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

Do Dogs Have Eyebrows? Vet-Verified Canine Facts

When you’re looking at your pup, and they’re gazing back, do you notice the innocent slanting of their eyebrows when they hear their...

7 Poodle Health Issues: Vet-Approved Signs & Treatment

The Poodle is one of the most popular dog breeds, partly due to their low-shedding coat and keen intelligence. But this popularity means...

4 Great Off-Leash Dog Parks in Ocala, FL You Can Visit Today

Ocala, Florida, is located in the center of the Sunshine State and has so much to offer locals and visitors alike. You can...

How Much Does a Yorkshire Terrier Cost? 2026 Price Guide

The Yorkshire Terrier is a popular breed in the United States. They are ideal for families and senior owners because although they are...

More related

Whimzees Dog Treats Reviews 2026: Pros, Cons & Verdict

If you’re looking for an all-natural, grain-free dog treat to help clean your pup’s teeth and freshen their breath, then Whimzees dog treats...

Cane Corso Doberman Mix: Info, Pictures, Care & More

A blend of loyalty and intelligence, the Cane Corso Doberman mix is a rare sight compared to its parent breeds. Nevertheless, this hybrid...

Merrick vs. Wellness Dog Food: Our 2026 In-Depth Comparison

With so many different dog food brands and recipes out there, it can be challenging trying to find the right food for your...

Can Dogs Eat Only Dry Food? Vet-Approved Health Facts & Tips

One of the biggest worries for many owners is how to create a proper diet for their dogs so they can have plenty...

Keep reading

Can Dogs Eat Chives? Vet-Verified Nutrition Facts & FAQ

If you love to cook, chances are your kitchen is stocked with many of the basic ingredients you need for your favorite recipes. Vegetables and herbs from the Allium (onion) family, including chives, are among the most common seasonings used...

Can Dogs Eat_Chives

Top 10 Most Popular Dog Treat Brands in 2026 – Reviews & Top Picks

Dog owners know how much their pets love treats. What could be better than a delicious treat to reward your dog for a job well done? There are many different flavors, textures, and sizes of dog treats, as well as...

jack russell terrier having treats

Vitamin K for Dogs: 5 Vet-Approved Food Sources

Vitamin K is a necessary nutrient for all humans and animals. In addition to making this vitamin within our bodies, we can get the vitamin from the foods that we eat, and so can your dog! Here are five great...

white samoyed dog looks at a plate of vegetable salad

Can Dogs Eat Oranges? Vet-Reviewed Facts & FAQ

Most people love eating oranges during summer or making freshly squeezed orange juice. If you are a dog parent, you surely know the troubles of eating snacks with your dog staring at you the entire time. While this is adorable,...

Can Dogs Eat_oranges

Wufers Homemade Gourmet Dog Cookies Review 2026: An Expert’s Breakdown

Review Summary Wufers bakes and delivers homemade gourmet cookies straight to your house. This small business is based in London, Ontario and sources its ingredients from other local businesses. Wufers creates beautiful themed dog cookie boxes for birthdays, holidays, and...

DOG_SAPR_Wuferz Dog Cookies

Can Dogs Eat Lunch Meats? Vet-Approved Facts & FAQ

Dogs enjoy eating meats and meat-flavored snacks. However, not all meat is safe for dogs to eat, including lunch meats. While it’s not likely for your dog to get sick if they eat a small piece of lunch meat, continuously...

Can Dogs Eat_lunch meats

Can Dogs Eat Ice Cream? Vet-Verified Health & Safety Guide

Ice cream is a yummy treat many people enjoy, especially during the hot summer months. For dog owners, it’s common to see their pooches begging for a taste, watching on with pleading, imploring eyes, hoping a scoop will suddenly head...

Can Dogs Eat Ice Cream

Can Dogs Have Pumpkin Spice? Vet-Verified Health & Nutrition Guide

Fall brings with it the advent of pumpkin spice everything—pumpkin spice lattes, pumpkin spice cookies and bread, pumpkin spice scented candles, and more! There’s really no better way to get into the fall season than with some pumpkin spice. But...

pumpkin spice