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Transcript from "Heartworm Disease, Prevention and Treatment"

 
June 7, 2010
Mod_Mary: We have a great topic for Dr. Shawn Finch @Finch93 "Mosquitos & Ticks & Fleas... oh My"! #barkoutloud
Finch93: Hi All :) #barkoutloud
Mod_Mary: Hey... by golly... we should be ready! So.. let's go! I'd like to formally introduce our guest... #barkoutloud
fearfuldogs: okie dokie after u get thru your ? list can we ask if I'm being stupid? but only @finch93 gets 2 answer! #barkoutloud
Mod_Mary: Dr. Shawn Finch.... Welcome! #barkoutloud
Mod_Hilary: @Finch93 Ready for Q1? #barkoutloud
Finch93: @Mod_Hilary ready! #barkoutloud
Mod_Hilary: Q1: What are heartworms and how can a dog be infected with them? #barkoutloud
Mod_Mary: By the way, our list of questions is here: http://www.pet-health-care-gazette.com/barkoutloud #barkoutloud
Finch93: A1 Heartworms = Dirofilaria immitus - blood-borne parasites transmitted by mosquito bites. Grow & mature in dog?s vascular system #barkoutloud
Finch93: A1 Become lodged in vessels of respiratory system. They may 'overflow' into the right ventricle of the heart, thus the name. #barkoutloud
Mod_Mary: @Mod_Hilary a1 So they don't start off growing IN the heart itself? #barkoutloud
fearfuldogs: wondering abt when preventatives r needed. have heard certain temps required 4 mosquitoes 2 b able 2 host HW. #barkoutloud
Mod_Mary: @Finch93 So they don't start off growing IN the heart itself? #barkoutloud
fearfuldogs: have also heard that preventatives can be used every 6 weeks not 4 #barkoutloud
Mod_Lorie: @fearfuldogs We'll talk more about that in just a minute :-) #barkoutloud
DawgBlogger: @fearfuldogs any mild temperatures I think #barkoutloud
Finch93: @Mod_Mary A1 Nope, start w mosquito bite, then go thru tissue under skin to vascular system to respiratory vessels THEN heart #barkoutloud
Mod_Mary: @Mod_Hilary yes.. I've asked a follow up question to that...Where do they begin growing? #barkoutloud
psa2: I'm not fond of topicals, either: http://bit.ly/bhW9ca RT: @fearfuldogs reluctant 2 use topicals since my dogs have med issues. #barkoutloud
lookwhatlabs: @Finch93 great topic for #barkoutloud so important, **HW due on 15th** note to self
Mod_Lorie: @Finch93, ready for second question? #barkoutloud
Finch93: @Mod_Lorie yup! #barkoutloud
Mod_Lorie: Q2. What are the symptoms of heartworm disease and how common is it? #barkoutloud
Mod_Mary: @Finch93 So, they're mature worms when they spill over into the right chamber of the heart? #barkoutloud
Finch93: A2 No symptoms at first, may progress to lethargy, coughing, fainting, breathing difficulty, paleness, exercise intolerance, death #barkoutloud
lookwhatlabs: @fearfuldogs sure would save some $$ every 6 wks if ok!! #barkoutloud
Finch93: A2 has been found in all states, some are 100% w/o preventative, about 10% here in Nebraska #barkoutloud
Mod_Mary: @Finch93 A2 Huh? 100%? 10%? #barkoutloud
Mod_Lorie: About 10% here in Rhode Island too without prevention. #barkoutloud
Finch93: @Mod_Mary yes, by the time they get to the heart, the worms are mature #barkoutloud
Finch93: @Mod_Mary If a dog is not on a heartworm preventative, he or she has a ___% chance of contracting HW disease, varies by location #barkoutloud
Mod_Mary: @Finch93 Thanks... I wasn't sure.. #barkoutloud
Finch93: @Mod_Mary worse where mosquitoes are worse #heat #humidity #standingwater #infectioninotherdogs (reservoir) #barkoutloud
DaisyWunderDog: Wow. RT @Finch93: @Mod_Mary If a dog is not on a heartwrm prevent., he or she has a ___% chance of contracting HW, varies by loc #barkoutloud
Mod_Mary: @DaisyWunderDog I didn't know it was figured that way... #barkoutloud
Mod_Hilary: @Finch93 Ready for Q3? #barkoutloud
DaisyWunderDog: @Mod_Mary Me neither. #barkoutloud
Mod_Lorie: @Mod_Mary Yep, in some areas, esp in the south, basically if a dog isn't on prevention, it probably has heartworms! #barkoutloud
Mod_Mary: @Finch93 So infection is pretty severe if worms have reached the heart...not as bad if they haven't? #barkoutloud
