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Old 11-28-2012, 03:02 AM   #1 (permalink)
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Monthly heartworm prevention?

What is the best brand for monthly heartworm prevention?

I'm thinking of using either Interceptor or sentinel, but can't decide which is better.

Also shall I start using flea/tick prevention med eg Frontline Plus on my 8 weeks old pup? Or shall I wait until there are fleas or tick on the pup then start using it? Because my place isn't really a flea infested area and the dog will sleep indoor.
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Old 11-28-2012, 06:14 AM   #2 (permalink)
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Interceptor is really the best. It prevents heartworm, plus controls the intestinal parasites hookworms, roundworms, and whipworms. Sentinel is Interceptor but with another med added which acts as a flea birth control to help control flea infestations. If your pup will be around other animals, or if your area has fleas at this time, I would also use a flea/tick like Frontline Plus. You can use either Interceptor or Sentinel +/- the flea/tick.
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Old 11-28-2012, 06:39 AM   #3 (permalink)
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I use Interceptor for heartworm (roundworm, whipworm, hookworm) and Vectra3D or Advantix for flea and tick control. I switch it up so fleasdo't get to comfortable. I am more worried about fleas inn my area but I am outdoors with my boy any chance I have. I use topical flea and tick yearly as with heartworm tablet- you never know what they can pick up romping in the field/woods.
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Old 11-28-2012, 08:32 AM   #4 (permalink)
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Quote:
Originally Posted by Rouleaux View Post
I use Interceptor for heartworm (roundworm, whipworm, hookworm) and Vectra3D or Advantix for flea and tick control. I switch it up so fleasdo't get to comfortable. I am more worried about fleas inn my area but I am outdoors with my boy any chance I have. I use topical flea and tick yearly as with heartworm tablet- you never know what they can pick up romping in the field/woods.
Thanks. So you only use topical flea&tick control once per year? Ain't those flea control med only lasts for a month?
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Old 11-28-2012, 08:57 AM   #5 (permalink)
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I'm pretty sure that Rouleaux means that they use it year-round, not just during "mosquito season" or "flea and tick season".

Personally, I prefer Iverheart Plus for heartworn protection year-round, and use topical flea treatments as needed.

In case you are considering Revolution for heartworm prevention, my vet has quit carrying the the canine formulas. They've had several dogs on Revolution that have turned up positive for heartworm.
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Old 11-28-2012, 09:17 AM   #6 (permalink)
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Quote:
Originally Posted by Rosemary View Post
I'm pretty sure that Rouleaux means that they use it year-round, not just during "mosquito season" or "flea and tick season".

Personally, I prefer Iverheart Plus for heartworn protection year-round, and use topical flea treatments as needed.

In case you are considering Revolution for heartworm prevention, my vet has quit carrying the the canine formulas. They've had several dogs on Revolution that have turned up positive for heartworm.
Thank you. Yes, year-round. I haven't run out of my Interceptor yet, but because of issues with plant and production, our next purchase is Iverhart Plus.
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Old 11-28-2012, 09:36 AM   #7 (permalink)
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Mine are on Trifexis. It's heartworm and flea meds in one rather large pill. 2 of mine eat it like a treat...one is wiser and refuses. No tick protection but otherwise I haven't had an issue with Trifexis.
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Old 11-28-2012, 09:36 AM   #8 (permalink)
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I've got mine of Trifexis currently, heartworm plus hooks, whips, and rounds as well as fleas. Started it with free samples from work/ the Interceptor back order. It's a chewable and needs to be given with a meal.

Off label it's a capable tick preventative in the first week or two(not the whole month, hence it not being labeled) but if your going anywhere super woodsy/bug infested then a topical is recommended as added protection.
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Old 11-28-2012, 09:52 AM   #9 (permalink)
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There is a sticky in this very forum about heartworm preventative Heartgard vs Interceptor

I use Interceptor and do not use any topical flea/tick products because we have never had a problem with fleas or ticks.
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Old 11-28-2012, 11:54 AM   #10 (permalink)
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Mine are on advantage multi plus. For fleas, ticks, lice, heart worms, intestinal worms plus it helps with my dobermans red mange! Ive used interceptor before and 2 of my dogs became heart worm positive and because we had given interceptor for years we figured it was really safe. But it wasn't and both dogs died of heart failure.


