Affordable Treatment

Affordable Heartworm Treatment That Works

There's a middle ground between expensive injections and unproven herbs. Learn how a science-backed protocol using topical moxidectin and doxycycline is helping real dogs recover—without breaking the bank.

Happy dog with owner

60% of dogs cleared heartworms within 9 months

Why This Matters

Cost Barrier

Traditional treatment can cost $1,000–$1,500—many families simply can't afford that.

Affordable Alternative

Recent studies show a combination of topical moxidectin and doxycycline can clear heartworms in some dogs for under $200.

Fast Results

Dogs in one study cleared all microfilariae (baby heartworms) by day 90. That means they stopped being infectious to other dogs, fast.

Science-Backed

It's not perfect—but it's a safe, science-backed option that's much better than doing nothing.

Compare Treatment Paths

See how different treatment options stack up against each other in terms of cost, effectiveness, and veterinary backing.

TreatmentCost EstimateKills Adults?Kills Microfilariae?Veterinary Backing
Melarsomine Injections (Traditional)$1,200–$1,500
Yes (Fast)
Yes
Widely Used
Moxidectin (Topical) + Doxycycline~$100–$200
Partial (Slower)
Yes (by Day 90)
Backed by Studies
Herbal Protocols (Black Walnut/Wormwood)$40–$100
Unknown
Unknown
Mostly Anecdotal
Peer-Reviewed Research

Backed by Veterinary Research

A 2023 peer-reviewed study in Parasites & Vectors followed 30 dogs with adult heartworm infections. Dogs treated with monthly topical moxidectin (sold as Advocate® internationally, Advantage Multi® in the U.S.) and 30 days of doxycycline showed:

View Research Citation
Ciuca L, Vismarra A, Constanza D, et al. Efficacy of oral, topical and extended-release injectable formulations of moxidectin combined with doxycycline in Dirofilaria immitis naturally infected dogs.Parasites & Vectors. Published online February 6, 2023. Accessed April 17, 2023.doi:10.1186/s13071-023-05673-9
  • All dogs cleared microfilariae by Day 90
  • Most showed improved heart and lung scans by 6 months
  • 60% were antigen-negative (no adult worm proteins) by 9 months

It's not instant—but it's real. And it's within reach for many families.

Scientific Approach

Based on peer-reviewed research

Proven Results

Documented effectiveness in clinical studies

Safe Protocol

Minimal side effects reported in studies

Affordable Care

Fraction of the cost of traditional treatment

Target Audience

Who This Is For

This protocol may be appropriate for:

  • Dogs diagnosed with heartworm but unable to afford melarsomine treatment
  • Owners seeking science-backed alternatives to "watch and wait" or herbal-only approaches
  • Vets working with clients in financial hardship

Always talk with a veterinarian before starting treatment.

Dog with owner

"This protocol gave us hope when we thought we had no options."

— Sarah & Max

Talk to Your Vet About Affordable Treatment

If traditional heartworm treatment feels out of reach, you're not alone. Here's a simple checklist to help guide a conversation with your veterinarian about science-backed, lower-cost options.

  • Ask about protocols using monthly topical moxidectin plus doxycycline.
  • Discuss risks and benefits compared to standard melarsomine injections.
  • Talk about the importance of strict exercise restriction during treatment.
  • Request a monitoring plan: bloodwork, antigen tests, and follow-up timing.
  • Explore ways to make treatment as safe and affordable as possible.

Always follow your veterinarian's guidance. Every dog's situation is different.