Experienced and professional animal trainer provide their insights in answering this question :
A. No. Heartgard is a preventative only. The treatment for heartworms is much more complex and may require hospitalization.

How to Identify Common Pet Problems ?

Our sources include academic articles, blog posts, and personal essays from experienced pet care professionals :

While it is effective in treating hookworms and roundworms, it does not treat adult heartworms. Maturation of heartworm larvae takes up to 7 months.
Ivermectin, also known as Ivomec® or Heartgard®, is used to control skin parasites, gastrointestinal parasites, and parasites within the bloodstream in dogs and cats.
Ivermectin does not kill adult heartworms. Ivermectin does shorten the lifespan of adult heartworms. Ivermectin does sterilize adult heartworms. Ivermectin does kill microfilaria (keeping the dog from being a source of contagion) • Ivermectin does kill L3 and L4 larvae (preventing new infections).
HEARTGARD Plus chews attack heartworm larvae that have infected your dog in the previous 30 days. This prevents the larvae from growing into adult heartworms and causing harm. By administering monthly heartworm prevention, your dog will stay protected all year long.
Heartworm disease is dangerous and isn`t something to treat by yourself. You can treat your dog at home, but make sure you get help from a holistic vet or herbalist. You can find a holistic vet at ahvma.org or a homeopathic vet at theavh.org. Many will do phone consults, so they don`t have to be local.
Your veterinarian is recommending what is best. Only one drug, which is called melarsomine, is approved by the U.S. Food and Drug Administration (FDA) for treatment of heartworm infection in dogs; this drug should be administered by injection in the veterinary hospital.
Heartgard plus ingredients include Ivermectin and Pyrantel Pamoate. The Heartgard Plus Ivermectin Pyrantel tablets offer protection against heartworms, roundworms, and hookworms.
Why Is Heartworm Preventative So Expensive? The big drug companies that sell heartworm preventative make a healthy profit off of their products and are not about to help owners find a cheaper option. I do not have stocks in these companies, do not market their products, and do not mind if you find an alternative.
Each of the three heartworm and flea pills available (Trifexis, Sentinel and Sentinel Spectrum) require a prescription from your veterinarian, who will first need to perform a heartworm test to ensure that your dog is not already infected.
An injectable drug, melarsomine (Immiticide®), is given to kill adult heartworms. Melarsomine kills adult heartworms in the heart and adjacent vessels. This drug is administered in a series of injections. Your veterinarian will determine the specific injection schedule according to your dog`s condition.
Ivermectin is most commonly used as a heartworm preventive in dogs and cats. It also used `off label` or `extra-label` for treating a variety of internal and external parasites.
How Long Can a Dog Live Without Heartworm Treatment? A dog can live at least six to seven months from the date of infection.
Slow Kill Method

While not generally recommended, another method of handling heartworms is to only attack the microfilaria, leaving existing adult heartworms to die of natural causes. This is known as the slow kill method. It`s cheaper and does not require a rest period and debilitating adulticide.

