If your pet has received the first injection of the three injection heartworm treatment, then you will need to schedule a follow up appointment in 1 month to administer the final two injections of the heartworm treatment. Your pet will stay overnight at that time.
Your dog will also receive treatment to kill juvenile heartworms (microfilaria) either before or after their Melarsomine treatment. Your dog may need to spend the night in the hospital for observation on the day this treatment is administered.
Heartworm treatment is a process carried out through 4-6 months. During heartworm treatment the patient must stay confined while the heartworms are dying off to prevent embolisms and other health risks. We take necessary steps in assuring that your pet is healthy and stable before going through 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.
From the first injection until six to eight weeks following the last injection, it will be absolutely essential to keep your dog quiet. That means strictly restricting all exercise and activity that would elevate your dog's heart rate or increase his blood pressure.
DURING TREATMENT
Dogs who are allowed to run or play during this time can develop life-threatening problems similar to a massive stroke. Treatment makes the heartworms fragile, so the body can break them down slowly over the next 8 weeks.
If exercise or excitement cause the treated dog's heart rate to rise, pieces of decomposing worms can be forced into the tiny blood vessels of the lungs, causing further complications. The more pronounced the clinical signs of heartworm disease are, the more restricted any activity or excitement need to be.
The medicine in the treatment (Immiticide) can cause a lot of inflammation at the injection site. This can occur no matter how smoothly things go and how little it seems to bother the dog at the time. This can range from being absolutely undetectable to a dog that is crying constantly with pain.
Strict rest is imperative for 6-8 weeks. This means that your pet can be leashed walked outside to urinate and defecated, but must come back inside to rest. Do not allow your pet to run, jump, climb stairs, or play rough with other dogs or children.
“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.”
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.
According to the American Heartworm Society, I=if you are doing a fast-kill protocol, your heartworm-positive dog should not exercise for a minimum of 4 months, and the recommendations seem to be shifting to even 6 months – from diagnosis to 8 weeks after treatment is completed.
The American Heartworm Society does state that exercise restriction should begin the same day the diagnosis is confirmed. Usually, my vet instructs me to keep my heartworm positive dog from engaging in any activity that elevates the heart rate until the end of treatment.
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.
Rest for 60 days (ideally in a crate): Rest is the single most important factor to successful heartworm treatment. This means 4 weeks of strict rest for your dog after each melarsomine injection.
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.
There are rarely side effects, if given at the proper dosage, but some dogs may experience vomiting, diarrhea, or incoordination. In the case of an allergic response to the heartworm medication, a dog may experience itching, hives, swelling of the face, or even seizures or shock.
Is heartworm painful? - Animal Hospital of Statesville. It's not painful, per se, but they feel sick, uncomfortable, and they're likely having difficulty breathing. They're not perfusing very well, so they don't feel well.
Dogs with heartworm disease, for example, require exercise restriction before and heartworm treatment, as well as for a short time after treatment. Physical activity increases the likelihood of adult worms causing a pulmonary thromboembolism, which may be fatal. Limiting a dog's physical activity decreases this risk.
Dogs with heartworm, such as in a shelter that undergo spay and neuter procedures, may be safely anesthetized prior to heartworm treatment. The dog presenting with caval syndrome may require emergent anesthesia for extraction of the heartworms; anesthetic drugs and potential adverse effects are discussed.
Additionally, you may see dead worms in your dog's stool for a few days following treatment, or your dog may have diarrhea as they digest the dead worms. Most of the time, regardless of what you see in their stool, recently dewormed dogs behave like normal.
Some dogs may feel nauseated from their heartworms as well, and may vomit often just because they feel so sick with the disease. Vomiting does not occur in every dog that has heartworms.
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.
Do the heartworm treatment injections hurt? The injections are given within the muscle and can indeed be uncomfortable, but the inflammation that develops within the days following creates the most discomfort. Restlessness, panting, trembling and reduced appetite can all be signs that the dog is uncomfortable.