Combining Heartworm Medicine with Your Dog’s Flea Treatment

Sometimes the list of things we should be giving our pet’s can be daunting. To make life a little more simple why not combine Fido’s heartworm medicine and dog flea treatment?

With the American Heartworm Society and most vets now saying we should use preventative heartworm medicine year round, dog ownerships just got a little more expensive and a whole lot more complicated.  But, if you are one of the many pet owners who enjoy the convenience, reliability and long-lasting flea control of topical flea treatments you can now combine this with heartworm prevention.

Two products are now available which combine a topical flea treatment with preventative heartworm medicine.  Both Advantage Multi (also known as Advocate) and Revolution are available for both dogs and cats.  Both make monthly medication time a little bit easier for pet owner.  Simply empty the liquid medicine onto the skin of your pet, between the shoulder blades and along the spine (for larger dogs), to provide 30 days of complete flea control.  In addition the flea medicine is absorbed into your pet’s bloodstream, where it destroys all larval heartworms that have been contracted via an infected mosquito bite during the month prior to treatment.

Both Advantage Multi and Revolution for Dogs and Cats are similar but use different active ingredients so controlling a slightly different range of parasites.  Whilst flea control and heartworm prevention are their key attributes, there are additional pests you may wish to control with one product.  This may help you decide which pets medicine is best for you.

Total Parasite Control with Revolution

Revolution dog medicine controls a wide range of both internal and external parasites;

  • Kills adult fleas and stops flea eggs hatching
  • Destroys ticks
  • Prevents heartworm for dogs
  • Controls ear mites
  • Controls sarcoptic mange by killing chewing lice

Revolution for dogs uses only one active ingredient; Selamectin which has been proven effective yet mild and safe for use on our pets.  It is mild enough to be used on puppies from six weeks of age, and on pregnant and nursing bitches.

Advantage Multi for Dogs

Advantage Multi uses the original flea killing power of best selling Advantage flea medicine with an additional ingredient to tackle a different range of pests:

  • Controls fleas by destroying both adult fleas and flea larvae.
  • Protects against heartworm disease by destroying all heartworm larvae contracted in the 30 days prior to application.
  • Destroys roundworms, hookworms and whipworms in dogs.
  • Destroys roundworms, hookworms and ear mites in cats.

Advantage Multi uses two active ingredients: Imidacloprid which is found in the original Advantage flea drops and Moxidectin which deals with internal parasites.

Combining Heartworm Medicine with Flea Control

Combining heartworm medicine with flea control makes life more simple and it may save you a little money.  Deciding which product to use depends primarily on what kind of parasites you are concerned with.  If ticks are problematic in your area it makes sense to choose a product such as Revolution for dogs, which deals with these too.

If starting heartworm prevention for the first time, ensure you visit the vet for a heartworm test first.  If switching from another heartworm medication start the Advantage Multi or Revolution 30 days after the previous product was last used.  As with all heartworm preventatives regular use is key to success.  If you miss a dose, use the product as soon as possible.  If more than two months have elapsed since the last treatment speak to your vet about a new heartworm test.

Both Advantage Multi and Revolution heartworm medicines are of the new breed of mild parasite control.  Adverse reactions to these new products are extremely rare as the ingredients are designed to attack the nervous systems of insects only.  Most reactions are an allergy to the carrier ingredients and take the form of mild skin irritation or temporary hair-loss.  It makes sense to keep an eye on your pet after using any topical flea treatment to ensure they suffer no such allergies and to check they do not rub or lick the product off before it dries.

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Published in: Pets


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  1. What a good idea. I stopped buying heartworm pills because they were so expensive and she refused to take them. She doesn’t go out a lot and if she does, it’s just in our yard.

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