Finch93: @Mod_Hilary yes! #barkoutloud
fearfuldogs: my southern rescue was treated 4 HW b4 he came 2 live w me. Often wonder about residual effects of disease #barkoutloud
Mod_Hilary: Q3: How are heartworms prevented? How effective is the preventative? How safe is it? #barkoutloud
Finch93: @Mod_Mary Yes, if worms have reached the heart = bad infection, also determined by number of worms, health of dog before... #barkoutloud
Mod_Mary: @fearfuldogs My southern rescue was as well... #barkoutloud
lookwhatlabs: @Finch93 you mean they do not give HW at all in some states? #barkoutloud
Finch93: @fearfuldogs #residualeffect Can be bad, sometimes no permanent damage done tho Hope not for your pups! #barkoutloud
DaisyWunderDog: @fearfuldogs Wonder about residuals too. #barkoutloud
Finch93: @lookwhatlabs I think it is wise to give HW prevention in all states, but yeah, taking a SMALLER risk in some areas than others! #barkoutloud
tacrabtree: Hi all - Have this been ans'd? does the heartworn treatment totally protect your dog? We are near a lake so insects, snakes are bad #barkoutloud
Bolonee: don't hear about it too much in california, still use preventative, tho. #barkoutloud
Keeping_Awake: @lookwhatlabs I wonder if northerners moving south don't realize HW prev. needed yr-round there #barkoutloud
DaisyWunderDog: @lookwhatlabs Money and lack of knowledge often is reason for not using preventative #barkoutloud
Mod_Mary: @Finch93 And the % must even vary some.... rural/city living in some states.. #barkoutloud
Finch93: @Mod_Mary Hope your pup is ok now! Sometimes NO long term effects #barkoutloud
Mod_Mary: @Finch93 Perfectly healthy... thanx for asking... #barkoutloud
Finch93: @Mod_Mary yes! You can get pockets of populations where infection is worse, best not to guess in my opinion #barkoutloud
lookwhatlabs: @DaisyWunderDog $$$$ for sure these days. i know major expense for me, three labbies #barkoutloud
Mod_Hilary: As in Katrina. RT @DaisyWunderDog: @lookwhatlabs Money and lack of knowledge often is reason for not using preventative #barkoutloud
Finch93: @Mod_Lorie @DaisyWunderDog @lookwhatlabs True! $ and lack of knowledge can deter prevention - "invisible" disease #barkoutloud
DaisyWunderDog: Frozen north gets them too.RT @lookwhatlabs: @Finch93 yes I guess like in the frozen north #barkoutloud
DaisyWunderDog: Yup. Me too. RT @lookwhatlabs: @DaisyWunderDog $$$$ for sure these days. i know major expense for me, three labbies #barkoutloud
Mod_Mary: @Keeping_Awake I wonder about that, too... #barkoutloud
Keeping_Awake: Yes they do!RT@DaisyWunderDog Frozen north gets them too #barkoutloud
Finch93: @Mod_Hilary yeah-also New Orleans is one of those unfortunate areas where HW is VERY common :( #barkoutloud
lookwhatlabs: @Keeping_Awake I dunno, you would think Vets would councel? or maybe not? about the move south? #barkoutloud
Bolonee: Can a mosquito repellant be safely used? Can it help? #barkoutloud
Mod_Lorie: Present in ALL states, even cold ones! RT @Keeping_Awake: Yes they do!RT@DaisyWunderDog Frozen north gets them too #barkoutloud
Keeping_Awake: I've just always given yr-round. Easier for me to remember it that way. #barkoutloud
Mod_Hilary: OK, next Q relevant: Q3: How are heartworms prevented? How effective is the preventative? How safe is it? #barkoutloud
Keeping_Awake: @lookwhatlabs Excellent q for a vet to answer! Re: prevalence of HW in Southern climates and Northern transplant owners #barkoutloud
Finch93: @Bolonee Yes, dog safe mosquito repellents can be used, but still use HW preventative, cuz repellents aren't 100% #GoodQuestion #barkoutloud
DaisyWunderDog: @Mod_Mary Can we add 1 more to A3? How long does it last? #barkoutloud
Finch93: A3 monthly oral/topical med or injection every six months-kills larval stages in bloodstream, very safe, low dose of med #barkoutloud
lookwhatlabs: @fearfuldogs #barkoutloud did you see a personality change as residual from treatment wore off?
