Be Lungworm Aware

86 CommentsTuesday, 3 March 2015  |  Kate

How do I prevent it and can it be treated naturally instead of with conventional wormers?

If you suspect your dog has lungworm take him or her to the vet, asap. If you want to check for the presence of lungworm eggs, you can do a worm egg count specifically for lungworm to establish the need to worm or not. Everything you need is in the kit. Follow the instructions, pop the sample in the post and you'll receive the results via email, directly from the lab a few days later, along with recommendations for any treatment necessary.

You can treat your dog for lungworm one of two ways - conventionally with Advocate (UK name) which treats fleas and lungworm, or herbally with Verm-X or Four Seasons anti-parasitic tincture. If you want to treat it herbally then you MUST overlap a conventional Advocate treatment with the Verm-X. This is to eliminate any lungworm which has already left the gut and moved on in your dog’s body.

Simply administer a conventional lungworm treatment as normal and start on Verm-X or Four Seasons at the same time. Both products can only eliminate any eggs or larvae that are introduced to the gut via the dog swallowing. It doesn’t eliminate any parasite that has already left the gut and is sitting in the body so by overlapping both treatments you get rid of what’s there and allow Verm-X or Four Seasons to take over. After that you can use either product permanently to control lungworm. It's a good idea to do a lungworm egg count a couple of times a year too. Read on for more information on how lungworm can be fatal to your dog.

Lungworm is on the increase in the UK. It’s an insidious parasite which can be fatal if left to it’s own devices and, when I explain how it works, will make your skin crawl. I had a good long chat with Mark Fox, vet and lungworm expert at the Royal Veterinary College and this is the gist of what he told me.

Where does lungworm come from?

Lungworm was first happened upon in the UK in 1975, hosted by a Greyhound over from Ireland. It reappeared in the 80’s in Cornwall, spread to South Wales by the nineties and to London and the South East by the early Noughties. Since then it’s gradually spread north with reports of lungworm in the Midlands, North of England and Scotland. Now widespread in the South of England and creeping northwards, a UK wide study based on a survey of small animal practices, the first of it’s kind, was carried out in 2009.

It turns out we have lungworm ‘hot spots’ and ‘super hot spots’. Hot spots, regions where you’re 4-5 times more likely to see lungworm in animals are currently South East England and Greater London; and South Wales, especially Swansea. The super hot spots are found in the middle of those two hot spots.

It hasn’t yet been established why these hotspots have occurred. I thought it might be the ‘MMR factor’ of dog owners not wanting to use conventional wormers so not worming at all, but apparently not.

The lungworm I’m talking about is Angiostongylus vasorum or French Heartworm. It’s sometimes called Heartworm in the UK but in warmer countries proper Heartworm or Dirofilaria immitis is transmitted by mosquito. It is extremely rare in the UK, but is something to be aware of if you’re travelling south with your dog.

How does my dog get lungworm?

Your dog can pick up lungworm from eating or licking slugs, snails and frogs. Or from licking snail trails on paths or grass, containing eggs. Foxes can also harbour lungworm, excreting larvae in their poo as they go, which as we all know dogs just love to roll about in. If a snail has been in your dog’s drinking water or a supply of water in the garden - a neglected plant tray or a water feature for example - lungworm can get in that way too. Foxes don’t bury their poo but leave it, placed strategically in order to mark their territory. Usually outside my back door! Did you know that London has the highest population count of urban foxes in the world? Me neither but when I lived there I could well believe it.

There’s a theory/suggestion that lungworm is spreading across the country on nursery plants as they’re distributed to garden centres around the country. We travel more with our pets now so taking the dog on holiday can result in more than a sunburned nose. If you’re worried about travelling with your dog you can always get in touch with your local vet to get the latest on local lungworm activity at your destination. Forewarned is forearmed and all that.

The Lungworm Travelator - How a lungworm works

You know when you're heading for your departure gate at the airport and you come to that long walkway which has a moving travelator in the middle with a walkway on either side? Now, are you going to be a lazy sod and jump on the travelator or are you going to get your last bit of exercise before you submit to hours of sedentary ‘activity’ on the plane? Stick with it, there is a point to this.

