Advantage Multi vs. Heartgard Plus Chewables Comparison

Advantage Multi

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Heartgard Plus Chewables

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Sentinel Flavor Tabs

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Prevents Heartworm Disease

Roundworms

Hookworms

Whipworms

Tapeworms

Fleas

Yes, Adult

Flea Eggs and Larvae

Other Parasites

Treats and controls ear mite infestations

Safe for Breeding, Pregnant or Nursing Pets

Safety has not been established in breeding, pregnant, or lactating cats.

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.

Has tested safely at normal doses.

Age/Weight Requirements

9 weeks of age or older and weighing at least 2 lbs

6 weeks of age or older and no weight requirement

4 weeks of age or older and weighing over 2 lbs

Rx Prescription Required

Dosage

Usage

Video

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Veterinarian Review (Michael Dym, VMD)

By combining imidacloprid and moxidectin, advantage multi offers the wonderful benefit of broad protection against BOTH common internal and external parasites in dogs and cats. An important area of coverage includes not only adult stages, but the immature stages of roundworms and hookworms, two parasites that are a risk to people if not prevented in our pets. It also treats and controls, and prevents whipworms, which are difficult to eradicate in both dogs and the environment. When applied monthly, it is almost 100 percent effective in preventing heartworm disease in dogs and cats. Additional benefits of treating scabies and demodectic mange and ear mites make this a very attractive product. All of this with the wonderful flea control benefits of the product advantage. The greatest benefit I see with this versatile product is that it takes the labor out of administering a myriad of medications to dogs to control these varied internal and external parasites. I also find that it kills the larval stages of fleas in the home surroundings of treated pets, which is a wonderful added benefit. I have on rare occasions seen topical irritation and sensitivity at the site of application, and even more scarse neurological reactions in hypersensitive pets. The only other downside would be the potential high cost of this product, as well as the need for clients to obtain a prescription from their veterinarian. Overall, however, I have found this product to be an excellent and safe all around internal and external parasite control manager in our dogs and cats.

In my experience and opinion, the main ingredient ivermectin in this once monthly heartworm preventative is the most effective preventative for canine heartworm. Under veterinary supervision, it can even be an alternative TREATMENT in treating active heartworm infections when used monthly in those dogs who are either too old for the expensive conventional immiticide drug treatment, or where risks of immiticide treatment outweigh the benefits. This should be discussed with your pets veterinarian. Pets can often clear heartworm infection after 12-24 months of consecutive use, again best done under veterinary guidance. With its other main ingredient, pyrantel, heartguard plus is the most effective preventative in controlling/treating/preventing roundworm and hookworm infection in dogs. Dogs also seem to prefer the taste of this beef flavored chewable tablet. The main disadvantage is of this product is in those situations where pets have tested positive for whipworms on stool checks. This preventative does NOT prevent or control whipworm infections, which can cause inflammation of the colon/diarrhea, and be difficult to control in affected dogs.

Sentinel is a wonderful combination of the heartworm prevention pill interceptor and the flea control product program both in this one pill. Many clients enjoy the convenience of having such broad acting internal and external parasites in one pill, without having to worry about giving two separate medicines. Lufenuron, which is the main flea control ingredient, stops the flea life cycle in its track at the egg and larval stage, thus being like a birth control pill for fleas who get on our pets. Given that the main problem of fleas is how rapidly they reproduce, this pill literally stops escalating growth of flea populations, before they can become established in our homes, where most of the flea life cycle occurs. The main disadvantage to this product is that it does not kill or repell adult fleas, so in situations with already established heavy infestations, it is best combined with a great topical product like advantage or front line or with the oral adulticide flea pill capstar for maximal effect. The only other rare disadvantage I see is the slight increase in reactions when two products are combined into one like this, but fortunately this is not common in clinical practice. With milbemycin for prevention of heartworms and controlling and treating most common intestinal worms, I overall highly recommend this versatile product.

Our expert panel consists of licensed veterinarians and the knowledgeable staff of PetMed Express, Inc. d/b/a 1-800-PetMeds. Neither the Company nor any of its employees or consultants make any warranties, expressed or implied, or representations about the accuracy or completeness of the content or the content of any site or external sites. Likewise, no legal liability or responsibility is assumed for the accuracy or completeness of any information, or usefulness of products discussed. While every effort has been made to accurately represent the qualities and characteristics of each product, which for the most part were taken directly from the websites of the manufacturers, we are not responsible for any errors. The information presented is for educational purposes only and is intended to be a supplement to, and not a substitute for, the expertise and professional judgment of your veterinarian. The information is NOT to be used for diagnosis or treatment of your pet. You should always consult your own veterinarian for specific advice concerning the treatment of your pet. The information is not intended to cover all possible uses, directions, precautions, warnings, allergic reactions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for your pet. It is not a substitute for a veterinary exam, and it does not replace the need for services provided by your veterinarian. Note: Any trademarks are the property of their respective companies.