topic Re: Heartworm exam in Wellness

Heartworm exam

qvcaddition — Wed, 02 Jun 2021 16:30:21 GMT

My dog has been on Heartworm meds for years, yet every time I need to order when a year is up the Vets office needs a Heartworm exam once a year.

I asked why, she has been on the meds forever. Just policy I'm told. Another way to make money? It's just a wellness exam.

She had bloodtest and exam in April, now another exam.

Does it make sense. Maybe there is a vet on here that can answer. Thank you.

Re: Heartworm exam

Mz iMac — Wed, 02 Jun 2021 16:41:00 GMT

@qvcaddition Why is your dog on permanent heartworm meds?

Re: Heartworm exam

Kachina624 — Wed, 02 Jun 2021 16:45:09 GMT

@qvcaddition In every state I ever heard of, it's not policy, it's state law. A heartworm test must be administered before a prescription is written. And yes, IMO, it's a money grab.

Re: Heartworm exam

Linmo — Wed, 02 Jun 2021 16:47:10 GMT

@Mz iMac I think @qvcaddition is probably referring to a monthly heartworm prevention prescription tablet rather than heartworm meds. My dogs have always taken them and before you can get the prescription refilled, the dog needs a heartworm test, usually once a year.

Re: Heartworm exam

Kachina624 — Wed, 02 Jun 2021 16:48:12 GMT

@Mz iMac wrote:
@qvcaddition Why is your dog on permanent heartworm meds?

@Mz iMac In areas that ever experienced a mosquito, heartworm meds are generally taken every month of the year for life.

Re: Heartworm exam

Mz iMac — Wed, 02 Jun 2021 16:55:06 GMT

@Linmo& @Kachina624

Thank you. Luckily my rescue from Mexico was heartworm free. Vet scheduled a heartworm exam for the end of December. (after examining her feces).

Re: Heartworm exam

Scorpio1971 — Wed, 02 Jun 2021 17:01:53 GMT

@qvcaddition

This may answer your question.

http://www.citywayanimalclinics.com/heartworm-test-every-year/

Re: Heartworm exam

geezerette — Wed, 02 Jun 2021 17:02:03 GMT

It used to be that once a blood test proved your dog was heartworm negative, as long as you gave the meds regularly as directed you didn't need any further blood tests. In the last few years, they now require the test yearly.

I asked my vet about this and he said there has been breakthrough heartworm on dogs getting regular meds. I'm suspicious about this, like I am about some other recent veterinary rules, but it is what it is.

I'm not sure if you're saying that your dog was just tested in April for heartworms and is now required to be tested again, or if your dog had a blood draw for something else one of those times.

Re: Heartworm exam

JeanLouiseFinch — Wed, 02 Jun 2021 17:59:13 GMT

@qvcaddition wrote:
My dog has been on Heartworm meds for years, yet every time I need to order when a year is up the Vets office needs a Heartworm exam once a year.
I asked why, she has been on the meds forever. Just policy I'm told. Another way to make money? It's just a wellness exam.
She had bloodtest and exam in April, now another exam.
Does it make sense. Maybe there is a vet on here that can answer. Thank you.

Heart worm meds or heart worm preventative? We have our dog on heart worm prevention and fleas & tick prevention year round and he has to be heart worm tested every year. Policy or law, I honestly don’t know, but the vet’s office is doing their job for the health of your pet. Even though they may have sold you the preventative or medicine, they can’t know with certainty that you’ve been faithful in giving it to your pet. The heart worm test will let them know if you should continue with a preventative or treat with a medicine.

Re: Heartworm exam

CrazyDaisy — Wed, 02 Jun 2021 17:06:01 GMT

Heartworm prevention is not 100% effective.

Re: Heartworm exam

KingstonsMom — Wed, 02 Jun 2021 17:16:24 GMT

Not a money grab, there IS a reason to test before continuing hearworm meds:

Dogs that are 7 months of age and older should be tested for heartworms before starting heartworm prevention. A dog may appear healthy on the outside, but on the inside, heartworms may be living and thriving. If a heartworm-positive dog is not tested before starting a preventive, the dog will remain infected with adult heartworms until it gets sick enough to show symptoms. Heartworm preventives do not kill adult heartworms. Also, giving a heartworm preventive to a dog infected with adult heartworms may be harmful or deadly. If microfilariae are in the dog’s bloodstream, the preventive may cause the microfilariae to suddenly die, triggering a shock-like reaction and possibly death.

Keep the Worms Out of Your Pet’s Heart! The Facts about Heartworm Disease | FDA

Re: Heartworm exam

Kachina624 — Wed, 02 Jun 2021 17:21:22 GMT

@Mz iMac wrote:
@Linmo& @Kachina624

Thank you. Luckily my rescue from Mexico was heartworm free. Vet scheduled a heartworm exam for the end of December. (after examining her feces).

@Mz iMac A heartworm test is a quick bloodtest and has nothing to do with feces. I wonder why he didn't start her on the preventative immediately? That's the usual procedure. It's usually done at the time of the annual exam and vaccinations.