If you're a lungworm in this scenario then the travelator is your path to lungworm nirvana - the lungs. Your dog eats or licks a slug and ingests lungworm larvae as a result. It’s now infected and the larvae have started their journey to departure gate 12. I guess that makes your dog the North Terminal at Gatwick, but that’s pushing this analogy too far. This is serious, but I tell it as a story so it will stick in your head.

So, the larvae has moved to the gut where it then penetrates the gut wall and enters the blood stream, lymphatic system and eventually reaches the right side of your dog’s heart where it becomes an adult worm. Here it releases eggs which hatch in the blood, which then make their way to the lungs rupturing the lung wall, entering the alveoli (the tiny air pockets in the lungs) working their way up through the lungs until they reach the top. This makes the dog cough, bringing up the lungworms. The dog swallows them and passes them through the digestive tract to exit the body in faeces so the whole process can start all over again. And that, my friends, is how the lungworm travelator works.

My Itchy Dog Worm Count Testing Kit

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Four Seasons Anti-Parasitic Tincture for Dogs & Cats

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Billy No Mates Tincture & Verm-X Bundle

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Mary Lyon
Sunday, 18 August 2013  |  12:41

Thank you for that I feel quite travel sick!
Can these slippery sliders affect cats?
I know they love donkeys who often move on to horses. What about humans? Especially as I live in Swansea I safe fiddling around in my garden? I don't know if you extend to Gardeners Question Time(?!!!) but something is eating my lovely plants....leaving just brown stalks completely devoid of the green flesh and not a leaf in sight. I'm fanatical about hand washing but your info has put me off lifting the slugs and snails I catch in action...I assume its them eating everything?
HELP ...Giving them Econeem might be going a bit far?!

Thursday, 17 March 2016  |  18:16

My pup got fox lungworm even though she is on the verm x ?? I had 2 samples done..she's all clear for normal worms..but was positive for the Fox lungworm..she's just had her first treatment of Advocate..she has to have another treatment in a month and then re test 2-3 weeks after...what do I do after that ?? Up her dose of Verm X..or just stuck to congenital treatment....??

Thursday, 20 April 2017  |  0:04

My dog has tested positive for fox lungworm too even though he's had verm x everyday for years.

Thursday, 20 April 2017  |  10:28

Hi Angel

Please can you give us a call on 01903 256373 to discuss.


Michelle Bramley
Monday, 29 August 2016  |  22:51

Thank you for that information, it was very helpful, and thanks God this is not my figs symptoms xxxx

Monday, 19 August 2013  |  10:37

Hi Mary

Yes, lungworm can affect cats allowed out. Mine are, they get treated too.

As for the plants I have no idea, sorry. You should see my garden, although the shame would stop me letting you in the first place.

Just make sure to wash your hands. I pick up slugs and snails off plants and I don't have it!

Cath Wilby
Friday, 8 August 2014  |  10:58

Hi my dog has had a bronchitis type illness which did not respond to antibiotics now he has bad breathing wheezy very larthargic and exercise intolerant very quiet and has become quite depressed sleeping under my bed for hours. Vet prescribed antibiotics anti inflammatories only thing cleared the mucus and helped was steroids after quite a while she's mentioned possible lung/heart worm he's now taking 1 125mg milbemax once a week for 4 weeks will this kill the infection of worms as well as larvae and how long would this take and how long would it take for me to see a possible change I ask this so I know he's being treated for the correct illness

Friday, 8 August 2014  |  11:02

Hi Cath

Thanks for highlighting this, it's important that everyone knows how serious this can be.

You need to keep working with your vet and ask them the questions you posted here as I have no experience of Milbemax for lungworm and can only comment on the products I stock as I research them thoroughly.

In the future, if you want to add VermX or Four Seasons they will both work very well when the infection is cleared.

Good luck! x

Thursday, 16 February 2017  |  19:29

You can get a lungworm specific wormcount done, from I would strongly advise doing this. Re test after treatment. Lungworm are becoming resistant to the worming chemicals.

