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Do dogs really need heartworm prevention?

Yes, dogs absolutely need heartworm prevention to protect them from this potentially fatal disease transmitted by mosquitoes.

Why Heartworm Prevention Is Essential for Dogs

Heartworm disease is a serious and potentially fatal condition that affects dogs across many climates, especially in mosquito-prone regions. Caused by parasites called Dirofilaria immitis, heartworms reside in the lungs, heart, and blood vessels of infected animals. Since this disease is transmitted by mosquitoes, dogs are exposed to risk even indoors or during short outdoor activities.

Understanding Heartworm Disease

When a mosquito bites an infected animal, it picks up microscopic heartworm larvae, known as microfilariae. These develop within the mosquito and are then transferred to another host dog during a subsequent bite. Over several months, the larvae mature into adult heartworms, which can grow up to 12 inches long and live for 5–7 years inside the host's body.

Why Prevention Is Critical

  • Heartworm is hard to detect early: Symptoms are often mild or absent until infection is advanced.
  • Treatment is costly and risky: Treating heartworm can involve months of strict activity restriction and costly injections of powerful drugs.
  • Damage is permanent: Even after successful treatment, heartworm can cause lasting damage to the heart, lungs, and arteries.

Heartworm Prevention Options

Veterinarians recommend year-round heartworm prevention to ensure continuous protection. There are several FDA-approved options:

  • Monthly chewable tablets: Such as ivermectin or milbemycin-based treatments.
  • Topical solutions: Applied monthly to the skin, also preventing fleas and other parasites.
  • Injectable prevention: An extended-release injection administered every 6 or 12 months by a veterinarian.

Common Myths About Heartworm Prevention

  1. “My dog stays indoors, so it’s safe.” Mosquitoes can enter homes. Even indoor dogs are at risk.
  2. “Heartworm isn’t common in my area.” Heartworm has been reported in all 50 U.S. states and many parts of the world, especially as warmer climates expand mosquito habitats.
  3. “My dog doesn’t need prevention in winter.” Year-round prevention avoids gaps in protection and accounts for varied mosquito activity due to climate changes.

Consequences of Skipping Prevention

Without heartworm prevention, even one bite from an infected mosquito can lead to infection. Symptoms in dogs may include:

  • Mild persistent cough
  • Fatigue after moderate activity
  • Decreased appetite and weight loss
  • Swollen belly from fluid accumulation
  • Heart failure in advanced cases

Testing for Heartworm

Annual testing is essential even if your dog is on prevention. No method is 100% foolproof. If a dose is missed or the dog spits out medication without your knowledge, infection could occur. Early detection improves the chances of successful treatment.

Veterinarian Recommendations

The American Heartworm Society recommends:

  • Year-round heartworm prevention for all dogs regardless of location.
  • Annual heartworm tests to ensure effectiveness of the preventive program.

Final Thoughts

Investing in heartworm prevention offers peace of mind and avoids the pain, cost, and complexities of treating this preventable disease. By maintaining a regular prevention routine and working closely with your veterinarian, you can ensure your dog lives a healthier, heartworm-free life.

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