Dogs with heartworm disease can live high-quality lives as long as they are given appropriate care. After completing treatment and following your veterinarian`s recommenda- tions on heartworm disease testing and prevention, the chances of any long-term effects are very low.
Apple cider vinegar has numerous health benefits and is known to be effective in treating worms in dogs. Unlike other vinegar, apple cider vinegar increases the alkaline levels in the intestines of the dog. As a result, it creates an inhospitable environment for worms and other parasites.
Ivermectin-based Heartworm medications are given orally once per month. Ivermectin is a broad-spectrum antiparasitic drug used in humans and animals. In monthly Heartworm prevention, the dose of ivermectin is low but effective at killing Heartworm larvae.
Heartgard Plus starts acting as soon as it is swallowed, absorbed and enters the dog`s circulation.
The following adverse reactions have been reported following the use of HEARTGARD: Depression/lethargy, vomiting, anorexia, diarrhea, mydriasis, ataxia, staggering, convulsions and hypersalivation.
Heartgard has the active ingredient ivermectin in it. Ivermectin has a half-life of 2 days in the dog. That means 1/2 of the drug is eliminated from the body in 2 days. So at most it is active for 4 days per month.
One of the most common questions heard by our veterinarians during an annual wellness exam is, “Does my pet really need heartworm prevention?” To put it simply: yes!
Yes, your dog can get heartworms multiple times. For this reason, lifetime heartworm disease prevention can be important. It is highly recommended that you talk with your veterinarian about heartworm disease prevention before making a determination about what is best for your dog.
Most dogs like the taste of Heartgard and will eat it as a treat. For picky dogs, the chew can be broken into pieces and mixed with food, but it`s important to make sure the dog eats the entire dose.
The human immune system is better equipped to recognize the worms in their immature state. The human body creates an inhosbitable place for the maturation and completeion of the heartworm cycle, unlike dogs.
A clean living environment and regular bathing can go a long way. Additionally, adding foods like pumpkin seeds, carrots, and coconut oil to your dog`s diet are proven to help eliminate worms naturally. But, it`s important to remember that while natural remedies work for some, they may not be effective for all cases.

Relevant Questions and Answers :

the most relevant questions and answers related to your specific issue

Q. What’s the best way to train a dog to use a lead again?
ANSWER : A. It depends on how serious your issue is. If you need to start from scratch: Bring out the leash, place it on the ground. Click and treat your dog. Say his name, work on attention, click and treat for attention. Work with the cheese sticks, or with some chicken.. something stinky, soft, and high value. Allow him to sniff the leash, praise him, click, treat, click, treat. Pick up the leash, click treat him. Hook the leash to his collar and allow the leash to drag, click treat him. Have him just follow you around, click and treat him to hold his attention.

Then, pick up the leash, click and treat him. Then drop the leash again, click and treat. Take baby steps. Then, hold the leash while you take a step, click and treat him for following. Open the front door, click and treat him. Then, take off the leash, click and treat him, and end training.

Pick training back up in an hour, and do the same exact thing from start to finish, only this time, “finish” will be you two going outside, you clicking and treating him a bunch, and then you bringing him back inside. Work your way up slowly. You can’t expect to just bring him outside and bring him on a walk right away.

When outdoors, use a front hooking harness like the Sensible/Sensation harnesses: http://www.softouchconcepts.com/index.php/product-53/sense-ible-harness / http://www.softouchconcepts.com/index.php/product-53/sense-ation-harness. These harnesses will eliminate the pulling power of your pup in a positive way. This will put you in control without the use of force. Carry high value treats with you everywhere, and offer them for good walking behavior – treats like white meat chicken, cooked fish, turkey pepperoni, turkey bacon, diced ham, mozzarella cheese sticks, hotdogs, all cut into tiny little pieces. The more you work on walking on-leash/attention indoors, the better it will be outdoors, remember that.

Q. My Bulldog puppy growls, barks and even tries to bite me when I say “no” to him. What can I do?
ANSWER : A. First, avoid scolding him and acting aggressively towards him if you don’t want him to be acting aggressively towards you. There are other methods you can use to communicate to your dog that you don’t want him to continue doing what he is doing. I recommend you stop telling him “no”, scolding him, or raising your voice at him. Everything coming from you should be 100% positive and 100% calm.