Hilary Moffat
Wednesday, 13 August 2014  |  14:09

My dog was displaying classic symptoms of lung worm vet is not convinced that that is the problem but prescribed advocate to try! Within 48hrs he was more like his old self wanting to walk and no panting, today 4 days later still good but after short walk a bit of panting again,.........not as bad as before does it take a while for the parasites to die?

Monday, 9 March 2015  |  18:02

Take him to the vet. Advocate prevents not cures. 17th Feb this year my puppy was unwell and panting. 18th he was ok. 23rd he was panting hard, 25th he was dead. Vets found lungworm too late!

Friday, 15 August 2014  |  10:31

Hi Hilary

Not sure but I imagine if there were that many it's going to take a little time. Check with your vet again.

Friday, 22 August 2014  |  7:33

my cat gets treated with flea tablets regularly but still scratches all the time. He also won't stop eating. HELP

Tuesday, 26 August 2014  |  9:38

Hi Sylvia

That could be a number of things; stress, allergies etc. Have you been to the vet?

If you think it may be stress then you can try Feliway plug-ins, a synthetic pheromone which calms a cat down. Works a treat for my cat Pearl.

Sunday, 24 August 2014  |  16:18

I have a 5 year old male Papillon dog and am worried about a mix of a breathless / cough which happens only occasionally . We have seen slugs and their silvery trail lines. Is it possible he could have lungworm? Thank you

Tuesday, 26 August 2014  |  9:40

Mary, take your dog to the vet for a check up. They can rule out or confirm lungworm. Alternatively, you can buy a kit from and do it yourself. But I'd get him checked out all the same.

Mary Murray
Wednesday, 11 February 2015  |  20:42

Does he have the breathless/cough when excited. Many papillons do 'reverse sneezing' when they're excited. Mine does it if I come back after being away for a few hours.

Wendy Preston
Friday, 29 August 2014  |  23:36

I am going to Llanberis in North Wales in a couple of weeks tme and taking my Jack russell with me, just wondered if anyone knows if there is a lungworm problem in that area

Rebecca Horn
Friday, 6 March 2015  |  21:23

I think you can look up hot spot areas if you go to

Casie McDw
Tuesday, 5 June 2018  |  10:33 is sponsored by Bayer so the sceptic might wonder if it is as accurate as a non-sponsored site? Oddly Bayer make Drontal which isn't for lungworm though.

Sunday, 31 August 2014  |  20:27

Hi Wendy

Call the local vet in the area you're going to. They will know what's going on in that area.

Viola Scott
Saturday, 11 October 2014  |  3:06

my dog has lungworm she has not been tested for it vet just gave me panacur didn't put the dosage on the package she gave me 3 packs for 3 days the gaging cough stop for about 3 to 4 days now she coughing again I need something stronger yes I am sure she has lungworms because she brings snails inside to play with them and oh by the way I live in the USA

Monday, 20 October 2014  |  10:10

Hi Viola

I can't comment on your dog's situation per se but if you want to know if she has lungworm ask your vet for a worm egg count test. Or contact for advice on the best test for you. They will be able to advise but your first port of call would be a US vet as they know which type of worms are about relative to your area. All the best with it.

Deirdre Eckard
Friday, 2 October 2015  |  1:55

panacur is not going to do it, please please take my advise
my warmest wishes

Saturday, 18 October 2014  |  16:02

Can you start Verm X whilst your dog is on Advocate or do you have to wait until a new Advocate is applied and start Verm X the same day?

Monday, 20 October 2014  |  10:00

Hi Jenny

I've written about it here

Essentially you overlap the last Advocate with the new VermX.

Lynne Cowley
Tuesday, 4 November 2014  |  7:38

Hello there ;-) I bought VermX for my dog about a month or more ago and she seems to have developed a skin rash that she can't stop itching. I'm wondering if it may be a side affect or if it is not linked at all?

Tuesday, 4 November 2014  |  8:55

Hi Lynne

I doubt it's linked to the VermX formulation itself, but the only way to know for sure is to stop it for another month and see what happens. In the meantime you can do a wormcount to make sure all is well, do a conventional wormer this month or switch to another product. If you bought the Verm-X treats could it be the chicken? I seriously doubt it's the VermX but stop a while and see what happens. Also, give me a shout and I'll see what I can do.