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Old 11-28-2012, 12:04 PM   #11 (permalink)
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Quote:
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Ive used interceptor before and 2 of my dogs became heart worm positive and because we had given interceptor for years we figured it was really safe. But it wasn't and both dogs died of heart failure.
If you gave it religiously every month and never missed, the chances of having breakthrough on 2 dogs that you own would be very unlikely. Did you report your case to the manufacturer and vet?

Breakthroughs themselves are pretty uncommon to begin with if you are giving the product correctly. I'm guessing there were months that were missed or somehow they didn't get it, or they were positive and received the medication afterwards which would cause a worm kill and massive worm burden which could cause heart failure.
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Old 11-28-2012, 12:17 PM   #12 (permalink)
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I haven't noticed a difference in any of the meds. I've used both heartguard and interceptor in the past. Envy the puppy is on Trifexis becuase it's all the vet had in stock for her size. I use frontline plus about every 8-12 weeks IF they aren't on Trifexis which has a flea medicine in it.
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Old 11-28-2012, 12:21 PM   #13 (permalink)
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According to one study Advantage Multi was the only one proven to be 100% effective. Heartguard Plus, Interceptor, and Revolution were only 95% effective. In the study they were looking at a specific strain of the heartworm.

Heartworm preventive efficacy study results revealed at NAVC - DVM
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Old 11-28-2012, 03:55 PM   #14 (permalink)
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I thought Advatage only treated fleas. That is how they sell their Advantix brand. Advantage Multi was created to compete with Revolution, which does cover fleas and heartworm.

I could be mistaken, though. It wouldn't be the first time!
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Old 11-28-2012, 04:30 PM   #15 (permalink)
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I use Advantage Multi on all of mine, and it works great! It's convenient because you aren't putting multiple products for heartworm and flea prevention. The months that we go camping alot in areas where ticks are, I switch to Heartgard and Advantix.

Interceptor and Sentinel may be hard to find right now, I know that it is pretty much non existent in my area. Novartis, the manufacturer, is undergoing some changes with their facility so that and some other drugs that they make are very hard to find until everything is completed.
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Old 11-28-2012, 06:18 PM   #16 (permalink)
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Both Intercepter and Sentinel are basically pretty unavailable right now. I checked with Novartis for our clinic on Monday. They are in the process of trying to get enough product to fill backorders at this point (didn't manufacture because of the facility problem for quite awhile). There was some speculation that they might phase out both Intercepter and Sentinel in favor of the newer Trifexas. It doesn't sound like they intend to do that for which I am eternally greatful.

I'm presently using Heartgard Plus which doesn't make me terribly happy. It's not that it isn't a good product--it is but I don't like using products which cover multiple things.

First of all if a dog reacts to something in the product you don't know which of the products it is reacting to. Secondly my experience (not my personal experience since I by choice don't use products that do more than one thing) has been that the products designed to cover several parasite issues often aren't as effective on some and occasionally on all of the parasites they are supposed to treat or prevent.

I use Intercepter (and have for the last 15 years) for heartworm control and I use it year around--I also give it monthly and don't cheat. I'm in an area which doesn't have a lot of heartworm but also doesn't have anything like effective mosquito kill--the Willamette Valley doesn't have the kind of winters that allow you to stop giving meds intended to deal with heartworm for the winter months. Last week I was working in the yard at dusk and killed a whopping big mosquito who was dining on me (ick!)

I don't basically go anywhere with the dogs that would involve ticks so Advantage II is what I use on both the cats and the dogs if necessary. This house and yard has never had fleas but occasionally the dogs come back from agility trials having picked up a load of fleas. I have an early warning system cat who is so allergic to fleas that she breaks out in hives and chews herself raw in a matter of 48 hours. And it also makes her very sick and her lymph nodes swell up so it looks like she has mumps--just went through a bout of this--it scared the heck out of me. Then every dog and the other cat gets Advantage II for three months and that has always taken care of the unwanted visitors the dogs lugged home.

