{"product_id":"tri-heart-plus-chewable-tablet-for-dogs-26-50lbs","title":"Tri-Heart Plus Chewable Tablet for Medium Dogs 26-50lbs","description":"\u003ch2\u003eMonthly Heartworm \u0026amp; Intestinal Parasite Prevention for Medium Dogs (26–50 lbs)\u003c\/h2\u003e\n\u003ch3\u003eProduct Description\u003c\/h3\u003e\n\u003cp\u003eTri-Heart Plus Chewable Tablets (Green Box) are a prescription, once-monthly oral treatment for dogs weighing between 26 and 50 pounds. Each beef-flavored tablet pairs Ivermectin and Pyrantel to prevent heartworm disease and clear roundworm and hookworm infections in one simple monthly dose. Recognised as the number one generic alternative to Heartgard Plus, it carries the same active ingredients at identical strengths while coming in at a more budget-friendly price. Safe for dogs and puppies from six weeks of age.\u003c\/p\u003e\n\u003ch3\u003eBenefits\u003c\/h3\u003e\n\u003cul type=\"disc\"\u003e\n\u003cli\u003e\n\u003cstrong\u003eHeartworm Disease Prevention:\u003c\/strong\u003e Clears the tissue stage of heartworm larvae (Dirofilaria immitis) within 30 days of infection, stopping worms before they reach your dog's heart.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eTreats Roundworms:\u003c\/strong\u003e Works against Toxocara canis and Toxascaris leonina roundworm species, keeping these widespread intestinal parasites away from medium dog breeds.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eTreats Hookworms:\u003c\/strong\u003e Addresses three hookworm species including Ancylostoma caninum, Uncinaria stenocephala, and Ancylostoma braziliense for well-rounded intestinal parasite coverage.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eEasy to Give:\u003c\/strong\u003e Formulated as a beef-flavored chewable that most dogs take without hesitation, keeping the monthly routine smooth and stress-free for owners.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePuppy Friendly:\u003c\/strong\u003e Can be given to puppies as young as six weeks old with no upper age cap, covering dogs right through to their senior years.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eCost-Effective Alternative:\u003c\/strong\u003e Packs the same active ingredients at identical strengths as Heartgard Plus, bringing equivalent protection at a noticeably lower cost.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eBacked by a Guarantee:\u003c\/strong\u003e Used year-round as directed, this product is covered by the manufacturer's guarantee including diagnostic costs and a free one-year supply if a heartworm positive result comes back.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch3\u003eIngredients\u003c\/h3\u003e\n\u003ch4\u003eComposition Table\u003c\/h4\u003e\n\u003ctable style=\"width: 84.9545%; height: 5px;\"\u003e\n\u003ctbody\u003e\n\u003ctr style=\"height: 19.6023px;\"\u003e\n\u003ctd style=\"width: 40.1897%; height: 19.6023px;\"\u003e\u003cstrong\u003eIngredient\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd style=\"width: 59.3122%; height: 19.6023px;\"\u003e\u003cstrong\u003eQuantity (per tablet, 26–50 lb dogs)\u003c\/strong\u003e\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr style=\"height: 19.6023px;\"\u003e\n\u003ctd style=\"width: 40.1897%; height: 19.6023px;\"\u003eIvermectin\u003c\/td\u003e\n\u003ctd style=\"width: 59.3122%; height: 19.6023px;\"\u003e136 mcg\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr style=\"height: 19.6023px;\"\u003e\n\u003ctd style=\"width: 40.1897%; height: 19.6023px;\"\u003ePyrantel (as pamoate salt)\u003c\/td\u003e\n\u003ctd style=\"width: 59.3122%; height: 19.6023px;\"\u003e114 mg\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003ch3\u003eHow to Use\u003c\/h3\u003e\n\u003ch4\u003eDosage \u0026amp; Administration Instructions\u003c\/h4\u003e\n\u003cul type=\"disc\"\u003e\n\u003cli\u003e\n\u003cstrong\u003ePrescription Required:\u003c\/strong\u003e This product is available on prescription only and must be obtained through or under the direct order of a licensed veterinarian.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eMonthly Oral Dose:\u003c\/strong\u003e Give one full chewable tablet to your dog on the same date every month to keep heartworm and intestinal parasite protection running without gaps.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eHow to Offer the Tablet:\u003c\/strong\u003e The tablet can be handed over directly, placed into a small portion of dry food, or positioned at the back of the mouth for dogs that need a little more encouragement.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eOne Tablet at a Time:\u003c\/strong\u003e Take a single tablet out of the blister card just before giving it, as the sealed packaging keeps the tablet safe from air and light until use.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eMinimum Dose:\u003c\/strong\u003e Each monthly dose should deliver at least 6 mcg of Ivermectin per kilogram and 5 mg of Pyrantel per kilogram of your dog's body weight.