It has the same active ingredient as Trifexis(the next one on this list). Sentinel has been on the market for many years. When I have a pet who has had hookworms in the past, Heartgard Plus is my “go to” monthly heart worm preventative. Heartgard Plus treats for roundworms and all 3 types of hookworms. This herding breed receptor defect is rare and at the dose in Heartgard Plus it would be unlikely to cause issues, but nonetheless, we do still guide the herding breeds toward Milbemycin which is the active ingredient of Trifexis or Sentinel Spectrum. We usually choose for herding breeds Trifexis or Sentinel as Ivermectin, the active ingredient in Heartgard Plus, can adversely affect herding breeds. Not all heartworm preventatives are so tasty.įor herding breeds, we usually avoid Heartgard Plus. It so much easier giving a pet medication when the pet gobbles it up as if it were a treat. Word on the dog street is that it is truly delicious. It has been out many years and is very tasty and effective. Here is my take on some of the most common flea and heart worm preventatives available: I know you likely read this newsletter because your pet has diabetes, but there is a good chance that your pet needs flea or heartworm prevention meds as well! I live and practice in South Florida, where we have the toughest fleas in America and heartworm disease is endemic. In that time I’ve seen lots of heartworm and flea products come onto the market. 2018 marks my 25th year as a veterinarian.
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