Iverhart Max® Chewable Tablets

*The manufacturer has changed the formulation of this product from a chewable tablet to a soft chew*

Tri-Heart Plus.

 Iverhart Max Generic Name:

Ivermectin + Pyrantel pamoate + Praziquantel

Ivermectin + pyrantel pamoate + praziquantel is a combination of 3 anti-parasitic drugs used monthly in dogs to prevent heartworm infection and for the treatment and control of tapeworms, roundworms and hookworms. This product may be given with or without food. Chewable tablets are available in different strengths.

• Ivermectin, pyrantel pamoate and praziquantel is a combination of three anti-parasite drugs
• Ivermectin, pyrantel pamoate and praziquantel is given by mouth

• For heartworm prevention in dogs
• For treatment and control of roundworms, hookworms and tapeworms

• For use in dogs only
• Puppies less than 8 weeks of age
• Use with caution in sick, debilitated or underweight animals and dogs weighing less than 10 pounds
• This product has not been evaluated in pregnant or nursing animals
• Safe for use in Collies, Australian shepherds, Old English sheepdogs, Shelties and any of these crossbreed dogs if given the regular monthly heartworm preventative dosing level
• Pets known to have had an allergic reaction to ivermectin, pyrantel pamoate or praziquantel or like products

Give this medication with or without food. Ensure that your pet consumes the entire dose.

Give medication as directed by your veterinarian. This medication is often given seasonally.

As a heartworm preventative, this medication is given once a month, beginning within a month after the pet's first exposure to mosquitoes. The medication kills the parasites acquired during the previous month. The final dose should be given within a month of the last exposure to mosquitoes.

Monthly treatment also provides effective treatment and control of roundworms, hookworms and whipworms.

Ideally, give the medication on or about the same day each month.

If a dose is missed, give it as soon as you can. If it is time already for the next dose, skip the missed dose and go back to the normal schedule. Do not give two doses at the same time. If you miss more than 8 weeks in a row, give the drug as soon as you remember, but you should have your pet's blood tested for heartworms within 6 months (as infection may have occurred).

Talk to your veterinarian about:

• When will your pet need to be rechecked
• Whether a blood test will need to be performed prior to treatment with this drug
• Risks and benefits of using this drug

Tell your veterinarian about:

• If your pet has experienced side-effects on other drugs/products
• If your pet has experienced digestive upset now or ever
• If your pet has experienced liver or kidney disease now or ever
• If your pet has experienced any other medical problems or allergies now or ever
• All medicines and supplements that you are giving your pet or plan to give your pet, including those you can get without a prescription. Your veterinarian may want to check that all of your pet's medicines can be given together.

Store in a tight, light resistant, childproof container in a cool, dry place at room temperature away from heat and direct sunlight.

People should not take this product. Keep this and all medication out of reach of children and pets. Call your physician immediately if you accidentally take this product.

• When the parasites begin to die off, the animal may experience a mild hypersensitivity reaction including diarrhea
• Self-limiting reactions may include lethargy, limpness, salivation, shaking, vomiting, diarrhea, decreased appetite, staggering, licking lips and belching 20 minutes to 72 hours following treatment
• It is important to stop therapy and contact your veterinarian immediately if you think your pet has a medical problem or side effect from this product's therapy

• Yes, when this product is used at the recommended dose, there are no contraindicated drugs. When higher doses are used, interactions may occur with amitraz dips and collars (Mitaban®, Preventic®), spinosad (Comfortis™) or diazepam or related tranquilizers.
• If your pet experiences any unusual reactions when taking multiple medications, contact your veterinarian

Contact your veterinarian immediately if pet consumes more than the prescribed amount.

Notify your veterinarian if your animal's condition does not improve or worsens despite this treatment.

As with all prescribed medicines, this product should only be given to the dog/cat for which it was prescribed. It should be given only for the condition for which it was prescribed.

 This is just a summary of information about ivermectin, pyrantel pamoate and praziquantel. If you have any questions or concerns about this product or for the condition it was prescribed, contact your veterinarian.

Ivermectin plus pyrantel and praziquantel
(Iverhart Max)

Common Drug Name
Ivermectin

Common Brand Names
Iverhart Max contains ivermectin, pyrantel pamoate, and praziquantel

Storage
Store at room temperature in a tightly closed container, protected from light.

Uses
Ivermectin is used as a heartworm preventive. Products with pyrantel pamoate and praziquantel are used for the treatment and control of roundworms, hookworms, and tapeworms.

Dose and Administration
Always follow the dosage instructions provided by your veterinarian. If you have difficulty giving the medication, contact your veterinarian.
Follow your veterinarian’s directions on when to give this medication. If advised to give it seasonally, remember to give it during and 1 month beyond the mosquito season, preferably on the same date each month. The tablet kills the parasites acquired during the previous month. (The tablet given May 1st treats exposures to heartworm during the month of April.)
If a dose is missed, give the tablet imme­diately and resume giving a tablet every 30 days (once a month). Contact your veterinarian regarding the need to have your pet heartworm tested in 6­7 months.
If switching from diethylcarbamazine (a once­a­day heartworm preventive) give ivermectin within 30 days of discontinuing the diethylcarbamazine.
This medication should only be given to the pet for whom it was prescribed.

Possible Side Effects
Side effects are rare at the recommended heartworm prevention dosage. Rarely may see lethargy, drooling, shaking, diarrhea, vomiting, loss of appetite, staggering, decreased appetite, and licking lips. Contact your veterinarian if you observe these signs.
If your pet experiences an allergic reaction to the medication or the dying of parasites, signs may include facial swelling, hives, scratching, sudden onset of diarrhea, vomiting, shock, seizures, pale gums, cold limbs, or coma. If you observe any of these signs, contact your veterinarian immediately.

Precautions
Not for use in animals who are hypersensitive (allergic) to it.
Studies support the safety of ivermectin products in dogs, including Collies, when used as recommended by the label.
Do not use in puppies or kittens less than 8 weeks of age.
Use with caution in sick, debilitated or underweight animals, and in animals weighing less than 10 pounds.
Safe use in pregnant and lactating animals (female animals nursing their young) has not been evaluated.
Consult with your veterinarian regarding necessary physical examinations and heartworm testing necessary prior to and during treatment with heartworm medications.
Some intestinal parasites may be zoonotic (able to infect humans). Ask your veter­inarian or physician how to prevent human infection and reinfection of your pet.
Properly dispose of unused ivermectin, as it may be toxic to fish and other animals.

Drug, Food, and Test Interactions
Although there are no known drug or food interactions with this medication, consult with your veterinarian before using ivermectin with any other medications, including vitamins and supplements, since interactions may occur.

Signs of Toxicity/Overdose
May see staggering, vomiting, diarrhea, depression, seizures or dilated pupils. In male dogs, a long­term overdose could result in shrinking of the testicles.
Most animals recover in 2­4 weeks with supportive care. If you know or suspect your pet has had an overdose, or if you observe any of these signs, contact your veterinarian immediately.
Keep this and all other medications out of the reach of children and pets.

This information may not cover all possible uses, directions, side effects, precautions, allergic reactions, drug interactions, or withdrawal times. Always consult your own veterinarian for specific advice concerning the treatment of your pet.