How do I treat my dog for lungworm?

Treatments for lungworm

(Q) Is there an alternative treatment for lungworm that isn't a spot-on?

(A) Vet Roberta Baxter says: Milbemax is a combined wormer which has efficacy against roundworms and tapeworms and has now been given a licence for treatment and prevention of angiostrongylus vasorum, the lungworm, creating an alternative to Advocate spot-on. Whereas we normally worm dogs once monthly if they are in a high-risk group for worms or if they have close contact with babies, or once every three months otherwise, treatment of lungworm necessitates the dose of Milbemax to be given weekly for four weeks.

I would therefore recommend that Milbemax be used every one to three months for routine preventative worming against roundworm, tapeworm and lungworm, and more frequently where a problem is suspected or known. Other products have been evaluated for their efficacy against lungworm, and Panacur might also be effective.

(A) Vet Holly Mash says: The lungworm parasite is carried by slugs and snails, which are known as intermediate hosts. A dog may eat these common garden pests when rummaging through undergrowth, eating grass, drinking from puddles or outdoor water bowls, or pick them up from their toys. As far as I am aware Advocate Spot-On preparation would be the best treatment of choice for dogs.