Is it okay to give my dog Trifexis a few days after Heartgard?

I would suggest to ideally wait 7 days before giving any other treatment to be on the safe side. The two might be given together as they have different active molecules but I would recommend always to give them at different times (one week apart). Hope this answer was helpful, but please do not hesitate to contact us again on the forum or by requesting a consultation if you have any more questions or to discuss it any further. If this answer was helpful please let us know, this will be used to improve our service!

Thank you for submitting your question regarding Dan. It should be fine to give him the dewormer and heartworm medication on the same day. If you are concerned though, you can separate them by 24 hours giving the Trifexis is today and the dewormer later. I hope this information!

It is ok to give trifexis and simparica together (staggered by 2 weeks is great). Both of those medications will protect against fleas so there is some overlap with that. If you want to streamline how many medications you are giving Dakota monthly, Another option would be to use sentinel or interceptor instead of the trifexis and give with that with simparica monthly. These products contain the same heart worm preventative (milbemycin) as trifexis but do not contain any medication to kill adult fleas. (Trifexis contains both the milbemycin for heart worm prevention and Spinosad for fleas). That way you would be giving one medication for heart worm prevention (sentinel or interceptor ) and one for flea and tick prevention (simparica). Another option is to continue trifexis and add in a tick collar (such as the preventic collar or the seresto collar). I know there are so many products and options it is confusing ! Let us know if you have any other questions. And great job with preventative care.

It is safe to use both bravecto and trifexis together. I would continue giving the Trifexis as you have been and also their bravecto as instructed. This will ensure you've got heartworm coverage along with flea and tick protection. Please let me know if you have any other questions or concerns!

Yes! It should be okay to give both pills at the same time. You might want to stagger them the first time by a day or two just in case you happen to see some nausea or other adverse effects, but after that give both at the same time.

Hmm - it's odd that the Trifexis doesn't seem to be working as well, because it actually has the same active ingredient as Comfortis. The only difference is that it has an added ingredient for heartworm prevention, otherwise it's exactly the same drug. In my experience, both are extremely effective for fleas. I wonder if perhaps Tessa is continuing to pick up fleas from somewhere in the environment? It does take a few hours for a flea to die after biting her, so if she is continually being re-infested from the house or yard, it's very possible that you might see live fleas on her even if the medication is working properly. If you think this might be the case, I would recommend treating your house and yard with a premises spray such as Knock-Out. If you still want to get her something else for fleas, I would not recommend giving a Comfortis dose on top of the Trifexis, because this would just be giving a double dose of the same drug - I would be concerned about possible side effects from overdosing this medication. Instead, you could consider using a topical flea medication this month such as K9 Advantix, since this is a completely different medication that doesn't interact in any way with the Trifexis.

He should be OK. Don't give him the next dose of the medications until March 1st and even then, it is best to give one drug one day, wait a few days and then give the other. Giving them at the same time may be too hard on his system.