|
|
Split dose (3 injections), melarsomine and doxycycline; thoracic radiographs, CBC, UA, chemistry panel, coagulation profile
|
↑ efficacy, ↓ risk of PTE, safety of phased worm kill, no resistance concern
|
Cost $$$$; exercise restriction for 2 mo
|
Appropriate for all; best approach for severe HW disease
|
|
|
Standard dose (2 injections), melarsomine and doxycycline; thoracic radiographs, CBC, UA, chemistry panel, coagulation profile
|
↓ cost, ↓ risk of PTE (vs standard dose), exercise restriction only 1 mo, no resistance concern
|
Cost $$$; ↑ risk of PTE (vs split dose); ↓ kill efficacy (vs split dose)
|
Appropriate when financial constraints and mild to moderate HW disease
|
|
|
Standard dose (2 injections), melarsomine
|
↓ cost; exercise restriction only 1 mo, no resistance concern, easier for shelters
|
Cost $$; ↑ risk of PTE (vs standard dose); ↓ kill efficacy (vs split dose); cage rest imperative
|
Appropriate when financial constraints and mild HW disease
|
|
|
Slow kill with ivermectin, doxycycline
|
↓ cost, no injections, no hospitalization, shorter treatment duration than slowkill
|
Cost $; ↑ risk of resistance, not approved by AHS, ~12-mo course, lung disease progression, time of HW death unknown
|
Appropriate only when severe financial or other constraints
|
|
|
Slow kill with ivermectin
|
Inexpensive; no injections
|
↑ risk of resistance, 30-mo course, lung disease progression, time of HW death unknown
|
|
