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Dr. Drew
Dr. Drew, Dog Veterinarian
Category: Dog Veterinary
Satisfied Customers: 16844
Experience:  Small Animal Medicine and Surgery
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Our 6 year golden retriever started focal seizures two

Customer Question

Our 6 year golden retriever started focal seizures two months ago. He is taking 187 mg ok Keppra every 8 hours. This has been keeping the seizures totally under control until yesterday when I gave him Heartgard. He was very anxious all morning then he started stumbling around and running into things as though he was blind. This is what Heartgard lists as side effects. What do we do now?
Submitted: 8 months ago.
Category: Dog Veterinary
Expert:  Dr. Drew replied 8 months ago.

Hello, thanks for your question today. I am Dr. Drew, I am a licensed veterinarian and I'll be happy to help you. The active ingredient in Heartgard, is ivermectin. It is true that high doses of ivermectin can cause some of the neurological signs you are describing -- however, the amount of ivermectin contained in Heartgard is very small, and in general it is extremely safe. I am surprised to hear about this issue occurring, unless there is some sort of interaction going on between the Keppra and the ivermectin, which I suppose is possible. My suggestion at this point is to have him seen by a veterinarian today, so that his neurological status can be assessed accurately, and it can be determined if treatment is needed. Ivermectin can persist in the brain for many days after dosing, so in some cases an intravenous solution known as "Intralipid" may be used to speed the elimination of the drug from the brain.

Customer: replied 8 months ago.
He slept for 3 or 4 hours and woke up acting fine. My real question is do we continue to give him Heartgard. I was looking for a holistic answer. Neurologists just seem to want to give more drugs.
Expert:  Dr. Drew replied 8 months ago.

Heartworm prevention is very important, and there is no "holistic" approach for effectively preventing that disease. However, it would make sense to avoid further use of Heartgard, and instead try a different approach for heartworm prevention, such as Interceptor or Revolution.

Customer: replied 8 months ago.
I am ready to give up. We have spent thousands of dollars on neurologists and testing and I am loosing faith in all of them.
Expert:  Dr. Drew replied 8 months ago.

I am sorry to hear that you feel let down by the specialists that you have seen. I am assuming that tests such as a spinal tap, MRI, or CT scan have been performed. Seizure cases can be frustrating, because some patients do better on certain drugs than others, and it's very much a trial and error process.

Expert:  Dr. Drew replied 8 months ago.
Hi,
I'm just following up on our conversation about your pet. How is everything going?
Dr. Drew

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