Advantage Multi vs. Iverhart Max Comparison

Advantage Multi

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Iverhart Max

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Tri-Heart Plus

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Prevents Heartworm Disease

Roundworms

Hookworms

Whipworms

Tapeworms

Fleas

Yes, Adult

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.

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

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

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)

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.

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.

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.