Finch93: @Keeping_Awake @lookwhatlabs Good point! If ya move, find out HW prevalence (& other diseases) from local vet #barkoutloud
lookwhatlabs: @Finch93 which do you think is most cost effective monthly/or 6 month injectable? #barkoutloud
Finch93: @Mod_Mary A3 Monthly lasts 45 days but DO NOT stretch it! I recommend every month cuz you don't want to risk breakthrus #barkoutloud
SuSiempre: @Finch93 Q3 #DidYouDoThe #ProHeart #Training? #Dogtalk
DaisyWunderDog: @Finch93: A3 There's an injection available? #barkoutloud
fearfuldogs: @lookwhatlabs dog came 2 me long after treatment #barkoutloud
Mod_Mary: @Finch93 A3 How many folks are using injectable vs...pill? #barkoutloud
DREAMRescue: Everyone in south should have their dogs on hw preventative. I've had to treat more dogs than I can remember. #barkoutloud
Finch93: @Mod_Mary 6 month injection lasts...6 months :D Labelled for higher dose/1 year in Australia #barkoutloud
Keeping_Awake: @Mod_Mary I use pill. Interceptor. If we're taking a poll. ;) #barkoutloud
duchesscrabtree: Now my question-vets here say once/mo treatment is sufficient. Is it 100% preventative? #barkoutloud
Finch93: @DaisyWunderDog Yes! Proheart6 is injectable Heartworm preventative (active ingredient=moxidectin) #barkoutloud
SuSiempre: #Yes #VetHasToJumpThroughSomeHoopsToGetIt RT @DaisyWunderDog: @Finch93: A3 Theres an injection available? #Dogtalk
Mod_Mary: @Finch93 Didn't know about the injectible... is it popular? As effective? #barkoutloud
Finch93: @duchesscrabtree Yes! Preventatives are labeled as (and I believe them) 100% effective - problem sometimes is compliance #barkoutloud
Mod_Hilary: @Finch93 Also, should one be careful of which product to use for preventative? #barkoutloud
Keeping_Awake: Is Pro-Heart the only injectable or are there others? I guess the benefit to injectable is owner compliance? #barkoutloud
lookwhatlabs: @fearfuldogs this dog had just finished treatment, had all sorts of behavior problems as it wore off #barkoutloud
DaisyWunderDog: @SuSiempre Ahhh... I had never heard about it. Now i know why. #barkoutloud
Finch93: @Mod_Mary #Proheart6 pretty popular, v effective, my only concern is in case of side effects/reaction-6 months to get out of system #barkoutloud
DaisyWunderDog: @lookwhatlabs @fearfuldogs Saw beh' change in dog I know after treatment #barkoutloud
Mod_Mary: Sorry... keep misspelling "injectible".... s/b "injectable #barkoutloud
fearfuldogs: @lookwhatlabs were behavior issues resolved? #barkoutloud
DREAMRescue: We give all the fosters iverhart pill #barkoutloud
lookwhatlabs: @Keeping_Awake for me the monthly tablet is not a problem #barkoutloud
foster_sj: Is Advantix considered a good product? #barkoutloud
Keeping_Awake: I think Pro-Heart had some issues a few yrs back, IIRC #barkoutloud
dancingdogblog: @Finch93 Any adverse effects on small dogs with injectable? #barkoutloud
Finch93: @Mod_Hilary All preventatives are safe (injectable longer lasting, careful) #barkoutloud
Keeping_Awake: @lookwhatlabs Monthly tablet not a problem for me either, but i think the avg rate of owner compliance is around 80%:( #barkoutloud
Finch93: @Mod_Hilary All preventatives are safe (injectable longer lasting, careful) - I got links :) #Thanks #barkoutloud
SuSiempre: #SomebodyWithAnAncientDogBroughtALawsuit #WentOffMarketForYears #NowTrainingRequired RT @DaisyWunderDog: @SuSiempre Ahhh... #Dogtalk
Mod_Lorie: @finch93 Do you want to talk about ivermectin sensitivity in collie breeds? #barkoutloud
DaisyWunderDog: RT @Finch93: @Mod_Hilary All preventatives are safe (injectable longer lasting, careful) #barkoutloud
lookwhatlabs: @fearfuldogs for most part, more senior folks, raging adolescent dog, they were very outdogged, but he did learn manners #barkoutloud
Mod_Hilary: @Finch93 Can you talk about the ivermectin allergy, tho, as maybe not safe for some dogs (Heartgard, for ex)? #barkoutloud
Mod_Mary: Who uses Advantix? #barkoutloud
Keeping_Awake: @Mod_Lorie I think there's a genetic test for that collie type sensitivity now, too/ Helpful for mixes? #barkoutloud
lookwhatlabs: @Keeping_Awake interesting to know rate of compliance, do you get an annual blood check w/your dogs? #barkoutloud
Mod_Hilary: Yes. RT @Keeping_Awake: @Mod_Lorie I think theres a genetic test for that collie type sensitivity now, too/ Helpful for mixes? #barkoutloud
fearfuldogs: @lookwhatlabs I'd imagine the confinement & feeling crummy takes its toll, but wonder how chems affect other organs (brain) #barkoutloud
tacrabtree: Some dogs are allergic to Heartgard cause that's what I use for all mine? #barkoutloud
