Keep this and all drugs out of the reach of children. Steps 1 and 2 will keep most healthy dogs heartworm free. Feed fresh garlic to help repel mosquitoes. Studies have been performed with milbemycin oxime and lufenuron alone. Use natural mosquito repellents to keep the bugs away. The safety of this medication has not been evaluated in dogs used for breeding or in lactating females. Simplify your dogs heartworm and flea protection with Sentinel Spectrum Chews, the only beef-flavored chewable to protect against 6 parasites. Do not use in dogs or puppies less than two pounds of body weight. Do not use in puppies less than six weeks of age. These reactions are presumably caused by release of protein from dead or dying microfilariae. Mild, transient hypersensitivity reactions, such as labored breathing, vomiting, hypersalivation, and lethargy, have been noted in some dogs treated with milbemycin oxime carrying a high number of circulating microfilariae. This medication is not effective against adult D. At the discretion of the veterinarian, infected dogs should be treated to remove adult heartworms.

MILBEMYCIN Based Products (Sentinel, Trifexis, Interceptor, Interceptor Plus).

Prior to administration of Sentinel Spectrum, dogs should be tested for existing heartworm infections. PREVENTION OF HEARTWORM INFECTION IN DOGS (also called Chemoprophylaxis) IVERMECTIN Based Products (Heartgard, Heartgard Plus, Iverhart Plus, Iverhart Max, Tri-Heart Plus, Pet Trust Plus). Mild hypersensitivity reactions have been noted in some dogs carrying a high number of circulating microfilariae.

Treatment with fewer than 6 monthly doses after the last exposure to mosquitoes may not provide complete heartworm prevention. Dogs should be tested for heartworm prior to use.

Sentinel heartworm prevention dogs