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From the American Heartworm Society:
All dogs should be tested annually for heartworm infection, and this can
usually be done during a routine visit for preventive care with your
veterinarian. Following are guidelines on testing and timing:
Annual testing is necessary, Heartworm medications are highly effective,
but dogs can still become infected. If you miss just one dose of a monthly
medication—or give it late—it can leave your dog unprotected. Even if you
give the medication as recommended, your dog may spit out or vomit a
heartworm pill—or rub off a topical medication. Heartworm preventives are
highly effective, but not 100 percent effective. If you don’t get your dog
tested, you won’t know your dog needs treatment.
Cats: Heartworm infection in cats is harder to detect than in dogs,
because cats are much less likely than dogs to have adult heartworms. The
preferred method for screening cats includes the use of both an antigen
and an antibody test (the “antibody” test detects exposure to heartworm
larvae ). Your veterinarian may also use x-rays or ultrasound to look for
heartworm infection. Cats should be tested before being put on prevention
and re-tested as the veterinarian deems appropriate to document continued
exposure and risk. Because there is no approved treatment for heartworm
infection in cats, prevention is critical.
The U.S. Food and Drug Administration (FDA) labeling on heartworm
preventives states that the medication is to be used by or on the order of a
licensed veterinarian. This means heartworm preventives must be
purchased from your veterinarian or with a prescription through a pet
pharmacy Prior to prescribing a heartworm preventive, the veterinarian
typically performs a heartworm test to make sure your pet doesn't already
have adult heartworms, as giving preventives can lead to rare but possibly
severe reactions that could be harmful or even fatal. It is not necessary to
test very young puppies or kittens prior to starting preventives since it
takes approximately 6 months for heartworms to develop to adulthood. If
the heartworm testing is negative, prevention medication is prescribed.
For more information: https://www.heartwormsociety.org/pet-owner-
resources/heartworm-basics
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