Get

In Your Inbox

Dogster is reader-supported. When you buy via links on our site, we may earn an affiliate commission at no cost to you. Learn more.

Heartgard vs. Heartgard Plus: Vet-Verified Differences?

Dogster_Heartgard VS Heartgard Plus

Review Summary

Heartworm is a deadly parasite that can impact dogs just about anywhere in the United States. They are most prevalent in the Southeastern US, but anywhere that has mosquitoes has the potential for heartworm disease. These parasites invade the heart and the vessels of the heart and lungs, potentially leading to permanent damage, heart failure, blood clots, and death.

Keeping your dog on regular heartworm prevention prescriptions from your vet is the best way to protect your dog against these awful parasites. Heartgard and Heartgard Plus are two of the most popular heartworm products on the market, but what’s the difference between them?

Dogster divider_v3_NEW_MAY_24_

At a Glance

Let’s look at the key points of each product.

Heartgard
  • Ivermectin is the active ingredient
  • Protects against heartworm
  • Safe for dogs 6 weeks and older
  • Kills heartworm in the larval stage
  • Discontinued
Heartgard Plus
  • Ivermectin and pyrantel are the active ingredients
  • Protects against heartworm, roundworm and hookworm
  • Safe for dogs 6 weeks and older
  • Kills heartworm in the larval stage and paralyzes hookworms and roundworms
  • More commonly used

Overview of Heartgard

Heartgard is a heartworm prevention medication with ivermectin as the primary ingredient. Ivermectin is capable of killing heartworms in their larval stage, preventing them from growing to adulthood in the blood vessels. Heartworms are spread through the bite of mosquitoes, which leave larva (microfilaria) behind in your dog’s blood after the bite. Without passing through a mosquito, a heartworm cannot complete its life cycle.

This medication is safe for dogs 6 weeks of age and older, although you should talk to your vet before giving Heartgard to a pregnant dog. It’s necessary to administer this medication as directed every 30 days. Late administration of Heartgard can allow your dog to be unprotected against heartworms. Once the worms pass their larval stage, Heartgard can no longer protect them.

Keep in mind that the original Heartgard has been discontinued since September 2020. So most likely your vet will only be offering Heartgard Plus. Unfortunately, we couldn’t find an exact statement from the company as to why they made the change, but we trust it was for good reason and that they’re now offering the best product to pet parents that they can.

Pros
  • Prevented heartworm larva from maturing
  • Was safe for dogs 6 weeks and older
  • Slightly less expensive than Heartgard Plus
Cons
  • Did not kill heartworms past the larval stage
  • Had to be administered every 30 days
  • Has been discontinued

Dogster divider_v1_NEW_MAY_24_

Overview of Heartgard Plus

Heartgard Plus Chew for Dogs

Like Heartgard, Heartgard Plus uses ivermectin as its primary ingredient to protect against heartworm. However, Heartworm Plus also contains pyrantel, which is an antiparasitic medication that is effective against roundworms and hookworms. Roundworms and hookworms are both transmissible to humans. They are transmitted through contact with infected feces or ground or grass where infected feces has been. By administering Heartgard Plus every month, you will protect your dog against heartworms, hookworms, and roundworms.

Heartgard Plus is also safe for dogs aged 6 weeks and over. The manufacturer’s prescribing leaflet also states that it has a wide margin of safety for pregnant and nursing females. This medication must be administered every 30 days for maximum heartworm protection. Hookworms and roundworms are much easier to treat and are overall less dangerous than heartworms.

Pros
  • Prevents heartworm larva from maturing
  • Protects against hookworms and roundworms
  • Safe for dogs 6 weeks and older
Cons
  • Does not kill heartworms past the larval stage
  • Must be administered every 30 days

Dogster divider_v3_NEW_MAY_24_

What Are the Differences Between Them?

Efficacy Against Heartworms

Edge: Tie

Heartgard and Heartgard Plus use the same doses of ivermectin to protect against heartworms. They are equal in their functionality for killing heartworms in the larval stage.

heartworm removed from dog
Image Credit: vitrolphoto, Shutterstock

Efficacy Against Intestinal Parasites

Edge: Heartgard Plus

Out of the two, only Heartgard Plus contains pyrantel, a medication that kills hookworms and roundworms. Because of this, only Heartgard Plus protects against these intestinal parasites.

If you’re uncertain about which parasite prevention medication to use, consult a veterinarian for guidance.

If you need to speak with a vet but can't get to one, head over to PangoVet. It's our online service where you can talk to a vet online and get the advice you need for your dog — all at an affordable price!

PangoVet_Mention-in-Content Savings V1


Availability and Price

Edge: Heartgard Plus

Since the original Heartgard has been discontinued, Heartgard Plus is what you’re most likely to find available and what your vet would prescribe and recommend.


Ease of Use

Edge: Tie

These medications both come in a chewable that most dogs find appetizing and will eat without fuss. Although they’re both extremely easy to administer for most dogs, these medications must be given every 30 days. If given late, then there is an increased risk for your dog to get heartworms.

It is not recommended to offer the first dose without a veterinarian’s prescription because the vet needs to check your dog to ensure they are not already infested with adult forms of the heartworm parasite.

person feeding poodle pet dog with preventive heart worms chewable
Image Credit: ThamKC, Shutterstock

Dogster divider_v2_NEW_MAY_24_

What the Users Say

We’ve gone ahead and done research to see what other dog owners have to say about using Heartgard and Heartgard Plus.

With Heartgard, they loved the simplicity of the medication and the efficacy against heartworms. For Heartgard Plus, dog owners love the fact that this medication protects against heartworms and some intestinal parasites. Since Heartgard is now discontinued, Heartgard Plus is easier to find in pet pharmacies and vet clinics.

