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Iverhart Max - Sentinel - Trifexis
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Iverhart Max
Sentinel
Trifexis
Prevents Heartworm Disease checkmark checkmark checkmark
Roundworms X mark X mark X mark
Hookworms checkmark checkmark checkmark
Whipworms X mark checkmark checkmark
Tapeworms checkmark X mark X mark
Fleas X mark Flea Eggs and Larvae checkmark
Other Parasites X mark X mark X mark
Safe for Breeding, Pregnant or Nursing Pets The safe use of this drug has not been evaluated in pregnant or lactating bitches. Has tested safely at normal doses. Consult your veterinarian about the use in breeding females. The safe use in male dogs intended for breeding has not yet been evaluated.
Age/Weight Requirements 8 weeks of age or older and weighing at least 6 lbs 4 weeks of age or older and weighing over 2 lbs 8 weeks of age and older and weighing at least 5 lbs
Rx Prescription Required checkmark checkmark checkmark
Dosage
Usage Iverhart Max Usage Sentinel Usage Trifexis Usage
Video /images/products/video/petmeds-heartworm-disease-sentinel.flv Video coming soon
Veterinarian Review (Michael Dym, VMD) As I also mention under my product review for Iverhart plus, it is truly wonderful for me to see a reliable more economic generic available for animal guardians that is certainly comparable to the more expensive brand name monthly heartworm preventatives. With this Virbac product, not only are clients getting the reliable heartworm prevention record of ivermectin, but also the additional preventative benefits and control of other internal parasites of the digestive tract, including roundworms, hookworms, and in this case tapeworms as well. It is exciting to see the inclusion of praziquantel in this combination product to broaden the spectrum of coverage of Iverhart plus against tapeworms. Tapeworms are among the most common frustrating parasites seen in dogs and cats, especially when there is any risk of flea exposure. Iverhart Max stands alone in having this added benefit of tapeworm control. Even for only this additional benefit, as well as the ones I mention under Iverhart plus , I highly recommend this reliable generic product and alternative to the other more expensive monthly heartworm pills that dont offer this protection against tapeworms. The only negative issue I have seen is the occasional pet who develops digestive upset from one of the ingredients, in which case I would change to a different monthly alternative. The only other possible limitation with this product is that it does not protect or prevent against whipworms, which in certain areas of the United States can be an intestinal parasite that can sometimes cause acute or chronic inflammation of the colon and diarrhea. But in my experience, whipworms are not as common as I used to see in my earlier days of veterinary practice. Thus my overall rating of this product is a 5. Its effectiveness a 4 and its taste a 4 as well. Sentinel is a wonderful combination of the heartworm prevention pill interceptor and the flea control product program both in this one pill. Many clients enjoy the convenience of having such broad acting internal and external parasites in one pill, without having to worry about giving two separate medicines. Lufenuron, which is the main flea control ingredient, stops the flea life cycle in its track at the egg and larval stage, thus being like a birth control pill for fleas who get on our pets. Given that the main problem of fleas is how rapidly they reproduce, this pill literally stops escalating growth of flea populations, before they can become established in our homes, where most of the flea life cycle occurs. The main disadvantage to this product is that it does not kill or repell adult fleas, so in situations with already established heavy infestations, it is best combined with a great topical product like advantage or front line or with the oral adulticide flea pill capstar for maximal effect. The only other rare disadvantage I see is the slight increase in reactions when two products are combined into one like this, but fortunately this is not common in clinical practice. With milbemycin for prevention of heartworms and controlling and treating most common intestinal worms, I overall highly recommend this versatile product. Currently under review
Our expert panel consists of licensed veterinarians and the knowledgeable staff of PetMed Express, Inc. d/b/a 1-800-PetMeds. Neither the Company nor any of its employees or consultants make any warranties, expressed or implied, or representations about the accuracy or completeness of the content or the content of any site or external sites. Likewise, no legal liability or responsibility is assumed for the accuracy or completeness of any information, or usefulness of products discussed. While every effort has been made to accurately represent the qualities and characteristics of each product, which for the most part were taken directly from the websites of the manufacturers, we are not responsible for any errors. The information presented is for educational purposes only and is intended to be a supplement to, and not a substitute for, the expertise and professional judgment of your veterinarian. The information is NOT to be used for diagnosis or treatment of your pet. You should always consult your own veterinarian for specific advice concerning the treatment of your pet. The information is not intended to cover all possible uses, directions, precautions, warnings, allergic reactions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for your pet. It is not a substitute for a veterinary exam, and it does not replace the need for services provided by your veterinarian. Note: Any trademarks are the property of their respective companies.

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