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dog.com > Pharmacy > Heartworm > Item # 406374

Tri-Heart Plus for Dogs

Prescription Required
$19.49
Regularly: $23.04
Today's savings: 15%
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SIZE OUR PRICE
up to 25lbs Blue 6ct

$19.49

Temporarily Oversold. Please Order at a Later Date.

26-50 lbs Green 6ct

$24.99

Temporarily Oversold. Please Order at a Later Date.

51-100 lbs Brown 6ct

$32.49

Temporarily Oversold. Please Order at a Later Date.

Shipping weight = 0.75 lb.

The selected item is temporarily unavailable for sale. Please check back soon!
All medications are filled by Pet's Choice Pharmacy. More information. Can only be shipped in the United States.
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Sometimes, manufacturers require that products be advertised only at their suggested prices. When we choose to sell these items for less, we display the sale price only in the cart. To see the price, click Add to Cart.

Product Summary:

Tri-Heart Plus Chewable Tablets (Ivermectin/Pyrantel)

Tri-Heart Plus is formulated for use in dogs to prevent canine heartworm disease by eliminating the tissue stage of heartworm larvae (Dirofilaria immitis) for a month (30 days) after infection and for the treatment and control of ascarids (Toxocara canis, Toxascaris leonina) and hookworms (Ancylostoma caninum, Uncinaria stenocephala, Ancylostoma braziliense).

Item Specifications:

Dosage:
Tri-Heart® Plus ivermectin/pyrantel chewable tablets should be administered orally at monthly intervals at the recommended minimum dose level of 6mcg of ivermectin per kg (2.72mcg/lb.) and 5mg of pyrantel (as pamoate salt) per kg (2.27mg/lb.) of body weight. The recommended dosing schedule for prevention of canine heartworm disease and for the treatment and control of ascarids and hookworms is as follows:
Dogs up to 25 lb.: 1 tablet per month; 68mcg Ivermectin, 57mg Pyrantel (Blue)
Dogs 26-50 lb.: 1 tablet per month; 136mcg Ivermectin, 114mg Pyrantel (Green)
Dogs 51-100 lb.: 1 tablet per month; 272mcg Ivermectin, 227mg Pyrantel (Brown)
Tri-Heart® Plus ivermectin/pyrantel chewable tablets are recommended for dogs 6 weeks of age and older. For dogs over 100 lb., use the appropriate combination of these tablets.

Administration:
Remove only one chewable tablet at a time from the blister card. Because most dogs find Tri-Heart® Plus chewable tablets palatable, the product can be offered to the dog by hand. Alternatively, it may be added intact to a small amount of dry food or placed in the back of the dog’s mouth for forced swallowing.
Care should be taken that the dog consumes the complete dose, and treated animals should be observed for a few minutes after administration to ensure that part of the dose is not lost or rejected. If it is suspected that any of the dose has been lost, redosing is recommended.
Tri-Heart® Plus chewable tablets should be given at monthly intervals during the period of the year when mosquitoes (vectors), potentially carrying infective heartworm larvae, are active. The initial dose must be given within a month (30 days) after the dog’s first exposure to mosquitoes. The final dose must be given within a month (30 days) after the dog’s last exposure to mosquitoes.
When replacing another heartworm preventive product in a heartworm disease preventive program, the first dose of Tri-Heart® Plus chewable tablets must be given within a month (30 days) of the last dose of the former medication.
If the interval between doses exceeds a month (30 days), the efficacy of ivermectin can be reduced. Therefore, for optimal performance, the chewable tablet must be given once a month on or about the same day of the month. If treatment is delayed, whether by a few days or many, immediate treatment with Tri-Heart® Plus chewable tablets and resumption of the recommended dosing regimen minimizes the opportunity for the development of adult heartworms.
Monthly treatment with Tri-Heart® Plus chewable tablets also provides effective treatment and control of ascarids (T. canis, T. leonina) and hookworms (A. caninum, U. stenocephala, A. braziliense). Clients should be advised of measures to be taken to prevent reinfection with intestinal parasites.

Efficacy:
Tri-Heart® Plus chewable tablets given orally using the recommended dose and regimen, are effective against the tissue larval stage of D. immitis for a month (30 days) after infection and, as a result, prevent the development of the adult stage. Tri-Heart® Plus chewable tablets are also effective against canine ascarids (T. canis, T. leonina) and hookworms (A. caninum, U. stenocephala, A. braziliense).

Acceptability:
In acceptability trials, Tri-Heart® Plus chewable tablets were shown to be a palatable oral dosage form that was consumed at first offering by the majority of dogs.

Precautions:
All dogs should be tested for existing heartworm infection before starting treatment with Tri-Heart® Plus chewable tablets which are not effective against adult D. immitis. Infected dogs must be treated to remove adult heartworms and microfilariae before initiating a program with Tri-Heart® Plus chewable tablets.
While some microfilariae may be killed by the ivermectin in Tri-Heart® Plus chewable tablets at the recommended dose level, Tri-Heart® Plus chewable tablets are not effective for microfilariae clearance. A mild hypersensitivity-type reaction, presumably due to dead or dying microfilariae and particularly involving a transient diarrhea has been observed in clinical trials with ivermectin alone after treatment of some dogs that have circulating microfilariae.

Storage:
Store at controlled room temperature of 59-86° F (15-30° C). Protect product from light.

Caution:
Keep this and all drugs out of the reach of children. In case of ingestion by humans, clients should be advised to contact a physician immediately. Physicians may contact a Poison Control Center for advice concerning cases of ingestion by humans.