Try to figure out ways to clearly communicate what you want to your dog. If you want your dog to leave something or someone alone, I strongly suggest teaching your dog commands like “leave it”. Here is a link to a video in which I explain how to do it:

www.youtube.com/watch?v=R1TS5nA7z5Q

Another thing I suggest you use is a no-reward marker. This clearly communicates when your dog has done something wrong. No-reward markers have to be introduced during your training sessions. You should be doing at least three training sessions per day, that are something like 3-10 minutes long (working on different things each training session). If you are teaching your dog something BRAND NEW, do not use the no-reward marker, as you do not want to discourage your dog from performing behaviors for you. Use the no-reward marker for known behaviors only. Here is another helpful video about this:

www.youtube.com/watch?v=sdU5a6fXKlg

Lure each new behavior (as shown in the video) using high value treats. Let’s say you’re working on “down” which is a behavior your dog knows fairly well. Present the treat to your dog. Ask your dog to “down” (only ask once). If he does not go “down” immediately, say, “uh-oh” or “eh-eh” in a gentle tone, and then place the treat behind your back. This communicates to your dog that they did something to make the treat go away.

After you place the treat behind your back to show your pup “that was wrong” you need to communicate to your pup “let’s try again” by getting your pup to walk around for a second, and then start the behavior all over again. If your puppy is very young, chances are you haven’t taught him a solid “down” behavior yet. So, as I said, do not use this method until you have lured each new behavior as shown in the video.

This is the order in which you should teach behaviors: Lure using a high value treat as shown in the video. After a few successful food lures, lure with an empty hand. If the pup is successful with the empty hand lure, reward with lots of treats. If the pup is unsuccessful, then go back to food-luring a couple more times. After a few successful empty-hand lures, you can begin to add the cue. Say “sit”, then lure with an empty hand, and then reward. Once your pup understands the cue, begin to work on the no-reward marker.

Q. My cat is excessively scrstching herself., to the point she has sores. She is strictly an indoor cat. Did have flees been treated for 2 months
ANSWER : A. For every flea you see on your pet, there are 100 more in the environment. Get your pet on a good topical or oral flea control through your vet. In flea control, you get what you pay for. Consider asking your vet for a dose of Capstar. It helps get the problem under control by killing the fleas on the pet starting in five minutes but only lasts for 24 hours.

You need to treat your home environment. If you use a pest control service, tell them you are having a flea problem and they can adjust their treatment. Use a premise spray that also contains an IGR, insect growth regulator. This keeps eggs and larvae from maturing into adults and helps break the life cycle. Also, vacuum EVERY DAY, throwing out the bag or emptying the canister every time into an outside receptacle and spraying the contents with insecticide to kill the fleas you’ve vacuumed up.

Treat your yard too, since fleas are opportunistic and will hop a ride into your home on your pant leg without you knowing it. Concentrate on areas under bushes, in the shade. Fleas are less likely to be located in open sunny areas where it gets hot.

If chemicals are a problem, you can use borax. Sprinkle it into rugs, into corners and under furniture, use a broom to work it into the fibers and let it sit for hours, days even. It won’t hurt you or your pet to have it present. Then vacuum it up, reapply as needed. Food grade diatomaceous earth can be gotten from a health food store and worked into the rugs and corners in the same way as borax. These treatments aren’t as fast and effective as chemical insecticides but they can help.

You might want to consider boarding your pet for the day at your vet, to give you the opportunity to flea bomb your house without having to worry about your pet being exposed. They can bathe your pet and give a dose of Capstar while you treat your home.

Be patient, you may have to repeat these steps multiple times 10-14 days apart to help break the flea life cycle.

Skin problems can have a variety of causes, sometimes more than one. It is important to have the problem checked by your vet to determine if there is a medical cause for your pet’s skin issues and treat accordingly.

In pets of all ages, fleas, food allergies and exposure to chemical irritants such as cleaners and soaps can be a cause. Any one of these may not be enough to trigger the breakouts, depending on how sensitive your pet is, but a combination can be enough to start the itch-scratch cycle. Finding out the cause and eliminating it is the best course of action. With flea allergies, if your pet is sensitive enough, a single bite can cause them to break out scratch enough to tear their skin.

Check for fleas with a flea comb. Look for fleas and/or tiny black granules, like coarse black pepper. This is flea feces, consisting of digested, dried blood. You may find tiny white particles, like salt, which are the flea eggs. Applying a good topical monthly flea treatment and aggressively treating your house and yard will help break the flea life cycle.

