Heartgard Plus for Dogs

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More About Heartgard Plus

Heartgard Plus is a monthly dewormer to prevent heartworm disease as well as to treat and control hookworms and roundworms. This flavorful, chewable pill can be administered to dogs and puppies over 6 weeks old. While Heartgard only treats heartworm, Heartgard Plus protects your dog from multiple parasites. Make sure you choose the right Heartgard Plus variation for your dog’s weight—the package will be clearly marked for dogs under 25 lbs, 25-50lbs or over 50lbs. Learn more about the benefits and recommendations for Heartgard Plus in our FAQs.

Frequently Asked Questions

Heartgard Plus is a monthly oral pet med used as a combination heartworm preventive and intestinal wormer.

Dogs and puppies over 6 weeks of age. Safe for pregnant/breeding females.

  • Protect your dog from potentially deadly heartworm disease

  • Treat and control hookworms and roundworms (which can cause disease in both pets and people)

  • Delicious beef-flavored chewable is easy to administer

Heartgard Plus is used in the prevention of heartworm infection and the control and treatment of various other worm infections. It kills the immature form of the heartworm (Dirofilaria immitis), which is transmitted by a mosquito. It is also used for the treatment and control of hookworms (Ancylostoma caninum, A. brasiliense, and Uncinaria stenocephala) and roundworms (ascarids - Toxocara canis, Toxascaris leonina).

Heartgard Plus contains two active ingredients: ivermectin, which interferes with the parasite's nerve transmission, causing paralysis and death of the immature heartworms (larvae), and pyrantel pamoate, which also interferes with the parasite's nerve transmission, causing paralysis and death of intestinal worms.

Heartgard Plus must be administered monthly, preferably on the same date each month. It is recommended (and most manufacturer guarantees require) that Heartgard Plus be given year round, although some veterinarians may recommend giving it only during the mosquito season. If given seasonally, the first dose must be given within 30 days of the dog's first exposure to mosquitoes. The last dose must be given within 30 days after the dog's last exposure to mosquitoes.

Most dogs like the taste of Heartgard Plus and will accept the chewable like a treat. The chewable should be administered in a manner that encourages the dog to chew, rather than to swallow without chewing. Heartgard Plus Chewables may be broken into pieces and fed to dogs that normally swallow treats whole. Care should be taken that the dog consumes the complete dose, and treated animals should be observed for a few minutes after administration to ensure that part of the dose is not lost or rejected. If not entirely consumed, give another full recommended dose as soon as possible.

Heartgard Plus will kill the immature heartworms the dog was exposed to in the preceding month. It will treat an intestinal infection with adult hookworms and roundworms.

Talk to your veterinarian about the heartworm testing that is recommended before starting your dog on a heartworm prevention program.

Collies or other herding breeds may have a reaction to ivermectin if given over the recommended heartworm prevention dose. If your dog is one of these breeds, and your veterinarian has prescribed Heartgard Plus, observe your pet for at least 8 hours after giving the medication for weakness, staggering, dilated pupils, trembling, drooling, or pressing the head against a wall. Contact your veterinarian immediately if you see these signs.

Some intestinal parasites, such as hookworms and roundworms can be spread to people. Talk to your veterinarian about other measures you can take to prevent your pet from being infected with intestinal worms, and protecting yourself.

Notify your veterinarian of any other medications or supplements your dog is taking, and also if your dog has had any reactions to previous medications.

Do not use in puppies less than 6 weeks of age. Considered to be safe to use in pregnant and lactating animals (female animals nursing their young).

Collies and herding breeds may have a reaction to Heartgard Plus.

This medication should only be given to the pet for which it was prescribed.

Side effects of Heartgard Plus are very rare, but may include vomiting and diarrhea. Even more uncommon are incoordination, convulsions, or drooling. Contact your veterinarian immediately if you observe any of these side effects.

Store between 68°F-77°F (20°C-25°C). Short time periods between 59°F-86°F (15°C-30°C) are permitted. Protect product from light. The chewable form of the drug is appealing to pets and children. Store in a secure area to prevent an accidental overdose. Keep out of reach of children and pets.