Keeping_Awake: @lookwhatlabs My vet does every 2 yrs with people he thinks give it yr round. So we get every 2 yrs. Not sure if that's risky tho #barkoutloud
Mod_Hilary: @tacrabtree Yes, see the link @finch93 just posted. Both my BCs are allergic! Herding breeds mostly. #barkoutloud
Mod_Mary: @SuSiempre Oh, that's right... sorry... we're still talking heartworms... @Foster_SJ #barkoutloud
lookwhatlabs: @fearfuldogs true, any longevity studies for dogs that have been treated I wonder? #barkoutloud
DREAMRescue: @Mod_Hilary what does the ivermectin allergy look like? #barkoutloud
lookwhatlabs: @Keeping_Awake you mean risky only doing blood work 2yrs as opposed to yearly? #barkoutloud
Keeping_Awake: @lookwhatlabs he knows I'm a bit neurotic with my dog, so he trusts me to give it faithfully yr-round. #barkoutloud
Mod_Hilary: Dogs get very sick, throw up, need to get out of system. RT @DREAMRescue: @Mod_Hilary what does the ivermectin allergy look like? #barkoutloud
DaisyWunderDog: @Mod_Hilary You said herding breeds? I have a Sheltie. He takes the pill (forgot name) #barkoutloud
SuSiempre: #YouMayBeThinking #AdvantageMulti RT @Mod_Mary: @SuSiempre Oh, thats right... sorry... were still talking heartworms... @Foster_SJ #Dogtalk
Keeping_Awake: @lookwhatlabs Yes, exactly, If every 2 yrs is ok or pushing it #barkoutloud
Finch93: Yes! Some dogs, esp.Collies, also other herding breeds & others sometimes carry a gene that causes blood-brain barrier to "leak" #barkoutloud
foster_sj: @Mod_Mary Hub Neal thot it was for heartworm. Guess we'll have to get educated! #barkoutloud
lookwhatlabs: @Keeping_Awake yes mine get year round as well. can`t see that as risky with 2 yr blood work given that #barkoutloud
DREAMRescue: @Mod_Hilary right away? #barkoutloud
Mod_Lorie: Ready to move on to Q4? #barkoutloud
Mod_Hilary: Interceptor, and maybe others, have no ivermectin. #barkoutloud
Finch93: They can be carriers of one gene, or have two genes and have a problem processing certain drugs including some HW preventatives #barkoutloud
lookwhatlabs: @Finch93 so interesting (and important) to learn of breed specific med interactions #barkoutloud
Keeping_Awake: @lookwhatlabs Same vet makes my mom do all her dogs yearly as she gives half yr (she lives much farther north and I use her vet) #barkoutloud
Mod_Hilary: In my experience. Gene that carries barrier. RT @Mod_Hilary: Interceptor, and maybe others, have no ivermectin. #barkoutloud
Mod_Lorie: @foster_sj Believe Advantix prevents mosquitoes (supposedly) but not actually labeled for heartworm prevention #barkoutloud
DaisyWunderDog: Whew! Thank you! RT @Mod_Hilary: Interceptor, and maybe others, have no ivermectin. #barkoutloud
Finch93: However, the ivermectin or milbemycin in HW prev. is at such a low dose, that it is safe to use, even if your dog tests sensitive #barkoutloud
Mod_Mary: @foster_sj But I'm sure she's on HW preventative, too. #barkoutloud
Finch93: If you are worried #Sensitivity by all means choose a different HW preventative! Plenty of safe ones to choose from! #barkoutloud
lookwhatlabs: @Keeping_Awake guess they go on case by case basis #barkoutloud
DaisyWunderDog: I always learn something new on these chats. Wow. #barkoutloud
Mod_Lorie: @Finch93 Do you use ivermectin at all in herding breeds or opt for another hw prevention in those breeds? #barkoutloud
foster_sj: @Mod_Lorie Yes, I noticed it says "prevents mosquitoes" on line . . . meaning other mosquito-borne illnesses, right? #barkoutloud
dancingdogblog: Ditto! RT @DaisyWunderDog: I always learn something new on these chats. Wow. #barkoutloud
Mod_Lorie: @Finch93 Never mind, already answered :-) #barkoutloud
Keeping_Awake: If anyone needs a good chart on the various HW prev's: http://www.marvistavet.com/html/heartworm_prevention.html #barkoutloud
Finch93: Mod_Hilary (The Great) gave me that Collie link, that website links to others that talk about research by Vet at Washington State #barkoutloud
Keeping_Awake: That link breaks it down by active ingredient for quick reference #barkoutloud
Mod_Lorie: @foster_sj Heartworm is probably the most important mosquito borne disease in dogs, but wouldn't rely on Advantix to prevent it. #barkoutloud
Finch93: @Keeping_Awake Hey, I had that in my notes and a note to THANK you cuz I starred it 5/15 when you posted it :) #Thanks #barkoutloud
DREAMRescue: @Finch93 are any hw preventatives besides heartguard and ivermax safe for hw positive dogs? #barkoutloud
Mod_Hilary: @Finch93 I only knew bc of my BC rescue and my own dogs! Wouldn't have known abt ivermectin otherwise! #barkoutloud
