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Originally Posted by ColColt
Here's what she said in essence about heart worms. She goes on in length about heart worms and how dogs get them and then recommends Heartgard Regular instead of the Heartguard Plus because it has "additional poisons for fleas, ticks, hookworms, ear mites, etc." She calls this a "pharmaceutical overkill". Further she states that no dog needs a constant poison in his body just in case a simple ear mite shows up and that if a parasite shows up-THEN treat it. The Heartgard Regular contains ivermectin whick kills heart worm microfilaria without all the additional poisons of the Plus version. She does indicate that the vet may also recommend Interceptor, Sentinel, Revolution or ProHeart.
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I think that it depends on the situation the dog is in. I agree that most dogs won't need the added stuff and I'm one who uses as of things like this as possible.
In fact for me I don't use any flea preventatives as we don't have fleas here. And I don't use heartworm preventative because the mosquito that carries it isn't in this area. (They are in Utah, but not in the mountains where I live. They are closer to the north end of the Great Salt Lake.)
So, IMO, no one answer is great for all dogs. You have to decide what your dog needs and what you're comfortable with.
Peggy