Adverse Reactions:
In clinical field trials with ivermectin/pyrantel, vomiting or diarrhea within 24 hours of dosing was rarely observed (1.1% of administered doses). The following adverse reactions have been reported following the use of ivermectin at the recommended dose: depression/lethargy, vomiting, anorexia, diarrhea, mydriasis, ataxia, staggering, convulsions and hypersalivation.

Safety:
Studies with ivermectin indicate that certain dogs of the Collie breed are more sensitive to the effects of ivermectin administered at elevated dose levels (more than 16 times the target use level of 6 mcg/kg) than dogs of other breeds. At elevated doses, sensitive dogs showed adverse reactions which included mydriasis, depression, ataxia, tremors, drooling, paresis, recumbency, excitability, stupor, coma and death. Ivermectin demonstrated no signs of toxicity at 10 times the recommended dose (60 mcg/kg) in sensitive Collies. Results of these trials and bioequivalency studies support the safety of ivermectin products in dogs, including Collies, when used as recommended.
Ivermectin/pyrantel 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. In clinical trials, many commonly used flea collars, dips, shampoos, anthelmintics, antibiotics, vaccines and steroid preparations have been administered with ivermectin/pyrantel in a heartworm disease preventive program.
In one trial, where some pups had parvovirus, there was a marginal reduction in efficacy against intestinal nematodes, possibly due to a change in intestinal transit time.

Style Item Number Model Number UPC
51-100 lbs Brown 6ct 406374 LG 012SCH13-272 300611353039
26-50 lbs Green 6ct 406374 MD 012SCH13-136 300611339033
up to 25lbs Blue 6ct 406374 SM 012SCH13-68 300611346048
Additional Information:

Please Note: 

This prescription product or therapeutic food is fulfilled by Pet’s Choice Pharmacy, Inc. A licensed pharmacy in all states, excluding North Carolina. Pet’s Choice is actively working with North Carolina Board of Pharmacy and expect to be licensed to fill prescriptions in 2018. We can only ship to US states. 

 

To order prescription products or therapeutic foods must have an existing, valid veterinarian-client-patient relationship.  Prescription requests are subject to a Drug Utilization Review by a licensed pharmacist for patient safety.

 

All prescription products (excluding therapeutic food) are FDA approved, or EPA licensed, to be sold in the US.

Prescription products cannot be returned.  


How do you fill my pet’s prescription order?

We understand how important your pet’s health is to you. That’s why we partnered with Pet’s Choice Pharmacy, a fully accredited Vet-VIPPS national pharmacy. Located in Belleville, Kansas, Pet’s Choice Pharmacy is a trusted partner that is fully licensed to distribute pharmaceutical products in all states, excluding North Carolina. This licensing ensures that they adhere to the proper standards for handling and dispensing pet medications directly to you, at a significant savings.

 

How does the prescription process happen?

Pet’s Choice Pharmacy will contact your veterinarian directly to obtain the necessary information and approval to dispense the medications ordered. It is helpful to have veterinarian’s name, phone number, and fax number when you place your order so we can speed up contact process with veterinarian. After prescription is verified, your medication will be safely dispensed and shipped directly to you. If you veterinarian does not participate or support online sales, you can mail your script to us directly.

Pet’s Choice Pharmacy  

814 K Street

Belleville, KS 66935

KVSupply.com Order #

 

Are we a licensed pharmacy?

The National Association of Boards of Pharmacy (NABP) has approved us as an Internet Advertiser of prescription drug-related services through its e-Advertiser Approval program. We are not a licensed pharmacy; however, we are permitted to display pet medications on our site and have prescription orders fulfilled and delivered through our trusted partner, Pet’s Choice Pharmacy, a full Vet-VIPPS accredited pharmacy. This gives you a trusted and affordable alternative to purchase the medications your beloved pets need to maintain quality of life and overall health.

If you have any medical questions about your pet, we suggest you speak with your veterinarian before administering any medication.  If you would like to speak with our pharmacy support team about your order, you can contact us directly Monday-Friday 9 am-5 pm EST at (877) 574-2267. If you veterinarian needs to fax your prescription, our fax number is (866) 787-1177.

 

** By law we can only accept a prescription faxed from your veterinarian or we must have the original prescription**

Product Reviews by Customers

5.0 / 5.0
1 Review
5 Stars
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1 Star
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5.0 / 5
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5.0 / 5
Recommend to a Friend
Yes (1)
Great protection & price
Excellent product. Used for many years.
September 27, 2017
Purchased
1 year ago
Start typing your question and we'll check if it was already asked and answered. Learn More
Browse 2 questions Browse 2 questions and 7 answers
Why did you choose this?
Dog.com Store
Great price
michelle h on Jun 12, 2018
less expensive than the vet and more convient
CHERYL S on May 24, 2018
Great price
michelle h on Jun 12, 2018
It is the same thing as HeartGard but less expensive
Patrick M on Jun 10, 2018
less expensive than the vet and more convient
CHERYL S on May 24, 2018
I have used this product for over 12 years and it works well.
Linda B on Aug 15, 2017
Had just bought Flea and Tic control when I discovered that where we are moving has a high rate of heart worms, after reading reviews buying Tri - heart so dogs will be covered for fleas, ticks and now heartworms. I bought the ones for dogs up to 25 lbs
Terry S on Aug 12, 2017
Effective and easy to use. She looks forward to the first of the month for this "treat".
Nick B on Mar 11, 2017
It is the same thing as HeartGard but less expensive
Patrick M on Jun 10, 2018
I have used this product for over 12 years and it works well.
Linda B on Aug 15, 2017
do I need to see a vet?
Don B on Jun 20, 2016
BEST ANSWER: Hello, the item is a prescribed medication and needs to be vet approved.