BrindleLuv wrote:Are there any objections to what she said?
Dog_Shrink wrote:That doesn't look like JUST mange to me. My boston had mange and it does not start to present on the back. First is head front legs then trunk.....
Things that vets don't tell you... I could write a book![]()

Sarcoptes can have a pattern of distribution (ear tips, elbows, back of legs), but not always. I would never rule out a case based on where the lesions originated from.
) and Sarcoptes is usually treated with injections under the skin once every 2 weeks (also at a much higher dose than what is found in Heartgard). I had an owner who tried to treat Demodex topically, and the dog's infection ended up becoming resistant to ivermectin.
That only left medications like Interceptor, and that is ridiculously costly.
What can happen is that if there is a mature heartworm infection that is unapparent (no outward signs like coughing, exercise intolerance, etc), and you start giving invermectin in any form, it can kill some of the worms and cause a clot to form. It can be deadly. It is rare, but it has happened.

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