If it has been less than two weeks since the missed dose, give your dog the dose immediately. If it has been over two weeks since the missed dose, contact your vet, who will likely advise you to resume normal dosing next month and have the dog tested for heartworm in six months.
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.
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.
If you missed less than 6 months of prevention we suggest you start giving the heartworm preventative immediately. Bring your dog in for a heartworm test 6 months from the first missed dose.
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.
The American Heartworm Society advocates to “Think 12." Give dogs 12 months of heartworm prevention and get them tested for heartworms every 12 months.
Therefore, it's important to dose your dog every 30 days with his heartworm preventive. If you miss a monthly dose, the heartworm larvae are given the opportunity to reach a mature state that cannot be affected by the preventive.
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.
A: Give the dose you missed immediately, then continue giving the medication on the day you've always given it. If the missed dose is more than 2 weeks late, your dog should be tested for heartworm again in six months (click here to learn why).
If it has been less than two weeks since the missed dose, give your dog the dose immediately. If it has been over two weeks since the missed dose, contact your vet, who will likely advise you to resume normal dosing next month and have the dog tested for heartworm in six months.
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.
A diagnosis of heartworms is not a death sentence, even in a somewhat older dog.
Heartworm Prevention Is the Best Treatment
The American Heartworm Society recommends that you “think 12.” Have your dog tested for heartworms every 12 months and provide 12 months of preventative care.
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.
Your vet will guide you on the best course of action for treating your dog depending on the severity of their infection. 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.
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.
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.
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.
Heartgard has the active ingredient ivermectin in it. Ivermectin has a half-life of 2 days in the dog. That means 1/2 of the drug is eliminated from the body in 2 days. So at most it is active for 4 days per month.
Ivermectin is given monthly for heartworm prevention, daily or every other day for demodectic mange treatment, and every week or couple of weeks for most mites. If a dose of heartworm preventive is accidentally forgotten, it is important to give it as soon as it is remembered.
With heartworm disease treatment can be extremely difficult even for the young otherwise healthy dogs but our senior dogs can see more severe side effects and death if progressed disease is present. Know that 1 in 10 dogs will develop some form of heart disease as they age.
Your senior dog needs a year-round medicine to prevent intestinal parasites, which are found in your dog's feces and can be transmitted to humans, so talk to your veterinarian about how to keep everyone in your home protected. Keep your senior dog's heartworm preventive as well as flea and tick control updated.
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.
In a way, yes. Your dog can feel the discomfort that goes hand-in-hand with the heartworms hatching from larvae stages into adulthood. They can also feel them migrating from one spot to another inside their body, specifically if they're affecting your dog's lungs and breathing.
A persistent, dry cough is a common sign seen in dogs with advanced heartworm disease. The cough caused by heartworm disease can be one of the first signs you notice in an otherwise healthy-appearing dog. Lethargy and reluctance to exercise are common signs described in dogs with advanced heartworm disease.