Heartworm Medication Part 2: Options to Fear-Based Recommendations
Written by Jan on June 16, 2009 – 12:01 amIf you haven’t read Part 1 of this article, “Heartworm Medication: Truths, Omissions and Profits,” please read it now unless you completely understand how and when heartworms are transmitted. Click the link at that article’s end to return here.

A Heartworm Society news release states: “By giving heartworm prevention every month, forgetful pet owners will have their pets protected when they need it most.” But doesn’t that also mean they get it when they need it least? Or need it not at all? Are you a “forgetful” owner?
In this part of my heartworm series, we’ll discusses informed decision-making, and suggests ways, if you want them, to limit or eliminate heartworm drugs. I am a researcher and holistic health advocate, not a vet. Please learn the facts then discuss with your vet the appropriate course given your dog’s location, lifestyle, travel schedule, health, climate and the time of year. Expect an open-mind and respect from your vet, or find another vet. Just as with vaccination, “one size fits all” is outdated, profit-driven, lazy medicine.
Take a look at the map above, courtesy of the Heartworm Society. Part 1 of this article demonstrated that transmission is heat and mosquito dependent. As expected, dark areas of the map, which show the most heartworm cases per clinic, are found in the hot, humid Southeastern US, especially the Atlantic and Gulf coasts and Mississippi Delta.
Don’t let the map scare you. If published seasonally, map colors would pale significantly during cool months. Also remember that you’re seeing generalities, not specifics. A clinic near a rural pond will likely have many cases while an urban clinic 15 miles away may have a much lower incidence. Maps are general. Determine your own microclimate. Ask your vet how many cases of heartworm infection he/she treated in the past year. Also ask if he/she treats all positive cases, or just those with advanced infestation. If the vet doesn’t keep detailed records, that should tell you something.
Conservative start/stop maps from heartworm researchers Drs. David Knight and James Lok (in “Seasonality of Heartworm Infections and Implications for Chemoprophylaxis”) show only two areas requiring year round heartworm meds: the southernmost areas of Florida and Texas. Houston, New Orleans and similar areas are shown requiring meds for 9 months. Other states range from 3-7 months. The Drs. wrote: “For nearly 80% of the states, the potential for heartworm transmission is limited to 6 months or less.” Here are start/stop maps for the US and California. Again, they are very conservative and very general. Do your own research and be specific.
The Heartworm Society warns that heartworm infectations are getting worse. DVM Magazine, a magazine for vets, reports that recent results do show a rise in the number of positive cases per clinic in 31 states. DMV reports: “The reasons likely are multifactorial, including increased heartworm testing, increased client base per clinic or even climate trends.”
Does Year Round Medicating Bring Extra Protection?
Applying suncreen at night is useless. So is taking heartworm medication when climate conditions prevent transmission. Only a small percentage of climes permit year-round transmission. Everyone else is unnecessarily subsidizing drug companies and “preventatives” sellers and, more importantly, exposing their dog to unnecessary risks.
Two exceptions: 1) “Forgetful” and irresponsible pet parents who won’t begin the medication on time or build their dog’s natural immunity might want to medicate year round, although that means they have to remember to give meds every month. 2) If your dog contracts heartworms within a few years of beginning medication … and you can show you gave meds year round … and your dog had the required blood tests (2 or 3), you may benefit a little financially because drug companies will pay for dog’s treatment. (Read the guarantee terms published by an on-line seller.)
Are Heartworm Preventatives Safe?
You’ve seen those scary photos of worm-strangled hearts, right? Shouldn’t you give meds year round just in case? Isn’t safe better than sorry?
But is that harmless little pill or yummie medical “brownie” really safe? No drug is completely free of risk and adverse reactions. I can find no long-term studies regarding cancer risks and organ damage for dogs receiving heartworm insecticides year round (or even for a few months). Such a study would be difficult to conduct and very expensive. Who would fund such a study – or publish any negative findings?
One clue to the possibility of adverse reactions should be label warnings: call your doctor immediately if ingested; keep away from children; wash your hands immediately after use…. How can medication be good for dogs but so dangerous for you?
Another question: is your dog healthy enough for these medications? The “Heartworm Prevention” page of the American Animal Hospital Association states: “Healthy kidneys and normal liver functions are essential in metabolizing most medications.” Many dogs, including my Jiggy, do not have healthy organ function. I wonder how many unhealthy animals are nevertheless on meds?
Adverse Reactions to Heartworm Medications
With any drug, study FDA and manufacturer information before medicating.
These adverse reactions have been reported to the FDA by manufacturers. Read more »
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