DOGS
Based on AAHA-AVMA, CAPC, and CDC guidelines, all dogs should be on effective year-round prevention for heartworm, GI parasites, fleas, and ticks, considering risk of exposure.
Heartworm preventatives are all FDA-approved prescription products, and all are excellent at the prevention of heartworm but have variable efficacy for different GI parasites. For example, Heartgard Plus is only effective at killing adult roundworms and hookworms, while Sentinel Spectrum is effective at killing juvenile and adult roundworms and hookworms, as well as whipworms and tapeworms. Some heartworm preventatives also protect against fleas and ticks.
Flea and tick preventatives are more variable, as some are FDA-approved while others are EPA-regulated. FDA products work systemically and require a prescription, and have high efficacy and low variability from pet to pet, while EPA products work topically, are over-the-counter (OTC, no rx needed), and can have variable efficacy and effectiveness, especially for fleas. EPA-regulated over-the-counter products generally have less research/testing and manufacturing oversight compared to FDA products. Examples of FDA products include Bravecto, NexGard, and Credelio, while over-the-counter EPA products include Advantix II, Frontline Plus, and Seresto collars. We DO NOT recommend any generic over-the-counter products, as efficacy can be very poor.
Preventatives are typically administered monthly, unless otherwise indicated.
Generally for our dog patients, we typically recommend either:
Sentinel Spectrum (monthly) + Bravecto (12-week chew or topical; 1-month chew for dogs <6 months old)
Or
Credelio Quattro (monthly)
These provide excellent coverage for heartworm, roundworm, hookworm, tapeworm, as well as fleas, ticks, and mites. Sentinel Spectrum is also effective against whipworm.
Pricing Per Dose:
Sentinel Spectrum - $11
Bravecto 12 week chew - $76
Bravecto 12 week topical - $67
Credelio Quattro - $36
If purchasing 6 or 12 months at a time, our in-hospital pharmacy price is often cheaper than online pharmacies once we apply manufacturer rebates. Rebates are instant and processed by us, so you save at the time of purchase.
Current Rebates ONLY Products Purchased Directly from the Art City Vets In-Hospital Pharmacy (not online):
| |
Sentinel Spectrum +Bravecto 12-week chew |
Credelio Quattro |
| 12 months |
$336 ($28/month) --includes $100 rebate |
$367 ($31/month) --includes $65 rebate
|
| 6 months |
$178 ($30/month) --includes $40 rebate |
$191 ($32/month) --includes $25 rebate |
**All items must be purchased at one time, on one invoice, for one pet.
**Bravecto 12-week chews and topical are both available (no topical in-hospital for dogs >88 pounds)
**Bravecto 1-month does not qualify
There are also rebates for Sentinel Spectrum and Bravecto when purchased separately.
**Pricing through Art City Vets using manufacturer rebates is lower than listed online pharmacies**