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSeasonal Use:\u003c\/strong\u003e When dosing only during mosquito season, the opening dose should be given within 30 days of your dog's first mosquito exposure of the season.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eMissed Dose:\u003c\/strong\u003e Give the missed dose the moment you notice and pick up the monthly schedule from there; reach out to your vet if more than 30 days have passed between doses.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSet a Reminder:\u003c\/strong\u003e Sign up for free monthly email reminders from the manufacturer or use the reminder stickers found inside each pack to keep dosing on track.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDisclaimer:\u003c\/strong\u003e This dosage information is provided by the manufacturer. Always consult your veterinarian before administering or adjusting any medication for your pet.\u003c\/p\u003e\n\u003ch3\u003eAdditional Information\u003c\/h3\u003e\n\u003ch4\u003ePrecautions\u003c\/h4\u003e\n\u003cul type=\"disc\"\u003e\n\u003cli\u003e\n\u003cstrong\u003eHeartworm Screening First:\u003c\/strong\u003e A heartworm test should be done with your vet before the first tablet is given, as this product is not built to handle heartworm infections that are already established.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eNot for Heartworm-Positive Dogs:\u003c\/strong\u003e Dogs already carrying heartworms need to go through proper treatment to clear adult worms and microfilariae before this product can be started.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eDogs Only:\u003c\/strong\u003e This product has not been approved for cats and must never be handed over to them under any circumstances.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eHerding Breed Caution:\u003c\/strong\u003e Some herding breeds like Collies and Australian Shepherds may carry the MDR1 gene mutation, which can lead to sensitivities to ivermectin; always check with your vet first.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eNo Double Preventives:\u003c\/strong\u003e This tablet should not be given at the same time as any other heartworm preventive; only one product should be in use at a time.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eBreeding Females:\u003c\/strong\u003e A full safety assessment for pregnant and nursing dogs has not been completed; always get veterinary guidance before treating females in either of these stages.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eCheck Before Giving:\u003c\/strong\u003e Once the date on the packaging has been and gone, the tablet inside should be discarded rather than given to your dog.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eIntact Blister Pack Only:\u003c\/strong\u003e If the foil on the blister card looks peeled back, punctured, or damaged in any way, do not use the tablet as its protective seal has been broken.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch4\u003ePossible Side Effects\u003c\/h4\u003e\n\u003cul type=\"disc\"\u003e\n\u003cli\u003e\n\u003cstrong\u003eDigestive Upset:\u003c\/strong\u003e Vomiting, loose stools, a drop in appetite, and excessive drooling have been reported in a small proportion of dogs following their monthly tablet.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eNeurological Reactions:\u003c\/strong\u003e Less commonly, dogs may show signs of low mood, poor coordination, unsteady movement, dilated pupils, or convulsions after receiving ivermectin.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eOverdose Risk:\u003c\/strong\u003e Doses above the recommended level may bring on tremors, significant weight loss, dilated pupils, or in severe situations, life-threatening outcomes; contact your vet immediately if an overdose is suspected.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch4\u003eStorage Information\u003c\/h4\u003e\n\u003cul type=\"disc\"\u003e\n\u003cli\u003e\n\u003cstrong\u003eRoom Temperature Storage:\u003c\/strong\u003e A consistent indoor location sitting between 59°F (15°C) \u0026amp; 86°F (30°C) is the right place to keep this product stored properly.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eProtect from Light:\u003c\/strong\u003e Leave the tablets inside their original blister packaging and out of direct light right up until the moment they are needed.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSafe Storage Practice:\u003c\/strong\u003e Keep this prescription tablet well out of reach of children and other household animals to remove any risk of accidental ingestion.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch3\u003eShipping \u0026amp; Return\u003c\/h3\u003e\n\u003cp\u003eWe offer ground, express, and priority delivery; see our \u003ca href=\"\/en-ca\/pages\/shipping-policy\" title=\"Shipping policy | hardypaw\" aria-label=\"Shipping policy | hardypaw\"\u003eshipping policy\u003c\/a\u003e for details.