Clinical assessment of post-adulticide complications in Dirofilaria immitis-naturally infected dogs treated with doxycycline and ivermectin

Vet Parasitol. 2014 Sep 15;205(1-2):211-5. doi: 10.1016/j.vetpar.2014.06.014. Epub 2014 Jun 17.

Abstract

This study shows that a combination of doxycycline (10mg/kg/sid for 30 days) and ivermectin (6 μg/kg/every 15 days for 6 months) is well tolerated for the treatment of canine heartworm disease (HWD). Monthly echocardiography showed that 84% of treated dogs either progressively improved parameters indicative of pulmonary hypertension or, following slight worsening, resolved all signs. Thoracic radiography showed the persistence of interstitial inflammation, even though also in this case, approximately 70% of the dogs steadily improved or worsened but then improved by the end of the study.

Keywords: Cardiac ultrasound; Dirofilaria immitis; Doxycycline; Ivermectin; Melarsomine.

MeSH terms

  • Animals
  • Anti-Bacterial Agents / administration & dosage
  • Anti-Bacterial Agents / therapeutic use
  • Antiparasitic Agents / administration & dosage
  • Antiparasitic Agents / therapeutic use
  • Dirofilaria immitis*
  • Dirofilariasis / drug therapy*
  • Dirofilariasis / pathology
  • Dog Diseases / drug therapy
  • Dog Diseases / parasitology*
  • Dogs
  • Doxycycline / administration & dosage
  • Doxycycline / adverse effects
  • Doxycycline / therapeutic use*
  • Drug Therapy, Combination
  • Ivermectin / administration & dosage
  • Ivermectin / adverse effects
  • Ivermectin / therapeutic use*
  • Myocardium / pathology
  • T-Lymphocytes, Regulatory / physiology*

Substances

  • Anti-Bacterial Agents
  • Antiparasitic Agents
  • Ivermectin
  • Doxycycline