Wednesday, 26 November 2014  |  13:30

My dog is poorly and being assessed at the vet now for lungworm plus bronchitis etc Can I please ask about the length of time it takes from initial infestation to potential life threatening illness? He started coughing a little about a week ago and yesterday detriorated a lot which is why he went to vet. Also he has regularly had Advocate since a new pup and is still only 4 months old so how likely do you think lungworm is? He has eaten snails. Finally is Advocate the right treatment or is more of a prevention and should he have something else to treat?


Dougy Madill
Thursday, 4 December 2014  |  0:12

I cannot urge people to get to their vet as quickly as possible if they suspect their dog has lungworm. Bijou, our 11 month old Cavalier King Charles Spaniel didn't have any symptoms we were aware of this time last week - she died 2 days ago! Her sister, Belle, has tested positive for lungworm too. Needless to say she has been treated and we are watching her like a hawk! We live in N. Ireland where lungworm has hardly been heard of!!

Tuesday, 3 February 2015  |  1:02

Hi my 10 month out staffy has lung worm and has been to the vets he is in quite a bad state and the vet suggested we have him put down we said no so gave us tablets his been on them since sat they say if his not improving by Fri we should consider what to do. He can bearly stand on his back legs do you think it be curable at this stage he has all the symptoms to show what do u think he can make it through this

Tuesday, 3 February 2015  |  12:37

Hi Deno

I'm so sorry to hear about your Staffie having lungworm. You really need to be working with, and listening to your vet on this.

If you want a second opinion then take him to another vet as soon as possible. I hope he gets well, I really do.

But for now that's where you should be. In the future, make sure you worm your dog, either conventionally or naturally using Four Seasons, Verm-X and/or dog a lungworm egg count too.

Best of luck.

Thursday, 24 September 2015  |  22:44

I have a 14month old staff she can not stand up tail tucked under so ill she has been tested for lung worm and was positive they have give her meds to kill them off but they think they have all ready done the damage they said she will have either bleeding on the brain or spine I feel so sorry for her they don't no if she will make it but i just don't want to give up on her it's only been 2days on medication she not crying in pain or anything I just don't no to let her go or not

Friday, 4 December 2015  |  12:41

Hi Chelsea

I'm very sorry to hear about your poor staffie. What was the outcome?

Friday, 20 May 2016  |  17:23

How is your wee Staffie ? Mines in same boat , vet said it was a disc prob but we knew she'd eaten slugs and are sure it's lungworm. She's in good enough form but has absolutely no feeling in her back legs. Took her to another vet and got advocate drops for back of her neck /shoulders. How is your dog now , any improvement ?

Alan Lee
Thursday, 5 March 2015  |  7:58

My one year old lab contracted lungworm last year and say died. He had just had a kennel cough vaccination and started hacking a week or so later which the vet attributed to the vaccination. He died very suddenly not long after. The cough wS the only symptoms he had. We live in the east midlands. I urge everyone who loves their pet to consider giving advocate for protection every month. Especially to younger more inquisitive dogs. Sadly we learned the hard way. Please protect your dog!!!!

Thursday, 5 March 2015  |  8:18

Thank you, Alan for your comments. I am so sorry about how you came to write it though.

Yes, please, protect your dog.

Christine Eldridge
Tuesday, 10 March 2015  |  16:33

Our dogs have 4 seasons and Billy no Mates bought from Kate of course! They have just been wormed, including lung worm and both clear. We do this test every 6 months. They are on a raw diet. Buy Kates book which is a wonder of great advice.

Tuesday, 10 March 2015  |  17:27

Hi Christine, thank you for your lovely comments. It's really helpful for others to know what works.

Sue Farmer
Monday, 23 March 2015  |  18:45

I have just had a lungworm positive result on my youngest dog. She was wormed with Milbemax August 2014 then put on Vermex, but is fussy and would not eat it easily, so I changed her to Four Seasons, so I was surprised to get a positive result from a worm count. Luckily she has no symptoms and has been wormed with Milbemax again. I would prefer not to use a commercial wormer but find it hard to trust the herbal one now.