Some people note that counterfeit products have ended up on the market, especially with unscrupulous online pharmacies. To keep your dog safe, it’s best to purchase these medications directly from your veterinarian, and that means you’ll be purchasing Heartgard Plus.

Dogster divider_v3_NEW_MAY_24_

Conclusion

When it comes down to it, Heartgard Plus is a better option than Heartgard. It provides greater protection for your dog against parasites, and since hookworms and roundworms can be contagious to humans, it also helps protect you and your family. Of course, regular Heartgard is no longer available since it has been discontinued, so you’ll have to purchase Heartgard Plus from your vet if you’ve always used and trusted this brand, although your vet will be able to provide you with the most suitable of all the options available in the market.

Related Read: 

Want content like this delivered to you?

Sign Up For Our Newsletter

News, insights, expert advice, and everything dog

* By submitting, you agree to our Terms & Conditions and Privacy & Cookies Policy.


How useful was this post?

Click on a star to rate (you can leave written feedback after clicking submit)

Help us improve Dogster for pet parents!

Your feedback really matters.

What did you like about this post? Also how can we improve it?

Join the conversation

Leave a Reply

You’re very welcome to leave a comment or question. Please know that all comments must meet our community guidelines, and your email address will NOT be published. Let’s have a positive and constructive conversation.


Talk With A Vet Online

Peace of mind,
anywhere, anytime

Affordable vet advice

What Are CBD Treats for Dogs? Usage, Pros & Cons (Vet-Verified)

Cannabidiol (CBD) is used for several human health conditions, like anxiety, chronic pain, and even epilepsy. Dogs can be affected by these same...

Dogster Photo Contest: Dogs of the Week Winners (Feb 06, 2025)

This Week’s Winner Cutest Most Expressive Silliest Most Dignified Best Action Shot Enter Your Dog Submit your doggie for a chance to be...

How to Keep a Dog Busy While at Work: 18 Proven Methods

As much as we might want to stay home with our dogs all day, most of us have jobs to do outside the...

Is a Mastiff a Good Guard Dog? Vet-Verified Facts & FAQ

The magnificent Mastiff is a breed that can be traced back to ancient Rome and Greece and is one of the biggest dogs...

More related

10 Best Dog Travel Bags In 2026: Reviews & Top Picks

While it is possible to carry all your pet’s provisions in a standard backpack, a dog travel bag provides compartments and pockets specifically...

German Shepherd Great Dane Mix: Info, Pictures, Care & More

As the name suggests, this breed is a hybrid of a German Shepherd and Great Dane. Because this is a mixed breed, you...

Is a Pitbull a Hunting Dog? Breed History & Facts

Pitbulls are an amazing and fascinating breed with various characteristics that make them popular worldwide. This breed has been a loyal companion to...

16 Pet Ownership Statistics in Texas: Updated in 2026

Note: This article’s statistics come from third-party sources and do not represent the opinions of this website. Approximately two-thirds of all households in...

Keep reading

Kibbles ‘n Bits Dog Food Review 2026: Recalls, Pros & Cons

Review Summary Kibbles ‘n Bits has a range of dry dog foods and a limited range of wet foods for dogs. The food is low priced and generally well received by owners, but a lot of its ingredients are considered...

Dogster_Kibbles ‘n Bits Dog Food Review

Authority Puppy Food Review 2026: Recalls, Pros & Cons

Review Summary A new puppy can bring a lot of excitement into your life! Along with the adorable pictures and play, there are some tough questions, like what you will be feeding your new bundle of fur. If you are...

Dogster_Authority Puppy Food Review

Can Dogs Have Matcha? Vet-Verified Dangers & FAQ

Matcha can be found in a plethora of food and drink items, from lattes to ice cream. If you’re a fan of occasionally giving your canine companion a treat in the form of human food, you may be wondering if...

Dogster-Can-Dogs-Have-Matcha

Can Dogs Eat Cornbread? Vet-Approved Facts & FAQ

During dinner, your dog may stand near you and beg for table scraps, but some food is unhealthy and hazardous to canines. Cornbread seems harmless enough, and it is generally safe to serve. Dogs can enjoy a little cornbread occasionally,...

Can Dogs Eat Cornbread

PetPlate Dog Food & Supplement Subscription Review 2026: Door Delivery For Your Pup Made Fresh

Are you considering switching your dog to a dog food delivery service but struggling to find one that includes enough variety to suit your dog’s needs? If that’s the case, PetPlate might be the best choice for you. This subscription...

DOG_SAPR_PetPlate Human-Grade Dog Food

Can Dogs Eat Sweet Potato Skins? Vet-Verified Nutrition Facts

Sweet potatoes can be an excellent treat to give your dog occasionally. They’re soft when cooked, tasty, and nutritious. Dogs are omnivores and so can derive important nutrients from both plant and animal sources. As much as dogs benefit from...

Can Dogs Eat Sweet Potato Skins

Can Dogs Eat Cantaloupe? Vet-Approved Nutrition Facts

One of the best parts of summertime is sitting down to enjoy a juicy piece of cantaloupe. These tasty treats are a great way to cool down, have a healthy snack, and stifle your hunger at the same time. If...

Can Dogs Eat Cantaloupe

10 Best Peanut Butters For Dogs in 2026 – Reviews & Top Picks

Dogs have different preferences for their treats and meals, but if there is a universal food that every canine seems to love, it’s peanut butter. You can use peanut butter as a training tool, treat, or addition to a frozen...

Cute puppy eating peanut butter from a spoon