms in dogs. It's given by deep injection into the back muscles to treat dogs with stabilized class 1, 2, and 3 heartworm disease.
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.
Antibiotics may be prescribed because a bacterium found living inside the heartworms — Wolbachia — is thought to contribute to an inflammatory response within the body. When the heartworms die, they release the bacteria into the dog's body.
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.
Adult heartworms have been known to survive inside a dog's heart for 7 years before they die on their own.
Dogs can live for at least six to seven months after becoming infected with heartworms. This is because it takes that long for adult heartworms to grow.
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.
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.
Average Cost of Treatment. The average cost of heartworm treatment for dogs is often around $1,000. However, it can range from $500 to $1,100 or even more depending mainly on the size of your dog, veterinary bills, and the stage of the disease.
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.
Apple cider vinegar has numerous health benefits and is known to be effective in treating worms in dogs. Unlike other vinegar, apple cider vinegar increases the alkaline levels in the intestines of the dog. As a result, it creates an inhospitable environment for worms and other parasites.
Dogs with heartworm infections will feel weaker, and will find it harder to remain active, even in low-energy activities. Weight loss and loss of appetite. In more advanced stages of heartworm infections, your dog will find it hard to complete normal physical tasks like eating.
Dogs that have a high number of heartworms often develop symptoms such as pronounced and persistent coughing, difficulty breathing, and exercise intolerance. In more severe cases, dogs may also experience fainting or collapse, pale mucous membranes, weakness, elevated heart rate (tachycardia) and severe lethargy.
If given to a heartworm positive dog by accident
In most cases no reaction of any kind occurs when an ivermectin-based heartworm preventive is given to a heartworm positive dog. In fact, giving an ivermectin-based heartworm preventive to an infected dog is the first step in heartworm infection treatment.
Ivermectin does not kill adult heartworms. Ivermectin does shorten the lifespan of adult heartworms. Ivermectin does sterilize adult heartworms. Ivermectin does kill microfilaria (keeping the dog from being a source of contagion) • Ivermectin does kill L3 and L4 larvae (preventing new infections).
Weight Loss, No Appetite
As heartworm disease advances, your dog may not feel like eating as much, and you may notice some weight loss.
The heartworm is one of the only mammal-dwelling parasites to be transmitted exclusively by mosquitoes. While other common parasitic worms are transferred via feces, heartworms cannot be passed directly from one host to another.
Stage 4 – Heartworms have caused severe damage to the animals heart, lungs, liver, and kidneys. In this stage, Caval syndrome is likely. Caval syndrome is when there is such a large amount of worms blocking blood flow to the heart that it creates a sudden life-threatening problem in need of quick surgical intervention.
Dogs with heartworm disease can live high-quality lives as long as they are given appropriate care. After completing treatment and following your veterinarian's recommenda- tions on heartworm disease testing and prevention, the chances of any long-term effects are very low.
The only product currently available for the treatment of adult heartworms is melarsomine dihydrochloride (immiticide). During treatment, the patient receives an intramuscular injection deep in the lower back muscles. This is a painful injection and it is common for the patient to be quite sore at home afterwards.
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.
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.
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.
Rest and exercise restriction is extremely important after heartworm treatment in order to lessen the possibility of complications. Dogs should only go out for potty breaks while on a leash. There should be no physical activity for 6 weeks or until cleared by the veterinarian. No play, no running.