[susan k]

You can get Ivermectin compounded for your dogs by weight at any good compounding pharmacy that does pet meds. And it’s 100% effective if you only give it every six weeks (not four). That way your dogs aren’t getting de-wormed for every conceivable kind of parasite — just heartworm. As long as they aren’t boarded, don’t drink puddle water, or eat dog poop or road kill on the street, all you really need is heartworm protection. I’ve been having Ivermectin capsules made for my dogs for several years now. For two or three days prior to Ivermectin and two or three days after, I also give them liver support drops — in my case Senior Support by Animals Essentials, which I get from my local holistic vet (but it’s available from Amazon). Ten drops added to food twice a day. This helps the Ivermectin pass through the liver. My dogs still get a tiny bit lethargic, I think, but this whole system is gentler than using Heartguard Plus or any of those other powerful deworming meds.