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.
After receiving the first injection, your dog must remain as quiet and inactive as possible for the next 8 weeks (confine to crate or small room). This may seem unfair, but the alternatives are worse and potentially life-threatening.
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.
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.
Treatment for heartworm can cause serious complications for your pet's health and can be potentially toxic to the dog's body. Many dogs experience soreness and swelling at the site of their injections. The most severe side effects are related to a large number of worms suddenly dying.
After treatment, a dog with mild to moderate heartworm disease is generally kept on at least 4-8 weeks of exercise restriction, but then can gradually return to normal activity as recommended by your veterinarian.
Twenty-six dogs (52%) experienced minor complications, such as injection site reactions, gastrointestinal signs (vomiting, diarrhea, inappetance), and behavioral changes (lethargy, depression) during or after heartworm treatment.
Since your dog's heartworm recovery is all about staying as relaxed and inactive as possible, you should probably ask your vet about a prescription sedative. “Many dogs benefit from a sedative or anti-anxiety medication to help keep them calm after treatment,” Dr. Marteney said.
Some dogs experience nausea and are lethargic. These symptoms will usually ease over a couple of days. Though some dogs do not experience the muscle soreness, it is important not to pick up the dog or put any pressure on the back for 2‐4 days after the injections.
Step 7: Home Care During Heartworm Treatment
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.
Restrict exercise.
But your dog's normal physical activities must be restricted as soon as the diagnosis is confirmed, because physical exertion increases the rate at which the heartworms cause damage in the heart and lungs. The more severe the symptoms, the less activity your dog should have.
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.
Most dogs receive an initial injection, followed by a 30-day period of rest, and then two more injections that are given 24 hours apart. Many dogs will also be treated with an antibiotic (doxycycline), to combat potential infection with bacteria (Wolbachia) that inhabit the heartworm.
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.
Although there are some risks associated with this medication's use, most adult worms die quickly and can be eliminated within 1 to 3 months. Cage rest and drastically restricted exercise during this period can decrease the chances of complications from treatment.
Since the treatment involves killing the heartworms while they're still in your dog's body, it's crucial to make sure he's inactive during and after treatment — meaning no running, jumping and playing.
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.
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.
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.
The arsenic-based formula is what makes melarsomine so painful. And there's a hefty amount in each dose, making it a little extra achy. “The treatment for heartworm disease is a chemotherapeutic agent that irritates the tissues where it is injected,” Dr. Marteney said.
There may be some muscle soreness in his/her lower back as a result of the injections administered in this area for the heartworm treatment. The soreness usually resolves within 3-7 days after the treatment.
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.
Dog starts exercise restriction. 30 days after the first injection, dog receives 2 melarsomine injections 24 hours apart and stays in hospital for 2 nights. Dog remains on exercise restriction for 8 more weeks. 6 months after last injection, dog is re-tested for heartworm.
n The majority of dogs clear all heartworms with the standard treatment, but treatment is not always 100 percent effective. The label reads 90-99 percent effective; this is due to variation in each individual animal.
Not every aspiring pet owner is equipped to provide the extra care a special-needs pet requires; however, with proper treatment, heartworm-positive pets can be excellent candidates for adoption.