\u003c\/p\u003e\n\u003cp\u003eFor return instructions or product concerns, please refer to our detailed \u003ca href=\"\/en-ca\/policies\/refund-policy\" title=\"Refund policy\" aria-label=\"Refund policy\"\u003erefund policy\u003c\/a\u003e.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003ePrescription items are NON-RETURNABLE and NON-REFUNDABLE.\u003c\/strong\u003e\u003c\/p\u003e\n\u003ch2\u003eFrequently Asked Questions\u003c\/h2\u003e\n\u003ch3\u003eQ1: What does Tri-Heart Plus (Green Box) treat in medium dogs?\u003c\/h3\u003e\n\u003cp\u003e\u003cstrong\u003eAns:\u003c\/strong\u003e Tri-Heart Plus (Green Box) prevents heartworm disease and treats roundworms including Toxocara canis and Toxascaris leonina, and hookworms including Ancylostoma caninum, Uncinaria stenocephala, and Ancylostoma braziliense. It does not cover whipworms or tapeworms in medium dogs.\u003c\/p\u003e\n\u003ch3\u003eQ2: Is Tri-Heart Plus the same as Heartgard Plus for medium dogs?\u003c\/h3\u003e\n\u003cp\u003e\u003cstrong\u003eAns:\u003c\/strong\u003e Both products carry Ivermectin and Pyrantel at matching strengths, making Tri-Heart Plus a direct generic equivalent. The level of parasite protection delivered is identical across both. A palatability study showed dogs showed no preference between the two products during testing.\u003c\/p\u003e\n\u003ch3\u003eQ3: Can Tri-Heart Plus be given to a medium dog that already has heartworms?\u003c\/h3\u003e\n\u003cp\u003e\u003cstrong\u003eAns:\u003c\/strong\u003e No. This product is not designed to clear active heartworm infections. Dogs confirmed as heartworm positive must go through full treatment to remove adult worms and microfilariae under veterinary supervision before this tablet can be used as a monthly preventive.\u003c\/p\u003e\n\u003ch3\u003eQ4: What should I do if I miss a monthly dose of Tri-Heart Plus for my medium dog?\u003c\/h3\u003e\n\u003cp\u003e\u003cstrong\u003eAns:\u003c\/strong\u003e Give the missed dose the moment you notice and continue the regular monthly schedule from there. Never double up. If more than 30 days have passed, get in touch with your vet, as a follow-up heartworm test may be recommended before carrying on with the program.\u003c\/p\u003e\n\u003ch3\u003eQ5: Is Tri-Heart Plus safe for pregnant or nursing medium dogs?\u003c\/h3\u003e\n\u003cp\u003e\u003cstrong\u003eAns:\u003c\/strong\u003e Ivermectin and Pyrantel show a wide margin of safety at the recommended dose, including in pregnant females and breeding males. That said, full safety studies for pregnant and nursing dogs have not been completed, so always check with your vet before giving this product to a female in either of these stages.\u003c\/p\u003e\n\u003ch2\u003eClinical Research\u003c\/h2\u003e\n\u003cp\u003e\u003ca href=\"https:\/\/www.msdvetmanual.com\/dog-owners\/digestive-disorders-of-dogs\/gastrointestinal-parasites-of-dogs\" title=\"Gastrointestinal parasites of dogs - dog owners - msd veterinary manual\" aria-label=\"Visit a webpage about Gastrointestinal parasites of dogs - dog owners - msd veterinary manual\"\u003ehttps:\/\/www.msdvetmanual.com\/dog-owners\/digestive-disorders-of-dogs\/gastrointestinal-parasites-of-dogs\u003c\/a\u003e\u003c\/p\u003e\n\u003cp\u003e\u003ca href=\"https:\/\/www.petmd.com\/pet-medication\/pyrantel-pamoate\" title=\"Pyrantel pamoate for dogs and cats | petmd\" aria-label=\"Visit a webpage about Pyrantel pamoate for dogs and cats | petmd\"\u003ehttps:\/\/www.petmd.com\/pet-medication\/pyrantel-pamoate\u003c\/a\u003e\u003c\/p\u003e\n\u003cp\u003e\u003ca href=\"https:\/\/www.fda.gov\/safety\/medical-product-safety-information\/ivermectin-intended-animals-letter-stakeholders-do-not-use-humans-treatment-covid-19\" title=\"Ivermectin intended for animals: letter to stakeholders - do not use in humans as a treatment for covid-19 | fda\" aria-label=\"Visit a webpage about Ivermectin intended for animals: letter to stakeholders - do not use in humans as a treatment for covid-19 | fda\"\u003ehttps:\/\/www.fda.gov\/safety\/medical-product-safety-information\/ivermectin-intended-animals-letter-stakeholders-do-not-use-humans-treatment-covid-19\u003c\/a\u003e\u003c\/p\u003e","brand":"Merck Animal Health","offers":[{"title":"6 Chewable Tablets","offer_id":44159378161825,"sku":"49636-MER","price":57.0,"currency_code":"CAD","in_stock":true},{"title":"12 Chewable Tablets","offer_id":44159378227361,"sku":"49636-MER-PK2","price":113.0,"currency_code":"CAD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0593\/2446\/5313\/files\/tri-heart-plus-chewable-tablet-for-medium-dogs-26-50lbs-6-tablets-pet-698.jpg?v=1778101969","url":"https:\/\/hardypaw.com\/en-ca\/products\/tri-heart-plus-chewable-tablet-for-dogs-26-50lbs","provider":"HardyPaw","version":"1.0","type":"link"}