Please note: a valid prescription is required for all prescription medication.
ProHeart 6 is a veterinary prescription medicine given as a long-acting injection to help prevent heartworm disease in dogs and treat certain hookworm infections. This page summarizes practical basics, including how the drug class works, what the clinic visit usually involves, and key safety and storage points to review with a veterinary team. CanadianInsulin is a prescription referral platform that helps route valid prescriptions for US shipping from Canada, with cash-pay access for those without insurance.
What ProHeart 6 Is and How It Works
This product contains moxidectin, a macrocyclic lactone (antiparasitic drug class) formulated for extended release after a subcutaneous injection. After administration, the medicine circulates at levels intended to prevent developing heartworm larvae from maturing into adult worms. It also has activity against certain intestinal hookworms, which are common parasites that can cause diarrhea, weight loss, and anemia in dogs.
CanadianInsulin coordinates prescription referral; licensed Canadian pharmacies dispense approved veterinary prescriptions. This medication is not an adulticide, meaning it does not remove existing adult heartworms. Veterinary screening is commonly part of prevention plans, especially when a dog’s prior prevention history is unknown. For background on risk and disease basics, browse the Canine Heartworm Disease hub and the Canine Hookworm Infection hub.
Who It’s For
This injectable prevention option is used in dogs when a clinic and owner prefer a longer interval between doses. It may be considered for dogs that have trouble taking monthly tablets, dogs in high-risk mosquito areas, or households where adherence is hard to maintain. Many veterinary practices also pair parasite prevention with routine wellness care, including weight checks and review of other medicines.
Eligibility depends on the veterinary label and clinical judgment. ProHeart 6 is generally used in dogs old enough for the approved age range and healthy enough for an injection visit. It is not appropriate for every dog, including those with known hypersensitivity to ingredients or dogs that are ill or debilitated. For a broader view of prescription options that clinics may use alongside prevention, the Pet Medications category can be used to browse by type.
Dosage and Usage
This medicine is administered by a veterinary professional as a single injection on a set schedule, commonly every six months. Dose selection is weight-based and follows the official prescribing information, so an accurate current weight matters. ProHeart 6 should not be self-administered at home, and the clinic may require testing before starting or restarting, depending on a dog’s history and local practice standards.
When a scheduled visit is delayed, the veterinary team typically advises how to re-establish prevention and whether additional testing is needed. Keeping a written date of each injection and the dog’s weight at the visit can help reduce missed intervals. If a dog has recent travel, prior gaps in prevention, or unclear records, clinics often document those factors before giving the injection.
What a Veterinary Appointment Often Covers
Many clinics follow a repeatable workflow for long-acting parasite prevention. Staff may confirm the dog’s current weight, review recent illnesses, and ask about reactions to prior injections. A heartworm screening test may be performed when indicated, and the team may observe the dog briefly after administration to watch for immediate hypersensitivity signs. If nausea or vomiting is a concern after any veterinary treatment, the clinic may discuss supportive care options; for general background on antiemetic (anti-nausea) medicines used in veterinary practice, see Cerenia Uses And Dosage.
Strengths and Forms
This product is supplied as a veterinary injectable formulation intended for in-clinic use. The dose is calculated and prepared by trained staff, which helps reduce handling errors and supports proper administration technique. Because it is an extended-release product, preparation and injection methods described in the official labeling are important to follow, including any steps related to mixing and administration timing.
Availability can vary by pharmacy supply and clinic ordering patterns. Some pet owners compare long-acting injectable prevention with monthly oral or topical preventives, while others focus on the clinic-administered schedule. A veterinary team can confirm the correct presentation for the dog’s weight and can advise how the injection fits into a broader parasite control plan.
Storage and Travel Basics
Storage is usually handled by the clinic because the product is administered on-site. Veterinary staff follow the package labeling for temperature range, light protection, and beyond-use handling after preparation. Pet owners typically do not need to transport or store the medication at home, which can simplify routine prevention compared with products kept in a household medicine cabinet.
Quick tip: Keep the injection date and clinic paperwork with the dog’s vaccination records.