Tuesday, 24 March 2015  |  15:01

Hi Sue, that's good to know and I'm glad you've got it sorted out now.

The key with any worming treatment is consistency, I have to diarise worming the dog and cat otherwise I forget!

I have had a negative worm count for Nikita using Four Seasons so it just goes to show that a worm count is probably our best defence for worming naturally in that if there are no worms present there is no need to use a conventional treatment, but Four Seasons or Verm-X will be fine.

Tuesday, 24 March 2015  |  13:44

HI, I am not happy about giving my dog Advocate so have recently bought him some Verm-x crunches, which he loves. Having found this website I have read about Four Seasons and am planning to try it. Would there be any benifit in giving him both? Would I just be wasting money giving both? Could it be harmful or less effective to give both, or would it be "belt & braces" to give both?

Tuesday, 24 March 2015  |  15:02

Hi Suzanne

You don't need both, only one or the other. I would however do a wormcount with whichever you choose to use (see above). It's a relief to know that it's working and what is going on inside your dog.

Friday, 24 April 2015  |  11:47

Our lab keeps coughing up blood when she gets excited its getting worse these last two days,, she is eating well and walks well do you think she has lungworms.

Friday, 24 April 2015  |  11:54

Hi Barbara

Please take your dog to the vet today!

She may have swallowed or inhaled something, have coughed so much she's got a tear or any number of things. Either way please take her to the vet asap.

Wednesday, 8 July 2015  |  0:37

Vet just called and confirmed capillaria and said its lungworm. Gave me 5 days of Panacur. Very nervous for my dog but also have 4 others in house which vet knows about. Concerned for the other dogs if they will get it. They all use same yard which u have treated with 10 percent bleach/water mix. My dog was dx'es through fecal sample but not showing any symptoms. Not sure if I should have others tested or what....

Monday, 7 September 2015  |  15:56

Hi Kathy

So sorry, I've just seen this. Yes, if you haven't already I would have them tested.


Anne Mills
Sunday, 6 September 2015  |  12:04

Where can you buy the herbal products for lungworm ? I have 4 flat coated retrievers, I usually use advocate, can you advise ?
Looking forward to your views, thank you, Anne

Monday, 7 September 2015  |  15:49

Hi Anne

I use Four Seasons. Each dog needs 1ml per month and that's it. I couple that with a worm count every three months. So far Nikita comes back clear for tape, round and lung worm every time.

Here's the link


Monday, 14 September 2015  |  21:43

Sorry to hear all the parts about people losing their precious pets. Just wanted to check something, I've just been reading online that lungworm tests have come back positive in parks in Scotland. One of these parks being one I take my dogs to regularly. In may this year my ten month old lab suddenly started having small seizures and when I took her to the vet they said she had a very slow heat rate. She had been a fit and healthy puppy right up until then, even through being spayed they never picked up on any problems with her heart. She passed away suddenly at home within three weeks of the seizures starting. I'm wondering now if lungworm could have been to blame? We never had a postmortem done so we will never know for sure. It's just a bit scary to think they have found it in my local park!

Tuesday, 22 September 2015  |  11:10

Hi Hazel

So sorry to hear about your puppy but only a post mortem could tell you if it was lungworm.

Please don't beat yourself up over this, it sounds like you did everything you could, including worming.

Wednesday, 4 May 2016  |  20:02

My young lab eats grass all the time and he has a whistling noise when he is runing lung worm ?

Friday, 4 December 2015  |  20:49

My poor cavalier king charles not well at all just been to vet today for blood test xrays on Monday. His symptoms came out of the blue bout 10 weeks ago vet treating him for heart condition and he's been on heart tabs different ones and not responding.hence sought 2nd opinion from another vet. 1st vet did prescribe parazole for 3 days in case of lungworm. He's not yet two. Was very energetic but now no energy and panting and heart beat very fast. Hoping for good news after tests results. 😭

Wednesday, 9 December 2015  |  12:32

Hi Linda

Fingers crossed for a speedy recovery, let us know how he goes.