If you use plastic bowls, this is a possible cause for hair loss, though this tends to be on the chin, where their skin touches the bowl while they eat. If you suspect this to be the culprit, try changing the bowls to glass, metal or ceramic.

Food allergies are often caused by sensitivity to a protein in the food. Hill’s Science Diet offers some non-prescription options for sensitive skin as well as prescription hypoallergenic foods for more severe cases. Royal Canin carries limited protein diets that may also offer some relief. Your vet can recommend a specific diet that will help.

If there is no relief or not enough, consider getting your pet checked by a veterinary dermatologist and having allergy testing done.

Q. My puppy refuses to walk outside on the leash. This only happens when we’re outside… Is it stubbornness or fear?
ANSWER : A. It is never stubbornness. Dogs are not stubborn, they can’t be. Dogs do not generalize well, and dogs display fearful behavior that appears to be stubbornness. Absolutely NEVER force this dog to walk outside when he is uncomfortable with doing so.. the more you force him to do it, opposition reflex – the more he will resist. The more he resists and is forced into it, the less he learns about being comfortable, and the more he becomes fearful of you and of the situation.

What you can do is carry extremely high value treats outside with you. Things like cooked white meat chicken, cooked fish, turkey pepperoni, turkey bacon, diced ham, mozzarella cheese sticks – all cut up into tiny little pea-sized pieces. You can also use peanut butter in a squeeze tube. First, put on the leash indoors and begin feeding him the treats. Help him make positive associations with having the leash put on. Then, take the leash off, and start over in 10min. Put the leash on, feed treats, walk to the door, open the door, feed treats, close door, take off leash. Start over in 10min. Put on leash, feed treats, go to door, feed treats, open door, feed treats, go outside, feed tons of treats and praise. Keep Titus in his comfort zone. If he doesn’t want to go far, just feed him tons of treats where he IS comfortable going. Make sure everything is calm/happy/positive. I bet in a week of doing this, he will be happy with walk further and further all of the time. If ever he is uncomfortable, feed him lots of treats for being a brave boy, and then turn around and go back home. It’s all about keeping him in his comfort zone.. it’s all about remaining within his threshold and never forcing him to feed uncomfortable.

This is very common for puppies. The world is scary! It’s brand new to them, and it’s up to you to make their interactions and discoveries positive, happy, calm, and to never force them into anything.

Q. I have a 8 month old Lab. He gets excited and likes to get mouthy and puts the persons hands in his mouth. Doesn’t bite hard. How can we stop this?
ANSWER : A. Bite inhibition is a great way to stop mouthiness that occurs often with teenaged dogs. There are several training techniques that can be done to help teach your dog how to play nicely! One is to teach a “Leave-it” command. Begin by holding a treat in your hand and asking your dog to “leave it”. If he attempts to chew or bite, a high-pitched YELP! will help. Once he backs away or ignores the treat, ask him to “take it” and offer it to him. Another useful way to teach bite inhibition is through the use of a tug toy. Again, the “take it” and “leave it” commands are used. During a tug session, ask your dog to “leave it” or “drop” and exchange with a treat. If he lets go of the toy, reward him! One final option is also “airplaning” treats. This method involves having your dog sit and then slowly lowering a treat toward him. If he goes for the treat, back away and start over. Once he can sit calmly and not chew on you, reward with the treat! All of these techniques are great for helping teach dogs bite inhibition. 🙂

Read Full Q/A … : Leerburg

Q. My puppy will be 8 weeks old tomorrow. I’ve had her for a week now, and she still isn’t responding to any training or her name. What can I do?
ANSWER : A. Try clicker training her to come when called. Clicker training is an effective way of training you dog to not only come when called, but can be used to teach a variety of tricks and tasks.