Finch93: @Mod_Mary I talk about options, and if herding breed owners are comfortable w ivermectin at v. low doses, I do prescribe it #barkoutloud
Mod_Lorie: Q4. How often should dogs be tested for heartworms and why? #barkoutloud
Finch93: A4 yearly-ensure no adult infection while on preventative #barkoutloud
DaisyWunderDog: Definitely! RT @Finch93: A4 yearly-ensure no adult infection while on preventative #barkoutloud
Mod_Lorie: What I recommend to my clients too :-) RT @Finch93: A4 yearly-ensure no adult infection while on preventative #barkoutloud
lookwhatlabs: @Finch93 what my vet always says yearly #barkoutloud
DREAMRescue: @Finch93 and what do you recommend if dog is hw positive? Options? #barkoutloud
Keeping_Awake: @DaisyWunderDog yeah, I worry about my vet letting me go 2 yrs. :O #barkoutloud
Mod_Mary: A4 My vet insists on yearly... as does pet ins. company #barkoutloud
foster_sj: @Mod_Mary Just asked hub about Advantix, and vet says it catches heartworm in early stages. that's all she's taking for prevention #barkoutloud
Mod_Lorie: @DREAMRescue We'll talk about that shortly :-) #barkoutloud
Mod_Hilary: Good pt about ins. co! RT @Mod_Mary: A4 My vet insists on yearly... as does pet ins. company #barkoutloud
Finch93: @Keeping_Awake Maybe ask if they WOULD test yearly - I am sure they wouldn't mind #barkoutloud
DaisyWunderDog: @Keeping_Awake I would too. Friend's dog just tested + even tho was taking heartworm-she missed a few days btwn applications #barkoutloud
Keeping_Awake: @foster_sj Oh my, I do not think Advantix is sufficient, but I'm not a vet. #barkoutloud
Mod_Mary: A4 If not yearly.... and do comes up HW positive.... HW co. won't guarantee product? #barkoutloud
Mod_Lorie: @foster_sj But remember it only takes one mosquito bite. How many mosquito repellents have you used that repel all of them for you? #barkoutloud
Keeping_Awake: @Finch93 Yeah, he will if I ask him. :) #barkoutloud
Finch93: @Mod_Hilary @Mod_Mary yeah HW preventative companies will stand behind their product more readily if yearly tests are done #barkoutloud
tacrabtree: @Finch93 - so they can become infected even if treatment is given every month? My vet has never said to be tested every year. #barkoutloud
Mod_Lorie: I am a vet and I agree with you ;-) RT @Keeping_Awake: @foster_sj Oh my, I do not think Advantix is sufficient, but Im not a vet. #barkoutloud
foster_sj: @Keeping_Awake I'll call tomorrow to be sure. It's a great question in my mind now! #barkoutloud
Finch93: @DaisyWunderDog :( Sorry about your friend's dog! So easy to space that! Hope they are ok now #barkoutloud
DREAMRescue: @Mod_Lorie good! Thanks! #barkoutloud
Finch93: @Mod_Lorie @Keeping_Awake: @foster_sj I agree! #Advantix #NoHeartwormPreventionInIt #barkoutloud
foster_sj: @Mod_Lorie Thanks for motivating us to call. I appreciate all of this information. #barkoutloud
DaisyWunderDog: @Finch93 Going thru treatment now. Caught early. Thank God! #barkoutloud
Mod_Lorie: @Finch93 Have you seen any positive hw cases on ivermectin? #barkoutloud
Mod_Hilary: @finch93 Moving along... should we do Q5? #barkoutloud
Finch93: @Mod_Lorie no! you? #PositiveDogsOnIvermectin #barkoutloud
Finch93: @Mod_Hilary yes! #Q5 #barkoutloud
Mod_Hilary: Q5: Why should dog owners use heartworm prevention instead of just treating if dog becomes infected? #barkoutloud
Mod_Lorie: @Finch93 No, but have read about a few in the journals and on VIN. Some claim pretty sure clients were compliant. Concerning. #barkoutloud
Finch93: A5 prevention-safer, not painful, not dangerous, comparatively inexpensive, treatment hard on dogs, expensive #barkoutloud
Mod_Hilary: @Mod_Lorie @finch93 In the journals, were dogs herding breeds, or other? #barkoutloud
Finch93: @Mod_Lorie oo I agree :( #Concerning #barkoutloud
DaisyWunderDog: @Finch93 Treatment especially hard on older dogs #barkoutloud
Keeping_Awake: @Mod_Hilary Gee, that's like asking why ppl should eat right and exercise when they may get sick anyway, huh? Do what we can? #barkoutloud
Mod_Mary: @Mod_Lorie Could there be an immunity issue amongst our little mosquito friends? #barkoutloud
Mod_Lorie: @Mod_Hilary Not sure of breeds, but don't think they were herding breeds. These were dogs that got hw while on preventive meds. #barkoutloud
DREAMRescue: @Mod_Lorie have heard concerns about resistant strains. Scary. But not rationale for skipping monthly preventative. #barkoutloud
Finch93: @Finch93 A5 also waiting and treating if heartworm disease develops puts other dogs at risk #barkoutloud
