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contains prescription-strength ingredients, it cannot be purchased "over-the-counter." You must follow these steps:

: Your dog must be tested for existing heartworm infections before starting ComboGuard buy comboguard

: Discuss use with your vet if your dog has a history of epilepsy or seizures, as the ingredient spinosad may cause adverse reactions in these pets. Alternatives COMBOGUARD® - Vethical contains prescription-strength ingredients

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