Sara T
Thursday, 10 December 2015  |  0:07

My 18 mth pug is in overnight on drip antibiotics and suspected lungworm. line on the blood test showed up 'faint' so they seem to think it is early or going due to the advocate and milbemax I gave this week. He has epilepsy anyway so usually acts in strange ways, but had been recently turning in circles, tail down, sleeping loads, coughing at slightest exertion. had tests to do with epilepsy as thought it was that, when he had the anaesthetic the tube had blood at the end and now I am thinking he had it and we didnt know, as it can cause bleeding from minor injuries and other symptoms. I hope he doesnt die as my daughters adore him. I feel guilty as missed his worm/ advocate dose in sept and feel its my fault as he was uprotected potentially during the autumn period when slugs and snails and out in full force and he has eaten some. He is in overnight, hence me being here looking for info and reading your stories x

Sharon Stratford
Sunday, 28 February 2016  |  13:22

I am currently fostering a beagle puppy that was handed in as a stray around 10 weeks ago. When he was collected he was found to have a chest infection, and was treated for kennel cough and he was wormed (thinking of lungworm). He came to me a couple of days after he arrived at the pound, since then he has constantly been on various antibiotics, he has had a chest x ray and lab tests on a sample from his lungs. The x ray showed that his lungs were very congested, showed up as grey on the film, the lab test suggested that he had the bordetella bacteria seen when kennel cough is present. He has had 2 different antibiotics to target this bacteria, but neither worked. At the moment he is in the middle of a course of wormers to target lungworm and a different antibiotic (suggested by the vet school at cambridge). In himself he is happy and growing ??? Just wondering if anybody knows of any Beagle specific respiratory problems, or is he just unlucky ?? Thank you for reading

Thursday, 3 March 2016  |  13:40

Hi Sharon

Blimey! It's not surprising if he was a stray baby essentially. Great that he found you though.

Try a Beagle specific forum like this one for specifics breed issues. Your vet should know though too.

The vet can do worm egg counts and test for lungworm too.

Try putting him on Resist, you can get it from this site, it's pure echinacea and will help support his immune system.

Good luck x

Friday, 25 March 2016  |  20:05

How many times a year ,does a dog have to be treated with Advocate.

Tuesday, 29 March 2016  |  13:11

Hi Tish

I don't know, we use Billy No Mates instead. Best to ask your vet.


Ann Marczak
Wednesday, 18 May 2016  |  13:40

Hi Tish,dogs need to be treated every month against Lungworm,with Advocate or Milbemax.My 7yr.old Border Collie had to be put to sleep 3 months ago,he had sudden Renal failure which I think was due to contracting Lungworm last year.He was very poorly & if the vets had told me he wouldn't survive,I would have had him put to sleep then.Lots of people don't treat their dogs for Lungworm & it doesn't seem to be well known,as to which treatment to use either.

Tuesday, 29 March 2016  |  21:23

Hi, is there anything else apart advocate you can use to help prevent lung worm?

Thursday, 31 March 2016  |  18:05

Hi Donna

Yes, Milbemax from the vet or Four Seasons from us.


Monday, 9 May 2016  |  8:25

Hi. My dog has been getting nose bleeds and the vets think it maybe lungworm. They gave me advocate. If he has got lung worm will this clear it up. Thank you

Monday, 9 May 2016  |  9:32

Hi Aran

I would be led by your vet on this one as they will have done the necessary tests.

All the best for a swift recovery.

Thursday, 19 May 2016  |  21:35

Hi my dog has been coughing and panting with lethargy. Took him to the vet and they treated him for heart failure but still unwell so returned to vet and blood test found he had lungworm. He has now been given advocate and steroids but seems to get hiccup/breathing difficulty and trying to eat grass to make himself sick. Is he likely to recover or once you have had lungworm for sometime is it fatal? Lisa

Friday, 20 May 2016  |  9:35

Hi Lisa

I would take him back to the vet if you are worried. It depends how bad he has it but they will know far better than I.