foster_sj: @Finch93 I know someone who went through $2900 of treatment for a pup with advanced case. This may be an extreme case(?) #barkoutloud
DaisyWunderDog: Explain? RT @Finch93: A5 also waiting and treating if heartworm disease develops puts other dogs at risk #barkoutloud
Mod_Lorie: That's the concern, resistance to ivermectin. RT @Mod_Mary: @Mod_Lorie Could there be an immunitiy issue? #barkoutloud
Finch93: @foster_sj Probably so! #ExtremeCase Heartworm disease can really hit our pups hard-can cause lots of complications #barkoutloud
DaisyWunderDog: @Finch93 Why does it put other dogs at risk? #barkoutloud
Mod_Mary: @DaisyWunderDog Cuz a mos. bites an infected dog and spreads... #barkoutloud
Mod_Lorie: @DREAMRescue No, should never skip months. Agreed!! #barkoutloud
Finch93: @DaisyWunderDog Heartworm positive dogs in the community provide more heartworm positive blood for mosquitoes to spread! #barkoutloud
DaisyWunderDog: Oh. Duh! RT @Mod_Mary: @DaisyWunderDog Cuz a mos. bites an infected dog and spreads... #barkoutloud
DaisyWunderDog: @Finch93 So glad you told us that. Almost took in heartworm + dog for weekend. #barkoutloud
Mod_Mary: @Finch93 Well said, Doc.... Why can't I #BeSoEloquent? #barkoutloud
Finch93: @DaisyWunderDog Not Duh! Owners who refuse preventatives NEVER are thinking of the other pups in their communities! #barkoutloud
Mod_Mary: @Finch93 I've heard that in my state... no more HW+ dogs from the south in resq #barkoutloud
Finch93: @DaisyWunderDog If yours are on preventative, should be safe to take in HW pos. dog #barkoutloud
DREAMRescue: @Finch93 in the South it's a given that there are so many hw + dogs, the mosquitoes just carry it. #barkoutloud
DaisyWunderDog: Good! They are. RT @Finch93: @DaisyWunderDog If yours are on preventative, should be safe to take in HW pos. dog #barkoutloud
Keeping_Awake: @DREAMRescue That's how I got into the monthly habit-Jess is from ATL, lived there when I got her. Monthly always for me now! #barkoutloud
Mod_Lorie: @Mod_Mary So many of the rescues I see here that come up from the south are positive for heartworms. Sad. #barkoutloud
Mod_Mary: Maybe, since it's getting late we should open up for other questions? #barkoutloud
Mod_Hilary: Me,too. :(RT @Mod_Lorie: @Mod_Mary So many of the rescues I see here that come up from the south are positive for heartworms. Sad. #barkoutloud
DaisyWunderDog: @Mod_Mary I think @fearfuldogs had a question #barkoutloud
Mod_Hilary: We'll have to have part 2 for fleas, ticks. RT @Mod_Mary: Maybe, since its getting late we should open up for other questions? #barkoutloud
Mod_Mary: @Mod_Lorie Our wonderful state veterinarian no longer allows them in.... even if treatment is set up with vet... #barkoutloud
DREAMRescue: @Finch93 I don't worry about fostering hw + dogs because all others are on preventative. Doesn't spread directly. #barkoutloud
Keeping_Awake: When I lived in ATL, I met a lot of otherwise reasonable and prudent dog owners who had HW+dogs. the message isn't getting thru! #barkoutloud
Mod_Lorie: @Mod_Mary @Mod_Hilary Perhaps we should invite @Finch93 back to talk about fleas/ticks another time? If she is willing? #barkoutloud
Finch93: @fearfuldogs Yes? You in the back? #barkoutloud
DaisyWunderDog: Yes! RT @Mod_Lorie: Perhaps we should invite @Finch93 back to talk about fleas/ticks another time? If she is willing? #barkoutloud
Mod_Mary: @Finch93 I truly love your sense of humor! #barkoutloud
Finch93: @Mod_Lorie I would love too! May have bit off more than we could chew huh? #PreventingEverythingInEveryDogForever #barkoutloud
Mod_Lorie: @Mod_Mary That's discouraging. Must be frustrating for rescues/vets alike. #barkoutloud
Keeping_Awake: And we didn't even get into the other parasites some HW prev's also prevent. Big topic! #barkoutloud
Mod_Mary: @Mod_Lorie Yes! #barkoutloud
Finch93: @Mod_Mary :) #barkoutloud
tacrabtree: @Finch93 - they are saying snake bite up 400% at ER's is there a preventative vaccine for poisonous snake bites? #barkoutloud
Finch93: @Keeping_Awake true‾ #barkoutloud
DaisyWunderDog: Dog I was going to take in was from the south. #barkoutloud
Mod_Lorie: @Finch93 Yeah, way more than we could chew, huh? There's still lots to talk about with heartworms :-( #barkoutloud
DREAMRescue: @Finch93 can you talk about doxycycline and heartworms? #barkoutloud
Mod_Mary: @Mod_Lorie Yes.. and, of course, limits bringing dogs in from the south. not good for the dogs.. #barkoutloud
dancingdogblog: Same here RT @Mod_Lorie: @Mod_Mary So many of the rescues I see here that come up from the south are positive for heartworms. Sad. #barkoutloud
