Suspect poisoning? US: ASPCA Poison Control (888) 426-4435 · UK: 01202 509 000 · Severe symptoms → nearest emergency vet now.

Heartworm Preventative Overdose

An overdose of heartworm prevention medication can cause serious neurological toxicity in pets.

Last reviewed: 2026-09-05 · Reference ranges: ASPCA, Pet Poison Helpline & Merck Veterinary Manual

Treat this as a potential emergency — not a "wait and see" situation.
Contact your vet before symptoms even appear.

US: ASPCA Animal Poison Control (888) 426-4435 · Pet Poison Helpline (855) 764-7661

UK: Veterinary Poisons Information Service 01202 509 000

Why Heartworm Preventative is Dangerous in Overdose

Heartworm preventatives contain drugs like ivermectin, milbemycin, or selamectin, which are very safe at the correct dose but can cause severe neurological signs in overdose.

Some dog breeds (e.g., Collies, Australian Shepherds) can have a genetic sensitivity making them prone to toxicity even at standard doses.

Accidental ingestion of multiple doses by a pet, or giving a dog's dose to a cat, are common causes of poisoning.

Why speed matters

Delaying care significantly worsens outcomes. Some signs appear hours or days later, so "looks fine right now" is not a reason to wait.

Symptoms of heartworm-preventative-overdose poisoning

  • Dilated pupils
  • Drooling
  • Loss of coordination and stumbling
  • Muscle tremors or shaking
  • Seizures
  • Lethargy and weakness

What to do right now

  1. Call your vet or a pet poison helpline immediately.
  2. Have the product packaging ready to tell them the active ingredient and how much your pet may have ingested.
  3. Do NOT induce vomiting unless specifically instructed by a professional.
  4. Your vet may induce vomiting if the ingestion was very recent, or provide supportive care and medications to control seizures.
If your pet shows any of the signs above, go to the nearest emergency vet now and call ahead.

Sources & further reading

  • ASPCA Animal Poison Control — pet poison database & dosage references
  • Pet Poison Helpline — toxicology triage guidelines
  • Merck Veterinary Manual — toxicology monographs
  • Vets Now (UK) — emergency toxicosis guidance

Other poisonings with overlapping signs

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Frequently asked questions

Is Heartworm Preventative Overdose poisonous to a dog or cat?

Heartworm preventatives contain drugs like ivermectin, milbemycin, or selamectin, which are very safe at the correct dose but can cause severe neurological signs in overdose.

What are the symptoms of heartworm-preventative-overdose poisoning?

Dilated pupils; Drooling; Loss of coordination and stumbling; Muscle tremors or shaking

What should I do if my pet ate Heartworm Preventative Overdose?

Call your vet or a pet poison helpline immediately. Have the product packaging ready to tell them the active ingredient and how much your pet may have ingested. Do NOT induce vomiting unless specifically instructed by a professional.

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