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Prevents Heartworm Disease |
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Roundworms |
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Hookworms |
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Whipworms |
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Tapeworms |
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Fleas | Yes, Adult |
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Other Parasites | Treats and controls ear mite infestations |
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Safe for Breeding, Pregnant or Nursing Pets | Safety has not been established in breeding, pregnant, or lactating cats. |
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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 |
Age/Weight Requirements | 9 weeks of age or older and weighing at least 2 lbs | 7 weeks of age or older weighing at least 1.8 lbs | 6 weeks of age or older and no weight requirement |
Rx Prescription Required |
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Dosage | |||
Usage |
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Video | Coming soon | Coming soon | Coming soon |
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. | This new product on the market launched in August, 2018 comes at a time when the American Heartworm Society is warning that one in 4 cats diagnosed with heartworms are indoor only cats, thus necessitating veterinarians to carefully examine the issue of recommending not only year round heartworm pevention in dogs, but also in cats, especially in southern, warmer climates. This product is a wonderful general and very broad spectrum parasiticide control product to use in cats, which when applied topically, circulates in the blood and is wonderful at preventing hookworms, round worms and heartworms in cats, as well as treating tapeworms with the inclusion of praziquantel. Tapeworms are a very frustrating parasite that is often difficult to control, especially in outdoor cats, and often recurs weeks to months after effective treatment. With the inclusion of the praziquantel in this monthly applied product, tapeworm control is close to 100 percent, eliminating those unsightly moving rice like worms near a cat's tail or anus, so a great product to use in outdoor cats where heartworm, flea and internal parasite protection are priorities. A downside with this product is that it does not control fleas or ticks. . Rare side effects in sensitive cats include drooling and/or occasional vomiting, especially if licked off, and occasional clumping of hair or skin irritation at the site of application. Even more rare are neurological reactions, but I have only seen this when the product is licked off when applied inappropriately. I give this product an overall rating of a 4 out of 5 with an ease of application of a 4. | Given the rapidly expanding world of generics in the human pharmaceutical industry, it is indeed a pleasure for me as a practitioner of 16 years or experience to also see the same cost saving but equally as effective alternatives in the veterinary field as well. Heartworm disease is on the increase again in the United States. And given the importance and sometimes difficulty of client compliance in keeping up with costly monthly heartworm preventative medicines, it is great that Merck Animal Health has offered a generic version like Tri-Heart Plus to help meet this continued threat. Hopefully the savings on this preventative will encourage even more clients to have their pets on year round internal parasite control against the year round threat of heartworms, roundworms and hookworms. Tri-Heart Plus is quite safe in as pups as young as 6 weeks of age, as well as pregnant and nursing dogs. While I would rather have seen a beef flavored chewable over the pork flavor, dogs seem to love this pill just the same. The only disadvantage I have seen is very rare digestive upset in some patients which could be from the ivermectin or pyrantel main ingredients, or possibly from the pork flavoring. |