Mod_Hilary: How is HW disease treated? Are there any complications to HW disease treatments? #barkoutloud
Finch93: @tacrabtree not that I know of! But there is antivenom for rattler bites #barkoutloud
Finch93: @DREAMRescue sure! #doxicycline #barkoutloud
DaisyWunderDog: Question: 1 dog on Interceptor (Sheltie) other (Lab) on chewables - should both be on Interceptor? Does it matter? #barkoutloud
tacrabtree: lake - we have mococines (sp?) & cottton mouths - rush to ER only hope? #barkoutloud
Finch93: treatment-Series of 3 injections Melarsomine dihydrochloride (Immiticideョ, Merial) an arsenic derivative (currently on backorder) #barkoutloud
Finch93: Also, 2-3 months preventative to kill larvae, doxycycline to kill Wolbachia, bacteria associated w HW that can cause further damage #barkoutloud
Finch93: STRICT REST important, complications related to dead worms in blood vessels-painful, can cause embolisms, can be fatal (rare) #barkoutloud
Mod_Lorie: @Finch93 (currently on backorder) Yeah, isn't that a kicker...grrrr!!! #barkoutloud
Finch93: @DaisyWunderDog should be just fine! #TwoDogsOnTwoPreventatives #barkoutloud
Finch93: @tacrabtree oo yes! And try to stay where the snakes AREN'T, no direct treatment, just supportive care #barkoutloud
Mod_Hilary: @Finch93 Movement causes dead heartworms to move to other areas during treatment? Strict rest. #barkoutloud
DaisyWunderDog: @Finch93 Thanks! #barkoutloud
Keeping_Awake: @DaisyWunderDog Interceptor is a chewable, provide gtst protection against other intestinal worms, 2. Could all take it probably #barkoutloud
Keeping_Awake: @DaisyWunderDog as long as none are HW + #barkoutloud
tacrabtree: @Finch93 - they come into yard every year, but this year is a bumper crop warning fr ER vets...sigh : ( #barkoutloud
Mod_Mary: @Mod_Lorie What? On back order?How do you currently treat, then? #barkoutloud
Finch93: @Mod_Hilary yes! Dead worms are foreign bodies in the bloodstream - dangerous till they degrade #barkoutloud
Mod_Mary: @Mod_Hilary Been there... done that... VERY hard to do with a young, active dog! #barkoutloud
DaisyWunderDog: @Keeping_Awake Thanks. Both eat poop anyways, so prob best on interceptor #barkoutloud
Mod_Hilary: @Keeping_Awake @finch93 Any reason for any dogs not to take Interceptor vs. Heartgard or other, besides cost? #barkoutloud
Mod_Hilary: Thanks! RT @Finch93: @Mod_Hilary yes! Dead worms are foreign bodies in the bloodstream - dangerous till they degrade #barkoutloud
Finch93: @Mod_Lorie I know! Whose bright idea was it to put all THOSE eggs in one basket?? #grr #Merial #barkoutloud
Keeping_Awake: @DaisyWunderDog Interceptor provides protection against all worms but whips and tapes #barkoutloud
Finch93: @Mod_Hilary My Mama's little four pound Ernie Dog does not like the taste of some HW preventatives, so Mom chooses by that #barkoutloud
Mod_Lorie: @Mod_Mary Special permission from Merial. Decided on case by case basis. Merial decides if case warrants sell of Immiticide. #barkoutloud
tacrabtree: So it's better than HG? RT @Keeping_Awake: @DaisyWunderDog Interceptor provides protection against all worms but whips and tapes #barkoutloud
Mod_Lorie: @Finch93 Merial cornered the market...then dropped the ball!! #barkoutloud
Mod_Hilary: @Mod_Lorie What is Immiticide? #barkoutloud
Keeping_Awake: @Mod_Hilary unless they are HW+ or sensitive to milbemycin, I don't see why they couldn't take Interceptor, but I'm not a vet. ;) #barkoutloud
Finch93: @Mod_Hilary All monthly prev. are very very good, so you can also choose based on ancillary parasite control (& taste #ErnieDog) #barkoutloud
Keeping_Awake: @tacrabtree HG is just for HW. HG Plus provides some protection against intestinal worms too #barkoutloud
Mod_Lorie: @Mod_Hilary Immiticide is the medication that is used to treat heartworm positive dogs. #barkoutloud
Mod_Hilary: @tacrabtree Not better treatment than HG for Heartworm. But has other preventatives, backwards. Is that right @Finch93? #barkoutloud
Finch93: @Keeping_Awake but you ARE right! #barkoutloud
tacrabtree: @Keeping_Awake - thank you! #barkoutloud
Keeping_Awake: @tacrabtree And you can safely give HG to a HW + dog. It's just straight ivermectin. Again, folks, I am not a vet! #barkoutloud
Finch93: @Mod_Lorie true! I still love them tho for making HW treatment I guess *sigh* #barkoutloud
Mod_Hilary: @Mod_Lorie Oh, right! Just never heard that particular name. Arsenic? #barkoutloud
Bolonee: worried about my rescue she is on ivomec for a bad case of demodex. Not on HW med, tho. is she still protected? #barkoutloud
Finch93: @Mod_Hilary yes! #true #Heartgard #barkoutloud
