Heartworm Treatment FAQ

Heartworm Treatment Overview

Please contact us at (512) 587-7729 for more information and to schedule a consult with a veterinarian.

FAQ

Where can I go for heartworm treatment?

I got a positive heartworm test on my dog. What do I do next?

Do I really need to treat my dog for heartworms? My dog doesn’t seem sick.

How are the heartworms killed?

Why is the treatment risky for my dog?

What should I expect at the Heartworm Evaluation Exam?

Why do I need to keep my dog on heartworm prevention for two months prior to treatment?

Why does my dog need to be on antibiotics for 30 days prior to treatment?

What should I expect on my first visit for the Immiticide injection (treatment)?

How much does this treatment cost?

What does the treatment cost include?

Do you offer a sliding scale cost?

Do you offer tests and/or treatment for cats?

Where can I go for heartworm treatment?

  • Heartworm tests and heartworm preventives are available at all Emancipet clinics.
  • Heartworm treatment for pets that have received a positive heartworm test is available only at Emancipet’s Central Austin Branch. It is not available in Houston, Killeen, Pflugerville, East Austin, or at the Mobile Clinic.

I got a positive heartworm test on my dog. What do I do next?

The first step is to come in for a Heartworm Evaluation Exam. Note: This evaluation is currently available only at Emancipet’s Central Austin Branch.

Do I really need to treat my dog for heartworms? My dog doesn’t seem sick.

We recommend coming in as soon as possible for a Heartworm Evaluation Exam so that the veterinarian can recommend the best possible option for your dog. Emancipet follows the American Heartworm Society’s recommendations for heartworm disease by treating adult heartworm infections with 3 injections of a drug called Immiticide. This treatment kills the adult heartworms quickly and reduces the amount of irreparable damage they inflict on the heart and lungs.

How are the heartworms killed?

The first Immiticide injection is given after your pet has had a minimum of two months of Heartworm prevention, and has completed 30 days of Doxycycline treatment. The second Immiticide injection is given one month later, and the third injection is given 24 hours after the second injection. This treatment protocol allows for the first injection to kill some of the worms and let the body clear them. The second and third injections will kill the remaining worms. By spreading out the treatment, there is less stress on your dog’s body and the treatment is less risky for your dog.

Why is the treatment risky for my dog?

The drug that is used to kill the heartworms is a very strong drug that is hard on your dog’s body. As the worms die, they can cause inflammation and scarring of the lungs. It is critical to minimize your dog’s activity during the treatment period in order to to minimize this risk.

What should I expect at the Heartworm Evaluation Exam?

Please bring a copy of your positive heartworm results so that we know what type of test was used. First, if one has not already been done, we will perform a confirmation test. The vet will then perform an examination of your dog. If you decide to proceed with the heartworm treatment, Doxycycline (an antibiotic) will be sent home with your dog to be administered for 30 days. If you do not already have heartworm prevention, your dog will be sent home with Tri-heart (heartworm prevention). Your dog will need to be on heartworm prevention throughout the treatment, as well as every month for the rest of their life.

Why do I need to keep my dog on heartworm prevention for two months prior to treatment?

Keeping your dog on heartworm prevention for a minimum of two months before treatment is vital to ensuring that the worms in your dog’s blood and heart are at a stage where they can be killed by the Immititcide injections. By keeping your dog on heartworm prevention, the existing baby worms will mature to the stage where they can be killed and your dog will not become infected with new heartworms.

Why does my dog need to be on antibiotics for 30 days prior to treatment?

It is important for your dog to finish the entire cycle of Doxycycline before the first Immiticide injection. This specific antibiotic has been shown to kill an important type of bacteria inside heartworms that is vital to the worms’ health. With the bacteria eliminated, the worms become more susceptible to the Immiticide. More importantly, killing this bacteria results in less life-threatening inflammation of the lungs during the treatment.

What should I expect on my first visit for the Immiticide injection (treatment)?

For each Immiticide injection, you will drop off your dog 8am in the morning and pick them up between 3:30 and 5pm. First, a veterinarian will perform an examination of your dog. Blood work will then be run to check your dog’s liver and kidney function, as well as check for anemia. Next, a pain injection is given and the first Immiticide injection is administered in a lower back muscle. Prednisone (a strong anti-inflammatory medication) is sent home on a 4-week, tapered dose, and one week’s worth of Tramadol (pain medication) is sent home with your dog.

How much does this treatment cost?

The cost of heartworm treatment depends on the size of your dog.

WeightTotal Price1st Payment2nd Payment
2-20 lbs$225.00$75.00$150.00
21-40 lbs$325.00$150.00$175.00
41-60 lbs$425.00$200.00$225.00
61-80 lbs$495.00$225.00$270.00
81-100 lbs$495.00$225.00$270.00
100+ lbs$495.00$225.00$270.00

The first payment is due on the day of your dog’s Heartworm Evaluation Exam. The second payment is due on the day of your dog’s first Immiticide injection. These payments will need to be made in full.

What does the treatment cost include?

The treatment price is a bundle and includes the following:

  • Heartworm Evaluation Exam
  • Confirmation heartworm test
  • Doxycycline tablets
  • Pre-procedure bloodwork
  • Pain medications before and after each injection
  • Anti-inflammatory medications after each injection
  • 3 Immiticide injections

Do you offer a sliding scale cost?

No. The cost of heartworm treatment at Emancipet is based on a reduced price point and makes the treatment more accessible and affordable. To assist with any financing concerns, the treatment is split into two payments. You can also apply for CareCredit, a healthcare financing program, at www.carecredit.com/apply. CareCredit is ONLY accepted at Emancipet’s Central Austin Branch Surgery Clinic.

Do you offer tests and/or treatment for cats?

No. At this time, there is no treatment available for cats and the tests used are unreliable. Heartworm tests for cats only test if the cat has ever had microfilaira (heartworm larvae) in their blood, not if he currently does. Because of this, it is strongly recommended that you keep your cat on heartworm prevention year-round.