About Advantage products. AdvantageII is for fleas on dogs and cats. Advantix is for ticks and fleas and when it is fairly newly applied will deter mosquitos but is not anything you'd want to rely on to keep heartworm at bay. It is for dogs only--the tick ingredient is poisonous for cats--it's so bad that they recommend that if the cat grooms any of the dogs (and one of my cats does) you not use it at all.

Advantage Multi is designed to cover a number of things and is one of the products I wouldn't use because I really don't like products with multiple meds in them that are supposed to take care of a number of things--no matter how convenient it might be--I see too many problems with them.

I can't wait for Intercepter to return--it's the only one of the heartworm meds that is milbemycin ONLY.

Last edited by dobebug; 11-28-2012 at 06:23 PM.. Reason: Sticky "s" key so a lot of plurals ended up singular
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Old 11-28-2012, 07:27 PM   #17 (permalink)
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^^ I hear you loud and clear. I love Interceptor and can't wait for my clinic's back order stock to come in! And would rather not use products that cover multiple parasites using more than one chemical component- I feel that the efficacy is "iffy"- though if it is a sample, I can't argue.

I was using Revolution for my cats back when it was new to my previous clinic- it just didn't stick and it was a pain in the rear explaining that that topical in particular- for their dog of course, although they do have a new test for cats- required a heartworm test prior to purchase had their status been overdue. Sheeesh!
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Old 11-28-2012, 08:28 PM   #18 (permalink)
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According to PetMeds, Sentinel and Interceptor are not available for the next 3-4 months

Sentinel for Dogs - Heartworm & Flea Prevention - 1800PetMeds
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OceanS (11-28-2012)
Old 11-28-2012, 08:46 PM   #19 (permalink)
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They will send it to clinics before they restock petmeds- one would hope!
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Old 11-28-2012, 08:50 PM   #20 (permalink)
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I gave my dogs the pill every month on the same day. I reported the case to the manufacturer and to the vet. The vet told me it had happened a few times that year with that brand. So they were thinking the batch was wrong. The manufacturer offered to pay for treatment but the dogs hearts were too weak for treatment. Had ten
On several medications but nothing helped. Mistakes happen, maybe they have improved and fixed everything.


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Old 11-28-2012, 08:57 PM   #21 (permalink)
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Thanks for all the replies!

We have interceptor here in australia, you can find them in all pet shops... So I guess I'll use interceptor, and frontline plus in the summer or spring months.

One thing about flea and tick med like frontline plus, I heard some people don't give monthly dose as stated in the package, they usually give every 2-3 months. Do your guys think I should give each month?
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Old 11-28-2012, 09:05 PM   #22 (permalink)
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I give flea and tick every month, especially if you don't have too much of a cold snap in the winter. Last Winter here in NY we didn't have much of one and the fleas were terrible. I have been noticing that the component in Frontline doesn't work too well here.

My theory- like all other parasites, fleas are becoming immune to certain preventatives. This and the economy isn't as it was so people are lapsing all together- we even had a few heartworm positives- dogs from the south coming up unprotected, or traveling pets returning with the disease, only to spread. even some cats north of my area came down it- and they are asymptomatic until the end!

I personally try to stay away from the items sold in pet stores- Interceptor isn't OTC here. I am using up what I have left of Advantix samples and completely switching to Vectra3D. I will not support companies by purchasing items that are OTC when they should be bought from a veterinary practice. But again, free samples, I'll take them I'm not too proud!
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Old 11-28-2012, 09:32 PM   #23 (permalink)
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Thanks. Have anyone used insecticidal repellent spray to protect the dog from Mosquitos and fleas and ticks?
There's one product in my local pet shop that state it can repel flea and tick as well as Mosquitos: Flygon Insecticidal and Repellent Spray

It is advised by my pups breeder to use such product in the summer months instead of frontline plus meds
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