Mod_Lorie: @Finch93 I love their Heartgard Plus too. Just frustrating about the Immiticide. #barkoutloud
tacrabtree: @Keeping_Awake - I've never had a HW + dog & never want one! Want to do the rt thing for my babies ya know #barkoutloud
Finch93: @Bolonee different doses and intervals - probably ought to do HW preventative too! #barkoutloud
Finch93: @Mod_Lorie I agree! #barkoutloud
Mod_Lorie: @Mod_Mary If she is on Demodex dose of ivermectin, she is protected against heartworms :-) #barkoutloud
Finch93: @tacrabtree Agreed! May your only knowledge of HW ever be intellectual! @Keeping_Awake #barkoutloud
Bolonee: I'll talk w/my vet. He doesn't seem to think so :-( #barkoutloud
Keeping_Awake: @Bolonee Depends on dose probably but get @finch93 or @Mod_Lorie to answer you! #barkoutloud
Mod_Mary: @tacrabtree Keeping_Awake Some of us.... no choice...we adopted them with HW.. #barkoutloud
DaisyWunderDog: Amen! RT @Finch93: @tacrabtree Agreed! May your only knowledge of HW ever be intellectual! @Keeping_Awake #barkoutloud
Keeping_Awake: @Mod_Mary Oh, I know! And bless you for taking in a HW+ dog! Angels, all of you! #barkoutloud
Bolonee: @Mod_Lorie Thank you! :-) #barkoutloud
Keeping_Awake: @DaisyWunderDog Amen indeed! #barkoutloud
Mod_Hilary: Next life! RT @Finch93: @tacrabtree Agreed! May your only knowledge of HW ever be intellectual! @Keeping_Awake #barkoutloud
tacrabtree: @Mod_Mary guess I have been blessed that none of my rescues ever had it :) #barkoutloud
Mod_Hilary: @tacrabtree It's great that your rescues never had heartworm. So glad you took in those rescues, no matter what! #barkoutloud
Keeping_Awake: @Bolonee When I got Jess, she had sarcoptic mange, also trtd with Ivermectin. She didn't go on HW prev til that trtmnt was over. #barkoutloud
Mod_Mary: @tacrabtree Well, it just made me fall deeper in love with her.... cuz I was able to help her through it.... #TearyEyedNow #barkoutloud
Finch93: @Mod_Mary People who rescue heartworm positive dogs are my heroes. #barkoutloud
Keeping_Awake: @Mod_Mary you know you're fully committed right there at the start, don't you? No question at all! :) #barkoutloud
tacrabtree: @Mod_Mary - yep know what you mean - my shining stars in the sky! #barkoutloud
Mod_Lorie: @Keeping_Awake @Bolonee Both sarcoptic and demodectic mange are treated with ivermectin at higher doses than for hw prevention #barkoutloud
Finch93: @tylersorrells :( I'll bet. Is your dog ok now? #barkoutloud
DaisyWunderDog: @Finch93 So agree! #barkoutloud
Mod_Lorie: I second that. RT @Finch93: @Mod_Mary People who rescue heartworm positive dogs are my heroes. #barkoutloud
Bolonee: @Keeping_Awake That's what my vet is suggesting. I just hate the thought of giving her more "icky medicine" as I call it! ;-) #barkoutloud
Mod_Mary: @Finch93 Vets who can help treat these dogs are MY heros! #barkoutloud
Finch93: @Mod_Mary :) #barkoutloud
Keeping_Awake: @Mod_Lorie That makes sense as to why neither of us were told to use HW prev til that trtmnt concluded then! thanks! #barkoutloud
Mod_Hilary: Third that! RT @Mod_Lorie: I second that. RT @Finch93: @Mod_Mary People who rescue heartworm positive dogs are my heroes. #barkoutloud
Mod_Hilary: Agree! RT @Mod_Mary: @Finch93 Vets who can help treat these dogs are MY heros! #barkoutloud
Mod_Lorie: @Keeping_Awake yep, you're effectively already preventing heartworms. #barkoutloud
Mod_Mary: So, shall we wrap this up? And continue another time with @Finch93....Fleas & Ticks... #barkoutloud
Mod_Lorie: @Keeping_Awake @Bolonee Those higher mange doses are the ones you want to be really careful about with breeds sensitive to ivermectin #barkoutloud
Mod_Hilary: Wow, this has been a great discussion! Thanks, everyone! We'll have Shawn back for fleas and ticks! And more! #barkoutloud
Keeping_Awake: @Mod_Lorie yes, I remember being worried cause she was a mutt puppy and had no clue what was in there! But all OK. #barkoutloud
Mod_Hilary: Next week, @doggiezen will discuss BAT--she developed the great training program! Look for details soon! #barkoutloud
Mod_Lorie: Suppose it's that time. Goes so fast. RT @Mod_Mary: So, shall we wrap this up & continue another time w/ @Finch93....Fleas & Ticks #barkoutloud
Mod_Mary: @Finch93 Thank you so very much! #barkoutloud
Mod_Lorie: @Finch93 Great job, Shawn. Thanks so much for being our guest tonight!! #barkoutloud
Mod_Hilary: Shawn, this was a wonderful discussion! Thanks for leading it, and for all your great info! #barkoutloud
Finch93: You are welcome! Thank you all for a fun discussion! More heartworm info! http://www.heartwormsociety.org/ #barkoutloud