Parasite Prevention Programs

Q: Our vet said that on our puppy's next check up that they will be doing flea and heartworm prevention. Depending on her weight they said she might be able to have trifexis. Right now she is a little more then 3lbs. I did some research on trifexis and am now scared to death to let our vet go with this option. Do you recommend any brands for flea and heartworm prevention?

A: Spinosad is one of the newer additions to flea control, milbemycin has been around for a long time. I am not uncomfortable with the combination and although there were reports of problems I do not feel that are warranted. I have used Frontline and Heartgard for years once the option of Interceptor (milbemycin) were no longer offered. Some of the new products like Nexgard and Bravecto for external parasite control have become available I am comfortable with them. Adding Heartgard for internal parasite control provides broad spectrum coverage.