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Confirmation of Adulticide EfficacyThe aim of adulticide therapy is the removal of adult heartworms. However, clinical advancement in dogs treated for heartworm disease is possible without entirely removing the adult heartworms. Heartworm antigen testing is the most reliable method of verifying the efficacy of adulticide treatment. If all the adult worms have been destroyed or very few survive, heartworm antigen should be undetectable after six months post-adulticide. Dogs that stay antigen positive at that time could be considered a possible candidate for repeat treatment with an adulticide only after a full review of every instance. Sometimes, an alternative is to not escape with the arsenical but to continue with a preventative like ivermectin which will gradually eliminate the remaining worms.PreventivesWhile treatment of canine heartworm disease is generally effective, prevention of the disease is much safer and cheaper. There are an assortment of options for preventing heartworm disease, including monthly pills, chewables and topicals. These products are extremely effective and when administered properly on a timely program, heartworm infection can be prevented.