For travel planning, the main practical issue is documenting the prevention window and scheduling the next visit before the interval ends. Dogs moving between regions may face different parasite exposures, including intestinal worms that can be picked up from soil or feces in shared environments. For additional context on parasite treatment approaches beyond heartworm prevention, see Droncit Tapeworm Treatment as a separate, condition-specific example.
Side Effects and Safety
As with many veterinary injections, side effects can occur and range from mild to serious. ProHeart 6 may be associated with temporary gastrointestinal signs (such as vomiting or diarrhea), reduced appetite, lethargy, or localized injection-site reactions like swelling or discomfort. Some dogs may also develop itchiness or hives, which can be signs of a hypersensitivity response.
Why it matters: Early recognition of allergic reactions supports faster veterinary care.
More serious reactions can include collapse, breathing difficulty, pale gums, weakness, or persistent vomiting. Clinics may recommend observing a dog for a period after the injection and monitoring at home later the same day. Report any concerning signs to a veterinarian promptly, especially if symptoms are sudden or progressive. Some requests require prescription confirmation with the prescribing clinic. For general education on how side effects are described for other pet prescriptions, compare how reactions are outlined in resources like Apoquel Uses And Side Effects and Deramaxx Safety Overview.
Drug Interactions and Cautions
Veterinary teams consider a dog’s full medication list before administering long-acting parasite preventives. Caution is often used when combining therapies that affect the nervous system, and clinics may review other parasiticides in the same drug class. Some dogs have an MDR1 gene variant that can increase sensitivity to certain drugs; a veterinarian can advise whether that history changes product selection or monitoring plans.
It is also important to share recent vaccinations, supplements, and any current antibiotics or anti-inflammatories with the clinic before an injection visit. Not all combinations are problematic, but complete information supports safer decision-making and more accurate adverse event assessment if symptoms occur afterward. For an example of how dosing and cautions are presented for a common veterinary antibiotic, see Cephalexin Uses And Dosage.
Compare With Alternatives
When comparing prevention strategies, clinics often look at dosing interval, administration route, and parasite coverage. ProHeart 6 is clinic-administered on a longer schedule, while many alternatives are monthly products given at home. Examples include oral preventives such as Heartgard Product Page and Interceptor Plus Product Page, as well as topical options used for broader parasite control in some dogs.
Longer-interval injections can reduce missed doses, but they still require scheduled clinic visits and follow-up records. Monthly preventives offer flexibility and can be stopped or changed more quickly if intolerance occurs, but they depend on consistent administration. A veterinary professional can weigh local parasite risk, prior prevention gaps, and the dog’s health status before selecting a prevention approach.
Pricing and Access
Costs for long-acting heartworm prevention commonly vary by dog weight and clinic-level services that may be required at the visit. In addition to the medication itself, a veterinary appointment may include an exam, screening tests, and administration fees. When reviewing ProHeart 6, clinics may also consider regional heartworm prevalence and whether additional parasite control is needed based on stool testing or exposure history.
For access through CanadianInsulin, a valid veterinary prescription is required, and some orders may involve confirming details with the prescriber. The service supports cash-pay access for clients who are without insurance. Depending on the product and destination, US delivery from Canada may be available for eligible prescriptions. If the goal is to understand site-wide offers rather than medication selection, the Site Promotions page lists current programs.
Authoritative Sources
For the most reliable details on indications, contraindications, and administration steps, refer to official prescribing information and established veterinary guidance. Clinics may also use regional heartworm prevention recommendations to decide when testing is needed and how prevention fits into year-round parasite control. These sources can support informed discussions with a veterinary professional and help clarify what the product is designed to do.
- Review clinical guidance from the American Heartworm Society Guidelines.
- Check U.S. regulatory references via FDA Animal Drugs@FDA.
- Read manufacturer materials from Zoetis ProHeart.
To submit a prescription request through the site, follow checkout steps and select prompt, express, cold-chain shipping when applicable.
This content is for informational purposes only and is not a substitute for professional medical advice.
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How long does a ProHeart 6 injection protect my dog?