Re: Heartworm exam

LuvmyLab — Wed, 02 Jun 2021 17:25:37 GMT

@qvcaddition Our dog has the heartworm shot twice a year and must have a heartworm test before each shot can be given to make sure she doesn't have heartworm.

Re: Heartworm exam

Sapphiregal — Wed, 02 Jun 2021 17:26:43 GMT

I adopted a dog from a shelter a year ago. We found out he was heartworm positive when we took hIm to the vet. The vet advised against getting the injection that would kill the heartworm due to the fact that he is a big black lab and very active. Likes to run. We would have to contain him in a crate for 6 weeks and put him on a leash to go outside to do his business. Even on a leash, he pulls and struggles to run. The vet said strenuous activity could cause him to drop dead in his tracks from a heart attack. So, that was not an option that would work for us. Of course, we started him on monthly heartworm prevention to prevent any new worms. The vet said it takes 5-6 years for the worms in the heart to die on their own and we have no idea how long they've been there or how many there might be. In the meantime, they reak havoc on the dog's heart. It makes me sad.

Re: Heartworm exam

KingstonsMom — Wed, 02 Jun 2021 17:27:21 GMT

@CrazyDaisy wrote:
Heartworm prevention is not 100% effective.

Very true, My 5 year old sheltie contracted heartworms although he never missed a pill, which we proved, the drug company paid for his treatment.

The Ivermectin is his meds don't always work for all dogs and can be deadly to some herding breeds:

Dogs of some herding breeds and some mix-breed dogs can have a genetic mutation that makes them dangerously oversensitive to ivermectin, the active ingredient in some commonly used heartworm prevention medicines for dogs.

Given at the proper doses and under the supervision of a veterinarian, ivermectin is safe for most dogs and is very effective in treating and preventing a number of parasites. However, a dog with the mutation who ingests the drug can have a severe, life-threatening reaction called ivermectin toxicity.

This sensitivity is because of a mutation in what is known as the MDR1 gene. In dogs who have the mutation, the drug crosses the blood-brain barrier and causes neurological damage, which can be lethal.

Dogs can ingest ivermectin not only in the form of heartworm preventative, but also if they eat the manure of livestock that were treated with the drug for parasite control. For this reason, owners of vulnerable breeds should be extra vigilant when their dogs are around horses, sheep, or other livestock.

Owners of herding breeds or other vulnerable dogs should be careful that their dogs do not eat the manure of sheep or other livestock that may have been treated with ivermectin.

Dogs with the mutation are hypersensitive to other medications as well, including loperamide (Imodium), acepromazine, and some chemotherapy drugs.

Common Heartworm Medication Ivermectin Can Have Serious Side Effects for Some Breeds – American Kennel Club (akc.org)

Re: Heartworm exam

Mz iMac — Wed, 02 Jun 2021 17:39:52 GMT

@Kachina624 wrote:

@Mz iMac wrote:
@Linmo& @Kachina624

Thank you. Luckily my rescue from Mexico was heartworm free. Vet scheduled a heartworm exam for the end of December. (after examining her feces).
@Mz iMac A heartworm test is a quick bloodtest and has nothing to do with feces. I wonder why he didn't start her on the preventative immediately? That's the usual procedure. It's usually done at the time of the annual exam and vaccinations.

@Kachina624 Vet was checking for eggs & worms. My rescue's medical records are in Spanish. From my vet I learned heartworm blood work was already done in Mexico-negative. Next blood test will be done the end of December.

SP Advantage II is working wonders so far but I do spritz a little Wondercide w/o rubbing in as it "repels" mosquitos.

Re: Heartworm exam

Kachina624 — Wed, 02 Jun 2021 17:41:39 GMT

@KingstonsMom There are other brands of preventative other than Heartguard which do not contain Ivermectin. Owners of sensitive breeds simply use an alternate brand. Also there is a test which can be given to test for sensitivity.

Re: Heartworm exam

KingstonsMom — Wed, 02 Jun 2021 17:44:57 GMT

Yes, once he was treated and we found out the Ivermectin didn't work him, we switched to an alternate.

Re: Heartworm exam

qvcaddition — Wed, 02 Jun 2021 18:52:28 GMT

Thank you all for your answers I meant to say she takes her tablets once a month for 12 years, but every year they want an exam and what is the sense of taking the tablets every month to prevent the heartworm, if you still need a test?

You have all answered my question, and i thank you. The vets have gone up in price by 20.00 and I am a low income senior, but have to pay the price.

Re: Heartworm exam

Mz iMac — Wed, 02 Jun 2021 20:19:38 GMT

@qvcaddition Since you are a senior......

Ask your vet about "senior rates." All the vets in my neck of the woods have "senior rates." My vet visits are practically free! I've never had a bill over $50.

My dog's 2nd lyme shot & visit was FREE!

Will have to check on the area Animal Hospitals regarding "senior rates." They are my "PLAN B" if vet is unavailable.