Kathy Campbell
Tuesday, 23 August 2016  |  19:41

My dog has lungworm and is being treated by vet but he has gone deaf is that normal with lungworm

Monday, 20 June 2016  |  19:06

Hi my dog was diagnosed with lungworm he was treated with milbemax 2 tabs every week for 4 weeks and tested positive when tested so he was given advocate 1 pipette every 2 weeks for 3 applications and he has just tested positive again but this time the line on the test was faint. My vets want to 're test again in another 2 weeks to see if any change, has anyone known the treatments not to work ? I'm now worrying as treatment isn't working.

Thursday, 7 July 2016  |  13:16

Hi Tina

Sounds like it's working albeit slowly. It depends on the severity of each case as to how effective treatment is. The best treatment is prevention though. Make sure going forward you are using a vet recommended wormer or our Four Seasons.

Wednesday, 27 July 2016  |  12:46

My Lab had lungworm last year and I am so pleased it has'nt come back .I use Advocate on Her . I have just got a Puppy and She is picking things up and eatting thing like they do ! what is the best way to keep lungworm away . I am really worried . Thanks

Thursday, 11 August 2016  |  12:04

Hi Wendy

It's vital you keep to your vet's puppy schedule for fleas, worms and vaccinations until they've had the amounts they need to make sure they're free of parasites and are protected from disease.

After that you can titer test for immunity and probably won't ever have to vaccinate again as long as your dog is covered.

For worms: from 12 weeks your puppy can go on to a half dose of Verm-X or Four Seasons, then from 6 months they can go onto the full dose. As long as you overlap your last vet wormer with either of these you should be covered.

Wednesday, 17 August 2016  |  11:53

Ask your vet to do a BLOOD TEST my dogs showed a particular protein, therefore definitely lungworm also a blood test can detect \ rule out many other causes ie lung cancer

Terry Journey
Wednesday, 28 September 2016  |  22:19

Hello! Is Four Seasons available to us in the United States?

Thursday, 29 September 2016  |  11:59

Hi Terry

Yes we ship to the US.

Simply select your country of origin on the checkout page when ordering.

Wednesday, 26 July 2017  |  14:37

Hi Terry

You can't get it there but we do post to the US so order from us and get it delivered.


Terry Journey
Wednesday, 28 September 2016  |  22:25

Also, does Four Seasons treat lungworm infections or is it just for prevention?

Thursday, 29 September 2016  |  12:01

Hi Terry

Four Seasons is a preventative, if you suspect your dog has Lungworm then ALWAYS take them straight to the vet for treatment.

Terry Journey
Thursday, 23 February 2017  |  5:33

My dog has been to the vet and has been treated with panacur 3 times, and still tests positive. I don't know what to do now, considering homeopathy, but even that scares me. Vet just keeps wanting to give more and more panacur.

Terry Journey
Thursday, 23 February 2017  |  5:34

Can you get Four Seasons in the United States?

Monday, 21 November 2016  |  23:03

My puppy has just been diagnosed with lung worm, she's in a bad way, treated her with advocate and steroids, how long do you think before see an improvement. Her only symptom was really fast breathing coughing now and again, gradually lost energy, still eating.

Tuesday, 22 November 2016  |  10:20

Hi Beccy

I am very sorry to hear that your dog is unwell. That is really something you need to be talking about with your Vet. We can't comment on individual cases as I am sure you can imagine. Speak to your vet, air your questions and concerns and they will look after your puppy.
I hope she gets better soon.
Amber - My Itchy Dog

Friday, 21 April 2017  |  22:28

My border has been coughing since last may, is lethargic and no appetite. Took her to the vets 3 times who treated her for kennel cough and now finally having X-rays next Thursday. Will she last until next Thursday as I now suspect lung worm?

Ruth Bean
Sunday, 21 May 2017  |  11:03

Thank you for an in depth publication of Lungworm protection Best wishes Ruth

Monday, 26 March 2018  |  18:30

I had my dog at the vets and been told he has lungworm. He's been given a spot on treatment. Wondering if anyone can tell me how long it roughly takes to work and symptoms to calm down

Thursday, 29 March 2018  |  9:14

Hi Megan

You need to ask the vet how long it will take to work as they prescribed it for you.