Protection lasts for about six months from a single clinic-administered dose. Your veterinarian will advise on repeat timing based on testing and regional risk.
Does my dog need a heartworm test before getting this injection?
Yes. Dogs should test negative for heartworm before starting or restarting therapy. Your veterinarian determines testing frequency and timing.
Can puppies receive ProHeart 6?
Safety is established for healthy dogs six months of age and older. Younger puppies should use alternatives until they reach the appropriate age.
Can this be used with flea and tick products?
Often yes, but combinations should be reviewed by your veterinarian. Provide a full list of preventatives, prescriptions, and supplements.
What side effects should I watch for after the injection?
Mild soreness, low energy, vomiting, diarrhea, or reduced appetite can occur. Seek immediate veterinary care for facial swelling, hives, collapse, or breathing difficulty.
What if we are late for the next dose?
Protection may lapse. Contact your clinic to discuss retesting and scheduling. They may recommend an interim monthly preventative until you are seen.
Is this medicine given at home?
No. It is reconstituted and administered by a veterinarian as a subcutaneous injection. Do not attempt home administration without veterinary direction.
What is ProHeart 6 used for in dogs?
ProHeart 6 is a veterinary prescription injection used to help prevent heartworm disease in dogs and to treat certain hookworm infections. It works as a long-acting formulation of moxidectin, which targets parasite stages involved in heartworm prevention and intestinal worm control. It is not intended to treat existing adult heartworms, so a veterinarian may recommend heartworm testing before starting, especially if a dog has missed preventives or has an unknown history. The clinic can confirm whether this option fits local parasite risk and the dog’s health status.
How long does the 6-month heartworm injection last?
This product is designed to provide protection over an extended interval, commonly referred to as six months, when administered on schedule by a veterinary professional. The duration depends on following the labeled injection timing and using the correct weight-based dose. If a dose is delayed, a veterinarian may advise additional steps to re-establish protection safely, which can include heartworm testing depending on timing and exposure risk. Keeping a clear record of injection dates helps the clinic plan the next visit without gaps.
Does a dog need a heartworm test before getting the injection?
Many veterinary practices recommend heartworm testing before starting or restarting long-acting prevention, particularly when a dog’s prior prevention history is uncertain or there have been gaps. Testing typically involves a blood test that screens for heartworm infection, and in some cases additional testing may be used based on clinical judgment. This matters because prevention products are not the same as adult heartworm treatment, and the clinic may want a baseline result for safer care planning. A veterinarian can explain what testing is appropriate for the specific situation.
What side effects should be monitored after ProHeart 6?
After an injectable preventive, monitoring often focuses on general wellbeing and signs of hypersensitivity. Possible reactions can include vomiting, diarrhea, decreased appetite, lethargy, itchiness, hives, or swelling at the injection site. More serious signs can include weakness, collapse, trouble breathing, or persistent vomiting. Any sudden or severe symptoms should be discussed with a veterinarian promptly. Keeping a note of when symptoms started and any other recent medicines or vaccines can help the clinic assess whether a reaction may be related.
Can it be given with other parasite preventives or vaccines?
Whether it can be used alongside other preventives or vaccines depends on the dog’s overall plan and the clinic’s assessment. Veterinarians typically review current flea/tick products, dewormers, supplements, and any prescription medicines before giving a long-acting injection. This is especially important with drugs that act on the nervous system or are in similar antiparasitic classes. If a dog has had prior reactions to injections, has an MDR1 gene variant, or is on multiple therapies, the clinic may adjust timing or monitoring.
What should be discussed with a veterinarian before starting ProHeart 6?
A useful discussion usually covers the dog’s age, current weight, and any recent illnesses. It also helps to share past parasite prevention history, travel to mosquito-heavy areas, and whether there have been missed months. The clinic should know about prior medication allergies or injection reactions, current prescriptions and supplements, and any recent vaccinations. Asking how the clinic documents injection dates and when heartworm testing is recommended can clarify expectations. A veterinarian can then explain benefits, limitations, and what monitoring is appropriate after administration.
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