What is compounding?
Drug compounding is often regarded as the process of combining or mixing drugs to create a medication tailored to the needs of an individual patient.
The generic form of Vetmedin is Pimobendan.
Vetmedin is in limited supply. Orders placed will be shipped as product continues to come off backorder.
Heartgard Plus is used to protect dogs from heartworm disease, which is caused by the parasitic worm called Dirofilaria immitis. Heartworms can be transmitted to dogs through mosquito bites, and if left untreated, they can cause serious health problems and even death.
Heartgard Plus contains two active ingredients: ivermectin and pyrantel. Ivermectin is effective against heartworm larvae, preventing them from maturing into adult worms. Pyrantel is a deworming agent that helps to control and treat common intestinal parasites like roundworms and hookworms.
Heartgard Plus comes in a chewable tablet form, making it easy to administer to dogs. It is typically given once a month, year-round, to provide continuous protection against heartworm disease. It's important to administer Heartgard Plus regularly and as directed by your veterinarian to ensure its effectiveness.
While Heartgard Plus is generally considered safe and effective, it's essential to consult with your veterinarian before starting your dog on any medication. Your vet can assess your dog's health status, take into account any potential drug interactions or contraindications, and recommend the appropriate dosage for your pet's size and breed.
Heartgard Plus is indicated for the prevention of heartworm disease in dogs. It is effective against the immature stages of heartworms (larvae) that are transmitted through mosquito bites. By administering Heartgard Plus on a monthly basis, you can help protect your dog from heartworm infection.
Heartworm disease can be life-threatening for dogs. If a dog becomes infected with heartworms, the parasites can grow and live in the heart and blood vessels, causing damage to the heart, lungs, and other organs. Treatment for heartworm disease is complex, costly, and can have potential risks.
In addition to its primary indication for heartworm prevention, Heartgard Plus also provides protection against certain intestinal parasites in dogs. The active ingredient pyrantel helps control and treat common intestinal worms like roundworms and hookworms.
It's important to note that Heartgard Plus is specifically formulated for dogs and should not be used in other animals unless specifically prescribed by a veterinarian. Additionally, it is crucial to consult with your veterinarian to determine the appropriate dosage and administration schedule for your dog based on their individual needs and health status.
|Active Ingredient||Heartgard Blue||Heartgard Green||Heartgard Brown|
|Ivermectin||68 mcg||136 mcg||272 mcg|
|Pyrantel||57 mg||114 mg||227 mg|
Heartgard Plus should be administered orally at monthly intervals at the recommended minimum dose level of 6 mcg of ivermectin per kilogram (2.72 mcg/lb) and 5 mg of pyrantel (as pamoate salt) per kg (2.27 mg/lb) of body weight. The recommended dosing schedule for prevention of canine heartworm disease and for the treatment and control of ascarids and hookworms is as follows:
|Dog Weight||Chewables Per Month||Ivermectin Content||Pyrantel Content||Color Coding on Foil-Backing and Carton|
|Up to 25 lb||1||68 mcg||57 mg||Blue|
|26-50 lbs||1||136 mcg||114 mg||Green|
|51-100 lbs||1||272 mcg||227 mg||Brown|
|Over 100 lbs||Use the appropriate combination of these chewables.|
Heartgard Plus is recommended for dogs 6 weeks of age and older.
Remove only one chewable at a time from the foil-backed blister card. Return the card with the remaining chewables to its box to protect the product from light. Because most dogs find Heartgard Plus palatable, the product can be offered to the dog by hand. Alternatively, it may be added intact to a small amount of dog food. The chewable should be administered in a manner that encourages the dog to chew, rather than to swallow without chewing. Chewables may be broken into pieces and fed to dogs that normally swallow treats whole.
Care should be taken that the dog consumes the complete dose, and treated animals should be observed for a few minutes after administration to ensure that part of the dose is not lost or rejected. If it is suspected that any of the dose has been lost, redosing is recommended.
Heartgard Plus should be given at monthly intervals during the period of the year when mosquitoes (vectors), potentially carrying infective heartworm larvae, are active. The initial dose must be given within a month (30 days) after the dog's first exposure to mosquitoes. The final dose must be given within a month (30 days) after the dog's last exposure to mosquitoes.
When replacing another heartworm preventive product in a heartworm disease preventive program, the first dose of Heartgard Plus must be given within a month (30 days) of the last dose of the former medication.
If the interval between doses exceeds a month (30 days), the efficacy of ivermectin can be reduced. Therefore, for optimal performance, the chewable must be given once a month on or about the same day of the month. If treatment is delayed, whether by a few days or many, immediate treatment with Heartgard Plus and resumption of the recommended dosing regimen minimizes the opportunity for the development of adult heartworms.
Monthly treatment with Heartgard Plus also provides effective treatment and control of ascarids (T. canis, T. leonina)and hookworms (A. caninum, U. stenocephala, A. braziliense) . Clients should be advised of measures to be taken to prevent reinfection with intestinal parasites.
Federal (U.S.A.) law restricts this drug to use by or on the order of a licensed veterinarian.
Heartgard Plus was shown to be an acceptable oral dosage form that was consumed at first offering by the majority of dogs.
All dogs should be tested for existing heartworm infection before starting treatment with Heartgard Plus which is not effective against adult D. immitis. Infected dogs must be treated to remove adult heartworms and microfilariae before initiating a program with Heartgard Plus.
While some microfilariae may be killed by the ivermectin in Heartgard Plus at the recommended dose level, Heartgard Plus is not effective for microfilariae clearance. A mild hypersensitivity-type reaction, presumably due to dead or dying microfilariae and particularly involving a transient diarrhea, has been observed in clinical trials with ivermectin alone after treatment of some dogs that have circulating microfilariae.
Store between 68°- 77°F (20°- 25°C). Excursions between 59° - 86°F (15° - 30°C) are permitted. Protect product from light.
Vomiting or diarrhea within 24 hours of dosing was rarely observed in clinical trials. The following adverse reactions have been reported: Depression/lethargy, vomiting, anorexia, diarrhea, mydriasis, ataxia, staggering, convulsions and hypersalivation.
Heartgard Plus has been shown to be bioequivalent to Heartgard, with respect to the bioavailability of ivermectin. The dose regimens of Heartgard Plus and Heartgard are the same with regard to ivermectin (6 mcg/kg). Studies with ivermectin indicate that certain dogs of the Collie breed are more sensitive to the effects of ivermectin administered at elevated dose levels (more than 16 times the target use level) than dogs of other breeds. At elevated doses, sensitive dogs showed adverse reactions which included mydriasis, depression, ataxia, tremors, drooling, paresis, recumbency, excitability, stupor, coma and death. Heartgard demonstrated no signs of toxicity at 10 times the recommended dose (60 mcg/kg) in sensitive Collies. Results of these trials and bioequivalency studies, support the safety of Heartgard products in dogs, including Collies, when used as recommended.
Heartgard Plus has shown a wide margin of safety at the recommended dose level in dogs, including pregnant or breeding bitches, stud dogs and puppies aged 6 or more weeks. In clinical trials, many commonly used flea collars, dips, shampoos, anthelmintics, antibiotics, vaccines and steroid preparations have been administered with Heartgard Plus in a heartworm disease preventive program.
In clinical field trials with Heartgard Plus, vomiting or diarrhea within 24 hours of dosing was rarely observed (1.1% of administered doses). The following adverse reactions have also been reported: depression/lethargy, vomiting, anorexia, diarrhea, mydriasis, ataxia, staggering, convulsions and hypersalivation.