Have treats on hand that you know she loves, then simply click and treat. She will come to associate the sound with getting a treat. Start putting distance between you so she has to come to you. Call and click and when she comes to you for that treat, treat him and give her lots of praise. Move to hiding somewhere in the house, call and click. When she comes to you reliably inside when you call, click and treat. When this behavior is consistent, move outdoors with a very long leash. Call and click, if she doesn’t respond, give a light tug on the leash. If she takes even a single step toward you, click, treat and lots of praise. Keep doing this until she comes eagerly. Next, try her off-leash in a securely fenced area. Call and click. At this point she should be responding well and coming easily to the call and click. If she does not, go back to the last step she performed reliably and work on that again until she responds well. Eventually, you can start not treating her every time, but still praise her. Gradually lessen the frequency of the treats until she comes just to the click and praise.

Keep training sessions short, ten or fifteen minutes to start, no more than 30 minutes at a time and do it a few times a day. Try not to do it any time she is overly excited so that she can pay attention to you. Always end a training session on a good note, even if it is just getting him to do something she already does well on command. And never, NEVER punish a dog when they come to you, no matter how far they’ve made you chase them, no matter how frustrated and angry you might be. That teaches your dog that coming to you is a bad thing.

Q. I’m almost positive my dog is afraid of the dark! Every time I turn off the light she starts crying! Is there a way I can teach her not to be afraid
ANSWER : A. You may need to take things very slowly. First off, you should consider using a night light in the room you have your dog in. I have a night light in my room for my dog, even though I don’t feel the need to use one. You should have a handful of treats, and toss several of them to your dog. While your dog is eating the treats, shut off the light, and then turn it back on and toss several more treats to your dog. While your dog is eating the treats, turn off the light and count to three, then turn it back on. Toss several more treats to your dog, turn off the light and count to five. Turn the light back on, toss several more treats to your dog, shut off the light, count to four. Turn on the light, toss treats, turn off light, count to eight. Turn on light, toss treats, turn off light, count to five. The key is to randomly increase and decrease the amount of time the pup is in the dark. Work on it slowly, slowly build duration. Do not expect it to happen all in one session.

Q. We have a 4 yr old lab-pit mix we raise from 6 weeks.If my husband tries to take hin by the collar and make him go out to pottie he growls.Problem?
ANSWER : A. This is not good behavior. Rather than take him by the collar, call him to come with you. If he’s not good about coming when called, you can work on that. Keeps treats on hand to to entice him out and reward him when he does go potty and he’ll come to look forward to it. Clicker training is another great way to teach a dog all kinds of things, from obedience to tricks.

Have treats on hand that you know he loves, then simply click and treat. He will come to associate the sound with getting a treat. Start putting distance between you so he has to come to you. Call and click and when he comes to you for that treat, treat him and give him lots of praise. Move to hiding somewhere in the house, call and click. When he comes to you reliably inside when you call, click and treat. When this behavior is consistent, move outdoors with a very long leash. Call and click, if he doesn’t respond, give a light tug on the leash. If he takes even a single step toward you, click, treat and lots of praise. Keep doing this until he comes eagerly. Next, try him off-leash in a securely fenced area. Call and click. At this point he should be responding well and coming easily to the call and click. If he does not, go back to the last step he performed reliably and work on that again until he responds well. Eventually, you can start not treating him every time, but still praise him. Gradually lessen the frequency of the treats until he comes just to the click and praise.

Keep training sessions short, ten or fifteen minutes to start, no more than 30 minutes at a time and do it a few times a day. Try not to do it any time he is overly excited so that he can pay attention to you. Always end a training session on a good note, even if it is just getting him to do something he already does well on command. And never, NEVER punish a dog when they come to you, no matter how far they’ve made you chase them, no matter how frustrated and angry you might be. That teaches your dog that coming to you is a bad thing.

Read Full Q/A … : Causes of Limping in Dogs