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Side Effects May Occur Readers concur that heartworm prevention is important – and that preventives can cause illness, even death. Concerning your article, Reflections on Heartworm, WDJ August 2002: Last summer in July, we adopted Casey, an 11-month old, 13-inch Beagle. All was well until we gave her the first monthly Heartgard medication. Casey was fine for about 24 hours, after which she developed diarrhea and became lethargic. We took her to our veterinarian, who told us that this incident was just coincidental, and that the medication couldnt possibly be the cause of the reaction. He gave her an antibiotic and Casey recovered over a period of about a week.
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