My puppy passed roundworms after Tri Heart Plus. Is it normal?

Thank you for using Petco Pet Education Center, formerly Petcoach! HeartguardPlus has pyrantel as an ingredient, which kills adult and immature intestinal parasites. Depending on the stage of infection, it can take several days for all of the adult worms to die and be passed in the feces. It is normal to see different types of worms in the feces, as this product kills several types of worms, which are very common in puppies. If you notice that your puppy is continuing to have diarrhea after several days, I recommend bringing a stool sample from Blaze to your vet to determine which parasites are present. I hope this helps and wish you luck with your new puppy!

Heartworm preventative medications also kill intestinal worms such as hookworms and roundworms, so it's not uncommon to see a puppy pass some worms in the stool after getting a dose of heartworm prevention. As long as Ginger is acting normal, this shouldn't be cause for concern. She will likely finish passing the worm the next time she has a bowel movement. You can take her outside for a potty break to see if she needs to go, or gently wipe her rear end with a warm washcloth to see if the worm will come out easily.

You did exactly the right thing by calling around to vets to ask for help right away. It's always best to check when you aren't sure, and are worried about your pet. The Triheart dose that we give dogs for heart worms has very small doses of the two medications that are in it. Ivermectin is one of the medications that is in the Tri heart. The dose is 68 micrograms. Veterinarians use this medication also to treat dogs with skin mites and use a dose over 100 times the dose in one heart worm preventive tablet. Therefore, even if she would have eaten two or three boxes of the Triheart she should be very safe and there is not any risk of an overdose of the ivermectin. The other medication is called pyrantel pamoate which is used for deworming of intestinal parasites. This medication has a very large safety margin also, and can be given at 10-20 times the normal dose without any risks of toxicity. Therefore, just like with the ivermectin in the Triheart Plus, I would not expect any potential side effects either. These potential side effects could include an upset stomach, mild diarrhea, and/or vomiting. Monitor her for those side effects, and bring her into your vet in the morning if you are still concerned.

Heartguard Plus also controls roundworms and hookworms, so there is no need to give the Nemex 2 now. However you should give your puppy Nemex in about two to three weeks in order to hit the worms that hatch from the eggs the Heartguard did not catch.

Yes, the Interceptor Plus will affect adult worms but not larvae that are migrating. Dewormers can cause a"purge" of dead or dying adult intestinal parasites. You should have Rocket dewormed again in 2-3 weeks. Contact your veterinarian for a broad spectrum dewormer to clear emerging adults. Nemex or Panacur can be dispensed by your vet based on your dog's weight.

Yes, it's very common to see the worms after giving the deworm medication. This type of deworm medication works by inhibiting the nerves in the worm. While this usually does kill the worm, they may be somewhat alive still when they are passed in the stool. The fact that the worm came out indicates that it is at-least debilitated. If this was Millie's first deworm tablet, then it's best to give another one (like drontal plus) in two weeks to make sure you get all the worms. I hope that helps.

Yes this should be fine and shouldn't cause him any harm. I just wouldn't give them on the same day. You will need to deworm today and repeat it in 3 weeks to help get ride of the hookworms. I would then have your vet check a stool lsample to ensure they are gone. I hope this helps!