Iverhart Max vs. NexGard PLUS CHEWS for Dogs Comparison

Iverhart Max

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NexGard PLUS CHEWS for Dogs

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Tri-Heart Plus

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Prevents Heartworm Disease

Roundworms

Hookworms

Whipworms

Tapeworms

Fleas

Other Parasites

Safe for Breeding, Pregnant or Nursing Pets

The safe use of this drug has not been evaluated in pregnant or lactating bitches.

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

8 weeks of age or older and weighing at least 6 lbs

6 weeks of age or older and no weight requirement

Rx Prescription Required

Dosage

Usage

Video

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Veterinarian Review (Michael Dym, VMD)

As I also mention under my product review for Iverhart plus, it is truly wonderful for me to see a reliable more economic generic available for animal guardians that is certainly comparable to the more expensive brand name monthly heartworm preventatives. With this Virbac product, not only are clients getting the reliable heartworm prevention record of ivermectin, but also the additional preventative benefits and control of other internal parasites of the digestive tract, including roundworms, hookworms, and in this case tapeworms as well. It is exciting to see the inclusion of praziquantel in this combination product to broaden the spectrum of coverage of Iverhart plus against tapeworms. Tapeworms are among the most common frustrating parasites seen in dogs and cats, especially when there is any risk of flea exposure. Iverhart Max stands alone in having this added benefit of tapeworm control. Even for only this additional benefit, as well as the ones I mention under Iverhart plus , I highly recommend this reliable generic product and alternative to the other more expensive monthly heartworm pills that dont offer this protection against tapeworms. The only negative issue I have seen is the occasional pet who develops digestive upset from one of the ingredients, in which case I would change to a different monthly alternative. The only other possible limitation with this product is that it does not protect or prevent against whipworms, which in certain areas of the United States can be an intestinal parasite that can sometimes cause acute or chronic inflammation of the colon and diarrhea. But in my experience, whipworms are not as common as I used to see in my earlier days of veterinary practice. Thus my overall rating of this product is a 5. Its effectiveness a 4 and its taste a 4 as well.

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.

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