Heartworm Medication Overdose
From LoveToKnow Dogs
Come learn about the dangers of heartworm medication overdose, and how you can avoid the risk by keeping track of your pet's medication.
Heartworms, Preventatives and Safety
Heartworm is a parasitic infestation that attacks a pet's heart and lungs, slowly causing damage that will eventually reach fatal proportions if left unchecked. The infestation is transferred by the bite of mosquitos which delivers a dose of microfilaria, or immature heartworms, directly into the animal's bloodstream.
Although this disease can be deadly, it is also highly preventable. All you need to do is have your vet test your dog for the presence of heartworms, and then put her on a daily or monthly preventative medication.
Heartworm medications come in two basic varieties. One is targeted strictly at heartworm prevention, while the second is a multi-purpose preventative that also targets other common worm and flea infestations. Both varieties are effective and safe when given as directed. However, the active medications used in these products can be dangerous to your dog if you accidently double the dosage.
Active Ingredients
To better understand heartworm medications, let's take a closer look at some of the common active ingredients used in their formulas.
- Ivermectin: This drug controls heartworms and is the most widely prescribed preventative medication for this parasite. However, most Collies cannot tolerate ivermectin and should never be given the drug.
- Milbemycin oxime: This drug controls heartworms and kills flea larvae and eggs, although it has also been known to cause a reaction in some breeds, namely Collies.
- Pyrantel pamoate: This drug controls roundworms and hookworms, and is typically used in combination with Ivermectin in multi-purpose preventatives.
- Praziquantel: This medication controls tapeworms, and is another drug that is frequently used in combination preventatives.
Now let's compare active ingredients by brand.
| Brand | Ingredient(s) |
| Heartguard | Ivermectin |
| Heartguard Plus | Ivermectin, Pyrantel pamoate |
| Interceptor | Milbemycin oxime |
| Iverhart Plus | Ivermectin, Pyrantel pamoate |
| Iverhart Max | Ivermectin, Payantel pamoate, Praziquantel |
| Sentinel Flea and Heartworm | Milbemycin Oxime |
About Heartworm Medication Overdose
Although an infestation is certainly more dangerous to your pet than the preventative medications used to stave off these parasites, you should be aware of some risks.
First, if you put your dog on preventative without first letting your vet test for an infestation, you could actually make your dog very sick. Heartworm prevention is not the same thing as heartworm treatment. Putting your dog on prevention will leave you with a false sense of security that may inadvertently cause you to ignore the early symptoms of a true infestation.
Second, if you're not completely careful, you can actually give your dog an overdose. Dosages are formulated to be given to your dog either daily or monthly, and it's easy to forget you've already given your pet her regular dosage and administer it again. A helpful family member might also inadvertently give your dog a repeat dosage.
Symptoms of heartworm medication overdose include:
- Vomiting
- Diarrhea
- Lack of coordination
If you suspect your dog has received an overdose of his medication, promptly call your vet and take the product package to his/her office with you. This way, your vet will know exactly which active ingredients are involved.
Ways to Prevent an Overdose
Here are some helpful tips to help you and other household members avoid giving your pet a heartworm medication overdose.
Double Check Dosage with Your Vet
Although you might choose to buy a preventative directly from your vet after your pet's heartworm check has been completed, some owners prefer to buy this type of medication from a discount company. While this is completely acceptable, it can lead to some confusion about correct dosage.
The recommended dosages are based on your pet's weight, and unless you have a way to accurately measure your pet's weight, you're taking a gamble on the correct dosage. It's truly worth a few minutes of your time to call your vet to check your pet's weight as recorded at his checkup. You can also confirm the correct dosage with your vet at this time.
Mark Your Calendar
You can also easily keep track of your pet's medication by marking your calendar each time you give her a dose. This is a great way for other household members to see that the medication has already been given. Still, you should have an agreement that everyone will check with the dog's main care giver to make sure that no one forgot to record the dose after giving it. Oversights do happen.
Use a Pill Case
A pill case can be a great reminder to give your dog her daily preventative, if that's the variety she's on. These cases have a compartment for each day of the week. Just load one pill into each slot, and don't reload again until the entire box is empty.
You can also change the names of the days to months by covering them with a sticker. Just as with the daily medication, you shouldn't reload the case until the current monthly dosages are finished.
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Comments
Hi Worried Owner,
I really think it would be prudent to consult another vet clinic about the double up on the preventative. Another vet could give you the most educated opinion on whether the preventatives could have contributed to your dog's current heart condition. A lot will depend on the actual combination of chemicals in both products. Did your dog ever present any of the symptoms of an overdose listed above?
Best wishes.
-- Contributed by: KellyMy dogs vet perscribed both Heartgard and Revolution for my 40 lb beagle. We just found out that she was not supposed to have both together. (one or the other) She has been getting this combo for years.She is 12 years old and has a heart valve problem which she is on Enalopril and salix for. What damage could have happened from this overdose.
-- Contributed by: Worried ownerHi Kas,
Treatment for a heartworm infection does carry definite risks as the worms die off. The decaying worms can raise toxicity levels in the bloodstream, and there is an additional risk of clotting. The level of risk is tied to just how bad the infection is at this point. I would be a little worried that this vet made light of them, but perhaps your dog is in the early stages of infestation and this is what your vet is basing his opinion on.
It is an unfortunate fact that some dogs die during treatment, although this is certainly a low percentage of the total of dogs treated each year. You might want to get a second opinion from another vet just to be sure of what you're dealing with before you begin treatment. If it's possible to delay the treatment just a little longer, you may be able to begin obedience training so you can gain more control over your dog's exuberance in preparation for the time to come. I'd also recommend Crate Training Your Dog if you haven't already done so. This will provide another way to help keep him quiet at certain times, but it's not an all day solution.
Thanks for sharing your situation, and I wish you the best for your dog's health.
-- Contributed by: Kelly
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