Heartworm in Dogs

Prevention & Treatment

Heartworms: A Serious Threat to Dogs

Heartworms are serious, potentially life-threatening parasites spread by mosquitoes. They live in the heart, lungs, and blood vessels of infected dogs, causing coughing, fatigue, and heart failure if untreated. The good news — heartworms are completely preventable with monthly medication.

How Dogs Get Heartworms

Heartworms are spread only by mosquitoes.

  • When a mosquito bites an infected animal, it picks up microscopic larvae.
  • Those larvae are passed to another dog during a bite and grow into adult worms inside the heart and lungs.
  • The cycle takes about 6 months — so even indoor dogs can get infected if a mosquito gets inside.

Prevention Is Key

  • Give a heartworm prevention every month, year-round — even in winter.
  • Most monthly preventives also protect against intestinal parasites, making them a great all-around choice.
  • Mark reminders on your calendar or set an alert on your phone so you never miss a dose.

Common preventives include:

  • Chewables: Heartgard Plus, Interceptor, Sentinel, Simparica Trio, NexGard Plus
  • Topicals or injections: Advantage Multi, ProHeart 6 or 12

Testing

  • Dogs should be tested for heartworms once a year, even if they stay on prevention.
  • Puppies start prevention as early as 8 weeks old, but should be tested around 6–7 months of age.
  • If prevention is missed or late, your vet may recommend retesting sooner.

If Your Dog Tests Positive (4-6 months of treatment)

Heartworm treatment is safe and effective, but it takes time and strict rest. Your vet will use a series of medications to kill adult worms and larvae.

During treatment:

  • Keep your dog quiet and calm — no running or rough play.
  • Strict exercise restriction is vital to prevent complications.
  • Follow all medication directions carefully.

After Treatment

  • Continue monthly prevention to stop reinfection.
  • Retesting will be done a few months after treatment to ensure your dog is clear.
  • Regular yearly testing and prevention are the best protection.

Quick Facts

  • Heartworm disease is 100% preventable.
  • It only takes one missed dose to put your dog at risk.
  • Mosquitoes are active year-round indoors — prevention never stops.

Protect your dog from heartworm disease — schedule a heartworm test and discuss year-round prevention with your veterinarian today